Deck 1: Orthopedic: Fractures, Injuries, and Treatment

Question 1

Which is not a principle of compound fracture treatment?

A)no tendon repair
B)aggressive antibiotic cover
C)wound debridement
D)immediate wound closure

Answer 1

immediate wound closure

Question 2

Medial meniscus is more vulnerable to injury because of?

A)its fixity to tibial collateral ligament
B)its semicircular shape
C)action of adductor magnus
D)its attachment to fibrous capsule

Answer 2

its fixity to tibial collateral ligament

Question 3

Injury to the popliteal artery in fracture lower end of femur is often due to?

A)distal fragment pressing the artery
B)proximal fragment pressing the artery
C)tight plaster
D)hematoma

Answer 3

distal fragment pressing the artery

Question 4

In transverse fracture of the patella, the treatment is

A)excision of small fragment
B)wire fixation
C)plaster cylinder
D)patellectomy

Question 5

Blood coagulation profile in pregnancy is

A)increase in fibrinogen level of 10-25 %
B)decrease in factor x, xi, xii
C)decrease in plasminogen activity
D)increase in platelet count

Question 6

In classical caesarean section more chances of rupture of uterus is in

A)upper uterine segment
B)lower uterine segment
C)utero cervical junction
D)posterior uterine segment.

Question 7

The most preferred treatment of fracture of neck of femur in a young person is

A)hemiarthroplasty
B)total hip treatment
C)conservative treatment
D)closed reduction & internal fixation

Question 8

Position of immobilization in fracture both bones of forearm in an adult male will be

A)prone
B)mid prone
C)supine
D)10° supine

Question 9

True about clavicular fracture is

A)most common at medial 1/3 & 2/3
B)comminuted fracture common
C)malunion occurs
D)usually due to fall on elbow

Question 10

Excision of fractured fragment is practised in all fractures except

A)patella
B)olecranon
C)head of radius
D)lateral condyle humerus

Question 11

In 65 year old male with history of fracture neck of femur 6 weeks old, treatment of choice

A)sp nailing
B)mc murray\s osteotomy
C)hemiarthroplasty
D)none.

Question 12

In Colles fracture not seen in

A)proximal impaction
B)lateral rotation
C)dorsal angulation
D)medial rotation

Question 13

A lady presents with a history of fracture radius, which was put on plaster of paris casts for 4 weeks. After that she developed swelling of hands with shiny skin. What is the most likely diagnosis.

A)rupture of extensor pollicis longus tendon
B)myositis ossificans
C)reflex sympathetic dystrophy
D)malunion.

Question 14

Complication of fracture scaphoid is

A)injury to radial artery
B)avascular necrosis of proximal part
C)avascular necrosis of distal part
D)injury to radial nerve

Question 15

Which fracture neck of femur has a poor prognosis

A)intra capsular
B)extracapsular
C)both
D)none.

Question 16

Fracture blisters commonly appear on how many days ?

A)1- 3 days
B)3- 5 days
C)5-7 days
D)5-9 days

Question 17

If the greater tuberosity of the humerus is lost, which of the following movements will be affected

A)adduction and flexion
B)abduction and lateral rotation
C)medial rotation and adduction
D)flexion and medial rotation

Question 18

The most common cause of a sprained ankle is injury of

A)deltoid ligament
B)lateral ligament
C)inferior tibiofibular ligament
D)anterior talofibular ligament.

Question 19

In the case of 65 year old person with fracture neck offemur the treatment of choice is

A)close reduction
B)close reduction with internal fixation
C)open reduction
D)replacement of head and neck of the femur with a prosthesis

Question 20

Tardy ulnar nerve palsy is seen in :

A)cubitus valgus
B)dislocation of elbow
C)fracture scaphoid
D)supracondylar fracture of humerus

Question 21

Common injury to baby is

A)fracture humerus
B)fracture clavicle
C)fracture radius-ulna
D)fracture femur

Question 22

Young man with # tibia of left side 2 months ago, is having popliteal cast, Now needs mobilization with single crutch. Which will be the preferred site ?

A)left sided crutch
B)right sided
C)any side
D)both sides

Question 23

Earliest symptom of Volkmann's ischemia is

A)pain in flexor muscles
B)absence of pulse
C)pain on passive extension
D)cyanosis of limb

Question 24

A patient develops compartment syndrome (swelling, pain and numbness) following manipulation and plaster for fracture of both bones of leg. What is the best treatment?

A)split the plaster
B)infusion of law molecular weight dextran
C)elevate the leg after splitting the plaster
D)do operative decompression of fascial compartment

Question 25

Anterior dislocation of shoulder causes all except

A)circumflex artery injury
B)avascular necrosis head of humerus
C)brachial plexus injury
D)chip fracture scapula

Question 26

In Colles# following is most common complication

A)non union
B)malunion
C)sudeck\s dystrophy
D)volkmann\s ischemic contracture

Question 27

Patient with supracondylar fracture following reduction presented with claw hand. The likely diagnosis is

A)volkmann\s ischaemic contracture
B)median nerve injury
C)ulnar nerve injury
D)dupuytrens contracture

Question 28

Pivot test for

A)anterior cruciate ligament
B)posterior cruciate ligament
C)medial meniscus injury
D)lateral meniscus injury

Question 29

Triangular relation of Elbow is maintained in

A)fracture ulna
B)anterior dislocation of elbow
C)posterior dislocation of elbow
D)supracondylar fracture

Question 30

Fracture which most often requires open reduction & internal fixation

A)lateral condyle of humerus
B)femoral condyle
C)distal tibial epiphyseal separation
D)fracture both bones forearm

Question 31

Commonest type of lesion causing recurrent shoulder dislocation is

A)shallow glenoid labrum
B)bankarts lesion
C)weakness of subscapularis muscie
D)injury to humeral head

Question 32

Meniscus calcification is a feature of

A)gout
B)hyperparathyroidism
C)pseudogout
D)ankylosing spondylosis

Question 33

A young adult presenting with oblique, displaced fracture olecranon treatment of choice

A)plaster cast
B)percutaneous wiring
C)tension band wiring
D)removal of displaced piece with triceps repair

Question 34

Volkmann's ischemic contracture mostly involves

A)flexor digitorum superficialis
B)pronator teres
C)flexor digitorum profundus .
D)flexor carpi radialis longus

Question 35

Avascular necrosis is commonest in one of the following fractures

A)gorden 1 & 2 fracture of femoral neck
B)gorden 3 & 4 fracture of femoral neck
C)sub-trochanteric fracture of femoral neck
D)baso-trochanteric fracture

Question 36

On measurement, the base of Bryant's triangle on the left side is found to be short by 2 cms as compared to the right side. This indicates

A)fracture of the neck of the femur
B)fracture of the shaft of the femur
C)osteoarthritis of hip joint
D)rheumatoid arthritis of the hip joint

Question 37

All the following requires open reduction & internal fixation almost always except

A)lateral condyle of humerus
B)olecranon
C)patella
D)volar barton\s fracture

Question 38

Pathognomic sign of traumatic fracture

A)swelling
B)tenderness
C)redness
D)crepitus

Question 39

A football player, while playing, twists his knees over the ankle. He still continues to play.

A)medial meniscus tear
B)anterior cruciate ligament tear
C)medial collateral ligament injury
D)posterior cruciate ligament injury.