Mcqs Orthopedics

7/29/2019 Mcqs Orthopedics

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True/False Notes

1)

a) usually due to trauma F [ trauma is thought to have a role in the acute presentation ]

b) Limb is internally rotated F [externally rotated]

c) 70% are of acute onset F [30%]

d) X-ray is necessary T

2)a) usually no acute swelling T

b) due to twisting T

c) locking T

d) may cause osteochondritis if not treated F [ OA (osteoathritis)]

3) the muscle responsible for knee movement during heel stike:

a) hamstrings

b) calf muscles

c) quadriceps T

d) gastrocnemius

4)

a) ulnar

b) radial

c) median

d) three together

e) variability of predilection

5) after peripheral nerve injury , steppage gait & loss of eversion of the big toe indicates injury to:

a) femoral nerve

b) peroneal nerve T

c) tibial nerve [ opposite picture ]

d) sural nerve

6)

a) lumbricals T [also palmaris brevis]

b) palmar interossei

c) dorsal interossei

d) adductor pollicis brevise) flexor digiti minimi

7)

a) femur

b) vertebra T

8)

a) biochemistry is not normal F [ normal ]

b) can cause spontaneous fracture T

c) dietary treatment is helpful F [ is useful for prevention not trearment ]

d) splintage is effective F [ increase regional osteoporosis ]

9)

a) femur shaft

b) bilateral forearm fracturec) tibia

d) humerus

e) femur neck T

10)

a) clinical diagnosis is important T

b) leads to axascular necrosis T

c) X-ray is diagnostic early F[ appearance on x-ray can be delayed for

weeks sometimes ]

11)

a) early operation

? b) elevation for edema T

c) primary care for bone before skin F

12)

a) PTH

b) thyroxin

?

one muscle is not attached to bone:

most common fractured bone in osteoporosis:

about osteoporoseis :

[ can be treated conservatively under certainconditions ]

most important substance for bone growth is:

About SCFE (slipped capital femoral epiphysis):

about MMT ( medial meniscal tear ):

nerve injury in the axilla which is 1st to recover:

the fracture in children that needs operation:

about scaphoid fractures:

in hand injury one is false :

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? c) androgen

d) crtisol

e) citrate

13)

a) Ollier's disease T [30%]

b) osteoclastoma T [= GCT]

c) amyloidosis F [ it can result from myeloma or B-cell lymphoma ]d) multiple enchondroma T [= Ollier's disease]

14)

a) chondrosarcoma T

b) Ewing's sarcoma

c) malignant synovium

d) osteosarcoma

e) rhabdomyosarcoma

15)

a) hematogenous spread T

b) thyroid cancer is the most common primary F [breast then prostate ,kidney, lung, thyroid,]

c) they may present with pathologic fracture : T

16)

a) mostly caused by Staph. pyogenes F [Staph. aureus]

b) can cause necrosis & destruction of bone T

c) cold lesions on bone scan has good prognosis F [ can be the result of severe osteomyelitis]

17) which is more likely diagnosis for 45yr-old male with 2yr hx knee pain that's releived by walking around :

a) osteomalacia

b) osteoporosis

? c) OA

d) osteochondroma

e) osteopetrosis

18)

a) OA

b) osteochondritis dissecans

c) prepatellar bursitis [ in front of the joint not in it]d) synovial chondromatosis

e) peripheral meniscal tear

19) all are cardinal signs of inflammation as described by Celsus except:

a) color

b) rubor

c) tumor

d) olor

e) loss of function F [ described by Virchow ]

20)

a) can cause scoliosis T

b) causes pain worse at night & releived by antidepressants F [ aspirin & NSAIDs(less) ]

c) can result in leg-length discrepancy T21)

a) hypothenar muscles T

b) adductor pollicis T

c) all interossei T

d) ulnar 2 lumbricals T

e) superficial head of flexor pollicis brevis F [ median nerve ]

22)

a) the most common cause for loose bodies in young adults T

b) calcaneal apophysis could be involved T

c) anteromedial corner of talus can be involved T

d) when it occurs this is certain that cancer returned F [ not related to malignancy ]

23)

a) isometric? b) concentric

c) isokinetic

d) no exercise slould be done

24)

[ rapidly growing tumors ]

about septic arthritis :

all can cause knee joint swelling except :

which is best exercise done during acute & subacute RA :

about osteoid osteoma :

all are supplied by ulnar nerve except :

abou osteocondritis dissecans :

about osteochondritis dissecans:

about secondary bone tumors :

has risk of malignancy :

the most important slow growing killing tumor is:

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a) more common in young adults T

b) trauma is the cause T [ has a major role ]

c)

most common site is the lateral part of the medial femoral

condyle T

d) more in convex surfaces T

e) trochlea of elbow can be involved F [ capitellum ]

25)a) extracapsular T

b) more in young adults F

c) commonly comminuted T

d) can be caused by malignancy T

26)

a) distal fragment is displaced anteriorly F [ >95% is posteriorly displaced ]

b) can result in nerve injury T [ esp. ant.interosseous branch of median nerve ]

c) compartment syndrome is common F [ about 1% but is v.important to be watched for ]

27)

a) metatarsals are medially displaced over cuneiforms T

b) presents in the 1st year of life T

c) found in congenital vertical talus F

[ thought to be related with DDH but new

studies didn't support this ]

d) the most common congenital foot deformity T [ in infancy ]

28)

a) rare in blacks T

b) bilateral in males 7:1 females F

[ bilat. Involvement is 12-25% & always the

hips are in different stages ] [ males 4-6:1

females ]

c) present mostly at 4-8 years of age T

29)

a) spondylolesthesis T

b) idiopathic scoliosis F

c) spinal cord tumors T

d) discitis Te) eosinophilic granuloma T

30)

a) swing phase is longer than stance F [ swing 40%, stance 60% ]

b) 20% double support T

c) hamstrings are the most important for midstance F [ for deceleration ]

31)

a) applied for 20-30 min.

b) freq Q 2-4 hours

? c) total period of 5-7 days

d) not applied directly on skin

e) needs also compression

32) a) muscle strengthening

? b) muscle stretching

c) muscle reeducation

d) sensry reeducation

33)

a) Dx can be made even in absence of clinical signs T [ on MRI ]

b) medial meniscus is the most commonly injured T

[ because its attachment to capsule makes it

less mobile ]

34)

a) cortical thinning T

b) metastatize F

c) air fluid level F [ fluid-fluid level on MRI ]

35)a) DM T

b) antiepiletics T?

c) Duputryen's contracture T

d) Hyperlipidemia T

about subtrochanteric fractures exceot :

about supracondylar humeral fractures exceot :

about use of ice packs in soft tissue unjury :

most important step in rehabilitaion after THR is

about meniscal injury:

about ABC (aneurysmal bone cyst):

about metatarsus adductus :

about Perthes' disease :

all can cause back pain in children except :

about gait cycle :

All can cause frozen shoulder except :

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e) Repeated shoulder dislocation F

36)

a) Femoral anteversion

b) Femoral head and neck in vulgus

? c) Dysplastic acetabulum

d) Delayed ossification of femoral head epiphesis F? [as the head will have been devoloped by this time ]

e) Fiborfatty substance in hip joint37)

a) Posterior dislocation is the most common F [ anterior is 98% ]

b) Avulsion of greater tuberosity can result T

c) Results from fall on out stretched hand T

38)

a) Ankle stiffness is uncommon F

b) Foot lies outwards maybe

c) Compartment syndrome is common T

d) Common in youngs T

39)

?

40)

a) Weakness in muscles of compartment T

b) Tight skin T

c) Present pulses doesn't rule it out T

d) More in closed fractures T? [ also common in Gustilo III injuries ]

e) No compartment syndrome in arm as a rule F

41) A child victim of RTA with femoral shaft fracture and shortening what's the best treament:

a) Skeletal traction

? b) Skin traction

c) ORIF

d) External fixation

42)a) This ugly deformity worsens when the elbow is flexed F [ extended ]

43)

a) AP

b) obturator oblique T

c) Inlet view

44)

a) M > F

b) Mostly lumbar

c) due to environmental and genetic factors T

d) associated with Arnold-Chiari malfomatin type II in 100% of cases T [ >95%]

e) can occur due to carbamazepine treatment during pregnancy [ valproic acid ]

45) a) old age T

b) restricted spinal flexion F [ extension increases pain while flexion decreases it ]

c) Spinal claudication T

d) Back pain radiating to LL T [ less constantly seen than in herniated disc ]

46)

a) urinary retention T

b) neurologic sign T

c) failure of medical treatment T

d) intermittent claudication

e) severe scoliosis

47)a) bacteria usually found F

b) may cause amyloidosis T

[ dorsal-dorsal scapholunate ligament ]

The most common site for volar ganelion at ths wrist is:

about compartment syndrome :

about cubitus valgus :

All can be found in late diagnosed DDH except:

about shoulder dislocation :

about tibial shaft fracture:

Between flexor carpiradialis and abductor policis longus at

scaphotrapezoid jointa)

The best x-ray view for anterior column acetabular fracture :

about MMC (myelomrningocele):

differs according to : -age. -weight. -

associated injuries. -type of fracture.

associated with LCS ( lumbar canal stenosis ) :

indications for surgery on disc prolapse :

about chronic osteomyelitis ( COM ) :

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c) usually hypodense with thin cortex F[ this is Brodie's abscess, COM usually shows

areas of destruction with hypersclerosis ]

d) surgery is required F [ only as needed ]

48)

a) intercostal artery supplying 2 vertebrae ?

b) some bones are intracapsular Tc) thick periosteum T

d) pesistence of metaphyseal vessels for 5 years of age F [ for 2-4 years of age ]

49)

a) vertical talus F [ talar neck deformity (med. & plantar rotation)]

b) inversion of hind foot T [ + equinus ]

c) supination T [ of forefoot ]

d) adduction T [ of forefoot ]

e) tight tendon of Achilles T

50)

a) may occur in rickets

b) causes severe pain after walking T [ mainly in symptomatic adults ]

c) there are 5 arches F [ 2 1/2 arches in each foot ]

d) may require correction T

e) associated with vertical talus T

51)

a) cosmetic

? b) functions well T

c) cost

52)

a) mostly infraspinatus is involved F [ supraspinatus ]

53)

a) complete rotator cuff tear T [ also in axillary nerve palsy ]

b) calcified supraspinatus tendon

c) coracoid process fracture

54)a) age usally 4-8 years T

b) severe & continous pain T

c) increas density is an early feature on x-ray F[ normal femoral head but stops enlarging &

increased joint space ]

d) lateral subluxation is bad prognostic sign T [ of Catterall's head at risk signs ]

55)

a) low spinal tumors T

b) vascular injury T

c) vertebral osteoma F

d) central disc prolapse T

57)

a) TB? b) sarcoidosis

c) prostatic neoplasm

d) hyperPTH

e) sickle cell disease

58)

a) ulnar nerve T

b) median nerve

c) radial nerve

59)

a) tangential

b) oblique T

c) lateral

d) inlet60)

a) sun-rays appearance T

b) egg-shell appearance

c) calcification T

the view used to Dx anterior acetabular fracture:

signs of osteosarcoma :

about Perthes' disease :

bilat. Intermittent claudication :

one is not in DDX of cystic bone lesion (small bone) :

the nerve injured in cubitus valgus:

about flat foot :

most important feature for prosthesis is :

drop arm after :

about rotator cuff syndrome :

about understanding infection in children :

about club foot (CTEV):

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d) Codman's triangle T

e) honey-comb

61)

62)

injuries of the pelvis are more dangerous than the associated soft tissue injury63)

hemorrhage

65)

HRT

66)

internal fixation

67)

capitate

68)

peroneus brevis

69)

enchondroma

70)

rarely associated with nerve & vascular injury

71)

axillary nerve injury

72)

73)

total meniscectomy is best treatment

74)

? respiratory therapy

75)gout doesn't cause significant effusion

77)

a) nerve impairment T

b) arterial/venous ligation T

c) prolonged ischemia ( 6 hours ) T

d) missed compartment syndrome ( > 24-48 hours ) F[ should not open the already necrotic tissue &

expose it to risk of infection ]

78)

damage is not caused by ischemia of muscle

79)

vertebra

false about pelvic fracture :

union between medial end and the rest ossifiscation center occurs

between 13-25 years old

false about clavicle :

first carpal bone to ossify :

most dangerous immediate complication ofpelvic fracture:

most common fracture in elderly women is in the :

in order to prevent the most important complication that results in the majority of deaths in spinal injury you should order

false about ankle injuries:

false about meniscal injury :

fakse regarding effusions :

indications for fasciotomy :

[ at 18-25 years ]

most common in 3rd degree ( complete ) tear of the lateral

collateral ligament

false about compartment syndrome :

muscle inserted on 5th metatarsal bone :

most common tumor in the hand is

false about humeral supracondylar fracture

true about shoulder dislocation:

best treatment for osteoporosis is :

best treatment for femoral shaft fractures is :

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a) the closer to the growth plate , the better the healing T

b) The closer to the growth plate , the smaller the callus

c) those with heel injury have better healing

a) more comon in females T [ unlike most bone tumors ]

b) occur in epiphyseo-metaphyseal junction T [ after physeal closure ]

c) rare mets to lungs T [ 30 years F [ >50 years ]

c) degenerative type in L5-S1 F [ L4/5 ]

about spondylolesthesis :

in histology of growth plate :

causes delayed or nonunion :

about transient synovitis of the hip (irritable hip ):

septic hip vs. DDH :

about osteomyelitis:

CP :

about GCT (giant cell tumor):

shoud be present in prosthesis :

fractures in children :

about osteosarcoma :

about chondrosarcoma :

one increases bone healing :

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d) isthmic type is due to spondylolysis T

a) hemivertebrae T

b) juvenile TB

c) apophysitis

a) hip disability

b) drop foot

c) affection of thoracic muscles

d) thoracic kyphoscliosis

a) increased bone formation T

b) loss of cartilage T

c) capsule usually normal F [ fibrosed ]

d) treatment should releive pain ,increase mobility & decreases load T

a) hemarthrosis F [ recurrent hemarthrosis can cause it ]

b) locking T

c) anterior knee pain T

a) best Dx by arthrography F [ MRI then arthroscopy ]

b) sometimes presents with knee swelling Tc) peripheral tear has better prognosis T [ red zone]

a) short tendon of Achilles T

b) Hallux valgus later on T

0)

a) quadriceps

b) hamstring

c) sloeus T

d) tibialis anterior

e) tibialis posterior

1)

a) occur due to hyperextension & radial deviation Tb) may only be seen on oblique x-ray T

c) usually arm looks normal T

d) the proximal segment may undergo necrosis T

e) usually in children F [ in young adults ]

2)

a) MP joint is hyperextended F [ PIP]

b) DIP joint is flexed T

c) can occur due to intrinsic muscle disease T

d) can occur due to flexor sublemis (superficialis) injury T

e) can occur due to central slip of extensor digitorum injury F [ buttonnier's deformity ]

3)

a) clot organization T

b) immobilizationc) good alignment

4) a 7-year old child with 6months old fracture of femur that healed with 30o

rotation, Mx should be :

a) surgery T

b) hip spica

c) plaster of Paris

5)

a) neck of femur F

b) eppiphyseal separation of tibia Tc) fracture of mid-ulna T

d) fracture of mid-femur T

6)

a) capitulum T

one would undergo AVN if not treated properly:

most important in bone healing :

about chondromalacia patella :

about meniscal tear :

about flat foot :

the muscle that contracts intermittently during standing is:

all fractures in children has ability of remodeling except:

most common cause of kyphosis in 0-10 years :

most common disability in polio in Jordan :

about OA:

about scaphoid fractures :

about swan neck deformity :

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b) olecranon

c) lateral condyle of humerus

d) supracondylar humeral fracture

7)

a) lower tibia T

b) ribs F[ due to continous micromotion & adequate

splintage by adjacent ribs ]

c) scaphoid T

d) segmental tibial fracture T

e) femoral neck T

8)

a) middle 1/3 of capitellum T

9)

a) surgical neck fracture

b) anatomical neck fracture T

c) surgical neck fracture + avulsion of greater tuberosity

0)

a) knee flexion

b) equinus T

c) structural scoliosis

1)

a) after menopauseb) infantile scoliosis

c) juvenile scoliosis

d) at puberty between budding of breast & menarche T

2)

a) joint movement is normal during acute phase F [ immobile ]

b) usually improves in few days F [ weeks ]

c) due to decrease blood supply ( ischemia ) T

3)

a) due to trauma T

b) uasually lateral condyle is affected F [ lateral aspect of medial femoral condyle ]

c) usually affects youmg males T

4) a) bone scan is useless F

b) usually no pain F

c) lateral subluxation is poor prognosis T

5)

a) females > males F [ males > females ]

b) 70% gradual onset T

c) lateral view is important in Dx T

d) limbs are externally rotated T

6)

a) tenotomy

b) muscle shortening

c) close observation in hospitals

d) home phydiotherapy T7)

a) Hx of locking T

b) almost always symptomatic F

c) usually seen on x-ray T

d) maybe caused by ostecondritis dissecans T

8)

a) inversion

b) eversion

c) plantar flexion & inversion T

d) dorsiflexion & eversione) dorsiflexion & eversion & pronation

either answer not verified from a text book or question has a defect in its form.

other answers were confirmed from a text book.

most effective in treatment of CP :

about loose bodies

sprain of ATFL ( anterior talofibular ligament) is due to :

about acute supraspinatus calcification

osteochondritis dissecans

about Perthes

about SCFE

may have had bad healing :

anterior humeral line should pass through:

will lead to AVN of humeral head :

poliomyelitis can lead to

scoliosis can undergo rapid deterioration during

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