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Upper Limb Conditions

Total questions: 15

Worksheet time: 8mins

Name
Class
Date
1.

What is the suitable management for minimally displaced surgical neck fractures of the humerus?

a)
Surgical fixation with plates and screws
b)
Immobilization in a cast for 6 weeks
c)
Immediate weight-bearing exercises
d)
Non-operative management with a sling, early range of motion exercises, and close follow-up
2.

For a greater tuberosity fracture of the humerus to be considered minimally displaced, how much displacement is acceptable?

a)

Less than 1-2mm

b)


Less than 3-5mm

c)

Less than 6-8mm

d)

Any amount of displacement

3.

When should gentle progressive shoulder pendulum exercises be started after a humeral fracture?

a)


As early as 1 week post injury

b)

Immediately after the injury

c)


After 6 weeks post injury

d)

Only after complete fracture healing

4.

What is a common mechanism for a humeral shaft fracture?

a)

Repetitive motion injury

b)


Overuse of the arm muscles

c)

Exposure to extreme cold

d)

Direct blow to the upper arm

5.

What is the post-operative recommendation after Arthroscopic Sub-Acromial Decompression?

a)


Bed rest with no to little shoulder movement

b)


Immediate return to adjusted ADLs

c)

Sling for comfort, otherwise full active range of motion (AROM)

d)

Use of a shoulder brace for 3 months

6.

What type of surgical approach is used in Rotator Cuff Repair to limit the extent of surgical soft tissue injuries?

a)

Open surgery

b)

Arthroscopic (minimally invasive)

c)

Endoscopic surgery

d)

Laparoscopic surgery

7.

What factor strongly influences the choice of repair technique for a Rotator Cuff Repair?

a)

Patient preference

b)

Hospital policy

c)

Insurance coverage

d)

Surgeon preference

8.

What is the goal for active-assist and active shoulder range of motion (ROM) 6-12 weeks post-operation?

a)

Aim for 90° A/AROM and gradually increase

b)

Aim for 60° A/AROM and gradually decrease

c)

Aim for 90° A/AROM and maintain

d)

Aim for 120° A/AROM and gradually decrease

9.

What type of shoulder arthroplasty is indicated for a patient with a non-functional or irreparable rotator cuff?

a)

Anatomic Total Shoulder Arthroplasty

b)

Reverse Total Shoulder Arthroplasty

c)

Partial Shoulder Arthroplasty

d)

Hemiarthroplasty

10.

Which shoulder arthroplasty is suitable for a patient with a functional rotator cuff?

a)

Reverse Total Shoulder Arthroplasty

b)


Partial Shoulder Arthroplasty

c)

Anatomic Total Shoulder Arthroplasty

d)

Hemiarthroplasty

11.

What is commonly associated with humeral shaft fractures in terms of neurovascular assessment?

a)

Axillary nerve damage

b)

Median nerve palsy

c)

Radial nerve palsy

d)

Ulnar nerve palsy

12.

Which type of management is indicated for spiral/oblique fractures?

a)

Surgical

b)

ORIF

c)

Conservative

d)

Amputation

13.

Which of the following is NOT allowed during the post-operative protocol for shoulder arthroplasty?

a)

AROM of shoulder

b)

AROM of hand/ wrist/elbow

c)


Use of an abduction pillow in 30-45° abduction

d)


Seated table slide for GHJ flexion/abduction

14.

What is the deforming force in an olecranon fracture that may necessitate surgical management?

a)

Biceps muscle

b)

Triceps muscle

c)

Brachialis muscle

d)

Anconeus muscle

15.

For oedema management, which of the following is recommended?

a)

Compression

b)


Heat application

c)

Ice application

d)

Elevation