WorksheetsQuiz 1 Ortho
Total questions: 100
Worksheet time: 3hrs 20mins
In common mid-shaft fracture of clavicle, the outer fragment is pulled down
True
False
Rotator cuff provides compression and depression of humeral head while deltoid elevate arm
True
False
Combined abduction and lateral rotation must be performed before 3 weeks after anterior shoulder dislocation to avoid joint stiffness
True
False
If the humerus is not rotated laterally during abduction is limited to 60 degree
True
False
Flexion type supracondylar fracture more common than extension type
True
False
In case of radial head fracture during the first week passive range of motion to elbow allowed
True
False
The capsular ligaments reinforce the humeral head in the glenoid in the End-range functional position
True
False
Ulnar nerve compression one of the causes of lateral elbow pain
True
False
If glenohumeral joint doesn't move , abduction is limited to 60°
True
False
Reverse scapulohumeral rhythm means that scapula moves more than humerus
True
False
Radial nerve passes deep in the antecubital fossa medial to the biceps tendon
True
False
Conservative treatment for Reflex Sympathetic Dystrophy (RSD) should include TENS as an early management to decrease pain
True
False
After immobilization of Colle’s fracture there is limitation extension and supination and radial deviation
True
False
During union stage of bone healing either partial or full weight bearing should be avoided
True
False
When lever arm is lengthened ,less force is required to generate torque on provide rotation
True
False
Power grasp is done with wrist flexion
True
False
Recurrent dislocation of shoulder occurs when positioned in internal rotation
True
False
Following the application of splints or bandage radial pulse should be taken at the wrist to prevent myositis ossificans complication
True
False
Faradism used to stimulate group of muscles if the nerve is conducted or interrupted direct current if there is no nerve conduction
True
False
In suspected cases of myositis ossificans the affected area should be rested and elbow flexion
True
False
In case of nerve injury muscle contracture by relaxed passive movement in full range of all affected joints
True
False
Posterior dislocation of elbow joint due to fall on out stretched hand with elbow extended
True
False
Secondary stabilizers are concerned with limiting and protecting at the mid ranges of motion
True
False
During normal motion only 1/4 of the humeral head is in contact with the glenoid
True
False
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)
True
False
Anterior capsule tightness often demonstrated by loss shoulder internal rotation leads to more superior and anterior translation
True
False
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
True
False
In aerobic exercises the plus rate will be between 40-50 %.
True
False
Stretching should be done before exercises only
True
False
Tightness of the posterior capsule can cause squeezing between the humerus and the under surface of the acromion
True
False
Lack of minerals can lead to muscle cramp
True
False
Aerobic training means oxygen dependant with need of oxygen
True
False
In the initial phase of injury heat can be used
True
False
Training surface or shoes can lead to acute injury
True
False
Overuse injury such as sprain or tear
True
False
In lateral epicondylitis, pain on resisted wrist flexion and forearm pronation
True
False
Medial epicondylitis is less common than lateral epicondylitis and the pathology is in extensor carpi radialis brevis
True
False
Volkmann’s ischemic contracture is due to dorsal and radial displacement of the distal fragment of the radius bone
True
False
During union stage of bone healing either partial or full weight bearing should be avoided
True
False
In swan neck deformity orthosis should block PIP extension
True
False
Intermediate stage of injury is from time of injury to pain free ROM
True
False
Both anterior and posterior translation of humeral head decreased when long head of biceps is loaded
True
False
Supraspinatus tendinosis is inflammation of tendon
True
False
Scaphoid bone forms the floor of anatomical snuff box
True
False
In case of absence of supraspinatus, then infraspinatus and subscapularis are not sufficient for shoulder elevation
True
False
Patient with RSD should concentrate on diet that increase activity of sympathetic nervous system
True
False
Range of motion test starts by passive range of motion.
True
False
The superior angle of the scapula lies in the same line of T3
True
False
Palpation of supraspinatus tendon by external rotation of the shoulder
True
False
Sprengel deformity occur due to weakness in the serratus anterior.
True
False
Cubital fossa is triangle formed of pronator quadratus and brachioradialis
True
False
Levator scapulae arise from transverse process of (C1-C5)
True
False
Colle's fracture is a fracture of the distal 2-3 cm of radius in the forearm with volar displacement of distal fragment
True
False
Colle's fracture usually in young age
True
False
One of the complications of colle's fracture is radial nerve injury
True
False
One of the complications of colle's fracture is rapture extensor pollicis brevis
True
False
If area of force applied is too small, high pressure result causing discomfort and irritation
True
False
In mallet finger, the insertion of flexor digitorum superficialis in distal phalanx is ruptured
True
False
Madelung deformity is one of complications of colle's fracture
True
False
TENS stimulation if non-union in scaphoid fracture is noted by 8th week
True
False
Ice is contraindicated in management of RSD
True
False
To palpate the olecranon fossa the elbow must be completely extended
True
False
Mobilization is important factor for healing fracture
True
False
Supraspinatus tendon is at highest risk for irritation when contact acromion with humerus when humerus abducted to 90 and internally rotated
True
False
Rotator cuff tears may result when a sudden eccentric force applied to rotator cuff resulting failure of tendon
True
False
Scaphoid plaster cast extend from:
a. The below elbow to the head of metacarpal bones including the proximal phalanx of the thumb with wrist and thumb glass holding position.
The below elbow to the neck of metacarpal bones including the proximal phalanx of the thumb with wrist and thumb glass holding position
The below elbow to the head of metacarpal bones including the distal phalanx of the thumb with wrist and thumb glass holding position
a. The below elbow to the head of metacarpal bones not including the thumb
Boxer's fracture
a. At the base of the 5th metacarpal bone
b. At the neck of the 5th metacarpal bone
c. At the head of the 5th metacarpal bone
d. At the shaft of the 5th metacarpal bone
Mobilization technique must be applied in colle's fracture:
After consolidation
After union
a. At first 3 weeks
In recurrent anterior dislocation of shoulder, the movement that causes dislocation is
extension
abduction and internal rotation
flexion and internal rotation
Abduction and external rotation
Commonest type of lesion causing recurrent shoulder dislocation
Bankart's lession
weakness of subscapularis muscle
shallow glenoid labrum
injury to humeral head
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
callway's test
Apprehension test
duga's test
hamiton's test
Tracing of the long head of biceps brachii can be achieved by
a. Shoulder extension
Elbow flexion from pronated arm
Shoulder flexion
Elbow extension from supinated arm
All function of supraspinatus except :
Pull humeral head toward glenoid
Line of pull for deltoid
Assist in rotate humerus into abduction
Block inferior displacement with deltoid contraction
Axillary nerve may be injured in the following situation
Shoulder dislocation.
fracture of surgical neck of humerus
a badly adjusted crutch
All of the above
Skier thumb
UCL is damage in 14% of cases
inability to perform movement with ulnar collateral laxity
Tenderness along index side of the thumb
Treatment of UCL tear
immobilization of complete fracture
thumb is immobilized in MCP extension
Should be treated surgically
De Quervain’s tenosynovitis seen in
activities require grasp and radial deviation
In mature golfer, cocking the wrist at beginning of down swing
activities require repetitive use if the thumb
Greatest effect for bone formation
Cycling
Lifting
Swimming
tai chi stretching
Hamate fracture
thenar pain increase with gripping
localized tenderness and painful flexion thumb
the most common fracture in golf by fast shot
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:
Formed between the axis of a radially deviated forearm and the axis of the humerus
An increased carrying angle can result in gunstock deformity
Normally it is 160 – 165°
It helps the arms to swing without hitting the hips while walking
The normal alignment of elbow can be observed by pointing the following bony landmarks, select one:
Medial and lateral humeral epicondyles in relation to ulnar groove
Medial and lateral humeral epicondyles in relation to radial head
Medial and lateral humeral epicondyles in relation to coronoid process of ulna
Medial and lateral humeral epicondyles in relation to olecranon process of ulna
In analyzing the humeroulnar joint, the closed-packed position of that articulation is, select one:
Full flexion
full extension
semiflexion
Full abduction
All of the following findings can be located by palpating the carpal tunnel except, select one:
its floor is formed medially by the pisiform and the hook of the hamate and laterally by the scaphoid and the trapezium
Flexor retinaculum covering the anterior concavity of the tunnel
The tunnel allows the flexor tendons of the digits and the median nerve to travel through to the hand
Palmer cutaneous nerve is one of the components enter the tunnel
Examining a patient's hand by sight may reveal deformities most commonly related to prolonged median nerve entrapments like, select one:
Dupuytren's contracture
Ape Hand
Trigger thumb
drop hand
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:
Radial (lateral) border tendons of the extensor pollicis longus.
Radial (lateral) border: tendon of the flexor carpi radialis longus and brevis.
Ulnar (medial) border. Tendon of the abductor pollicis longus and extensor pollicis brevis
Ulnar (medial) border: tendon of the extensor pollicis longus.
Stener's lesion, select one:
Ulnar extension of adductor aponeurosis becomes lodged between ruptured end RCL & its attachment to base of 1st phalanx
Radial extension of adductor aponeurosis becomes lodged between ruptured end UCL & its attachment to base of 1 phalanx
Ulnar extension of abductor aponeurosis becomes lodged between ruptured end UCL & its attachment to base of 1 phalanx
Ulnar extension of adductor aponeurosis becomes lodged/interposed between ruptured end UCL & its attachment to base of 1s phalanx
Distal ulnar neuritis, select one:
Entrapment of ulnar nerve inside carpal tunnel
Entrapment of median nerve inside carpal tunnel
Entrapment of radial nerve inside guyons canal
Entrapment of ulnar nerve inside guyon's canal
Mechanism of injury in hamate fracture, select one:
The butt of the club is forced against thener region of leading hand.
The butt of the club is forced against hypothener region of trailing hand
The butt of the club is forced against web space of leading hand.
The butt of the club is forced against hypothener region of leading hand
Game keeper's thumb, select one:
Chronic condition (repeated episodes of hyperabduction)
Acute condition (fall on an outstretched hand with a ski pole)
Entrapment of ulnar nerve inside guyon's canal
Torn radial collateral ligament of thumb
Intersection syndrome, select one:
Painful tenosynovitis of tendons of 2nd dorsal compartment of wrist (abductor pollicis longs & extensor pollicis brevis)
Painful tenosynovitis of tendons of 1st dorsal compartment of wrist (abductor pollicis longs & extensor pollicis brevis)
Painful tenosynovitis of tendons of 2nd dorsal compartment of wrist (extensor carpi radialis longs, extensor carpi radialis brevis)
Painful tenosynovitis of tendons of 1st dorsal compartment of wrist (extensor carpi radialis longs, extensor carpi radialis brevis)
Jersey finger, select one:
The injury causes forced extension of PIP joint during active flexion.
The injury causes forced extension of DIP joint during active extension.
The injury causes forced flexion of DIP joint during active flexion
The injury causes forced extension of DIP joint during active flexion
1. In a case of a frozen shoulder, it might commonly be accompanied by:
Diabetes
Epilepsy
Multiple joint dislocation
Spine deformities
In radial tunnel syndrome, the nerve entrapment is:
The anterior interosseous nerve
Motor branch of the median nerve
Posterior interosseous nerve
Motor branch of the ulnar nerve
Which nerve is most injured with traumatic anterior shoulder dislocations, Select one :
Radial
Long thoracic
Axillary
Thoracodorsal
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:
Scaphoid and lunate bones
Capitate and hamate bones
Pisiform and hamate bones
Styloid process of ulna and pisiform bones
During examination of shoulder from anterior view, the bony structure may be difficult to palpate is:
sternoclavicular joint
coracoid process
bicipital groove
acromion process
The primary stabilizers are the following muscles except:
Rotator cuff
Deltoid
Scapular muscles
Long head of biceps
Which of the following clinical characteristics is associated with bicipital tendonitis?
Weakness of the arm with internal rotation and adduction
Pain that awakens the patient at night
Bulging appearance to the proximal arm
Aggravated by resisted supination of the forearm
At stages of RSD, dystrophic is:
Stage I
Stage II
Stage III
Bankart's lesion involves, Select one :
Posterior aspect of glenoid labrum.
Anterior aspect of the head of humerus.
Posterior aspect of head of humerus.
Anterior aspect of glenoid Labrum.
