Soal Ujian Masuk Gabungan

UJIAN TULIS
PROGRAM PENDIDIKAN DOKTER SPESIALIS

PROGRAM STUDI ILMU ORTHOPEDI & TRAUMATOLOGI
FAKULTAS KEDOKTERAN UNIVERSITAS HASANUDDIN MAKASSAR
PERIODE JANUARI 2011
Pilih satu jawaban yang paling benar:
1. First treatment priority in patient with multiple injuries is:

A. Airway maintenance
B. Bleeding control
C. Circulatory volume restoration
D. Splinting of fractures
E. Reduction of dislocation.
2. A patient who has sustained open wound on leg is bleeding profusely. Before
patient arrives in hospital the safest method to stop bleeding is:
A. Elevation of leg
B. Local pressure on wound and elevation of leg
C. Ligation of bleeding vessel
D. Use of tourniquet
A. Pressure over femoral artery in groin.
3. What is the second most important aspect in the treatment of fractures of long
bones:
A. Adequate nutrition of patient
B. Accurate anatomical reduction
C. Immobilization
D. Restoration of bone alignment
E. Antibiotics.
4. Which of the following is an absolute contraindicatiou of open reduction:

A. Active infection
B. Small sized fragment
C. Very soft bone
D. General medical complications
E. Severe scarring of adjacent soft tissues.
5. Which of the following is the best way to preserve amputated part for
replantation:
A. Immersion in cold saline
B. Immersion in cold ringer lactate
C. Immersion in cold antibiotic solution
D. Dry cooling with ice
E. Deep freezing.
1
UJIAN TULIS
6. Internal fixation of fracture is contraindicated in which situation:
A. Active infection
B. When bone gap is present
C. In epiphyseal injuries
D. In compound fracture
E. In pathological fracture.
7. Which of the following is most common cause of Volkmann’s ischaemic

contracture:
A. Fracture of humeral shaft
B. Dislocation of elbow
C. Supracondylar fracture of humerus
D. Brachial artery injury
E. Tight bandage and plaster
8. Development of gas gangrene can be prevented by:

A. Prophylactic immunization
B. Administration of intravenous antibiotics
C. Proper debridment of wound
D. Administration of hyperbaric oxygen
E. Amputation.
9. Chemically Plaster of Paris is:

A. Calcium carbonate
B. Calcium phosphate
C. Calcium sulphate
D. Anhydrous calcium sulphate
E. Hemihydrated calcium sulphate.
10. What is fracture disease:

A. Non union
B. Infection
C. Joint stiffness
D. Vascular damage
E. Neurological damage.
11. In few days old fracture which of the following doe not occur:
A. Capillary proliferation
B. Poliferation of osteogenic cell over endosteum and bone ends
C. Local pH is acid
D. Local pH is alkaline
E. There is very little rise in level of alkaline phospatase at fracture site
2
UJIAN TULIS
12. Last stage in fracture healing is
A. Organisation of blood clot
B. Vascular proliferation
C. Osteoblastiic proliferation
D. Provisional calcification
E. Remodeling of heversian system
13. In a healing fracture amount of cartilage formation is increased by :

A. Rigid immobilization
B. Movement of fracture site
C. Necrosis of bone ends
D. Compression plating
E. Infection
14. Which deformity in malunited fracture is most likely to correct with remodelling
A. Angular deformity in the middle of diaphysis in the plane of motion of nearby
joint
B. Angular deformity in plane of motion of nearby joint when deformity is in
metaphyseal area
C. Rotation malalignment
D. Angular deformity near end of bone when angulation is in a plane 900 to the
plane of motion of nearby joint
E. Shortening of bone length
15. Claw hand deformity of hand in Volkmann's ischaemic contracture is due to

involvement of.
A. Skin
B. Fascia
C. Nerves
D. Muscles
E. Tendons
16. Which of the following is the earliest laboratory finding in a case of fat
embolism:
A. Increased serum cholestrol
B. Increased serum lipase
C. Increased serum fatty acids
D. Lipuria
E. Increased alkaline phosphatase
3
UJIAN TULIS
17. Which of the following is not seen in fat embolism:
A. Altered mental state
B. Petechial haemorrhages
C. Bradycardia
D. Hypotension
E. Tachypnoea.
18. You are the first to see a patient in the hospital emergency room following an
auto accident. The patient is obviously seriously injured with fractures of
both femurs and is in apparent shock. As your initial treatment you would
A. cheek for hemorrhage and, while doing this, have a plasma expander
started IV
B. splint fractures while rapid cross-matching is performed and then start
whole blood IV
C. check for adequate airway and, when this is assured, go on to treat shock
D. give morphine sulphate and straighten and splint the legs while you page
the anesthetist to check his general shock therapy
E. do a complete physical to determine the extent of his injuries
19. The last thing to occur in fracture healing is

A. inactivation of periosteum and endosteum
B. re-establishment of normal vascular supply
C. regaining full joint motion
D. remodeling of the haversian systems into oriented longitudinal systems
E. removal of internal callus to re-establish the marrow canal
20. Traumatic epiphyseal separations in children are most commonly through the
A. junction between the bony epiphysis and the cartilagenous growth plate
B. growth plate in the zone of proliferation
C. growth plate in the zone of hypertrophy
D. growth plate in the zone of calcification
E. junction of the growth plate and the secondary trabeculae of the
metaphysis
21. In a fracture through the growing epiphyseal plate the periosteum

A. is ruptured on the Concave side of the epiphyseal Plate displacement
B. is ruptured on the convex side of the epiphyseal plate displacement
C. is usually intact on the epiphyseal side and ruptured from the metaphysis
D. is usually intact on the metaphyseal attachment and torn from the
epiphysis
E. has no pattern of injury
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UJIAN TULIS
22. Which of the following is not true regarding healing of fractures ?
A. the earliest change is one of hyperemia and fibroplastic proliferation
B. the first bone formed is by the periosteum and is a woven type of bone
C. there are two types of cartilage in the callus: hya line and fibrocartilage
D. bone healing is considered completed when sufficient bone bridges the
fracture to safely support weight and muscle action
E. All of the above
23. Which of the following should receive utmost attention during an emergency
A. Treatment of shock
B. Control of haemorrhage
C. Laboratory investigations
D. Provision of adequate airway.
24. Primary treatment of a compound injury should be aimed at :

A. Good drainage of the wound
B. Closure of the wound
C. Prevention of infection
D. Removal of dead tissue (as far as possible).
25. Hyperglycaemia follows trauma because of :

A. Secretion of cortison
B. Secretion of growth hormone
C. Secretion of epinephrine
D. Secretion of glucagon
E. All the above.
26. Debridement of a wound means :

A. Delayed primary suturing of wound
B. Excising the margins of wound
C. Excising the damaged muscles
D. Laying open all layers of wound and excising damaged tissue to the
possible extent.
27. Which of the following is not true regarding healing of fractures ?

A. Shortening within some limits is acceptable
B. Minor angulation at fracture site in children corrects with their growth
C. Rotation is never acceptable
D. Fractures through epiphyseal plate cause lengthening of the affected bone.
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UJIAN TULIS
28. Regarding healing :
A. The haematoma at fracture site is helpful
B. Inflammatory stiffening of tissues at fracture site is helpful by way of
natural splinting
C. New bone forms partially from mataplasia of fibroblasts
D. All the above are true
E. None of the above is true.
29. Which of the following is a SINGLE most important factor in fracture healing
A. Adequate calcium intake
B. Accurate reduction
C. Immobilization of fracture fragments
D. None of the above.
30. Regarding management of a compound fracture :
A. It should be treated as a surgical emergency
B. Treatment aims at proper debridement of tissues and sterlizing the
fracture site as far as possible
C. Wound if older than six hours should not be closed
D. All the above are true
E. None of the above is true
31. Major factors responsible for delayed union of fractures include all the
following except :
A. Inadequate immobilization
B. Interrupted immobilization
C. Shearing and rotational strains at fracture site
D. Insufficient traction to gain physiological length of 'the injured limb.
32. The cause of death in a case with fracture of several ribs both anteriorly and
posteriorly is :
A. Emphysema
B. Lung callapse
C. Flail chest
D. Haemothorax
E. Pneumothorax
33. In case of fracture of several ribs both anteriorly and posteriorly due to
severe violence, which of the following won't be helpful ?
A. Tracheostomy
B. Towl clip traction on fracture fragments
C. Assisted positive pressure respiration
D. Strapping of the chest
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UJIAN TULIS
34. Impaired circulation in the upper extremity after reduction and splintage of
supracondylar fracture should be treated immediately by :
A. Removal of splint and extension of elbow till circulation returns
B. Rereduction
C. Operative interference
D. Vasodislator drugs.
35. Factors responsible for protein loss from body after severe trauma are :
A. Bed rest
B. Starvation
C. Fever
D. Increased catabolism
E. All the above
Essay
1. List the function of the musculoskeletal system.
2. Explain how to asses airway, breathing and circulation, explain the
interventions you will take for possible problem with airway, breathing and
circulation.
3. Explain the type of nerve injuries.
7
UJIAN TULIS
Answer
1. A
2. B
3. C
4. A
5. D
6. A
7. E
8. C
9. E
10. C
11. D
12. E
13. B
14. B
15. D
16. D
17. C
18. C
19. D
20. C
21. B
22. D
23. D
24. D
25. E
26. D
27. D
28. D
29. C
30. D
31. D
32. C
33. D
34. A
35. E
8
UJIAN MASUK CALON PPDS ORTHOPEDI & TRAUMATOLOGI
JULI 2011
1. What are the two purposes of the primary survey ?

2. What are the five components of the primary survey?
3. What is the secondary survey?
4. With poly trauma what radiographs are obtained during primary survey?
5. What are the components of Glasgow Coma Scale (GCS)?
6. What are the three physical exam finding of tension pneumothorax?
7. What are the two components of treatment for tension pneumothorax?
8. What three muscles contribute to hip flexion?
9. How much blood can an unsplinted closed femur fracture lose?
10. What is the most common direction of traumatic dislocation of the hip joint?
11. What muscles are responsible for flexion of
a. Proximal interphalangeal (PIP) joint of the hand?
b. Distal interphalangeal (DIP) joint of the hand?
12. What are the compartment of the forarm?
13. Explain the grade of open fracture according to Gustillo?
14. What is compartment syndrome?
15. What is a monteggia fracture?
16. What is a galleazi fracture?
17. What nerve is at risk with shaft humeral fracture?
18. What are the contents of the carpal tunnel?
19. List the classification of ephypiseal fracture?
20. What are quadriceps muscles?

2. What are the five components of the primary survey?
3. What is the secondary survey?
4. What is multiply injuries? How do you treat when the pasient first come to you?
5. What are the components of Glasgow Coma Scale (GCS) and how is score each
component ?
6. What are the three physical exam finding of tension pneumothorax?
7. What are the two components of treatment for tension pneumothorax?
8. What three muscles contribute to hip flexion?
10. List the carpal bone ?
12. What is compartment syndrome?
14. List the classification of ephypiseal fracture according to Salter-Haris ?
15. What are quadriceps muscles?
16. List 4 cardinal signs of the osteoarthritis?
17. List the name of muscles that composed the rotator cuff ?
18. List the name of muscles that composed the achilles tendon?
19. What is pathologic fractures ?
List 4 differences between children’s bone and adult’s bone ?
PERIODE JULI 2012
1. What are the two purposes of the primary survey?

2. What is multiply injuries? How do you treat when the patient first come to you?
3. List five criteria for adequate resuscitation of multiple injure patient?
4. What are the adult & pediatric goals for urine output after resuscitation?
5. What is a monteggia fracture?
6. What is a galleazi fracture?
7. What nerve is at risk with shaft humeral fracture?
8. What are the five fracture healing phases?
9. What is the key organism responsible for gas gangrene?
10. List four deformity of clubfoot?
12. List 4 cardinal signs (x-ray) of the osteoarthritis?
13. List the name of muscles that composed the rotator cuff?
14. List the name of muscles that composed the Achilles tendon?
15. What grade of muscle strength indicates active muscle function against gravity?
16. What are the goals of Fracture Management?
17. Explain the classification of ephypiseal fracture according to Salter haris?
19. What are the three clinical signs of fat embolism?
1. What are the two purposes of primary survey ?

2. List five criteria for adequate resuscitation of the polytrauma patient.
3. What are the 3 physical exam finding of tension pneumothotax.
4. What are the 2 components of treatment for tension pneumothorax ?
5. What are the goal of fracture management.
6. Explain about pathologic fractures.
7. What is colles fracture ?
8. What is green stick fracture ?
9. Sketch the sensory innervation of the hand.
10. What are the boundaries and contents of the carpal tunnel.
11. List compartment of cruris.
12. Explain the grade of muscle strength.
13. List 2 radiographic appearance of osteosarcoma.
14. List composition of bone.
15. Explain type of bone.
16. Define cerebral palsy.
17. What is club foot.
18. What is developmental dysplasia of the Hip. ?
19. What is osteoarthritis and list 4 cardinal sign (x-ray) of osteoarthritis.
20. List 5 principles of suturing.
LEMBAR JAWABAN UJIAN
SELEKSI PPDS PERIODE JANUARI 2013

BAGIAN ORTOPEDI & TRAUMATOLOGI FK-UNHAS
Nama :________________________________________
No. Tes :________________________________________
No. Telp/Hp :________________________________________
Jawaban :
PERIODE JULI 2013

2. What is the secundary survey ?
3. With multiple injuries, what two radiograph are obtained during the primary survey.
4. What radiograph are usually obtained during the secundary survey.
5. What are the components of the glasgow coma scale (GCS)
6. What are the adult and pediatric goals for urine output after resuscitation ?
7. List seven criteria for adequate resuscitation of the multiple injuries patient.
8. What nerve roots contribute to the sciatic nerve ?
9. What three muscles contribute to hip flexion ? what is their innervation ?
10. What two muscles abduct the hip ?
11. List the step sequence of fracture healing.
12. What is the predominant collagen type in articular cartilage ?
13. What is the composition of the crystal associated with gout ?
14. What are the four soft tissue healing phases ?
15. What is cerebral palsy ?
16. What is club foot ?
17. What two arteries comprise the major vascular supply to the foot ? and where
anatomical location ?
18. List the carpal bone from radial to ulnar.
19. List two radiographic appearance of osteosarcoma ?
20. What are the contens of carpal tunnel ?
21. What is carpal tunnel syndroma ?
22. What is the innervation of the deltoid muscle ?
23. Name the tendon in each of the six dorsal wrist compartments from radial to ulnar
24. What is Colles’ fracture ?
25. Mention about stages of hemorragic shock, Mention about.
a. What persentage of blood volume is loss
b. How are heart rate and blood pressure affected
c. Urine output
d. Mental status
26. Mention about grade of muscle strength.
27. What is osteoarthritis ?
28. List four X-ray finding in osteoarthritis.
29. What is osteoporosis ?
30. What is pathologic fracture ?
1. What are the two purposes of the primary survey?

2. What is the secundary survey
4. What is the defenition of coma according to GCS Score ?
5. What is multiply injuries ? How do you treat when the pasient first come to you ?
6. What is the effect of neurogenic shock on arteries and veins ?
7. What is the key organism responsible for gas gangrene ?
8. What nerve is most commonly injury in fracture of middle third of humerus and list clinical
sign.
9. List the step sequence of fracture healing
10. What are the four soft tissue healing phases?
11. List 3 clinical signs of fat embolism ?
12. What is the predominant collagen type in bone ?
13. Tendons connect what 2 structures ?
14. What is the predominant collagen type in articular cartilage?
15. List intrinsic muscle of the hand ?
16. List the name of muscles that composed the rotator cuff ?
17. List the name of muscles that composes the achilles tendon ?
18. Sketch the sensory innervation of the hand
19. List compartment of cruris
20. Explain the grade of muscle strength
21. What population is most commonly affected by ostesarcoma?
22. What is club foot?
23. List four X-ray finding in osteoarthritis.
24. List 5 principles of suturing
25. Explain types of bone
~~~~~~~~~~~~~~ Selamat Bekerja ~~~~~~~~~~~~~~

SELEKSI PPDS PERIODE JANUARI 2014
Nama :________________________________________
No. Tes :________________________________________
No. Telp/Hp :________________________________________
Jawaban :
~~~~~~~~~~~~~~ Selamat Bekerja ~~~~~~~~~~~~~~

PERIODE JULI 2014
1. Describe the initial evaluation of multiply injured patient.

2. Which radiographs are required in the initial assessment of the trauma patient.
3. Explain the Gustilo’s classification of open fractures.
4. List the general principles treatment of open fractures.
5. What antibiotic regimen is recommended for open fractures ?
6. Define compartment syndrome
7. In the alert, responsive patient, what are the signs of impending acute
compartment syndrome ?
8. List compartments in the forearm and leg.
9. What is osteomyelitis ?
10. What is sequestrum ?
11. What is involucrum ?
12. List 4 radiographic features suggest a slow-growing or benign process ?
13. List 4 common radiographic features of a malignant bone lesion..
14. What is Codman’s triangle ?
15. List types of cartilage.
16. Define cerebral palsy.
17. Describe the classification for cerebral palsy.
18. Mention nerve injuries classification.
19. What is cubital tunnel syndrome ?
20. Name the bone of the proximal and distal carpal rows
21. List the contents of carpal tunnel.
22. What is Guyon’s canal ?
23. Mention the zone of flexor tendon of the hand .
24. What is conus medullaris ?
25. What is spinal shock ?
SELEKSI PPDS PERIODE JULI 2014
Nama :________________________________________
No. Tes :________________________________________
No. Telp/Hp :________________________________________
Jawaban :
UJIAN TULIS
Pilih satu jawaban yang paling benar:
1. First treatment priority in patient with multiple injuries is:

A. Airway maintenance
B. Bleeding control
C. Circulatory volume restoration
D. Splinting of fractures
E. Reduction of dislocation.
2. A patient who has sustained open wound on leg is bleeding profusely. Before
patient arrives in hospital the safest method to stop bleeding is:
A. Elevation of leg
B. Local pressure on wound and elevation of leg
C. Ligation of bleeding vessel
D. Use of tourniquet
A. Pressure over femoral artery in groin.
3. What is the second most important aspect in the treatment of fractures of long
bones:
A. Adequate nutrition of patient
B. Accurate anatomical reduction
C. Immobilization
D. Restoration of bone alignment
E. Antibiotics.
4. Which of the following is an absolute contraindicatiou of open reduction:

A. Active infection
B. Small sized fragment
C. Very soft bone
D. General medical complications
E. Severe scarring of adjacent soft tissues.
5. Which of the following is the best way to preserve amputated part for
replantation:
A. Immersion in cold saline
B. Immersion in cold ringer lactate
C. Immersion in cold antibiotic solution
D. Dry cooling with ice
E. Deep freezing.
1
UJIAN TULIS
6. Internal fixation of fracture is contraindicated in which situation:
A. Active infection
B. When bone gap is present
C. In epiphyseal injuries
D. In compound fracture
E. In pathological fracture.
7. Which of the following is most common cause of Volkmann’s ischaemic

contracture:
A. Fracture of humeral shaft
B. Dislocation of elbow
C. Supracondylar fracture of humerus
D. Brachial artery injury
E. Tight bandage and plaster
8. Development of gas gangrene can be prevented by:

A. Prophylactic immunization
B. Administration of intravenous antibiotics
C. Proper debridment of wound
D. Administration of hyperbaric oxygen
E. Amputation.
9. Chemically Plaster of Paris is:

A. Calcium carbonate
B. Calcium phosphate
C. Calcium sulphate
D. Anhydrous calcium sulphate
E. Hemihydrated calcium sulphate.
10. What is fracture disease:

A. Non union
B. Infection
C. Joint stiffness
D. Vascular damage
E. Neurological damage.
11. In few days old fracture which of the following doe not occur:
A. Capillary proliferation
B. Poliferation of osteogenic cell over endosteum and bone ends
C. Local pH is acid
D. Local pH is alkaline
E. There is very little rise in level of alkaline phospatase at fracture site
2
UJIAN TULIS
12. Last stage in fracture healing is
A. Organisation of blood clot
B. Vascular proliferation
C. Osteoblastiic proliferation
D. Provisional calcification
E. Remodeling of heversian system
13. In a healing fracture amount of cartilage formation is increased by :

A. Rigid immobilization
B. Movement of fracture site
C. Necrosis of bone ends
D. Compression plating
E. Infection
14. Which deformity in malunited fracture is most likely to correct with remodelling
A. Angular deformity in the middle of diaphysis in the plane of motion of nearby
joint
B. Angular deformity in plane of motion of nearby joint when deformity is in
metaphyseal area
C. Rotation malalignment
D. Angular deformity near end of bone when angulation is in a plane 900 to the
plane of motion of nearby joint
E. Shortening of bone length
15. Claw hand deformity of hand in Volkmann's ischaemic contracture is due to

involvement of.
A. Skin
B. Fascia
C. Nerves
D. Muscles
E. Tendons
16. Which of the following is the earliest laboratory finding in a case of fat
embolism:
A. Increased serum cholestrol
B. Increased serum lipase
C. Increased serum fatty acids
D. Lipuria
E. Increased alkaline phosphatase
3
UJIAN TULIS
17. Which of the following is not seen in fat embolism:
A. Altered mental state
B. Petechial haemorrhages
C. Bradycardia
D. Hypotension
E. Tachypnoea.
18. You are the first to see a patient in the hospital emergency room following an
auto accident. The patient is obviously seriously injured with fractures of
both femurs and is in apparent shock. As your initial treatment you would
A. cheek for hemorrhage and, while doing this, have a plasma expander
started IV
B. splint fractures while rapid cross-matching is performed and then start
whole blood IV
C. check for adequate airway and, when this is assured, go on to treat shock
D. give morphine sulphate and straighten and splint the legs while you page
the anesthetist to check his general shock therapy
E. do a complete physical to determine the extent of his injuries
19. The last thing to occur in fracture healing is

A. inactivation of periosteum and endosteum
B. re-establishment of normal vascular supply
C. regaining full joint motion
D. remodeling of the haversian systems into oriented longitudinal systems
E. removal of internal callus to re-establish the marrow canal
20. Traumatic epiphyseal separations in children are most commonly through the
A. junction between the bony epiphysis and the cartilagenous growth plate
B. growth plate in the zone of proliferation
C. growth plate in the zone of hypertrophy
D. growth plate in the zone of calcification
E. junction of the growth plate and the secondary trabeculae of the
metaphysis
4
UJIAN TULIS
Essay
2. What is the secundary survey ?
3. With multiple injuries, what two radiograph are obtained during the primary
survey.
4. What radiograph are usually obtained during the secundary survey.
6. What are the adult and pediatric goals for urine output after resuscitation ?
7. List seven criteria for adequate resuscitation of the multiple injuries patient.
8. What nerve roots contribute to the sciatic nerve ?
9. What three muscles contribute to hip flexion ? what is their innervation ?
10. What two muscles abduct the hip ?
11. List the step sequence of fracture healing.
12. What is the predominant collagen type in articular cartilage ?
13. What is the composition of the crystal associated with gout ?
14. What are the four soft tissue healing phases ?
15. What is cerebral palsy ?
16. What is club foot ?
17. What two arteries comprise the major vascular supply to the foot ? and where
anatomical location ?
18. List the carpal bone from radial to ulnar.
19. List two radiographic appearance of osteosarcoma ?
20. What are the contens of carpal tunnel ?
5
UJIAN TULIS
Nama :
No. Peserta :
Lembar Jawaban MCQ
No A B C D E
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
Catatan : Berilah Tanda √ pada jawaban yang benar
6
UJIAN TULIS
Nama :
No. Peserta :
Lembar Jawaban Essay
7
UJIAN TULIS
Answer
1. A
2. B
3. C
4. A
5. D
6. A
7. E
8. C
9. E
10. C
11. D
12. E
13. B
14. B
15. D
16. D
17. C
18. C
19. D
20. C
8
SOAL UJIAN MASUK CALON PPDS ORTOPEDI DAN TRAUMATOLOGI FK UNHAS JULI 2016
1. What are structure of A, B, C and D (see Picture 1) ?

2. What are structure of A, B, C and D (see picture 2) ?
3. If the structure B on picture 2 is injured, list three (3) clinical findings!
4. What are structure of A, B, C and D (see picture 3) ?

5. What are structure of A, B, C and D (see picture 4)?
6. This is the picture of ossification centre of the elbow (picture 5). Mention the label of
A,B,C,D,E and F !
7. Mention the time of ossification centre of the elbow can be appear (see picture 5)!
8. See picture 6!
A. Mention abnormality on the xray!
Picture 7
B. What is your diagnosis!
9. See picture 7!
B. What is your diagnosis!
Picture 8
10. See picture 8!

B. What is your diagnosis
11. ..
A. What is the name of the
picture 9?
A
B. Mention the label A, B, C, a, b
and c!
B
b C
Picture 9
12. A girl 1 months old with deformity of both foot since birth.
Picture 10
A. What is your diagnosis?

B. Mention five (5) patoanatomy of this abnormality ?
13. What is spinal shock ?
14. What is the difference between hypovolemic shock and neurogenic shock ?
15. What is the definition of osteoporosis?
16. Describe the initial evaluation of multiply injured patient !
17. Which radiographs are required in the initial assessment of the trauma patient ?
18. What antibiotic regimen is recommended for open fractures ?
19. Define cerebral palsy !
A
C
B
B
C
D
Picture 12
Picture 11
20. Mention of the label A, B, C and D on the picture 11!

21. Mention of the label A, B, C and D on the picture 12!
Picture 12
22. A. Describe the xray findings (see picture 12)!

B. What is your diagnosis?
23. What are the three physical exam finding of tension pneumothorax ?
24. What are the two components of treatment for tension pneumothorax ?
25. Mention about grade of muscle strength !
Orthopaedic and Traumatology
Test of July 2018
Hasanuddin University
Mulitple Choice:
1. How many bones are in the hand?
a. 6 carpal bones, 4 metacarpal bones, 12 phalanges
b. 8 carpal bones, 5 metacarpal bones, 15 phalanges
c. 6 carpal bones, 5 metacarpal bones, 14 phalanges
d. 8 carpal bones, 5 metacarpal bones, 14 phalanges
e. 8 carpal bones, 6 metacarpal bones, 15 phalanges
2. Which of the following is located medially of the hip?
a. Linea aspera
b. Greater trochanter
c. Lesser trochanter
3. Carpometacarpal joints consist of which of the following?
a. Distal row carpal bones with head of metacarpal
b. Distal row carpal bones with base of metacarpal
c. Proximal row carpal bones with base of metacarpal
d. Proximal row carpal bones with head of metacarpal
4. 16 y.o. male basket player complain of his right knee. On the physical examination,
there is a tenderness on his right knee with a prominent tibial tuberosity. What is the
diagnosis of the patient?
a. Osgood-Schlatter
b. Tibial Torsion
c. ACL tear
d. Patellar Cyst
5. Why trendelenerg sign is negative in intertrocanter fracture?
a. Gluteus medius is intact
b. Gluteus medius weakness
6. A woman is intoxicated and fall on an outstretched arm on a glass window. Her arm is
stabbed by the glass, on the physical examination she is unable to extend the wrist,
what nervus is involved in this patient?
a. Median nerve
b. Axillary nerve
c. Radial nerve
d. Ulnar nerve
7. Waddling gait positive is caused by?
8. Girl complaints of pain in the neck and a few months later her family brought to
outpatient clinic because of inactivity of her lower leg and upper extremity as well.
What is the suitable workup?
a. Cervical xray
b. Lumbal xray
9. Increasing bone density occurs in?
a. Hyperthyroid
b. Hypothyroid
c. Fluorosis
10. Fall in an outstretched arm, wrist is wounded on the median nerve at the level of distal
ulna and radius. Which of the following muscle is resisted?
a. Flexor pollicis longus
b. Flexor digitorum profundus
c. Flexor digitorum superficialis
d. Flexor carpi ulnaris
e. Flexor carpi radialis
11. Septic arthritis best management?
12. Patella instability, unable to extend knee fully. Management?
13. Vertebral plana?
14. Case with low back pain, how to differentiate it from cauda equina syndrome?
15. Injury at 3cm medial meniscus injury, what is the best treatment?
16. Baseball thrower pain in elbow. Lateral elbow problem.
17. Punch out lesion in skull. What is the most likely diagnosis?
18. 14 years old with pain in right hip and leg shortening. What is the most likely diagnosis?
19. Volkmanns ischemia contracture associated with which of the following condition?
a. Supracondylar fracture
b. Anterior shoulder dislocation
c. Colles fracture
20. Calcium content in bone increases in which of the following condition?
a. Immobility
b. Hypothyroid
c. hyperthyroid
21. What bone tumors is the most sensitive for radiotherapy ?
22. Pseudo fracture is seen in which of the following condition?
a. Pseudo paratyroidism
b. Hypoparathyroidism
c. Osteomalacia
d. Osteoporosis
23. Adult male pain in thight, with lab finding, increase alkaline phosphatase, liver function
is normal. Calcium and phosphate normal. What is the diagnosis?
a. Paget’s Disease
b. Primary hyperthyroidism
c. Osteomalacia
24. Young male with joint and backache, on spine imaging, there is sacroilitis. Possible
diagnosis is which of the following?
a. Rheumatoid arthritis
b. Ankylosing spondilitis
c. Interarticular juvenile arthritis
25. What we should educate to the patient after hip dislocation
26. Hand artery rupture, which of the following structure in the hand that will back up the
blood supply?
a. Deep palmar arch artery
b. Superficial palmar arch artery
27. Finger tip injury. Transverse traumatic amputation. 6 mm distal to lunula, no bone
expose, the patient bring the distal part on ice. What should to do?
28. Male complaints painful on the medial tibial bone, relieved with ibuprofen. But
recurrent pain. Bone tumor, xray presents with (???). What is the diagnosis of the
patient?
29. A 37-years-old male struck by car. Hemodynamic unstable. ATLS protocol is completed.
Chest n pelvic radiograph are obtained (pelvic fracture). Next step is?
30. A 20 yo female get into a MVA injuries, pelvic xray as figure A (pelvic fracture)
hemodynamic stable after 2L saline and 2 PRC. Which of the following indicate the
patient has occult end organ hypoperfusion?
31. 20 yo with xray sunburst and codman. What is the underlying disease?
32. 56 year old patient, 2 months pain on right hip, rapid mass. PE: venectasis, warm skin.
Mass consistency is mixed bony& firm. Unclear mass margin by palpation. What is the
next plan?
a. Imaging & lab for diagnosis
b. Open biopsy
c. Amputation
d. FNA
e. Excision
33. Female 10 year old presented to ER with pain on right forearm, fell with extended hand
while playing. PE: swelling hematoma slight angulated distal forearm. Xray fracture line
one cortex and angulation of distal part right radius. How to manage this condition?
a. Open reduction internal fixation
b. Open reduction external fixation
c. Open reduction and cast
d. Closed reduction internal fixation
e. Closed reduction and cast
34. 6 year old female with deformity on legs since 6 months. PE varum. Knees looked
enlarged, hypotonic muscles. Xray widening of growth plate. What is most possible dx?
a. Phosphate deficiency
b. Calcium deficiency
c. Vitamin D deficiency
35. 8 year old swelling ??? femur
Small .... round symmetric (?) cell, minimal cytoplasm, necrotic area. It cointains?
a. Mucin
b. Iron
c. Lipid
d. Glycogen
e. Mg
36. Most common appearence of unicameral bone cyst
a. Asymtomatic
b. Swelling
c. Inflamation
37. Which of the following is the most common bacteria in infection post prosthetic usage?
a. Coagulation negative Staphylococcus
b. E.coli
c. Streptococcus B hemoliticus
d. Pseudomonas Aeroginosa
e. N. Gonorrhea
38. Which of the following nerve is commonly damaged by the humeral shaft spiral
fracture?
39. A 22-year-old amateur wrestler is seen in the ER after a first-time anterior
shoulder dislocation. As a result of understaffi ng, he waits 3 hours for conscious
sedation. Appropriate reduction is eventually achieved after 2 manipulation
attempts. He is neurovascularly intact and is discharged in a shoulder immobilizer.
Which of the following has been shown to be the greatest predictor of
future dislocation after a fi rst-time anterior shoulder dislocation?
a. Prolonged reduction
b. Chronic pain with motion after reduction
c. Age at time of first dislocation
d. Tobacco use greater than 1 pack per day
e. Heavy labor activity
Essay :
1. Mention 3 clinical and 3 radiological common features in malignant bone tumor.
2. Name the listed below:

4. Name the 6 line X ray Pelvis mentioned below:
6. Mention the Orign, Insertion, and action of the M. Tibialis Anterior, M. Gastrocnemius,
M. Supraspinatus !

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UJIAN TULIS

PROGRAM PENDIDIKAN DOKTER SPESIALIS

Pilih satu jawaban yang paling benar:

1. First treatment priority in patient with multiple injuries is:

4. Which of the following is an absolute contraindicatiou of open reduction:

7. Which of the following is most common cause of Volkmann’s ischaemic

8. Development of gas gangrene can be prevented by:

9. Chemically Plaster of Paris is:

10. What is fracture disease:

13. In a healing fracture amount of cartilage formation is increased by :

15. Claw hand deformity of hand in Volkmann's ischaemic contracture is due to

19. The last thing to occur in fracture healing is

21. In a fracture through the growing epiphyseal plate the periosteum

24. Primary treatment of a compound injury should be aimed at :

25. Hyperglycaemia follows trauma because of :

26. Debridement of a wound means :

27. Which of the following is not true regarding healing of fractures ?

1. What are the two purposes of the primary survey ?

1. What are the two purposes of the primary survey ?

1. What are the two purposes of the primary survey?

1. What are the two purposes of primary survey ?

SELEKSI PPDS PERIODE JANUARI 2013

No. Tes :________________________________________

No. Telp/Hp :________________________________________

1. What are the two purposes of the primary survey ?

1. What are the two purposes of the primary survey?

~~~~~~~~~~~~~~ Selamat Bekerja ~~~~~~~~~~~~~~

No. Tes :________________________________________

No. Telp/Hp :________________________________________

~~~~~~~~~~~~~~ Selamat Bekerja ~~~~~~~~~~~~~~

1. Describe the initial evaluation of multiply injured patient.

No. Tes :________________________________________

No. Telp/Hp :________________________________________

Pilih satu jawaban yang paling benar:

1. First treatment priority in patient with multiple injuries is:

4. Which of the following is an absolute contraindicatiou of open reduction:

7. Which of the following is most common cause of Volkmann’s ischaemic

8. Development of gas gangrene can be prevented by:

9. Chemically Plaster of Paris is:

10. What is fracture disease:

13. In a healing fracture amount of cartilage formation is increased by :

15. Claw hand deformity of hand in Volkmann's ischaemic contracture is due to

19. The last thing to occur in fracture healing is

Lembar Jawaban MCQ

Catatan : Berilah Tanda √ pada jawaban yang benar

Lembar Jawaban Essay

1. What are structure of A, B, C and D (see Picture 1) ?

4. What are structure of A, B, C and D (see picture 3) ?

10. See picture 8!

A. What is your diagnosis?

20. Mention of the label A, B, C and D on the picture 11!

22. A. Describe the xray findings (see picture 12)!

3. Name the listed below:

5. Name the listed below:

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