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Orthopedic End-Posting MCQs(Group 4&5)

1) Regarding open fracture of tibia :


a. It is caused by high velocity injury
b. Loss of 2-3 litres of blood
c. External fixator is the treatment
d. Common organism is the Streptococcus Epidermidis
e. Anaerobic infection is the common in farmer.
2) Loss of consciousness in bilateral femur #
a. Hypovoleamic shock
b. Pneumothorax
c. Subarachnoid haemorrhage
d. Fat embolism syndrome
e. #-dislocation C5-6
3) The incidence of vessel injury is higher in the following
a. scapula-thoracic dislocation
b. shoulder dislocation
c. supracondylar femoral #
d. knee dislocation
e. mid shalf humeral #
4) Regarding peripheral nerve of upper limb
a. supination of forearm in flexed elbow is contributed by median nerve
b. Anconeus muscle is supplied by ulnar nerve
c. Abductor digiti minimi is supplied by ulnar nerve
d. ?
e. Lesion of median nerve at wrist causes pointing finger
6) Disruption of shenton line are due to
a. NOF#
b. septic arthritis
c. DDH
d. AVN of femoral head
e. Slipped capital femoral epiphyseal
7) Unstable lumbar # includes
a. Chance #
b. anterior wedge #
c. burst #
d. spinous process #
e. transverse process #

8) Regarding the examination of hip


a. SLRT is used to assess fixed flexion deformity
b. bryans triangle used to measure abduction deformity

c. Lumbar lordosis increased correspond to fixed flexion deformity


d. Apparent shortening of lower limb is ipsilateral to the deformity
e. True shortening is the cause of DDH
10) Perthess disease
a. common in children <10 yo
b. AVN of distal femoral epiphysis
c. more common in girls
d. X-ray -> thinning of capital femoral epiphysis
e. associated with obesity
11) Increase in osteoclastic activity and bone resorption
a. osteogenesis imperfect
b. osteopetrosis
c. osteoporosis
d. uncompensated osteomalacia
e. hyperparatyroidism
15) Organisms isolated in septic arthritis of IV drug user
a. Staph aureus
b. Pseudomonas aeruginosa
c. Diplococci
d. Strep
e. Haemophilus influenzae
17) Radiographic changes in chronic OM
a. Changes from previous X-ray
b. Poorly defined area of osteolytic
c. Thin linear periosteal reaction
d. Sequestration
e. Onion peeling
19) Radiological feature of non-accidental injury include :
a. excessive callus formation
b. posterior rib fracture
c. multiple frature with different stage of healing
d. metaphyseal corner fracture
e. short oblique frature
20) True combination of fracture-dislocation and nerve injury
a. hip dislocation - sciatic nerve
b. shoulder dislocation radial nerve
c. supracondylar fracture ulnar nerve
d. wrist dislocation median nerve
e. tibular neck fracture peroneal nerve
21) Regarding the femur fracture in children
a. fracture in non-walker suggests child abuse
b. fat embolism syndrome is more common than in adult
c. shortening 2-3cm with normal function is acceptable
d. is better treated with traction than spica cast

e. Surgery is indicated in polytrauma


22) Achilles tendinitis
a. Associated with inappropriate footwear
b. Induced by plantarflexion against resistance
c. Tendon rupture is complication
d. Steroid injection in chronic case
e. plantar heel pad is contraindicated
23) Regarding elbow dislocation
a. elbow triangle is preserved
b. coronoid process fracture is an association
c. brachial artery injury is an association
d. elbow is immobilized in extension
e. myositis ossificans is a late complication
24) AVN flowing fracture occurs in
a. head of femur
b. medial femoral condyle
c. avulsion posterior tibial spine
d. neck of talus
e. base of 5th metatarsal
25) Drug in musculoskeletal
a. COX-2 causes cardiovascular problem
b. gabapentin is used for neurapathic pain
c. Indomethacine is used to inhibit myositis ossificans
d. Alendronite is used for osteoporotic #
e. Glucosamine is used for early OA
Osteomalacia
a. As a result of low vit A
b. Cause proximal myopathy
c. Cause pseudo#
d. Increased serum Ca2+
e. ?
Diseases that commonly occur around the knee joint
a. Osteoid osteoma in young
b. Osteosarcoma in young
c. Chondrosarcoma
d. Enchondroma
e. Bursitis
What are the X-rays should be taken in patient with cervical injury
a. Flexion-extension
b. Oblique
c. Swimmer
d. Lateral
e. Open mouth

X-ray findings in gout


a. ?
b. ?
c. ?
d. ?
e. ?
RA

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