Orthopaedic Quiz

For medicine undergraduates

1
1.What is the diagnosis? Q:1
2.Name 2 complications associated with this fracture.

2
 Q:2
1.Identify this clinical deformity

3
 Q:3
1.Describe the mechanism of injury?
2.Name 2 serious complications of this injury?

4
1.Identify the prosthesis Q:4
2.What is the indication for its use?

5
1.Identify this equipment Q:5
2. Name 2 indications for its use.

6
1.Identify this fracture. Q:6
2.What is the best way to manage this fracture?

7
1.Identify this injury?
2. What is the mechanism of injury. Q:7

8
1.Identify the type of fracture Q:8
2.What is the clinical condition associated with this fracture?

9
1.Identify this clinical deformity Q:9
2.How do you manage this child during first six months?

10
1.Describe this injury. Q:10
2.Name two complications associated with this injury

11
1.What is the injury? Q:11
2. What is the best way to manage this injury

12
1.What is the mechanism of injury Q:12
2.How do you manage this injury?

13
1.Describe the type of injury Q:13
2.How do you manage this type of injury?

14
1.What is the diagnosis Q:14
2.How do manage this problem?

15
1.What is the diagnosis Q:15
2.name 2 radiological features of this condition

16
1.What is the diagnosis Q:16
2. How do you manage this problem?

17
1.What is the diagnosis? Q:17
2.Name 2 radiological features of this condition

18
1.What is the radiological feature seen n this x-ray? Q:18
2. Name 2 tumour markers associated with this condition

19
1.What is the diagnosis
2.Name 2 long term complications associated with this condition Q:19

20
1.What is the diagnosis Q:20
2. How do you manage this problem?

21
1.What is the diagnosis Q:21
2. How do you manage this problem?

22
1.What is the diagnosis Q:22
2. How do you manage this problem?

23
1.What is the diagnosis? Q:23
2.Name 2 complications associated with this fracture.

24
 Q:24
1.Identify the followings

25
1. Identify the deformity. Q:25
2. How do you manage this problem?

26
27
1.What is the diagnosis? Q:1
2.Name 2 complications associated with this fracture.

• 1.
– Colles fracture
• 2.
– Avascular necrosis of
Scaphoid
– Osteoarthritis
– Non-union
– Delayed -union

28
 Q:2
1.Identify this clinical deformity

• Positive Trendelenburg’s sign on left due to the weakness of left hip

abductors (gluteus medius/minimus)
29
 Q:3
1.Describe the mechanism of injury?
2.Name 2 serious complications of this injury?

• 1.
– Falling on outstretched
hand (straight elbow)
• 2.
– Brachial artery
damage
– Compartment
syndrome

30
1.Identify the prosthesis Q:4
2.What is the indication for its use?

• 1.
– Austin Moore
Hemiprosthesis
• 2.
– Intracapsular neck of
the femur fracture

31
1.Identify this equipment Q:5
2. Name 2 indications for its use.

• 1.
• C-arm image intensifier
• 2.
• Manipulation
• Checking progress of surgery/
intraoperative x-rays
• Cardiac catheterization
• DHS

32
1.Identify this fracture. Q:6
2.What is the best way to manage this fracture?

• 1.
– Forearm fracture of
the proximal radius &
ulna
• 2.
– Open reduction &
internal fixation
(OR+IF)

33
1.Identify this injury?
2. What is the mechanism of injury. Q:7

• Transverse patellar fracture

34
• Avulsion fracture/ violent contraction of quadriceps tendon.
1.Identify the type of fracture Q:8
2.What is the clinical condition associated with this fracture?

• 1.
– Wedge fracture of the
vertebral body
• 2.
– Osteoporosis

35
1.Identify this clinical deformity Q:9
2.How do you manage this child during first six months?

• 1. CTEV
• 2. serial plaster casts
as soon as identify

36
1.Describe this injury. Q:10
2.Name two complications associated with this injury

• 1.
– Posterior dislocation of hip
• 2.
– Sciatic nerve injury
– Avascular necrosis of
femoral head due to
twisting & rupture of
retinacular arteries.

37
1.What is the injury? Q:11
2. What is the best way to manage this injury

• 1.
– Fracture of lateral
malleolus
• 2.
– OR+IF (as it is a
unstable #)

38
1.What is the mechanism of injury Q:12
2.How do you manage this injury?

• 1.
– Sudden inversion of
the foot
– (violent contraction of
peroneus brevis)
• 2.
– Internal fixation (with
K-wire)

39
1.Describe the type of injury Q:13
2.How do you manage this type of injury?

1. Transient facet dislocation

2. Stabilize with cervical collar & if B/L, fixation
40
1.What is the diagnosis Q:14
2.How do manage this problem?

• 1.Giant cell tumor

• 2.
• Curettage, bone graft
/cementing

41
1.What is the diagnosis Q:15
2.name 2 radiological features of this condition

• 1.Ewing’s sarcoma
• 2.
• periosteal reaction
• Onion peel
appearance

42
1.What is the diagnosis Q:16
2. How do you manage this problem?

• 1. Osteochondroma
• 2.Excision of the tumor + symptomatic treatment 43
1.What is the diagnosis? Q:17
2.Name 2 radiological features of this condition

• 1.osteosarcoma
• 2. sun ray specules, Codman’s triangle
44
1.What is the radiological feature seen n this x-ray? Q:18
2. Name 2 tumour markers associated with this condition

• 1.osteosclerosis of
the pubis & ischium
• 2.
– PSA
– Prostatic acid
phosphatase

45
1.What is the diagnosis
2.Name 2 long term complications associated with this condition Q:19

• 1.
– Perthes’ disease
• 2.
– Secondary
osteoarthritis
– Persistent limp
– Pain
– Dislocation
– Deformity
– Shortening

46
1.What is the diagnosis Q:20
2. How do you manage this problem?

• 1.Chronic
osteomyelitis
• 2
• Pus drainage
• Antibiotics
• Excision of
sequestrum

47
1.What is the diagnosis Q:21
2. How do you manage this problem?

• 1.Fracture of the
clavicle (Displaced
fracture of the middle
third of the clavicle)
• 2. “8” figure brace

48
1.What is the diagnosis Q:22
2. How do you manage this problem?

• 1.
• Myositis ossificans
• 2.
• DO NOT heat or
forcefully move
• Indomethacin

49
1.What is the diagnosis? Q:23
2.Name 2 complications associated with this fracture.

• 1.
– Scaphoid fracture
• 2.
– Avascular necrosis of
(proximal) Scaphoid
– Osteoarthritis
– Non-union
– Delayed -union

50
 Q:24
1.Identify the followings

1. Flexible Intramedullary nails

2. Locked Intramedullary nails
3. Plate & screw
4. External fixator 51
1. Identify the deformity. Q:25
2. How do you manage this problem?

• 1.Cubitus varus
• 2.Corrective (wedge shape) osteotomy for
correcting carrying angle 52
 Reference
• Apleys System of Orthopaedics and
Fractures 9 ed

• Prepared as a slideshow
– by Yapa Wijeratne
53