MCQ

orthopedic part 2 April 20 2016

1) Patient with pain proximal part anterior end humerus after with rotator cuff
tear associated?
a) rotater cuff tendintis b) bicipital tendinitis c) calcific tendinitis

2) Tibia fracture acceptibility criteria?
1) Shortening 15mm 2) angulation 10 degrees
3) varus and valgus in ap plane less than 5 degrees

3) Carpel tunnel syndrome most common cause diagnostic?
a) Diabetes mellitus b) hypothyroidism
c) Rheumatoid arthritis

4) Patient had injury at a young age now 25 years old with ulnar head
prominence diagnosis
a) Displaced scaphoid fracture b) malunited colles
c) Persistent perilunate dislocation d) madelung deformity

5) Tumor with disphyseal cystic pattern and fracture treatment?
a) Fixation ORIF b) conservative immobilize c) fix with nail
d) Plating

6) Ballooned enlarged humerus from epiphysis to diaphysis with destructive
pattern?
A) UBC b) ABC c) fibrous dysplasia d) chondroblastoma

7) Grade 3 aggressive pattern GCT treatment?
a) Amputation b) curettage c) resection arthrodesis

8) Most common portal knee joint arthroscopic?
a) Lateral b) medial

9) 4cm Achilles tendon defect 3month old treatment?
a) tricep surae tendon turn down b) peroneus tertius
c) tibialis posterior d) FDL FDP

10) Shoulder instability most common diagnostic test?
a) Apprehension test b) yergason test c) speed test d) empty test


11) Patient stands and urine turns dark?
a) alkaptonuria

12) Tibia mild sag posterior on x-ray grade 1 mild sag tibia posterior with small
piece avulsion treatment?
a) Arthroscopic repair b) open repair

13) PCL injury posterior displacement of the tibia strengthening exercises?
a) Quadriceps exercises b) hamstring exercises

14) Patient with tumor distal showing spindle cells?
a) chondrosarcoma b) leiomysarcoma
c) fibrosarcoma

15) Soft tissue tumor with neurovascular involvement what is the radical
dissection limit
a) 8cm diagnostic MRI level b) 8cm below level lesser trochanter
c) hemipelvectomy d) four quatra amputation

16) THR patient indicated non-cemeneted most common
a) 45 year male with arthrodesis b) 65 with avn
c) 68 with primary arthritis

17) THR indicated in which case
a) Post traumatic arthritis

18) 36 female with history of fracture radius with shiny skin painful stiff joints
and x-ray shows fragmentation
a) causalgia b) charcot joints c) sudeck atrophy
d) Shoulder hand syndrome

19) Mason classification radial head fracture vertical split with no comminution
type is
a) 1a b) 1b c) 2 d) 3

20) Ulna treatment displaced fracture distal to the coronoid
a) 4.5 dcp b) 3.5 recon c) TBW d) 6.5 mm cancellous

21) Posterior wall fracture acetabulum large fragment what is the type ?
a) 1 b) 2 c) 3 d) 4

22) Impingement most common cause after closed reduction and is irreducible?
a) intertrochanter fragment b) button holing through short
External rotaters
c) Soft tissue impingement


23) 3 year old child CDH with high dislocation tonnis index 30?
a) Open reduction salter innominate b) open reduction with derotation
c) Open reduction with shortening and derotation
d) Open reduction + derotation varus + femoral shortening + pelvic osteotomy


24) 13 year male obese with pain in hip last 3 months limited internal rotation ?
a) scfe b) lcpd

25) 7 year old with pain in the hip
a) perthes b) scfe

26) Pain on the medial side of foot xray shows changes young child?
a) kohlers disease b) accessory navicular

27) 2 year old male with 6 weeks high fever TLC 80000 low glucose and high
protein high lymphocytes
a) Tuberculosis arthritis b) septic arthritis

28) Young child with pain in the hip fever for last 3 days
a) Septic arthritis

29) Black patient with injury knee joint sudden swelling hemarthrosis treatment
a) Arthroscopic lavage b) splinting cold sponging packs

30) osteogenesis imperfect cause ?
a) Abnormal synthesis collagen b) abnormal osteoblastic activity
c) Abnormal osteoclastic activity

31) Medullary cavity obliterated bilateral proximal femur fracture
a) Scurvy b) osteogenesis imperfect c) osteoporosis d) osteopetrosis


32) Most common mechanism injury of the spine?
a) Flexion b) axial compression c) lateral bending

33) Most common fracture pattern spine?
a) Compression wedge b) burst c) avulsion

34) 54 year old female with backache degenerative spine with pain and hamsting
tightness?
a) osteoprotic fracture b)vertebral disc prolapse c) spondolisthesis

35) Patient with sudden pain back and paresthesias foot drop treatment?
a) Urgent operate b) conservative

36) ankylosing spondylitis with internal rotation of the right leg 10 degrees
flexion contracture 20 degrees treatment
a) THR b) arthrodesis functional position

37) Amputation below knee polio non-functional limb option treatment
a) PTB b) bilateral rod with pelvic band c) flexion KFO d) upright brace
with above knee lace

38) Hand position after injury most common to attain maximal function?
a) MCP 70 degree function and interphalangeal extension


39) Surgical operative mortality post operative is defined as mortality with in ?
a) 7 days b) 15 days c) 30 days

40) Tetanus booster dose given after every?
a) 5 years b) 10 years c)

41) Most dangerous complication after SCFE?
a) Osteonecrosis b LLD

42) delbeit classification injury neck transcervical treatment ?
a) Closed reduction and compression screw fixation
b) Open reduction
c) Compression screw fixation

43) Most common late ulnar nerve palsy occurs due to?
a) Supracondylar b) lateral condyle injury c) medial condyle injury

44) Anterior approach to humerus how to protect radial nerve and also save
axillary most common technique?
a) Dissection between biceps and brachialis
b) Axillary nerve dissection throughout
c) Medial dissection brachialis
d) subperiosteal dissection

45) Anterior approach to femur smith Peterson most common structure
damage?
a) Femoral nerve b) femoral artery c) lateral circumflex artery

46) Dominant blood supply of the humerus ?
a) Anterior circumflex b) posterior circumflex

47) Epiphyseal injury with a metaphyseal spike
a) Type 1 b) type 2 c) type 3 d) type 4 e) type 5

48) Most common injury intraabdominal after lateral compression pelvis?
a) Bladder b) urethra c) rectum

49) Young and burgess classification with bilateral pubic rami with disruption
sacral foramina
a) Type 1 b) type 2 c) type 3

50) Patient with injury and pain following AP x-ray normal and limited external
rotation
a) Lateral sacral b) axillary c) true AP

51) Impingement most common cost effective test?
a) MRI b) CT scan c) ultrasound



52) Medial joint pain after injury to the knee and locking?
a) Loose body b) OCD c) meniscal cyst d) discoid meniscus

53) 35 year old 80 kg female with bilateral knee joint pain her left knee shows
more medial compartment involvement (arthritis) treatment?
a) unicondylar knee arthritis b )high tibial osteotomy c) total knee
replacement

54) 7 and half year male with bilateral genu valgum and intermalleolar distance
16mm treatment
a) Wait and watch b) medial epiphysiodesis knee

55) Child with tibial pseudoarthrosis resected treatment?
a) Nail with graft b) plating

56) Next best investigation after osteoid osteoma after x-ray is
a) MRI b) CT scan c) ultrasound

57) Hams 5 quads 0 20-degree flexion contracture 14-year age
a) Supracondylar extension osteotomy and hamstring transfer

58) Firearm injury to femur with non-ulcer and insensate foot treatment?
a) Conservative b) amputation

59) Disease with negative bi-refringent crystals?
a) Gout b) pseudogout

60) Septic arthritis hip best test?
a) Synovial fluid c/s b) blood culture c) x-ray d) MRI

61) Patient with cervical body destruction and disc involvement treatment?
a) Anterior compectomy b) posterior rod and stabilization

62) Horner syndrome is associated with which injury of the spinal level
a) C5, C6 b) C6, C7 c) C8, T1

63) Dequervain tenosynovitis involves tendons
a) Abductor pollicis longis extensor pollicis brevis
b) Extensor carpi radialis longis and extensor carpi radialis brevis
c) Extensor indicis properius and extensor digiti minimi

64) Patient is having compartment syndrome what is the most specific
diagnostic method?
a) Pain on extension of the toes
b) Pain on flexion of the toes
c) Checking the compartment pressure




65) Most common cause of spastic flat foot is
a) Posterior tibial tendon insuffiency b) calcaneonavicular coalition
c) talonavicular coalition d) talocalcaneal coalition

66) Patient with history of trauma and injury to the gut most common associated
fracture of the spine called?
a) Compression fracture of the spine b) chance fracture c) burst fracture of
The spine

67) best prophylaxis for deep vein thrombosis is
a) pneumatic compression boots b) low molecular weight heparin
c) warfarin d) aspirin

68) Treatment of acromioclavicular and coracoclavicular injury in a patient?
a) Fixation with Bosworth screw with and coracoclavicular repair
b) acromioclavicular repair
c) coracoclavicular repair
d) Fixation with k-wires

69) Most common complication after acromioclavicular fixation?
a) Stiffness
b) Operative complications
c) Vascular injury

70) acromioclavicular displacement in type 4 rockwood classification is
a) acriomioclavicular injury
b) coracoclavicular injury
c) acromioclavicular injury and coracoclavicular injury
d) Displacement posterior into trapezius
e) Displacement superiorly
f) Displacement inferiorly



EMQ THEMES


71) Patient with enlarged hand and feet: MARFAN
72) Patient has two swelling in body one becomes painful: NEUROFIBROMA
73) Patient has hyper laxity of joint: ehler donlos syndrome

74) Thumb fracture with V and Y pattern intra-articular: ROLANDO
75) Thumb fracture with proximal attached and distal displaced: BENNET
76) Thumb with ulnar collateral ligament injury: gamekeeper thumb



77) Supraspinatus tendinitis
78) Calcific tendinitis

79) Tumor spine posterior element relieved with NSAID; OSTEOID OSTEOMA
80) Chondroblastoma scenario

81) Polio patient with dorsal power muscle 0 peronei 5: peronei muscle transfer
and subtalar arthrodesis
82) hoke triple transfer and tendon transfer (previous paper repeat question )

83) Trapezius 3/0, deltoid no power treatment: tendon transfer
84) Patient with non-functional upper limb: arthrodesis

85) Best test for osteomalacia with codfish vertebra mineralization decreased
and bone mass normal: VITAMIN D AND CALCIUM LEVEL
86) Best test for osteoporosis with cod fist vertebra mineralization normal and
bone mass decreased: DEXA SCAN

87) Female patient with pain patella on squatting in the knee:
CHONDROMALACIA PATELLAE