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ortho finale

Total questions: 50

Worksheet time: 25mins

Name
Class
Date
1.

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)

A) Swelling in his left leg

b)

B) Tenderness in his left leg

c)

C) Visible deformity at the fracture site

d)

D) Mobility at the midshaft of the shaft of the tibia

2.

The commonest cause of pathological fracture worldwide is?

a)

A) Osteopetrosis

b)

B) Stress fracture

c)

C) Osteoporosis

d)

D) Osteogenesis imperfecta

3.

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)

A) Pulselessness

b)

B) Pallor

c)

C) Pain

d)

D) Paresthesias

4.

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)

A) Median nerve injury

b)

B) Volkmann's ischemic contracture

c)

C) Sudeck’s dystrophy

d)

D) Compartment syndrome

5.

Which of the following statements is false?

a)

A) Cancellous bone is more vascular than cortical bone

b)

B) Both cancellous bone in an adult are formed of lamellar bone

c)

C) Cancellous bone heals poorly after a fracture when compared to cortical bone

d)

D) Cancellous bone has more bone cells, while cortical has fewer bone cells

6.

The fibres that connect the periosteum to the cortex are known as:

a)

A) Nodes of Ranvier

b)

B) Cords of Ranvier

c)

C) Sharpey’s fibres

d)

D) Volkmann’s fibres

7.

Which of the following bones is the most commonly fractured in adults?

a)

clavicle

b)

humerus

c)

carpals

d)

distal forearm

8.

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)

A) TENS nailing

b)

B) Open reduction and plating

c)

C) Closed manipulative reduction and POP application

d)

D) Breakage of the intact cortex, closed reduction of the fracture and POP application

9.

Which of the following statements best describes the “terrible triad” injury of the elbow?

a)

A) Flexion-type supracondylar fracture with radial head and elbow dislocation

b)

B) Anterior olecranon fracture–dislocation

c)

C) Coronoid fracture, olecranon fracture and elbow dislocation

d)

D) Coronoid fracture, radial head fracture, and elbow dislocation

10.

A depressed intra-articular fracture of the lunate fossa of the distal radius is also known as a:

a)

A) Barton fracture

b)

B) Colles fracture

c)

C) Die-punch fracture

d)

D) Smith fracture

11.

The most common nerve involved in VIC is?

a)

A) Median nerve

b)

B) Ulnar nerve

c)

C) Musculocutaneous nerve

d)

D) Posterior interosseous nerve

12.

Hourglass abscess is seen in:

a)

A) Ganglion cyst

b)

B) Compound palmar ganglion

c)

C) Wrist synovitis

d)

D) Furuncles

13.

Jumper’s fracture is seen in:

a)

A) Calcaneum

b)

B) Tibia

c)

C) Pelvis

d)

D) Neck of femur

14.

A child is born with CTEV (Congenital Talipes Equinus Varus). All of the following can be the cause except:

a)

A) Poliomyelitis

b)

B) Spina bifida

c)

C) Idiopathic

d)

D) Arthrogryposis multiplex congenita

15.

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)

A) It consists of outward deviation of the great toe at the level of MTP joint

b)

B) It is not progressive

c)

C) It is mainly due to bad fitting shoes

d)

D) It is associated with hammer toe deformity

16.

Mirel’s criteria is used for:

a)

A) Deciding on traumatic amputation

b)

B) Assessing the severity of osteoporosis

c)

C) Assessing the need for prophylactic fixation in a bone with impending pathological fracture

d)

D) Assessing risk of shock in polytrauma patient

17.

Agnus Hunt traction is used for:

a)

A) Correction of hip flexion deformity

b)

B) Correction of knee flexion deformity

c)

C) Fracture shaft of femur

d)

D) Supracondylar fracture humerus

18.

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)

A) Slipped capital femoral epiphysis (SCFE) brace

b)

B) Pavlik harness

c)

C) Petrie cast for Perthes disease

d)

D) Hip joint injection for synovitis

19.

What are the differentiating features of psoriatic arthritis from RA?

a)

A) Pencil in cup deformity

b)

B) Telescoping of phalanges

c)

C) Marginal erosions

d)

D) All of the above

20.

Which of the following is not seronegative arthritis?

a)

A) Ankylosing spondylitis

b)

B) Psoriatic arthritis

c)

C) Reactive arthritis

d)

D) Rheumatoid arthritis

21.

Which of the following is the most common cause of neuropathic joints?

a)

A) Leprosy

b)

B) Tabes dorsalis

c)

C) Diabetes

d)

D) Charcot Marie Tooth disease

22.

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)

A) Inhibit osteoclast maturation

b)

B) Stimulate bone formation

c)

C) Inhibit bone resorption

d)

D) Accelerate bone mineralization

23.

When treating osteoporosis with alendronate, what is the most common side effect?

a)

A) Osteonecrosis of jaw bone

b)

B) Stomach ulcer

c)

C) Dry mucus membrane

d)

D) Insomnia

24.

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)

A) 1500 mg of calcium and 1000 IU of vitamin D

b)

B) 1200 mg of calcium and 100 IU of vitamin D

c)

C) 750 mg of calcium and 5000 IU of vitamin D

d)

D) 750 mg of calcium and 10000 IU of vitamin D

25.

Low serum phosphate with normal calcium levels is found in which of the following common causes of hereditary rickets?

a)

A) X-linked dominant hypophosphatemic rickets

b)

B) Vitamin D–dependent, type I

c)

C) Vitamin D–dependent, type II

d)

D) X-linked recessive hypophosphatemic rickets

26.

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)

A) Wide open fontanelle

b)

B) Bow legs

c)

C) Rachitic rosary

d)

D) Craniotabes

27.

Which of the following is not a treatment option for osteoporosis?

a)

A) Denosumab

b)

B) Hormone replacement therapy

c)

C) Vertebroplasty

d)

D) Corticosteroids

28.

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

a)

teres major

b)

teres minor

c)

supraspinatus

d)

infraspinatus

29.

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

a)

Deltoid

b)

infraspinatus

c)

subscapularis

d)

supraspinatus

30.

"Lift off" and "Belly press" tests are done to examine which rotator cuff muscle

a)

teres minor

b)

supraspinatus

c)

subscapularis

d)

infraspinatus

31.

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

a)

hyperflexion injury

b)

extension injury

c)

axial rotation

d)

hyperextension injury

32.

Which of the following ligaments attaches the menisci to the tibial plateau

a)

coronary ligaments

b)

arcuate ligament

c)

transverse ligament

d)

oblique ligament

33.

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

a)

prepatellar bursa

b)

infrapatellar bursa

c)

olecranon bursa

d)

ischial bursa

34.

Locking of the knee can be due to

a)

loose body

b)

menisci

c)

both

d)

none

35.

All are true about sports hernia except

a)

produces symptoms similar to inguinal hernia

b)

results from overuse of abdominal muscles

c)

repair of the anterior abdominal wall is indicated only when conservative measure fail

d)

it is characterized by anterior pelvis or groin pain

36.

Risk factors for a motor nerve palsy following primary total hip arthroplasty include all of the following except

a)

development dysplasia of hip

b)

limb lenthening

c)

post traumatic arthritis

d)

obesity

37.

which factor is associated with a higher risk of dislocation after total hip arthroplasty

a)

osteoarthritis

b)

previous hip surgery

c)

a direct lateral surgical approach

d)

metal on metal bearing surfaces

38.

Which tumor is the commonest true benign tumor of bone

a)

osteoid osteoma

b)

osteochondroma

c)

enchondroma

d)

osteoblastoma

39.

which of the following is not true about osteoid osteoma

a)

generally affects the diaphysis of long bones

b)

the commonest bone affected is the femur

c)

radiolucent nidus in centre

d)

pre malignant

40.

an intra medulary tumor occurring in the lower metaphysis of the tibia in a 15 year old male is most likely to be

a)

ewing sarcoma

b)

osteosarcoma

c)

giant cell tumor

d)

chondrosarcoma

41.

night paints are characteristically seen with

a)

osteoid osteoma

b)

osteosarcoma

c)

ewing sarcoma

d)

fibrous cortical defect

42.

congenital pseudo arthosis of tibia is commonly associated with which of the following conditions

a)

neurofibromatosis

b)

tuberous sclerosis

c)

poliomyelitis

d)

erythrogryposis multiplex congenita

43.

Spina ventosa is seen in

a)

carpals

b)

phalanges

c)

dorsal spine

d)

shoulder joint

44.

Caries sicca is seen in

a)

hip

b)

spine

c)

shoulder

d)

knee

45.

Most common site for Osteomyelitis

a)

epiphysis

b)

metaphysis

c)

diaphysis

d)

subchondral growth plate

46.

What is the most common location of Brodie's abscess

a)

distal end of ulna

b)

femoral metaphysis

c)

tibial metaphysis

d)

distal end of radius

47.

Klumpke palsy results from injury to

a)

c5 c6

b)

c8 t1

c)

radial nerve injury

d)

c5 c6 c7

48.

Carpal tunnel syndrome is caused by all except

a)

hypothyroidism

b)

tuberculosis

c)

pregnancy

d)

acromegaly

49.

which nerve has the best prognosis after sustaining an injury

a)

sciatic

b)

tibial

c)

ulnar

d)

radial

50.

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

a)

c6

b)

c8

c)

c7

d)

t1