MCQ orthopedics (group6)

1. Open
a.
b.
c.

fracture tibia:
Occur at high velocity injury T
Common infection is by staph. Eppidermidis F STAP AUREUS
Anaerobic infection occur in farmer injury T farm injury and massive
tissue necrosis
d. Can have complication of fat embolism t FAT EMB. DUE TO CLOSED
FRACTURE
e. External fixator need for management T intremedullary nail gustillo 1
11 111a, locked nailing 111b
2. Causes of impairment consciousness with bilateral femoral # include:
a. Hypovolamic shock T
b. Pneumothorax F
c. Subarachnoid hemorrhage F
d. Fat embolism syndrome T
e. ?
3. The incidence of vessel injury is higher in the following:
a. Scapulo-thoracic dislocation T subclavian vessel
b. Shoulder dislocation T axillary
c. Supracondylar # of humerus T brachial
d. Knee dislocation T popliteal
e. # of shaft of humerus T

4.Regarding peripheral nerve of upper

limb
a.
supination of forearm in flexed elbow is contributed by median nerve
b.
Anconeus muscle is supplied by ulnar nerve
c.
Abductor digiti minimi is supplied by ulnar nerve
d.
?
e.
Lesion of median nerve at wrist causes pointing finger

5.In the hand:

f. Froment test is used to test adducted pollicis longus T
g. Abductor pollicis longus supplied by radial nerve t
h. FDP of little finger supplied by median nerve F ulnar nerve
i. Tinel test is to test for carpal tunnel syndrome T
j. Ulnar nerve supply extensor carpi ulnaris F radial nerve
4. Emergency cervical radiology include: lateral, AP, open mouth view
a. Lateral view T
b. Oblique view F
c. Open mouth view T
d. Swimmer view F
e. Flexion and entension view F
5. Unstable lumbar spine injury include:
a. Chance # T
b. Anterior wedge # F
c. Burst # t

d. Spinous process # F
e. Transverse process# F
6. What is true about hip?
a. SLR is to test fixed abduction f
b. Thomas test is to test fixed adduction F fixed flexion
c. Hip is externally rotated in femoral neck # T
d. ?
e. DDH present with true shortening f
7. ?
8. ?
9. Which of the following condition is assciated with excessive osteoclastic
activity
a. Osteogenous imperfect F abnormal type 1 collagen
b. Osteopetrosis F- osteoclast dysfunction
c. Osteoporosis T
d. Uncompensated osteomalacia F
e. Hyperparathyroidism T
10.Which of the following is true relating to femoral neck # in osteoporotic
women:
a. Happen in trivial injury T
b. Presented as externally rotated T
c. a/w AVN T
d. best treated with total hip replacement F open reduction internal
fixation w 3 parallel screw
e. shenton line is disrupted T Shenton's line is a line formed by the inferior
aspect of the superior pubic ramus and the medial aspect of the upper femur.
Shenton's line should describe a smooth curve. If there is any sharp
angulation of Shenton's line the patient could have a neck of femur fracture.
An abnormal Shenton's line can be the most obvious indicator of a patient's
fractured neck of femur demonstrated on an AP pelvis /hip image.
11.regarding RA:
a. affects articular cartilage T
b. a/w HLA-DR4 T extraarticular rheumatoid arthriris
c. most commonly in women T Female: Male= 3:1
d. DIP joint most commonly affected F proximal metacarpophalangeal jt n
proximal interphalangeal joint
e. Extraarticular manifestation in 10-20% T
12.Regarding gouty athritis:
a. Assymetrical involvement of joint T
b. Periarticular sclerosis F periarticular erosion
c. Eccentric soft tissue swelling T
d. ?
e. ?
13.Organism isolated in septic arthritis of IVDU: E coli Infection of the sternoclavicular
and sacroiliac joints with Pseudomonas aeruginosa orSerratia species occurs almost exclusively
in persons who abuse intravenous drugs.

a.
b.
c.
d.
e.

14.?

Staph. Aureus T
Pseudomonas aerugenosa T
Diplococci F
Streptococci T
Haemophilus influenza F

15.Common occurance at knee jt:

a. Osteoid osteoma t
Ewing sarcoma upper and lower leg, pelvis, upper arm, and ribs.

b. Osteosarcoma T around knee

c. Chondrosarcoma F hip and pelvis or the shoulder.
d. Enchondroma f
e. Bursitis T
16.Regarding osteomalacia:
a. Vit D deficiency T
b. Cause prox myopathy T
c. Pseudo-# T
d. Serum Ca2+ increase F (inadequate calcification) alp increase
e. Diagnose with bone biopsy F
17.Radiological features in non-accidental injury include:
a. Multiple # in different stage of healing T
b. Excessive callus T
c. Posterior rib # T
d. Metaphysis corner # T
e. Short oblique # T
18.Common Fracture-dislocation and nerve injury:
a. Hip sciatic nerve T
b. Shoulder radial nerve F axillary nerve
c. Supracondylar of humerus ulnar nerve F median or radial
d. Wrist dislocation- median nerve T
e. Fibula neck- peroneal nerve T
19.Regarding# of femur in children:
a. # in pre-walking child suggests child abuse T
b. Fat embolism common than in adult T
c. Shortening 2-3cm is acceptable T Cant more than 3 cm
d. Treated with traction and hip spica t
e. Surgery indicated wit polytrauma F
20.Regarding archilles tendon injury:
a. a/w inappropriate footwear F
b. pain is induced with plantar flexion against resistence T
c. tendon rupture is a complication T
d. steroid injection is given in chronic cases f
e. plantar heel pad is contraindicated?
21.?
22.AVN occur in # of: Lunate
a. Base of metacarpal F
b. Femoral neckT
c. Supracondylar F
d. Talus T
e. Tibia plateu F
23.?