SOAL TRAUMA

1. Posterior fracture dislocation of the hip is an emergency, and multiple attempts at

closed reduction are:
a. Rewarding
b. Less damaging than surgical intervention
c. Contraindicated
d. Open to discussion in some centers
e. Humanitarian.
2. Generally, the posterior malleolar fragment in a trimalleolar fracture must be
replaced if it involves_________ the articular surface of the joint.
a. One eighth
b. One fourth
c. One fifth
d. One third

e. 50 %
3. Nerve injury at the time of dislocation of the shoulder most frequently involves
which of the following nerves?
a. Radial
b. Ulnar

c. Median
d. Axillary
e. All are possible.
4. Closed treatment of displaced fractures of both bones of the forearm in adults may
be expected to yield poor functional result in ______ of cases.
a. 10%
b. 30%
c. 50%
d. 70%

e. 90%
5. A patient with a fracture of the lunate and scaphoid with moderate comminution is
best treated by:
a. Excision of the scaphoid and reduction of the lunate
b. Excision of the lunate and reduction of the scaphoid
c. Excision of the proximal carpal row

d. Arthrodesis of the wrist

e. Reduction of the dislocation and internal fixation of the lunate and
scaphoid
6. The treatment of an undisplaced fracture of the base of fifth metatarsal should be:
a. Elastic wrap and a shoe with a stiff sole
b. Partial weight bearing with crutches until tenderness disappears

c. Short leg cast for 4 weeks

d. Physical therapy to promote callous formation and to maintain ankle

function.
e. None of the above
7. Potts fracture is a:
a. Trimalleolar fracture of the ankle
b. Transcondylar fracture of the humerus
c. Linear shaft fracture of the tibia
d. Bimalleolar fracture of the ankle

e. Lateral tibial plateau fracture

8. Which of the following nerves has been reported as being most commomly
injured in fractures of both bones of the forearm?
a. Ulnar
b. Median
c. Radial

d. Mixed injury
e. Two nerves.
9. The most frequent site of dislocation in the cervical spine is between:
a. C3 and C4
b. C4 and C5
c. C5 and C6

d. C6 and C7
e. C7 and T1
10. The minimum amount of traction recommended for reduction of the dislocation of
C6 and C7 is ______ pounds.
a. 6
b. 8
c. 10
d. 15

e. 18
11. A trimalleolar fracture is known as _______ fracture
a. Bartons
b. Potts
c. Cottons

d. Jeffersons
e. Pilon,s
12. In the stellate fracture of the patella with four major fragments the______ portion
is the most important and should be preserved if possible.
a. Proximal

b. Distal

c. Medial
d. Lateral
e. All
13. The highest spinal cord lesion usually compatible with life is at the ______ level:
a. C2
b. C3
c. C4

d. C5
e. C6
14. The incidence of aseptic necrosis of the femoral head after fracture of the neck of
the femur is generally reported as being:
a. 5 % to 10%
b. 10% to 20%
c. 25% to 40%
d. 55% to 60%
e. 75% to 80%
15. Differentiation of spinal shock from traumatic shock is often possible in that in
the former there is:
a. A slow, strong pulse
b. Absence of thirst
c. Warm, dry skin
d. Alertness
e. All of the above

16. In the tibial collateral ligament syndrome the medial meniscus is often thickened
or has an old tear and frequently is displaced:
a. Anteriorly
b. Posteriorly
c. Medially

d. Laterally
e. Non displaced
17. On the basis of experimental studies, meniscal tears may be expected to heal if:
a. They are of the bucket-handle variety
b. The tear involves only the central-anterior segment
c. The posterior horn is damaged centrally
d. The tear communicates with the synovium laterally

e. Will not heal.

18. Division of the brachial artery proximal to its radial and ulnar bifurcation may be
expected to result in loss of a portion of the extremity in_____ of cases.
a. Less than 1%
b. 5%

c. 15%
d. 25%
e. Greater than 25%
19. The most frequent neural injury associated with a supracondylar fracture of the
humerus is contusion or laceration of the_____ nerve(s).
a. Radial
b. Median
c. Ulnar
d. Median and ulnar

e. Median and radial

20. Which of the following humeral fracture is most commonly seen in adults?
a. T or Y fractures of the distal humerus
b. Transcondylar fracture
c. Fracture of the capitulum
d. Comminuted fracture of the either or both condyles
e. Supracondylar fracture.
Answer:
1. C
2. D
3. B
4. D
5. C
6. C
7. D
8. C
9. C
10. D
11. C
12. A
13. C
14. C
15. E
16. C
17. D
18. D
19. D
20. A