Orthopaedics MCQ

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Sclerotic bone lesion include

a. Osteoid osteoma
T
b. Solitary bone cyst
F
c. Paget disease
T
d. Aneurismal bone cyst
F
e. Osteopetrosis
F
Causes of aggressive periosteal reaction include
a. Osteoid osteoma
F
b. Brodies abscess
F
c. Acute osteomyelitis
T
d. Ewing sarcoma
T
e. Chrondosarcoma
T
Lytic bone lesion include
a. Prostate metastasis
F
b. Breast metastasis
F
c. Thyroid metastasis
T
d. Renal metastasis
T
e. Lung metastasis
T
Regarding radiological investigation in orthopaedic practice
a. Haemangioma often shows calcification on plain radiograph
b. MRI cannot identify a skip lesion in long bone affected with osteosarcoma
F
c. Loss of end plate and preservation of pedicle on plain radiograph of spine
are suggestive of spine metastasis F
d. Normal finding on ultrasound examination of hip excludes septic arthritis
F
e. MRI is able to detect changes of vascular necrosis of the femoral earlier
than bone scan T
Pertaining to benign bone tumors
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a. Bone pain secondary to osteoid osteoma is not easily reduce by aspirin


b. Fibrous dysplasia gives soup-bubble appearance on plain radiograph F
c. Solitary bone cyst shows multiple septations on radiological examination
T
d. Osteochondroma has no malignant potential F(SMALL RISK)
e. Giants cell tumors is hardly seen before closure of the physis T
Pertaining to musculocutaneous nerve
a.
b.
c.
d.
e.

It supplies sensation over the medial aspect of the arm F(FOREARM)


It does not have sensory supply to the elbow joint T
Forearm supination is weakened if it is injured T(SUPPLIES BICEPS)
It is the nerve paralysed in Saturday-night palsy F(RADIAL NERVE)
Wallerian degeneration occurs in axonotmesis of musculocutaneous nerve
T

Regarding orthopaedic infection


a. Cloaca seen on radiological investigation indicates chronic osteomylitis T
b. The commonest organism causing septic arthritis in newborn is
haemophilus influenza F
c. Healing of tuberculosis arthritis is by bony ankylosis F(FIBROUS
ANKYLOSIS)
d. Brodies abcess needs emergency drainage and debridement F
e. Browns tumor is a malignant sequel of chronic osteomyelitis
F(PARATHYROID HORMONE)
Regarding fracture or dislocation around the elbow
a.
b.
c.
d.
e.

Salter harris fracture type III is an extra articular fracture F


Fracture of the radial head causes loss of isoscale elbow triangle F
fat- pad sign seen on plain radiograph indicates a complete triangle T
Anterior elbow dislocation is more common than posterior dislocation F
Volkmanns ischemic of the forearm is a potential complication of
supracondylar fracture T

Regarding fracture of the upper limbs


a. Monteggia fracture is a fracture of the radius associated with distal
radioulnar joint dislocation F
b. Supracondylar fracture of the humerus is intraarticular F
c. Cubitus varus is a recognized potential complication of supracondylar
fracture of humerus T
d. dinner-fork deformity is a typical features associated with Collers
fracture T
e. Tenderness over the anatomical snuff box is suggestive of scaphoid
fracture T
Regarding open fracture
a. The wound of the open fracture is primarily closed F
b. Internal fixation is used to stabilized the fracture during debridement F

c. Antibiotics administration and proper irrigation and debridement are


important to prevent contamination to become an established infection T
d. Osteomyelitis is a recognized late complication T
e. Open fracture occurring at farm yard is considered as grade III open
fracture
Regarding osteoarthritis
a.
b.
c.
d.
e.

It is more common in obese patients T


It is associated with raised serum calcium F
Intercondylar distance is measured in supine position F(STANDING)
Intraarticular steroid injection is recommended for acute exacerbation T
Total knee replacement is indicated in young active patient F

Regarding bioethics in orthopaedics practice


a. Patients religious belief should be respected although contraindicating
with the treatment plan
b. Patient is allowed to discuss with his/her family before giving consent
c. Informed consent is irreversible
d. In life threatening event, a surgeon can perform a life-saving surgery in
unconscious patient even without any consent from anyone
e. Treatment options are given and patient is allowed to choose based on
discussion with the treating practitioner
Regarding paediatric hip disorder
a. Waddling gait is seen in unilateral neglected congenital hip dislocation T
b. Excessive hip abduction in treating Developmental Dysplasia of Hip with
hip spica leads to avascular necrosis of femoral head
c. Positive Barlow test signifies that the hip is totally dislocated but reducible
F
d. Transient synovitis of hip commonly shows joint effusion on ultrasound T
e. Slipped capital femoral epiphysis is common in age less than 8 years F
Regarding orthopaedic infections
a. Staphylococcus aureus is the predominant causative organism in necrotic
fasciitis F
b. Streptococcus Group A is the predominant causative organism in gas
gangrene F
c. Streptococcus Group B is the predominant causative organism in cellulitis
F
d. Pseudomonas sp is the predominant causative organism in penetrative in
injury of the foot F
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e. Staphylococcus epidermidis is the predominant causative organism in


abscess F

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