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Lower limb fracture

Total questions: 10

Worksheet time: 2mins

Name
Class
Date
1.

A 43-year-old sustained intertrochanteric fracture of the left femur. He was managed with internal fixation using dynamic hip screw. Which of the following is a precaution to be taken at 2 weeks post surgery?

a)

Avoid passive range of motion

b)

Avoid isometric exercise to the knee

c)

Avoid isometric exercise to the gluteus

d)

Avoid standing on the affected leg unsupported.

2.

Which of the following device is a stress-shielding device?

a)

External fixation

b)

Open reduction and internal plate fixation

c)

Skeletal traction

d)

Intramedullary nail fixation

3.

In supracondylar fracture, type B is known as ___________.

a)

Extraarticular fracture

b)

Unicondylar fracture

c)

Bicondylar fracture

d)

Infraarticular fracture

4.

In a supracondylar fracture, the goal of knee ROM exercises is to achieve __________ degrees of knee flexion between week 4-8 postoperative.

a)

45

b)

60

c)

90

d)

120

5.

In a bicondylar fracture of the distal femur treated with dynamic compression screw and plate, ambulation with weight bearing as tolerated can be initiated at _______ weeks after surgery.

a)

2

b)

4-8

c)

8-12

d)

12-16

6.

A 20-year-old student fractured his right patella due to a motor vehicle accident. He was managed with a cast. Which of the following can be done between 0- 7 days of rehab?

a)

Passive ROM for the knee flexion

b)

Active assisted ROM for knee flexion

c)

Active ROM for knee flexion

d)

No ROM exercise for the knee

7.

A 25-year-old man fractured his left patella 2 weeks ago. He was managed with open reduction internal fixation. The recent x-ray report stated no callus formation, fracture line is visible. Which of the following phases describe patient's current condition.

a)

Inflamatory phase

b)

Beginning of reparative phase

c)

Reparative phase

d)

Remodelling phase

8.

In a patella fracture managed with open reduction and internal fixation, isotonic strengthening exercises for the quadriceps can be started at week _________ .

a)

2-3

b)

4-6

c)

7-12

d)

13-16

9.

The type V (five) Schatzker classification of tibial plateau is defined as ___________.

a)

split fracture of the lateral tibial plateau

b)

a combination split and depression fracture of the lateral tibial plateau

c)

depressed fracture of lateral tibial plateau

d)

bicondylar or inverted Y fracture

10.

A middle aged man sustained type IV tibial plateau fracture. He was surgically managed with screw and washer fixation 8 weeks ago. Which of the following should be avoided during rehab session?

a)

Varus stress

b)

Valgus stress

c)

Passive range of motion to the knee

d)

Resistive exercise to the quadriceps and hamstring