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This document contains 20 multiple choice questions related to orthopedic topics. The questions cover various fractures, injuries, and conditions involving the ankle, foot, spine, shoulder, elbow and hand. Treatment options are provided for issues like spiral fibula fracture, ankle instability, triple arthrodesis non-union, congenital vertical talus, clawfoot deformity, diabetic toe amputation complications, chronic osteomyelitis of the heel, AC joint dislocation, gamekeeper's thumb injuries, supracondylar fracture malunion, displaced medial condyle fracture in a child, giant cell tumor of the proximal fibula, cervical spine instability after injury, adolescent idiopathic scoliosis, and traumatic L1 fracture with neurologic
This document contains 20 multiple choice questions related to orthopedic topics. The questions cover various fractures, injuries, and conditions involving the ankle, foot, spine, shoulder, elbow and hand. Treatment options are provided for issues like spiral fibula fracture, ankle instability, triple arthrodesis non-union, congenital vertical talus, clawfoot deformity, diabetic toe amputation complications, chronic osteomyelitis of the heel, AC joint dislocation, gamekeeper's thumb injuries, supracondylar fracture malunion, displaced medial condyle fracture in a child, giant cell tumor of the proximal fibula, cervical spine instability after injury, adolescent idiopathic scoliosis, and traumatic L1 fracture with neurologic
This document contains 20 multiple choice questions related to orthopedic topics. The questions cover various fractures, injuries, and conditions involving the ankle, foot, spine, shoulder, elbow and hand. Treatment options are provided for issues like spiral fibula fracture, ankle instability, triple arthrodesis non-union, congenital vertical talus, clawfoot deformity, diabetic toe amputation complications, chronic osteomyelitis of the heel, AC joint dislocation, gamekeeper's thumb injuries, supracondylar fracture malunion, displaced medial condyle fracture in a child, giant cell tumor of the proximal fibula, cervical spine instability after injury, adolescent idiopathic scoliosis, and traumatic L1 fracture with neurologic
1)
25
year
old
male
with
external
rotation
injury
right
ankle
got
spiral
fracture
of
the
fibula
treatment
options
a)
pop
cast
b)
buttress
plate
c)
lag
screw
and
neutral
plate
2)
30
year
old
patient
got
twisting
injury
of
the
ankle
developed
swelling
on
the
medial
side
xray
shows
no
fracture
but
increased
medial
gap
(lateral
shift
of
the
talus)
what
next
to
do
for
the
diagnosis
a)
xray
ankle
mortise
view
b)
xray
stress
view
c)
complete
xray
sources
including
proximal
tibia
and
fibula
3)
mostly
non
union
site
after
triple
arthrodesis
a)
talo
navicular
b)
subtalar
c)
calcaneo
cuboid
4)best
treatment
of
the
congenital
verticle
talus
at
the
age
over
3
years
a)
grice
green
subtalar
fusion
b)
talonavicular
and
calcaneocuboid
reduction
+
mid
foot
fixation
c)
talectomy
d)
casting
5)
35
years
old
known
diabetic
has
clawing
foot
with
recurrent
ulcers
for
last
2
months
under
metatarsal
heads
,
proprioception
intact
treatment
options
are
a)
johns
procedure
b)
metatarsal
bar
c)
excision
of
the
metatarsal
heads
6)
cause
of
hypoglycemia
in
diabetic
patients
in
post
operative
period
after
big
toe
amputation
a)
anesthesia
drug
b)
hypothermia
c)
septicemia
d)
decreased
requirement
insulin
after
amputation
7)
45
year
old
male
got
gun
shot
injury
to
the
right
buttock
patient
developed
foot
drop
and
sensation
loss
below
the
knee
2
years
back
now
he
developed
chronic
heal
ulcers
xray
shows
chronic
osteomyelitis
heal
treatment
options
are
a)
amputation
b)
nerve
repair
c)
nerve
graft
d)
tendon
transfer
8)
25
year
old
volley
ball
player
got
type
3
AC
dislocation
treatment
options
a)
open
reduction
+
AC
ligament
repair
b)
open
reduction
+
coracoclavicular
ligament
repair
c)
open
reduction
k
wire
fixation
coracoclavicular
ligament
repair
d)
Bosworth
screw
fixation
9)
in
game
keeper
thumb
which
structure
prevent
healing
a)
adductor
pollicis
aponeurosis
b)
extensor
pollicis
brevis
aponeurosis
c)
volar
plate
d)
dorsal
capsule
10,
11,
12)
description
of
the
bennet
and
Rolando
fracture
game
keeper
thumb
13)
7
year
age
child
had
supracondylar
fracture
6
weeks
back
treated
by
bone
reduction
now
has
malunion
and
90
100
degree
ROM
treatment
options
are
a)
active
exercise
b)
passive
exercise
c)
ORIF
d)
corrective
osteotomy
14)
5
year
child
has
displaced
medial
condyle
fracture
4
weeks
back
ORIF
is
advised
why
?
a)
prevention
of
cubitus
varus
b)
prevention
of
instability
15)
40
year
old
patient
has
biopsy
proven
GCT
proximal
fibula
with
mild
pain
and
few
mitotic
figures
treatment
options
a)
curettage
and
bone
grafting
b)
curettage
and
bone
cement
c)
extended
curreatage
and
bone
cement
d)
fibula
head
excision
16)
what
is
meant
by
extension
gap
a)
gap
between
proximal
tibia
and
anterior
femur
cut
b)
gap
between
proximal
tibia
and
posterior
femur
cut
c)
gap
between
proximal
tibia
and
distal
femoral
cut
17)
chance
of
most
damaged
nerve
in
anterior
approach
to
cervical
spine
surgery
is
a)
ansa
cervicalis
b)
recurrent
laryngeal
nerve
c)
nerve
roots
18)
description
of
instability
of
cervical
spine
after
injury
a)
saggital
displacement
1.5
cm
rotataion
10
degrees
b)
sagittal
displacement
2.5
cm
rotation
10
degrees
c)
sagittal
displacement
3.5
cm
rotation
20
degrees
d)
saggital
displacement
4.5
cm
rotation
10
degrees
d)
saggital
displacement
5.5
cm
rotation
10
degrees
19)
14
year
female
has
idiopathic
scoliosis
angle
of
30
degrees
at
D8
treatment
options
are
a)
observation
b)
boston
brace
c)
Milwaukee
brace
d)
corrective
osteotomy
20)
L1
traumatic
fracture
with
50
percent
height
loss
+
neurologic
deficit
treatment
options
a)
anterior
decompression
b)
posterior
decompression
c)
posterior
fixation
with
pedicle
screw
and
rod
21)
kienbock
stage
4
disease
treatment
a)
lunate
excision
b)
proximal
row
carpectomy
c)
wrist
arthrodesis
22)
25
year
male
got
elbow
injury
with
type
4
coronoid
fracture
type
3
radial
head
fracture
treatment
option
a)
coronoid
fixation
and
radial
head
excision
now
b)
coronoid
fixation
and
radial
head
excision
later
23)
15
year
old
boy
complains
of
pain
in
the
right
hip
for
the
last
6
weeks
with
mild
limping
abduction
and
internal
rotation
in
restricted
diagnosis
?
a)
SCFE
b)
leg
calve
perthes
disease
24)
polytrauma
patient
needs
heavy
blood
transfusion
cross
matching
should
be
done
after
a)
each
transfusion
b)
after
2
pints
c)
3
pints
d)
4
pints
e)
5
pints
25)
30
year
male
with
DDH
has
high
seated
femoral
head
there
is
proximal
limping
he
can
perform
his
duties
c/o
occasional
mild
pain
which
responds
to
NSAIDS
treatment
options
are
a)
arthrodesis
b)
arthroplasty
c)
osteotomy
d)
NSAIDs
and
follow
up
26)
25
year
old
labourer
got
upper
cervical
injury
2
years
back
he
has
complete
paralysis
of
deltoid
+
external
rotation
and
winging
of
scapula
3/5
levator
scapulae
+
rhomboid
treatment
options
are
a)
arthrodesis
b)
tendon
transfer
27)
25
year
old
child
got
minor
injury
to
left
leg
4
days
back
now
developed
pain
below
the
knee
with
swelling
+
fever
which
investigation
will
confirm
diagnosis
a)
blood
cp
b)
CRP
c)
aspitation
C/S
d)
xrays
28)
26
year
old
male
got
gun
shot
injury
to
right
mid
arm
and
developed
severe
burning
sensation
at
the
dorsum
of
the
thumb
and
web
between
thumb
and
index
finger
what
is
the
severity
of
injury
a)
complete
radial
nerve
injury
b)
partial
radial
nerve
injury
c)
sudeck
syndrome
29)
patient
with
tennis
elbow
taking
NSAIDS
for
the
last
6
months
steroid
also
injected
but
not
improving
treatment
options
are
a)
rest
b)
brace
c)
ECRB
tendon
release
30)
27
year
old
electrician
had
electric
shock
1
year
back
now
he
has
subluxation
of
the
shoulder
(recurrent)
treatment
options
are
a)
muscle
relaxant
b)
muscle
strengthening
excercises
c)
surgery
d)
steroid
injection
31)
most
common
complication
after
SCFE
treatment
a)
osteonecrosis
b)
chodrolysis
c)
coxa
magna
d)
proximal
migration
of
greater
trochanter
32)
40
year
old
patient
treated
for
distal
femur
tumor
+
sent
for
radiotherapy
which
type
of
tumor
would
it
be
a)
GCT
b)
fibrosarcoma
c)
malignant
fibrous
histiocytoma
33)
13
year
old
patient
with
fusiform
shaped
lytic
lesion
of
tibial
diaphysis
diagnosis
a)
GCT
b)
ewings
sarcoma
c)
fibrous
dysplasia
d)
chondroblastoma
34)
15
year
old
boy
of
SCFE
has
difficulty
in
abducting
internal
rotating
of
right
hip
no
difficulty
in
daily
activity
occasional
mild
pain
what
to
do
a)
osteotomy
cuniform
b)
cheliectomy
c)
trochanteric
osteotomy
35)
16
year
boy
of
SCFE
has
neck
shaft
angle
AP100
and
lateral
130
what
to
do
a)
trochanteric
osteotomy
b)
cuniform
neck
osteotomy
c)
salter
osteotomy
d)
chiari
osteotomy
36)
standard
portal
for
arthroscope
in
knee
arthroscopy
a)
medial
b)
lateral
c)
posteromedial
d)
central
patellar
37)
7
year
old
child
has
pain
right
hip
for
the
last
6
months
diagnosed
as
perthes
disease
herring
type
C
(lateral
pillar
classification
)
bad
prognosis
is
because
of
a)
symptoms
of
long
duration
b)
age
is
more
c)
late
diagnosis
of
disease
38)
8
year
old
child
has
got
minimal
injury
right
knee
has
has
mild
pain
in
the
knee
giving
history
of
locking
and
giving
way
mild
tenderness
on
the
medial
joint
line
when
he
flexes
his
knee
to
90
degrees
diagnosis
a)
meniscal
cyst
b)
discoid
meniscus
c)
lose
body
d)
OCD
39)
treatment
of
neglected
CTEV
in
8
year
old
boy
a
)PMR
b)
PMR
and
evans
osteotomy
c)
talectomy
d)
triple
arthrodesis
40)
anterior
approach
to
radius
a)
go
between
brachioradiais
and
common
extensors
b)
go
between
brachioradialis
and
pronator
quadratus
c)
elevate
supinator
subperiostally
and
retract
laterally
d)
keep
the
forearm
pronated
during
proximal
end
of
radius
41)
50
year
old
patient
had
shaft
of
femur
fracture
for
which
8
hole
broad
DCP
fixation
performed
,
after
6
months
he
presented
with
broken
implant
it
is
due
to
a)
metal
fatigue
b)
early
weight
bearing
c)
non
union
42)
locking
plate
tibia
gustillo
type
1
performed
6
months
back
patient
has
discharge
from
the
wound
since
his
surgery
on
and
off
fever
xray
shows
2cm
sequestered
bone
treatment
a)
sequestrectomy
b)
bone
graft
c)
removal
plate
d)
apply
exfix
and
bone
graft
43)
ILN
in
tibia
performed
4
months
back
patient
has
now
discharge
from
the
fracture
site
xray
shows
healed
fibula
but
tibial
fracture
is
visible
treatment
options
a)
sequestrectomy
b)
fibular
osteotomy
+
dynamization
c)
implant
removal
d)
bone
grafting
and
exfix
44)
40
year
patient
has
traumatic
dislocation
he
has
bankart
lesion
best
treatment
option
a)
putti
plat
procedure
b)
attachment
labrum
to
glenoid
and
anterior
capsular
plication
c)
laterjet
procedure
45)
27
year
old
lady
got
injury
to
her
shoulder
in
RTA
,
her
external
rotation
is
extremely
painful
xray
AP
view
are
normal
which
xray
view
will
be
advised
a)
axillary
view
b)
lateral
scapular
view
c)
AP
view
in
90
degree
internal
rotation
of
the
arm
d)
west
point
view
e)
stryker
notch
view
46)
45
year
old
lady
has
5
kids
c/o
generalized
body
aches
serum
calcium
and
phosphate
normal
,
alkaline
phosphatase
increased
24
hour
urine
increased
calcium
a)
osteomalacia
b)
primary
hyper
parathyroidism
c)
secondary
hyperparathyroidism
47)
40
year
old
patient
has
got
fracture
right
shaft
of
femur
with
trivial
trauma
xray
KUB
shows
single
renal
stone
diagnosis
a)
renal
carcinoma
b)
hyperparathyroidism
c)
renal
osteodystrophy
48)
35
year
old
patient
in
RTA
got
both
SOF
fracture
that
were
fixed
with
external
fixation
he
developed
next
day
altered
sensorium
,
breathlessness
,
petechiae
haemorrage
,
difficulty
breathing
diagnosis
a)
ARDS
b)
pulmonary
embolism
c)
fat
embolism
49)
25
year
old
patient
has
pain
in
the
right
mid
thigh
which
is
at
night
and
responds
to
NSAIDS
no
assosciated
fever
best
modality
of
diagnosis
is
a)
xrays
b)
CT
scan
c)
MRI
d)
bone
scan
50)
8
weeks
of
child
with
DDH
treated
with
pavlik
harness
what
is
the
best
modality
at
this
stage
for
checking
DDH
a)
ultrasound
b)
arthrogram
c)
clinical
examination
d)
xray
51)
9
year
old
boy
with
post
polio
paralysis
right
lower
limb
has
normal
hip
knee
has
20
degree
flexion
contracture
quads
2/5
hamstring
5/5
ankle
has
equinus
3cm
shortening
what
to
do
for
knee
straingtning
a)
posterior
capsulotomy
+
anterior
transfer
of
hamstring
b)
s/c
extension
osteotomy
of
femur
+
anterior
transfer
of
hamstring
52)
how
much
of
the
normal
will
be
factor
8
and
9
level
in
hemophiliac
patient
for
major
surgery
a)
20%
b)
40%
c)
60%
d)
80%
e)
100%
53)
14
year
of
age
patient
with
SCFE
has
his
hip
stable
is
55
degree
internal
rotation
,
15
flexion
15
degree
abduction
which
osteotomy
should
be
done
a)
salter
b)
chiari
c)
femoral
derotation
d)
shelf
osteotomy
54)
weight
bearing
surface
of
THR
which
one
has
high
coefficient
of
friction
a)
metal
on
metal
b)
ceramic
on
ceramic
c)
metal
on
polyethylene
d)
metal
on
higher
cross
linked
polyethylene
55)
in
TKR
lateral
tibial
condyle
deficiency
of
2
to
2.5
cm
should
be
corrected
by
a)
osteotomy
b)
cement
augmentation
and
screws
c)
bone
grafting
d)
metal
wedge
augmentation
56)
while
reducing
the
knee
in
TKR
it
is
tight
in
extension
and
loose
in
flexion
what
should
be
done
a)
use
this
insert
b)
use
small
femoral
component
c)
increase
distal
femoral
cut
d)
use
large
femoral
implant
e)
increase
proximal
tibial
cut
57)
which
screw
should
be
used
in
talar
fixation
a)
3.5
mm
cortical
b)
4mm
cancellous
c)
4mm
malleolar
58)
what
the
locking
screw
does
a)
compression
b)
lagging
c)
keeps
the
direction
at
90
degrees
to
the
diaphysis
59)
hyperextension
of
DIP
flexion
of
PIP
is
caused
by
a)
central
slip
tear
b)
lateral
band
tear
c)
volar
plate
tear
60)
TA
rupture
2
months
old
with
4cm
gap
should
be
treated
with
a)
primary
end
to
end
repair
b)
reconstruction
with
tibialis
posterior
c)
AFO
for
equinus
61)
15
degrees
of
cubitus
varus
in
8
year
old
child
should
be
treated
with
a)
lateral
closing
wedge
osteotomy
62)
acute
gout
is
diagnosed
by
a)
positively
charged
crystals
b)
negatively
charged
crystals
c)
signs
of
acute
inflammation
in
the
joints
like
swelling
and
erythema
63)
degenerative
disk
when
I/V
space
is
lost
the
stress
comes
on
which
structure
a)
soft
tissue
b)
spinal
cord
c)
facet
joints
64)
treatment
for
boyd
and
griffin
type
2
(reverse
oblique)
p/t
fracture
a)
dhs
b)
DCS
c)
ILN
d)
P/C
locking
plate
e)
closed
proximal
femoral
nail
65)
2
month
old
fracture
at
junction
of
lateral
1/3
and
middle
third
of
clavicle
in
30
year
male
with
obvious
gap
he
complains
of
pain
treatment
a)
rest
in
collar
and
cuff
sling
b)
ORIF
c)
bone
grafting
d)
excercises
66)
11
year
old
child
has
transcervical
neck
of
femur
fracture
a)
closed
reduction
and
fixation
with
compression
screws
b)
closed
reduction
and
hip
spica
c)
open
reduction
and
DHS
67)
scenario
of
chondroblastoma
68)
4
year
old
boy
taking
ATT
c/o
blurring
of
vision
which
drug
causes
that
a)
pyrazinamide
b)
ethambutol
c)
isoniazid
d)
streptomycin
69)
45
yr
old
lady
taking
treatment
of
RA
c/o
tinnitus
which
drug
is
causing
it
a)
ethambutol
b)
methotrexate
c)
pyrazinamide
d)
isoniazid
e)
streptomycin