Orthopaedics MCQ
Orthopaedics MCQ
Orthopaedics MCQ
Orthopaedics MCQ
1. Which of the following statements about open fractures is/are
correct?
A. Intravenous antibiotics should be administered as soon as possible.
B. They should be regarded as an emergency.
C. Wound closure is necessary within 8 hours.
D. Systematic wound débridement and irrigation should be
performed.
E. They most often result from low-energy injuries.
Answer: ABD
11. The most consistent sign of a fracture of the carpal scaphoid is:
A. Wrist pain during attempted push-ups.
B. Diffuse swelling on the dorsum of the wrist.
C. Localized tenderness in the anatomic snuffbox.
D. Wrist popping on movement.
Answer: C
23. Which of the following statements about the blood supply to the
hip are true?
A. The medial femoral circumflex artery circles around to the posterior
aspect of the hip, where it becomes confluent with the retinacular
blood vessels.
B. A small portion of the blood supply of the femoral head is provided
by the obturator artery via the ligamentum teres.
C. Displacement of a femoral neck fracture can disrupt the branches
of the medial femoral circumflex artery.
D. The retinacular vessels are supplied by the lateral femoral
circumflex artery, which takes a posterior course.
E. Muscular attachments to the periarticular bone structures provide
blood supply to the femoral head.
Answer: ABC
26. An 8 cm. by 10 cm. soft tissue defect over the proximal third of the
tibia with exposed bone devoid of periosteum is best treated with:
A. Skin graft.
B. Gastrocnemius rotational myoplasty.
C. Soleus rotational myoplasty.
D. Free tissue transfer.
Answer: B
29. The most frequent forces acting on the foot that cause ankle
fractures are:
A. External rotation.
B. Internal rotation.
C. Plantar flexion.
D. Dorsiflexion.
Answer: A
30. Patients who have abduction injuries to the foot are prone to
injure the following structures:
A. Medial malleolus and deltoid.
B. Lateral malleolus and deltoid ligament.
C. Interosseous ligament.
D. Posterior tibiofibular ligament.
Answer: A
31. Of the following bones in the foot, the tarsal bone that is most
prone to vascular compromise is the:
A. Calcaneus.
B. Navicular.
C. Talus.
D. Cuboid.
Answer: C
33. The most common reason for surgical amputation in the general
population is:
A. Trauma.
B. Tumor.
C. Infection.
D. Congenital deformity.
E. Ischemia.
Answer: E
DISCUSSION: All of the above conditions may present with the clinical
and laboratory findings described above. Aspiration of the joint and
examination of the synovial fluid is required to rule out pyogenic
arthritis. Ancillary laboratory testing for juvenile rheumatoid arthritis
and acute rheumatic fever may be required.
DISCUSSION: The amputated part must be kept cool (4 ؛C or less) but
not frozen. Cooling lowers the metabolic needs of the severed part,
which allows replantation for up to 12 to 14 hours for major limb
amputations and 24 to 36 hours for major digital amputations. The
amputated part is preserved by one of the two following methods: (1)
Place the amputated part in a plastic bag containing lactated Ringer's
or saline solution and place the bag on ice or (2) wrap the amputated
part in a cloth and place it in a plastic bag to be put on ice.
47. The zone of flexor tendon injury that carries the poorest prognosis
following injury and repair is:
A. Zone I.
B. Zone II.
C. Zone III.
D. Zone IV.
E. Zone V.
Answer: B
When open reduction and internal fixation treatment are chosen, the
following principles should be considered: 1) maximal maintenance of
periosteal and vascular tissues without compromising stability; 2)
anatomic reduction and fixation stability; 3) the use of high strength
biocompatable implants; 4) the creation of fixation constructs that
minimize load shielding of the underlying bone; and 5) maintenance
of maximal soft tissue coverage and interposition between the device
and skin surface.
50. Serum proteins that have been demonstrated to influence bone
induction include:
The healing of soft tissue occurs in stages. The first stage involves a
granulation tissue, in which the collagen fibers are oriented in a
random pattern and the degree of waviness is likewise random. This
tissue is not as functional as the more optimal normal structure. In
time, the soft tissue is remodeled to produce an architecture more
nearly that of normal intact tissue. Factors associated with beneficial
effects on healing include early immobilization, regulated physical
stimuli, and good vascular supply. Remodeling or adaptation of soft
tissues has also been shown to occur under normal physiologic
loading conditions. There are reports of training effects increasing the
properties of tissues and metabolically active cells incorporated within
the matrix.
55. Which of the following statement(s) is/are true concerning types of
bone found in the human body?
Two major types of bone are found in the human body: trabecular
and cortical. Although the chemical, molecular and cellular
components are similar, the organization of these components at the
ultrastructural and microstructural level leads to significant
differences in their mechanical and metabolic activities. The
microstructural organization of bone can be classified into three
types: primary bone, secondary bone, and woven bone. The most
important characteristic of primary bone is that it must be formed on
existing surfaces. The surfaces can be cartilaginous or preexisting
bone. This bone is highly organized and exhibits excellent mechanical
properties. Secondary osteonal bone is the primary constituent of
adult cortices. The final microstructural type of bone is woven bone.
Although the collagen matrices in lamellar and osteonal bone are
precisely organized, providing maximal mechanical properties with
minimal material, woven bone is composed of disorganized yet highly
mineralized tissue and is expressed in the course of fracture or
damage repair. It has the advantage of being quickly deposited but
the disadvantage of significantly reduced mechanical properties when
compared to a highly ordered primary and secondary bone.
MedCosmos at 7:06 PM
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