Question 1

Common injury to baby is

Accepted Answer

Fracture of the clavicle is the most common bone injury during birth. This is often due to the pressure and forces applied during the birthing process, especially in difficult or assisted deliveries.

Question 2

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 ?

Accepted Answer

The correct answer is A because the patient has a # tibia of the left side, so the weight-bearing should be on the right side. Therefore, a left-sided crutch will be preferred for mobilization.

Question 3

Earliest symptom of Volkmann's ischemia is

Accepted Answer

Pain in flexor muscles is the earliest symptom of Volkmann's ischemia.

Question 4

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?

Accepted Answer

Operative decompression of the fascial compartment, known as fasciotomy, is the definitive treatment for compartment syndrome to relieve pressure and restore circulation.

Question 5

Anterior dislocation of shoulder causes all except

Accepted Answer

Anterior dislocation of the shoulder typically involves injury to the axillary nerve (a branch of the brachial plexus) and can compromise the blood supply to the humeral head, potentially leading to avascular necrosis. The circumflex artery, which wraps around the surgical neck of the humerus, can also be injured. However, a chip fracture of the scapula is not a common direct consequence of anterior shoulder dislocation.

Question 6

In Colles# following is most common complication

Accepted Answer

Malunion is the most common complication of Colles' fractures. This occurs when the bone heals in an abnormal position, which can lead to functional impairment and cosmetic issues.

Question 7

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

Accepted Answer

Volkmann's ischemic contracture is a condition that can occur following a supracondylar fracture of the humerus, especially if the fracture leads to a compromise of the blood supply to the forearm muscles. This can result in ischemia and necrosis of the muscles, leading to a claw hand deformity.

Question 8

Pivot test for

Accepted Answer

The pivot shift test is specifically used to assess the integrity of the anterior cruciate ligament (ACL). It helps in identifying instability between the femur and tibia, which is a sign of ACL injury.

Question 9

Triangular relation of Elbow is maintained in

Accepted Answer

The answer of Triangular relation of Elbow is maintained in
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Question 10

Fracture which most often requires open reduction & internal fixation

Accepted Answer

Lateral condyle of humerus is the most common fracture that requires open reduction and internal fixation.

Question 11

Commonest type of lesion causing recurrent shoulder dislocation is

Accepted Answer

Bankart's lesion is the most common type of lesion causing recurrent shoulder dislocation. It involves a tear of the anterior-inferior glenoid labrum of the shoulder due to dislocation.

Question 12

Meniscus calcification is a feature of

Accepted Answer

Meniscus calcification is a characteristic feature of pseudogout, which is caused by calcium pyrophosphate dihydrate (CPPD) crystal deposition in the joint, leading to inflammation.

Question 13

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

Accepted Answer

Tension band wiring is the treatment of choice for displaced olecranon fractures as it converts tensile forces into compression at the fracture site, promoting healing.

Question 14

Volkmann's ischemic contracture mostly involves

Accepted Answer

Volkmann's ischemic contracture primarily affects the flexor digitorum profundus due to its deep location and susceptibility to ischemia in the forearm.

Question 15

Avascular necrosis is commonest in one of the following fractures

Accepted Answer

Avascular necrosis is most commonly associated with Garden type 3 and 4 fractures of the femoral neck. These fractures disrupt the blood supply to the femoral head, increasing the risk of avascular necrosis.

Question 16

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

Accepted Answer

A shortening of the base of Bryant's triangle on one side compared to the other is indicative of a fracture of the neck of the femur. This measurement is used to assess discrepancies in leg length, which can occur due to such fractures.

Question 17

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

Accepted Answer

Volar Barton's fracture can sometimes be managed with closed reduction and casting, depending on the stability and displacement of the fracture.

Question 18

Pathognomic sign of traumatic fracture

Accepted Answer

Crepitus, which refers to the grating sound or sensation produced by the friction between bone fragments or joints, is considered a pathognomonic sign of a traumatic fracture. This is because it directly indicates the physical disruption of bone integrity, unlike swelling, tenderness, and redness, which can be present in various conditions.

Question 19

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

Accepted Answer

The answer of A football player, while playing, twists his...

Quiz 1: Orthopedic: Fractures, Injuries, and Treatment