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RMO MS P35 15 Juni - #Tibia , ACL Tear

Total questions: 20

Worksheet time: 10mins

Name
Class
Date
1.

Anterior cruciate ligament is getting blood supply mainly from?

a)

media genus

b)

lateralis genus superior

c)

lateralis genus inferior

d)

medialis genus superior

e)

medialis genus inferior

2.

Which test is the most sensitive to test the integrity of anterior cruciate ligament rupture?

a)

Pivot shift

b)

Lachman's test

c)

Anterior drawer test

d)

Mcmurray test

e)

Apley test

3.

What is the 'gold standard' exam to confirm diagnosing ACL rupture?

a)

X-ray

b)

CT-Scan

c)

Knee arthrocentesis

d)

MRI

e)

USG

4.

Which is not commonly mechanism that causing ACL rupture?

a)

Non-contact pivoting injury

b)

Direct hit to lateral knee

c)

Translation of knee to anterior

d)

Direct hit to medial knee

e)

Direct hit when knee slightly flexed and in valgus

5.

What muscle that can increasing female risk for ACL rupture because weaker muscle than male has function to preventing anterior tibial translation?

a)

Quadriceps muscle

b)

Gluteal muscle

c)

Hamstring muscle

d)

Tibial muscle

e)

Back muscle

6.

What finding is most found in knee arthrocentesis in ACL rupture case?

a)

Clear yellow fluid

b)

Cloudy red fluid

c)

Cloudy yellow

d)

Cloudy yellow-green

e)

Clear transparent

7.

Doctor doing test by positioning patient supine with their affected knee flexed to 90 degrees and the foot planted. Doctor will grip the proximal tibia with both hand and pull it forward. What is this name of this test?

a)

Anterior drawer test

b)

Pivot shift test

c)

Mcmurray test

d)

Lever sign test

e)

Apley test

8.

Which specific feature that can be found in radiograph of ACL rupture?

a)

Avulsion fracture of anterolateral proximal tibia

b)

Deep sulcus terminalis sign in lateral femoral condyle

c)

Joint effusion

d)

Deep lateral sulcus sign in lateral femoral condyle

e)

Empty notch sign

9.

Which knee ligament injury involved in unhappy triad?

a)

ACL, MCL, Medial meniscus

b)

ACL, PCL, Medial meniscus

c)

PCL, MCL, Lateral meniscus

d)

ACL, LCL, Lateral meniscus

e)

ACL, LCL, Medial meniscus

10.

Which management referred to case of complete ACL in younger active athlete?

a)

Non-operative management (RICE)

b)

ACL reconstruction

c)

ACL repair

d)

Pharmacology treatment with corticosteroid injection

e)

No need management

11.

What is the most frequently complication of closed fracture of tibia?

a)

Compartment syndrome

b)

Non-union

c)

Mal-union

d)

Delayed union

e)

Superficial peroneal nerve injury

12.

High energy trauma with torsional indirect force mostly causing what type of tibia fracture pattern?

a)

Oblique fracture

b)

Butterfly fracture

c)

Horizontal fracture

d)

Segmental fracture

e)

Spiral fracture

13.

Patient come after traffic injury, and by plain radiograph found bicondylar tibial plateau fracture. What is the classification of this tibial plateau fracture according to schatzker classification?

a)

I

b)

II

c)

III

d)

IV

e)

V

14.

What is the classification of split fracture of lateral tibial plateau according to schatzker classification?

a)

I

b)

II

c)

III

d)

IV

e)

V

15.

What name of tibia fracture involving intraarticular avulsion fracture through anterolateral physis and epiphysis of the distal tibia and seen in children and adolescent?

a)

Tillaux fracture

b)

Pylon fracture

c)

Trimalleolar fracture

d)

Bimalleolar fracture

e)

Bennet fracture

16.

Which is preferred management for patient of open fracture tibia with larger soft tissue injury and wound dehiscence?

a)

Open reduction and internal fixation

b)

External fixation, irrigation and debridement

c)

Plaster casting

d)

Non-operative management

e)

Intramedullary rods

17.

What structure can be assessed to know if fracture tibia involving neurovascular injury?

a)

Popliteal artery

b)

Dorsalis pedis artery

c)

Femoral artery

d)

Anterior tibial artery

e)

Deep femoral artery

18.

What type of internal fixation preferred for better outcome in shaft tibial fracture to decrease malalignment and decreased union time and time to weight bearing?

a)

Percutaneous plating-shaft

b)

Plate and Screws

c)

Intramedullary nail rods

d)

Tension band wiring

e)

Pins

19.

What name of fracture in tibia caused by landing on the feet from considerable height and may either split or shatter the distal end of the ankle joint?

a)

Tillaux fracture

b)

Pylon fracture

c)

Trimalleolar fracture

d)

Bimalleolar fracture

e)

Bennet fracture

20.

A 12-year-old boy came to us in emergency department with an injury to his left leg in the form of a direct impact to the anterior aspect of his proximal leg from an oncoming biker who was driving on the wrong side of the road. He was not able to put weight on the injured limb and had to be carried to the hospital. Examination showed a gross swelling in his knee region and posterior sag in his left leg, with a visible step distal to the joint line. There were some bruises and marked tenderness was present in the proximal tibial region. The calf had no tenderness and was soft on palpation; however, the periphery was relatively cold with absent peripheral pulses and, delayed pin prick, and capillary refilling time. He did not have any motor or sensory deficit in the limb. Radiographs proximal tibial physeal fracture with posteriorly displaced tibial metaphysis. Which salter harris classification of this distal tibial fracture?

a)

I

b)

II

c)

III

d)

IV

e)

V