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Quiz 1 Ortho

Total questions: 100

Worksheet time: 3hrs 20mins

Name
Class
Date
1.

In common mid-shaft fracture of clavicle, the outer fragment is pulled down

a)

True

b)

False

2.

Rotator cuff provides compression and depression of humeral head while deltoid elevate arm

a)

True

b)

False

3.

Combined abduction and lateral rotation must be performed before 3 weeks after anterior shoulder dislocation to avoid joint stiffness

a)

True

b)

False

4.

If the humerus is not rotated laterally during abduction is limited to 60 degree

a)

True

b)

False

5.

Flexion type supracondylar fracture more common than extension type

a)

True

b)

False

6.

In case of radial head fracture during the first week passive range of motion to elbow allowed

a)

True

b)

False

7.

The capsular ligaments reinforce the humeral head in the glenoid in the End-range functional position

a)

True

b)

False

8.

Ulnar nerve compression one of the causes of lateral elbow pain

a)

True

b)

False

9.

If glenohumeral joint doesn't move , abduction is limited to 60°

a)

True

b)

False

10.

Reverse scapulohumeral rhythm means that scapula moves more than humerus

a)

True

b)

False

11.

Radial nerve passes deep in the antecubital fossa medial to the biceps tendon

a)

True

b)

False

12.

Conservative treatment for Reflex Sympathetic Dystrophy (RSD) should include TENS as an early management to decrease pain

a)

True

b)

False

13.

After immobilization of Colle’s fracture there is limitation extension and supination and radial deviation

a)

True

b)

False

14.

During union stage of bone healing either partial or full weight bearing should be avoided

a)

True

b)

False

15.

When lever arm is lengthened ,less force is required to generate torque on provide rotation

a)

True

b)

False

16.

Power grasp is done with wrist flexion

a)

True

b)

False

17.

Recurrent dislocation of shoulder occurs when positioned in internal rotation

a)

True

b)

False

18.

Following the application of splints or bandage radial pulse should be taken at the wrist to prevent myositis ossificans complication

a)

True

b)

False

19.

Faradism used to stimulate group of muscles if the nerve is conducted or interrupted direct current if there is no nerve conduction

a)

True

b)

False

20.

In suspected cases of myositis ossificans the affected area should be rested and elbow flexion

a)

True

b)

False

21.

In case of nerve injury muscle contracture by relaxed passive movement in full range of all affected joints

a)

True

b)

False

22.

Posterior dislocation of elbow joint due to fall on out stretched hand with elbow extended

a)

True

b)

False

23.

Secondary stabilizers are concerned with limiting and protecting at the mid ranges of motion

a)

True

b)

False

24.

During normal motion only 1/4 of the humeral head is in contact with the glenoid

a)

True

b)

False

25.

A couple is defined as: two parallel forces (f) with equal magnitudes (m) but opposite sense having different lines of action separated by distance (d)

a)

True

b)

False

26.

Anterior capsule tightness often demonstrated by loss shoulder internal rotation leads to more superior and anterior translation

a)

True

b)

False

27.

In absence of supraspinatus activity, the GH joint can actively move through full ROM of abduction, but the motion tends to lack of strength & endurance

a)

True

b)

False

28.

In aerobic exercises the plus rate will be between 40-50 %.

a)

True

b)

False

29.

Stretching should be done before exercises only

a)

True

b)

False

30.

Tightness of the posterior capsule can cause squeezing between the humerus and the under surface of the acromion

a)

True

b)

False

31.

Lack of minerals can lead to muscle cramp

a)

True

b)

False

32.

Aerobic training means oxygen dependant with need of oxygen

a)

True

b)

False

33.

In the initial phase of injury heat can be used

a)

True

b)

False

34.

Training surface or shoes can lead to acute injury

a)

True

b)

False

35.

Overuse injury such as sprain or tear

a)

True

b)

False

36.

In lateral epicondylitis, pain on resisted wrist flexion and forearm pronation

a)

True

b)

False

37.

Medial epicondylitis is less common than lateral epicondylitis and the pathology is in extensor carpi radialis brevis

a)

True

b)

False

38.

Volkmann’s ischemic contracture is due to dorsal and radial displacement of the distal fragment of the radius bone

a)

True

b)

False

39.

During union stage of bone healing either partial or full weight bearing should be avoided

a)

True

b)

False

40.

In swan neck deformity orthosis should block PIP extension

a)

True

b)

False

41.

Intermediate stage of injury is from time of injury to pain free ROM

a)

True

b)

False

42.

Both anterior and posterior translation of humeral head decreased when long head of biceps is loaded

a)

True

b)

False

43.

Supraspinatus tendinosis is inflammation of tendon

a)

True

b)

False

44.

Scaphoid bone forms the floor of anatomical snuff box

a)

True

b)

False

45.

In case of absence of supraspinatus, then infraspinatus and subscapularis are not sufficient for shoulder elevation

a)

True

b)

False

46.

Patient with RSD should concentrate on diet that increase activity of sympathetic nervous system

a)

True

b)

False

47.

Range of motion test starts by passive range of motion.

a)

True

b)

False

48.

The superior angle of the scapula lies in the same line of T3

a)

True

b)

False

49.

Palpation of supraspinatus tendon by external rotation of the shoulder

a)

True

b)

False

50.

Sprengel deformity occur due to weakness in the serratus anterior.

a)

True

b)

False

51.

Cubital fossa is triangle formed of pronator quadratus and brachioradialis

a)

True

b)

False

52.

Levator scapulae arise from transverse process of (C1-C5)

a)

True

b)

False

53.

Colle's fracture is a fracture of the distal 2-3 cm of radius in the forearm with volar displacement of distal fragment

a)

True

b)

False

54.

Colle's fracture usually in young age

a)

True

b)

False

55.

One of the complications of colle's fracture is radial nerve injury

a)

True

b)

False

56.

One of the complications of colle's fracture is rapture extensor pollicis brevis

a)

True

b)

False

57.

If area of force applied is too small, high pressure result causing discomfort and irritation

a)

True

b)

False

58.

In mallet finger, the insertion of flexor digitorum superficialis in distal phalanx is ruptured

a)

True

b)

False

59.

Madelung deformity is one of complications of colle's fracture

a)

True

b)

False

60.

TENS stimulation if non-union in scaphoid fracture is noted by 8th week

a)

True

b)

False

61.

Ice is contraindicated in management of RSD

a)

True

b)

False

62.

To palpate the olecranon fossa the elbow must be completely extended

a)

True

b)

False

63.

Mobilization is important factor for healing fracture

a)

True

b)

False

64.

Supraspinatus tendon is at highest risk for irritation when contact acromion with humerus when humerus abducted to 90 and internally rotated

a)

True

b)

False

65.

Rotator cuff tears may result when a sudden eccentric force applied to rotator cuff resulting failure of tendon

a)

True

b)

False

66.

Scaphoid plaster cast extend from:

a)

a.  The below elbow to the head of metacarpal bones including the proximal phalanx of the thumb with wrist and thumb glass holding position.

b)

The below elbow to the neck of metacarpal bones including the proximal phalanx of the thumb with wrist and thumb glass holding position

c)

The below elbow to the head of metacarpal bones including the distal phalanx of the thumb with wrist and thumb glass holding position

d)

a.  The below elbow to the head of metacarpal bones not including the thumb

67.

Boxer's fracture

a)

a.  At the base of the 5th metacarpal bone

b)

b. At the neck of the 5th metacarpal bone

c)

c. At the head of the 5th metacarpal bone

d)

d.  At the shaft of the 5th metacarpal bone

68.

Mobilization technique must be applied in colle's fracture:

a)

  After consolidation

b)

After union

c)

a.  At first 3 weeks

69.

In recurrent anterior dislocation of shoulder, the movement that causes dislocation is

a)

extension

b)

abduction and internal rotation

c)

flexion and internal rotation

d)

Abduction and external rotation

70.

Commonest type of lesion causing recurrent shoulder dislocation

a)

Bankart's lession

b)

weakness of subscapularis muscle

c)

shallow glenoid labrum

d)

injury to humeral head

71.

  A patient with recurrent dislocation of shoulder present to the hospital. The doctor tries to abduct his arm and to extend the elbow and external rotation, but the patient does not allow to do so. The test is called

a)

callway's test

b)

Apprehension test

c)

duga's test

d)

hamiton's test

72.

Tracing of the long head of biceps brachii can be achieved by

a)

a.  Shoulder extension

b)

Elbow flexion from pronated arm

c)

Shoulder flexion

d)

Elbow extension from supinated arm

73.

All function of supraspinatus except :

a)

  Pull humeral head toward glenoid

b)

Line of pull for deltoid

c)

Assist in rotate humerus into abduction

d)

Block inferior displacement with deltoid contraction

74.

Axillary nerve may be injured in the following situation

a)

Shoulder dislocation.

b)

fracture of surgical neck of humerus

c)

a badly adjusted crutch

d)

All of the above

75.

Skier thumb

a)

   UCL is damage in 14% of cases

b)

  inability to perform movement with ulnar collateral laxity

c)

Tenderness along index side of the thumb

76.

Treatment of UCL tear

a)

   immobilization of complete fracture

b)

thumb is immobilized in MCP extension

c)

Should be treated surgically

77.

De Quervain’s tenosynovitis seen in

a)

activities require grasp and radial deviation

b)

In mature golfer, cocking the wrist at beginning of down swing

c)

activities require repetitive use if the thumb

78.

Greatest effect for bone formation

a)

Cycling

b)

Lifting

c)

Swimming

d)

   tai chi stretching

79.

  Hamate fracture

a)

thenar pain increase with gripping

b)

localized tenderness and painful flexion thumb

c)

the most common fracture in golf by fast shot

80.

Carrying angle is a small degree of cubitus valgus. All of the following findings are related to physical examinations of carrying angle except, select one:

a)

Formed between the axis of a radially deviated forearm and the axis of the humerus

b)

An increased carrying angle can result in gunstock deformity

c)

  Normally it is 160 – 165°

d)

It helps the arms to swing without hitting the hips while walking

81.

The normal alignment of elbow can be observed by pointing the following bony landmarks, select one:

a)

Medial and lateral humeral epicondyles in relation to ulnar groove

b)

  Medial and lateral humeral epicondyles in relation to radial head

c)

Medial and lateral humeral epicondyles in relation to coronoid process of ulna

d)

Medial and lateral humeral epicondyles in relation to olecranon process of ulna

82.

In analyzing the humeroulnar joint, the closed-packed position of that articulation is, select one:

a)

Full flexion

b)

full extension

c)

semiflexion

d)

Full abduction

83.

All of the following findings can be located by palpating the carpal tunnel except, select one:

a)

its floor is formed medially by the pisiform and the hook of the hamate and laterally by the scaphoid and the trapezium

b)

Flexor retinaculum covering the anterior concavity of the tunnel

c)

The tunnel allows the flexor tendons of the digits and the median nerve to travel through to the hand

d)

Palmer cutaneous nerve is one of the components enter the tunnel

84.

Examining a patient's hand by sight may reveal deformities most commonly related to prolonged median nerve entrapments like, select one:

a)

Dupuytren's contracture

b)

Ape Hand

c)

Trigger thumb

d)

drop hand

85.

The anatomical snuffbox is a triangular depression found on the lateral aspect of the dorsum of the hand. By palpation; you can find out its borders as the following arrangements, select one:

a)

  Radial (lateral) border tendons of the extensor pollicis longus.

b)

  Radial (lateral) border: tendon of the flexor carpi radialis longus and brevis.

c)

Ulnar (medial) border. Tendon of the abductor pollicis longus and extensor pollicis brevis

d)

  Ulnar (medial) border: tendon of the extensor pollicis longus.

86.

Stener's lesion, select one:

a)

Ulnar extension of adductor aponeurosis becomes lodged between ruptured end RCL & its attachment to base of 1st phalanx

b)

Radial extension of adductor aponeurosis becomes lodged between ruptured end UCL & its attachment to base of 1 phalanx

c)

Ulnar extension of abductor aponeurosis becomes lodged between ruptured end UCL & its attachment to base of 1 phalanx

d)

  Ulnar extension of adductor aponeurosis becomes lodged/interposed between ruptured end UCL & its attachment to base of 1s phalanx

87.

Distal ulnar neuritis, select one:

a)

Entrapment of ulnar nerve inside carpal tunnel

b)

Entrapment of median nerve inside carpal tunnel

c)

Entrapment of radial nerve inside guyons canal

d)

Entrapment of ulnar nerve inside guyon's canal

88.

Mechanism of injury in hamate fracture, select one:

a)

The butt of the club is forced against thener region of leading hand.

b)

The butt of the club is forced against hypothener region of trailing hand

c)

The butt of the club is forced against web space of leading hand.

d)

The butt of the club is forced against hypothener region of leading hand

89.

Game keeper's thumb, select one:

a)

Chronic condition (repeated episodes of hyperabduction)

b)

Acute condition (fall on an outstretched hand with a ski pole)

c)

  Entrapment of ulnar nerve inside guyon's canal

d)

Torn radial collateral ligament of thumb

90.

Intersection syndrome, select one:

a)

Painful tenosynovitis of tendons of 2nd dorsal compartment of wrist (abductor pollicis longs & extensor pollicis brevis)

b)

Painful tenosynovitis of tendons of 1st dorsal compartment of wrist (abductor pollicis longs & extensor pollicis brevis)

c)

Painful tenosynovitis of tendons of 2nd dorsal compartment of wrist (extensor carpi radialis longs, extensor carpi radialis brevis)

d)

Painful tenosynovitis of tendons of 1st dorsal compartment of wrist (extensor carpi radialis longs, extensor carpi radialis brevis)

91.

Jersey finger, select one:

a)

The injury causes forced extension of PIP joint during active flexion.

b)

The injury causes forced extension of DIP joint during active extension.

c)

The injury causes forced flexion of DIP joint during active flexion

d)

The injury causes forced extension of DIP joint during active flexion

92.

1. In a case of a frozen shoulder, it might commonly be accompanied by:

a)

Diabetes

b)

Epilepsy

c)

Multiple joint dislocation

d)

Spine deformities

93.

In radial tunnel syndrome, the nerve entrapment is:

a)

The anterior interosseous nerve

b)

  Motor branch of the median nerve

c)

Posterior interosseous nerve

d)

Motor branch of the ulnar nerve

94.

Which nerve is most injured with traumatic anterior shoulder dislocations, Select one :

a)

  Radial

b)

Long thoracic

c)

Axillary

d)

Thoracodorsal

95.

Guyon's canal is a semi rigid longitudinal canal in the wrist that allows passage of the ulnar nerve into the hand through, select one:

a)

Scaphoid and lunate bones

b)

Capitate and hamate bones

c)

Pisiform and hamate bones

d)

Styloid process of ulna and pisiform bones

96.

During examination of shoulder from anterior view, the bony structure may be difficult to palpate is:

a)

  sternoclavicular joint

b)

coracoid process

c)

bicipital groove

d)

acromion process

97.

The primary stabilizers are the following muscles except:

a)

Rotator cuff

b)

Deltoid

c)

Scapular muscles

d)

Long head of biceps

98.

Which of the following clinical characteristics is associated with bicipital tendonitis?

a)

Weakness of the arm with internal rotation and adduction

b)

Pain that awakens the patient at night

c)

Bulging appearance to the proximal arm

d)

  Aggravated by resisted supination of the forearm

99.

At stages of RSD, dystrophic is:

a)

Stage I

b)

Stage II

c)

  Stage III

100.

Bankart's lesion involves, Select one :

a)

Posterior aspect of glenoid labrum.

b)

Anterior aspect of the head of humerus.

c)

Posterior aspect of head of humerus.

d)

  Anterior aspect of glenoid Labrum.