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Worksheetsortho finale
Total questions: 50
Worksheet time: 25mins
A 26-year-old male patient is brought to a hospital after he met with a road traffic accident. An orthopaedician examines him and explains that he has a fracture in his left leg before ordering any radiographs. From which of the following clinical findings was he able to make the diagnosis with certainty?
A) Swelling in his left leg
B) Tenderness in his left leg
C) Visible deformity at the fracture site
D) Mobility at the midshaft of the shaft of the tibia
The commonest cause of pathological fracture worldwide is?
A) Osteopetrosis
B) Stress fracture
C) Osteoporosis
D) Osteogenesis imperfecta
A 55-year-old woman is noted to have a traumatic injury to her right thigh. Which of the following is most sensitive for the diagnosis of compartment syndrome?
A) Pulselessness
B) Pallor
C) Pain
D) Paresthesias
A 40-year-old woman presents 8 weeks after a distal radius fracture with a painfully swollen hand. The fracture was treated with a cast application for 6 weeks. On examination, the hand is cold & cyanosed and shiny with increased temperature sensitivity. The likely diagnosis is?
A) Median nerve injury
B) Volkmann's ischemic contracture
C) Sudeck’s dystrophy
D) Compartment syndrome
Which of the following statements is false?
A) Cancellous bone is more vascular than cortical bone
B) Both cancellous bone in an adult are formed of lamellar bone
C) Cancellous bone heals poorly after a fracture when compared to cortical bone
D) Cancellous bone has more bone cells, while cortical has fewer bone cells
The fibres that connect the periosteum to the cortex are known as:
A) Nodes of Ranvier
B) Cords of Ranvier
C) Sharpey’s fibres
D) Volkmann’s fibres
Which of the following bones is the most commonly fractured in adults?
clavicle
humerus
carpals
distal forearm
A 6-year-old child falls onto his right side and develops a crack in only the dorsal cortex of the mid region of the radius. The best treatment?
A) TENS nailing
B) Open reduction and plating
C) Closed manipulative reduction and POP application
D) Breakage of the intact cortex, closed reduction of the fracture and POP application
Which of the following statements best describes the “terrible triad” injury of the elbow?
A) Flexion-type supracondylar fracture with radial head and elbow dislocation
B) Anterior olecranon fracture–dislocation
C) Coronoid fracture, olecranon fracture and elbow dislocation
D) Coronoid fracture, radial head fracture, and elbow dislocation
A depressed intra-articular fracture of the lunate fossa of the distal radius is also known as a:
A) Barton fracture
B) Colles fracture
C) Die-punch fracture
D) Smith fracture
The most common nerve involved in VIC is?
A) Median nerve
B) Ulnar nerve
C) Musculocutaneous nerve
D) Posterior interosseous nerve
Hourglass abscess is seen in:
A) Ganglion cyst
B) Compound palmar ganglion
C) Wrist synovitis
D) Furuncles
Jumper’s fracture is seen in:
A) Calcaneum
B) Tibia
C) Pelvis
D) Neck of femur
A child is born with CTEV (Congenital Talipes Equinus Varus). All of the following can be the cause except:
A) Poliomyelitis
B) Spina bifida
C) Idiopathic
D) Arthrogryposis multiplex congenita
A 54-year-old woman presents with a painful bunion and difficulty fitting shoes. Exam shows lateral deviation of the great toe and a clawed second toe; standing AP films reveal an intermetatarsal angle of 14° and a hallux valgus angle of 28°. Which statement is false?
A) It consists of outward deviation of the great toe at the level of MTP joint
B) It is not progressive
C) It is mainly due to bad fitting shoes
D) It is associated with hammer toe deformity
Mirel’s criteria is used for:
A) Deciding on traumatic amputation
B) Assessing the severity of osteoporosis
C) Assessing the need for prophylactic fixation in a bone with impending pathological fracture
D) Assessing risk of shock in polytrauma patient
Agnus Hunt traction is used for:
A) Correction of hip flexion deformity
B) Correction of knee flexion deformity
C) Fracture shaft of femur
D) Supracondylar fracture humerus
A 4-week-old female infant is referred for hip screening after a history of breech presentation. Examination reveals asymmetric thigh creases and a positive Ortolani click on the left. No other anomalies are noted. Which treatment device is most appropriate at this age?
A) Slipped capital femoral epiphysis (SCFE) brace
B) Pavlik harness
C) Petrie cast for Perthes disease
D) Hip joint injection for synovitis
What are the differentiating features of psoriatic arthritis from RA?
A) Pencil in cup deformity
B) Telescoping of phalanges
C) Marginal erosions
D) All of the above
Which of the following is not seronegative arthritis?
A) Ankylosing spondylitis
B) Psoriatic arthritis
C) Reactive arthritis
D) Rheumatoid arthritis
Which of the following is the most common cause of neuropathic joints?
A) Leprosy
B) Tabes dorsalis
C) Diabetes
D) Charcot Marie Tooth disease
The drug Denosumab is used in the treatment of osteoporosis, as well as in the treatment of giant cell tumor of bone. Which of the following is the mechanism by which Denosumab acts?
A) Inhibit osteoclast maturation
B) Stimulate bone formation
C) Inhibit bone resorption
D) Accelerate bone mineralization
When treating osteoporosis with alendronate, what is the most common side effect?
A) Osteonecrosis of jaw bone
B) Stomach ulcer
C) Dry mucus membrane
D) Insomnia
A 55-year-old healthy female presents for a routine physical exam. In regards to bone health and osteoporosis prevention, what dose of calcium and vitamin D should be recommended for daily consumption?
A) 1500 mg of calcium and 1000 IU of vitamin D
B) 1200 mg of calcium and 100 IU of vitamin D
C) 750 mg of calcium and 5000 IU of vitamin D
D) 750 mg of calcium and 10000 IU of vitamin D
Low serum phosphate with normal calcium levels is found in which of the following common causes of hereditary rickets?
A) X-linked dominant hypophosphatemic rickets
B) Vitamin D–dependent, type I
C) Vitamin D–dependent, type II
D) X-linked recessive hypophosphatemic rickets
A 7-month-old child is brought to the OPD with signs, symptoms, and biochemical changes of rickets. Which of the following findings is unlikely to be found in this child?
A) Wide open fontanelle
B) Bow legs
C) Rachitic rosary
D) Craniotabes
Which of the following is not a treatment option for osteoporosis?
A) Denosumab
B) Hormone replacement therapy
C) Vertebroplasty
D) Corticosteroids
a 60 year old female presents to the emergency with a history of falling on a right shoulder. he complaints of shoulder pain and inability to raise her right arm. A physical exam reveals loss of sensation over the lateral side of the right arm. radiology reveals a fracture of the surgical neck of humerus . which of the following muscles is supplied by the nerve that is most likely damaged
teres major
teres minor
supraspinatus
infraspinatus
57 year old automotive factory worker presents with complaints of weakness and pain in his right shoulder specifically stating difficulty in lifting his right arm above his head for 2 weeks. he reports using his left arm to lift his right arms slightly, following which his right arm can be lifted without help. which of the following muscles is most likely injured in the patient
Deltoid
infraspinatus
subscapularis
supraspinatus
"Lift off" and "Belly press" tests are done to examine which rotator cuff muscle
teres minor
supraspinatus
subscapularis
infraspinatus
a 60 year old child falls on an outstretched hand and presents with pain and swelling around the elbow. x-ray reveals a supracondylar fracture of the humerus. what is the most likely mechanism of injury
hyperflexion injury
extension injury
axial rotation
hyperextension injury
Which of the following ligaments attaches the menisci to the tibial plateau
coronary ligaments
arcuate ligament
transverse ligament
oblique ligament
50 year old man complaints of pain and swelling just below the Patella. he gives a history of frequent kneeling during the prayers. which bursa is most likely inflamed
prepatellar bursa
infrapatellar bursa
olecranon bursa
ischial bursa
Locking of the knee can be due to
loose body
menisci
both
none
All are true about sports hernia except
produces symptoms similar to inguinal hernia
results from overuse of abdominal muscles
repair of the anterior abdominal wall is indicated only when conservative measure fail
it is characterized by anterior pelvis or groin pain
Risk factors for a motor nerve palsy following primary total hip arthroplasty include all of the following except
development dysplasia of hip
limb lenthening
post traumatic arthritis
obesity
which factor is associated with a higher risk of dislocation after total hip arthroplasty
osteoarthritis
previous hip surgery
a direct lateral surgical approach
metal on metal bearing surfaces
Which tumor is the commonest true benign tumor of bone
osteoid osteoma
osteochondroma
enchondroma
osteoblastoma
which of the following is not true about osteoid osteoma
generally affects the diaphysis of long bones
the commonest bone affected is the femur
radiolucent nidus in centre
pre malignant
an intra medulary tumor occurring in the lower metaphysis of the tibia in a 15 year old male is most likely to be
ewing sarcoma
osteosarcoma
giant cell tumor
chondrosarcoma
night paints are characteristically seen with
osteoid osteoma
osteosarcoma
ewing sarcoma
fibrous cortical defect
congenital pseudo arthosis of tibia is commonly associated with which of the following conditions
neurofibromatosis
tuberous sclerosis
poliomyelitis
erythrogryposis multiplex congenita
Spina ventosa is seen in
carpals
phalanges
dorsal spine
shoulder joint
Caries sicca is seen in
hip
spine
shoulder
knee
Most common site for Osteomyelitis
epiphysis
metaphysis
diaphysis
subchondral growth plate
What is the most common location of Brodie's abscess
distal end of ulna
femoral metaphysis
tibial metaphysis
distal end of radius
Klumpke palsy results from injury to
c5 c6
c8 t1
radial nerve injury
c5 c6 c7
Carpal tunnel syndrome is caused by all except
hypothyroidism
tuberculosis
pregnancy
acromegaly
which nerve has the best prognosis after sustaining an injury
sciatic
tibial
ulnar
radial
a 25 year old male presents with a road traffic accident with signs of brachial plexus injury . on examination he has ptosis, miosis, anhydrosis on right side of face. what is the most likely level of nerve root involvement
c6
c8
c7
t1
