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WorksheetsDMS Summative 2
Total questions: 44
Worksheet time: 22mins
Base of Support increases as the distance between
feet increases
True
False
What would be the best option for the pelvic rotation mechanism when we are walking?
Pelvic rotation in transverse plane minimize drop in center of gravity by effectively lengthening the limbs
Pelvic minimizes rise in CoG by effectively shortening limb
Hip abductors and erector spinae muscle work to minimize pelvic rotation
M. iliopsoas as the prime mover of the pelvic rotation
The smaller the BOS, the higher stability we have
True
False
syndesmosis is one of the type of synarthrosis joints which is immoveable
True
False
What do rotator cuff muscles responsible for?
Responsible to produce circumduction in shoulder (combination of flexion, extension, abduction, adduction, rotation)
maintaining the stability of the shoulder joint by keeping the humeral head in the glenoid fossa
responsible for the lateral flexion of the shoulder
no function
What is the prime flexor of the knee joint?
Tibialis anterior
Extensor digitorum longus
hamstring muscles
quadriceps femoris muscles
How can we differentiate Fibrocartilage with the other types of cartilage?
Associated with hyaline cartilage and with the dense connective tissue
The matrix is impregnated with elastic fiber which gives the tissue its accentuated resilience and flexibility
present in the nose, larynx, ventral ends of ribs, articulating surfaces of movable joints of the body, tracheal rings, and bronchi
Most common cartilage of the body
There was a boy named Biels who once dreamed of winning a 40km marathon. He worked hard everyday only to find he wasn’t talented and fit enough to participate in the 40km marathon. So he gave up and became a medstud instead to learn muscle and stuff. What kind of muscle is the best for marathon runners?
White muscle
Cardiac muscle
Red muscle
Muscle
What would be the best option for zones of ossification characteristic?
Active mitosis among chondrocytes which form parallel stacks of crowded flattened cells
The matrix between cells become impregnated with calcium and phosphorus and stains basophilic
Enlargement of chondrocytes which accumulate the glycogen
Reabsorption of spongy bone in the center of the diaphysis enlarges the medullary cavity
What happens when PTH is given intermittently?
RANKL will increase while the OPG will decrease
Matrix production and formation will decrease
Formation of the bonnet will increase and the differentiation will increase
It becomes catabolic
Which of the following is TRUE about the etiology of osteoporosis in menopause?
Increased expression of RANK and RANKL
Increased serum estrogen
Increased osteoblast activity
Decreased synthetic activity of osteoblast
The resorption phase in the bone remodeling cycle lasts for months
True
False
During skeletal muscle contraction, The A band of the sarcomere becomes shortened
True
False
The highly ordered arrangement of myofilaments and triads allows skeletal muscles to contract efficiently
True
False
Nabiel decides to exercise using a dumbbell after a stressful day. What type of skeletal muscle contraction is he using when he lifts the dumbbell towards his body?
isometric contraction
tetanus contraction
Concentric contraction
Eccentric contraction
A general practitioner in Indonesia can make a Visum et Repertum
True
False
Which article (pasal) states that “setiap orang yang diminta penndapatnya sebagai ahli kedokteran kehakiman atau dokter dan atau ahli lainnya wajib memberikan keterangan ahli demi keadilan.”
KUHAP pasal 133
KUHP pasal 133
KUHAP pasal 120
KUHAP pasal 179
Which of the following is NOT a legal evidence?
Expert’s statement (keterangan ahli)
Doctor’s statement (surat keterangan medis)
Defendant’s statement (keterangan terdakwa)
Letter (Surat)
what is the most important bone protein ?
elastin
collagen
polysaccharide
albumin
which of these is not a function of calcium?
blood clotting
complement activation
maintain excitability of neurons
gives flexibility to bone
Which of these is a physiological osteoblast-osteoclast imbalance?
high blood alkalike phosphatase levels
hyperactive GH
excessive Ca deposition
hyperparathyroidism
which of these is a calcium binding protein
osteopontin
osteonectin
osteocalin
thrombosponsin
which of these is false
reduction in bone mass is happening to everyone gradually as they age
osteopetrosis is characterized by abnormal osteoclast function
osteoporosis is easily diagnosed using radiographs
people with osteoporosis have a more curved spine
Which is the cell that is responsible for Rheumatoid arthritis?
CD4 cell
B cell
plasma cell
lymphocyte
Which is true about osteoarthritis
edema of the joint
deposition of uric acid crystals
cartilage is all/almost all degraded
loss of vascularization of bone
Which is not a preventative measure for osteoporosis
reduce alcohol consumpton
weight bearing exercise
protein consumption
medication
etiology of mycoplasma arthritis
M tuberculosis
e.coli
mycoplasma hominis
klebsiella
Reduction treatment for femoral and neck fracture in children
Closed reduction with external fixation
Closed reduction with immobilization
Closed reduction with continuous traction
Closed reduction + closed pinning
Pick the correct match of mechanism of injury and fracture pattern
Twisting force - Short oblique fracture
Tension force - Butterfly fragment
Compression force - short oblique fracture
Bending force - spiral fracture
Which one is NOT the primary malignant tumor that causes pathological fracture?
Osteosarcoma
Chondrosarcoma
Carcinoma in breaset and kidney
Ewings tumor
Analgesic drug given to patients with MILD PAIN according to WHO 3-step analgesic ladder
Codein
Epidurals
Propoxyphen
NSAID
Which one that will increase thrombosis and cause vasoconstriction
COX-1
COX-2
Drugs that specifically mainly focus on COX-1 inhibition
Ibuprofen
Celecoxib
Indomethacin
Meclofenamate
Which are NOT the following Radiological appearance of Rheumatoid Arthritis
Uric acid crystal desposition
Sclerotic area
Cartilage erosion
Bone becomes darker
“Sandwich vertebrae” found in ?
Osteoporosis
Osteopetrosis
Hyperparathyroidism
Gout
What is the appropriate exercise for patient with hip OA?
ROM exercise and weight loss
high intensity workout
isotonic exercise with leg work
push up
Among these is physical modalities in PMR to treat knee injury..
Aquatic exercise
corset
spinal orthoses
sling and swathe
cryotherapy is cold therapy, can be done by applying ice pack on the site of injury.
true
false
A 45 years old man came to the clinic with complaints of joint pain. He can point out where the pain is, and the pain has been 8 weeks. Upon examination you can see swelling in PIP and DIP. on radiology there is spur formation and sub-condyle sclerosis. What is most plausible diagnosis?
Rheumatoid arthritis
Gout arthritis
Osteoarthritis
Pseudogout
What is the definite diagnosis of gout arthritis?
tophus appearance upon biopsy
uric acid titer is 4 mg/dL
chronic palmar MIP joint swelling
history of hip arthroplasty
when DMARD should be considered for use in patient with RA?
the patient has contraindication of MTX
no good prognosis after 3 months and acute GA after 6 months after MTX and low-dose glucocorticoid
the patient has peptic ulcer and history of kidney disease
good prognosis after 3 months and no acute GA after 6 months after MTX and low-dose glucocorticoid
Among these, what is the prophylactic pharmacological treatment in patients with open fracture?
antibiotics
NSAIDs
Steroids
opioids
among these included in internal fixation procedure..
Traction
immobilization using cervical spine
fixating distal portion of bone using plate and screws
amputation of the limb
What type of fracture is this?
comminuted
compound
oblique
transverse
