MCQ

1-Acute osteomyelitis is commonly caused by:

• a. Staph aureus.
• b. S. pyogenes.
• c. H. influenzae.
• d. Salmonella.
1-Acute osteomyelitis is commonly caused by:
• a. Staph aureus.
• b. S. pyogenes.
• c. H. influenzae.
• d. Salmonella.
2-Acute osteomyelitis usually begins at:
• a. Epiphysis.
• b. Metaphysis.
• c. Diaphysis.
• d. Any of the above
2-Acute osteomyelitis usually begins at:
• a. Epiphysis.
• b. Metaphysis.
• c. Diaphysis.
• d. Any of the above
3- What is not True of acute pyogenic osteomyelitis:
• a. Trauma is a predisposing factor.
• b. Common infecting agent is Staph. Aureus.
• c. Infection is usually blood borne.
• d. All are true.
3- What is not True of acute pyogenic osteomyelitis:
• a. Trauma is a predisposing factor.
• b. Common infecting agent is Staph. Aureus.
• c. Infection is usually blood borne.
• d. All are true.
4-Tuberculosis of the spine most likely originates from:
• a. Intervertebral disk.
• b. Cancellous vertebral body.
• c. Ligamentous structures.
• d. Paravertebral soft tissue.
4-Tuberculosis of the spine most likely originates from:
• a. Intervertebral disk.
• b. Cancellous vertebral body.
• c. Ligamentous structures.
• d. Paravertebral soft tissue.
5-The single most important factor in fracture healing is:
• a. Correct bone alignment.
• b. Accurate reduction.
• c. Immobilization.
• d. Organization of clot.
5- The single most important factor in fracture healing is:
• a. Correct bone alignment.
• b. Accurate reduction.
• c. Immobilization.
• d. Organization of clot.
6- If an unstable hip is detected at birth the
management policy is:
• a. Do nothing and re-examine every six months as only minority of
hips develop into a persistent dislocation.
• b. Use a splint to keep the hip joint in 45° flexion and adduction.
• c. Use a splint to keep the hip joint in 90° flexion and abduction.
• d. Advise operative stabilization
6- If an unstable hip is detected at birth the
management policy is:
• a. Do nothing and re-examine every six months as only minority of
hips develop into a persistent dislocation.
• b. Use a splint to keep the hip joint in 45° flexion and adduction.
• c. Use a splint to keep the hip joint in 90° flexion and abduction.
• d. Advise operative stabilization
7- Anterior dislocation of shoulder may be complicated: By
• a. Brachial plexus injury.
• b. Tear of rotator cuff.
• c. Fracture head of humerus.
• d. All of the above
7- Anterior dislocation of shoulder may be complicated by:
• a. Brachial plexus injury.
• b. Tear of rotator cuff.
• c. Fracture head of humerus.
• d. All of the above
8- The most common form of supracondylar fracture humerus
in children is of which type:
• a. Flexion.
• b. Extension.
• c. Combination of A & B
• d. None of the above
8-The most common form of supracondylar fracture humerus
in children is of which type:
• a. Flexion.
• b. Extension.
• c. Combination of A & B
• d. None of the above
9- What is True of Sudeck's atrophy of hand:
• a. Hand is painful and swollen.
• b. Osteoporosis of carpals and metacarpals.
• c. There is increased blood flow to para-articular areas.
• d. Cervical sympathectomy may be of help.
• e. All are true
9- What is True of Sudeck's atrophy of hand:
• a. Hand is painful and swollen.
• b. Osteoporosis of carpals and metacarpals.
• c. There is increased blood flow to para-articular areas.
• d. Cervical sympathectomy may be of help.
• e. All are true
10- Limb shortening with adduction and internal rotation
occurs in which type of hip dislocation:
• a. Anterior.
• b. Posterior.
• c. Central.
• d. All of the above
10- Limb shortening with adduction and internal rotation
occurs in which type of hip dislocation:
• a. Anterior.
• b. Posterior.
• c. Central.
• d. All of the above
11- Which of the following is not True of intertrochanteric
fracture of femur:
• a. Limb shortening.
• b. Malunion.
• c. Avascular necrosis of femoral head.
• d. Internal fixation is preferred
11- Which of the following is not True of intertrochanteric
fracture of femur:
• a. Limb shortening.
• b. Malunion.
• c. Avascular necrosis of femoral head.
• d. Internal fixation is preferred
12- Idiopathic scoliosis is a
• a. lateral curvature of the spine
• b. rotation of the spine
• c. lateral curvature with rotation of the spine
• d. flexion deformity of the spine
• e. congenital disease with hemivertebrae
12- Idiopathic scoliosis is a
• a. lateral curvature of the spine
• b. rotation of the spine
• c. lateral curvature with rotation of the spine
• d. flexion deformity of the spine
• e. congenital disease with hemivertebrae
 13- A trigger finger is
• a. an inflamed index finger
• b. an atrophic index finger in a median nerve palsy
• c. due to stenosing tenovaginitis affecting one of the flexor tendons
in the palm
• d. an essential feature of the carpal tunnel syndrome
• e. a component of syndactyly
13- A trigger finger is
a. an inflamed index finger
b. an atrophic index finger in a median nerve palsy
c. due to stenosing tenovaginitis affecting one of the flexor tendons in
the palm
d. an essential feature of the carpal tunnel syndrome
e. a component of syndactyly
14-The most severe growth disturbance results from which of the following types
of epiphyseal injuries:
• a. Separation of the epiphysis at the metaphyseal side of the epiphyseal plate
• b. Separation of the epiphysis with a triangular fragment of the metaphysic
• c. Intra-articular fracture involving the articular cartilage epiphysis and
epiphyseal plate
• d. Intra-articular fracture extending from the joint surface through the epiphysis
and epiphyseal plate to the metaphysic
• e. Crashing injuries compressing the epiphyseal plate without displacement
14-The most severe growth disturbance results from which of the following types
of epiphyseal injuries:
• a. Separation of the epiphysis at the metaphyseal side of the epiphyseal plate
• b. Separation of the epiphysis with a triangular fragment of the metaphysic
• c. Intra-articular fracture involving the articular cartilage epiphysis and
epiphyseal plate
• d. Intra-articular fracture extending from the joint surface through the epiphysis
and epiphyseal plate to the metaphysic
• e. Crashing injuries compressing the epiphyseal plate without displacement
15- Tears of the meniscus of the knee result from which of the
following strain:
• a. Hyperextension
• b. Abduction
• c. Adduction
• d. Rotation
• e. Combined flexion and rotation
15- Tears of the meniscus of the knee result from which of the
following strain:
• a. Hyperextension
• b. Abduction
• c. Adduction
• d. Rotation
• e. Combined flexion and rotation
16- In a football game, an athlete felt severe pain in his Rt knee while turning to
the left side with the joint flexed and taking the body weight. Soon after, the
joint became swollen and painful but recovery followed rest for 3 weeks.
Thereafter, the patient suffered from recurrent locking with pain and a feeling
of "giving way" in the joint. The most probable diagnosis is:
• a. Solitary loose body
• b. Fracture of the tibial spine
• c. Rupture of the medial ligament
• d. Rupture of the medial semillunar cartilage
• e. Fracture of the patella
16-In a football game, an athlete felt severe pain in his Rt knee while turning to
the left side with the joint flexed and taking the body weight. Soon after, the
joint became swollen and painful but recovery followed rest for 3 weeks.
Thereafter, the patient suffered from recurrent locking with pain and a feeling
of "giving way" in the joint. The most probable diagnosis is:
• a. Solitary loose body
• b. Fracture of the tibial spine
• c. Rupture of the medial ligament
• d. Rupture of the medial semillunar cartilage
• e. Fracture of the patella
17- The signs of fractured shaft of a bone do not include:
• a. Swelling
• b. Deformity
• c. Loss of all movements in the limb
• d. Acute localized bone tenderness
• e. Abnormal mobility in the line of the bone
17- The signs of fractured shaft of a bone do not include:
• a. Swelling
• b. Deformity
• c. Loss of all movements in the limb
• d. Acute localized bone tenderness
• e. Abnormal mobility in the line of the bone
18-What is the most common
benign soft-tissue tumour in
adults?
1. Fibroma
2. Lipoma
3. Hemangioma
4. Schwannoma
18-What is the most common
benign soft-tissue tumour in
adults?
1. Fibroma
2. Lipoma
3. Hemangioma
4. Schwannoma
 19-What is the most common site
of metastasis for sarcomas?
A. liver
B. brain
C. Lung
D. skeleton
 19-What is the most common site
of metastasis for sarcomas?
A. liver
B. brain
C. Lung
D. skeleton
20-Intestinal absorption of calcium is dependent upon:
• a. Vitamin D
• b. Parathoraone
• c. Calcitonin
• d. All of the above
• e. None of the above
20-Intestinal absorption of calcium is dependent upon:
• a. Vitamin D
• b. Parathoraone
• c. Calcitonin
• d. All of the above
• e. None of the above