Post on 16-Apr-2017
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Orthopaedic Quiz
For medicine undergraduates
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1.What is the diagnosis?2.Name 2 complications associated with this fracture.
Q:1
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1.Identify this clinical deformityQ:2
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1.Describe the mechanism of injury?2.Name 2 serious complications of this injury?
Q:3
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1.Identify the prosthesis 2.What is the indication for its use?
Q:4
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1.Identify this equipment2. Name 2 indications for its use.
Q:5
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1.Identify this fracture.2.What is the best way to manage this fracture?
Q:6
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1.Identify this injury?2. What is the mechanism of injury. Q:7
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1.Identify the type of fracture2.What is the clinical condition associated with this fracture?
Q:8
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1.Identify this clinical deformity2.How do you manage this child during first six months?
Q:9
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1.Describe this injury.2.Name two complications associated with this injury
Q:10
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1.What is the injury?2. What is the best way to manage this injury
Q:11
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1.What is the mechanism of injury2.How do you manage this injury?
Q:12
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1.Describe the type of injury2.How do you manage this type of injury?
Q:13
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1.What is the diagnosis2.How do manage this problem?
Q:14
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1.What is the diagnosis2.name 2 radiological features of this condition
Q:15
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1.What is the diagnosis2. How do you manage this problem?
Q:16
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1.What is the diagnosis?2.Name 2 radiological features of this condition
Q:17
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1.What is the radiological feature seen n this x-ray?2. Name 2 tumour markers associated with this condition
Q:18
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1.What is the diagnosis2.Name 2 long term complications associated with this condition Q:19
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Q:201.What is the diagnosis2. How do you manage this problem?
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Q:211.What is the diagnosis2. How do you manage this problem?
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Q:221.What is the diagnosis2. How do you manage this problem?
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Q:231.What is the diagnosis?2.Name 2 complications associated with this fracture.
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1.Identify the followingsQ:24
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1. Identify the deformity.2. How do you manage this problem?
Q:25
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Answers
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1.What is the diagnosis?2.Name 2 complications associated with this fracture.
• 1.– Colles fracture
• 2.– Avascular necrosis of
Scaphoid– Osteoarthritis– Non-union– Delayed -union
Q:1
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1.Identify this clinical deformity
• Positive Trendelenburg’s sign on left due to the weakness of left hip abductors (gluteus medius/minimus)
Q:2
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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
Q:3
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1.Identify the prosthesis 2.What is the indication for its use?
• 1.– Austin Moore
Hemiprosthesis• 2.
– Intracapsular neck of the femur fracture
Q:4
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1.Identify this equipment2. Name 2 indications for its use.
• 1.• C-arm image intensifier• 2.• Manipulation• Checking progress of surgery/
intraoperative x-rays• Cardiac catheterization• DHS
Q:5
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1.Identify this fracture.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)
Q:6
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1.Identify this injury?2. What is the mechanism of injury.
• Transverse patellar fracture• Avulsion fracture/ violent contraction of quadriceps tendon.
Q:7
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1.Identify the type of fracture2.What is the clinical condition associated with this fracture?
• 1.– Wedge fracture of the
vertebral body• 2.
– Osteoporosis
Q:8
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1.Identify this clinical deformity2.How do you manage this child during first six months?
• 1. CTEV• 2. serial plaster casts
as soon as identify
Q:9
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1.Describe this injury.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.
Q:10
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1.What is the injury?2. What is the best way to manage this injury
• 1.– Fracture of lateral
malleolus• 2.
– OR+IF (as it is a unstable #)
Q:11
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1.What is the mechanism of injury2.How do you manage this injury?
• 1.– Sudden inversion of
the foot– (violent contraction of
peroneus brevis)• 2.
– Internal fixation (with K-wire)
Q:12
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1.Describe the type of injury2.How do you manage this type of injury?
1. Transient facet dislocation2. Stabilize with cervical collar & if B/L, fixation
Q:13
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1.What is the diagnosis2.How do manage this problem?
• 1.Giant cell tumor• 2. • Curettage, bone
graft /cementing
Q:14
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1.What is the diagnosis2.name 2 radiological features of this condition
• 1.Ewing’s sarcoma• 2.• periosteal reaction• Onion peel
appearance
Q:15
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1.What is the diagnosis2. How do you manage this problem?
• 1. Osteochondroma • 2.Excision of the tumor + symptomatic treatment
Q:16
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1.What is the diagnosis?2.Name 2 radiological features of this condition
Q:17
• 1.osteosarcoma• 2. sun ray specules, Codman’s triangle
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1.What is the radiological feature seen n this x-ray?2. Name 2 tumour markers associated with this condition
• 1.osteosclerosis of the pubis & ischium
• 2.– PSA– Prostatic acid
phosphatase
Q:18
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1.What is the diagnosis2.Name 2 long term complications associated with this condition
• 1.– Perthes’ disease
• 2.– Secondary
osteoarthritis– Persistent limp– Pain– Dislocation– Deformity– Shortening
Q:19
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• 1.Chronic osteomyelitis
• 2• Pus drainage• Antibiotics• Excision of
sequestrum
Q:201.What is the diagnosis2. How do you manage this problem?
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• 1.Fracture of the clavicle (Displaced fracture of the middle third of the clavicle)
• 2. “8” figure brace
Q:211.What is the diagnosis2. How do you manage this problem?
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• 1.• Myositis ossificans• 2.• DO NOT heat or
forcefully move• Indomethacin
Q:221.What is the diagnosis2. How do you manage this problem?
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• 1.– Scaphoid fracture
• 2.– Avascular necrosis of
(proximal) Scaphoid– Osteoarthritis– Non-union– Delayed -union
Q:231.What is the diagnosis?2.Name 2 complications associated with this fracture.
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1.Identify the followings
1. Flexible Intramedullary nails2. Locked Intramedullary nails 3. Plate & screw4. External fixator
Q:24
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1. Identify the deformity.2. How do you manage this problem?
• 1.Cubitus varus• 2.Corrective (wedge shape) osteotomy for
correcting carrying angle
Q:25
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Reference • Apleys System of Orthopaedics and
Fractures 9 ed
• Prepared as a slideshow – by Yapa Wijeratne