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Orthopedics-11.A35yearoldmalemanuallabourersustainedadisplacedsubcapitalhipfractureafterfallingatwork.Thefracturewasreducedandfixedwith3cannulatedscrews.Fivemonthsaftertheoperation,hepresentstoyourclinicwithworseninghippain.Whatisthemostlikelydiagnosis?a)Nonunionb)Osteonecrosisc)Looseningofthecannulatedscrewsd)Malunione)Osteomyelitis2.A25yearoldprofessionalbasketballplayerlandsonhisrightfootwhileitisinapronatedandexternallyrotatedposition.Hehearsa“snap”andisunabletoweightbearonhisrightfoot.AnankleX-rayrevealssignificanttalarshiftwithoutavisiblefibularfracture.Themostappropriatenextstepis:a)Closedreductionoftheanklemortisefollowedbyapplicationofacastb)Bedrestfor4weeksfollowedbyintensephysiotherapyc)X-raytherightkneetoruleoutaMaisonneuvefractured)Openreductionwithinternalfixationoftherightanklee)Splintankleandencourageweightbearing3.A75yearoldladyslipsonathrowruginherlivingroomandfalls.AnX-rayrevealsadisplacedsubcapitalhipfracture.Priortoherfall,thepatientlivedalone,performedallADLsindependentlyandenjoyedgolfing.Themostappropriatemanagementofthisfractureis:a)Moore’sunipolarhemiarthroplastyb)Bedrestfor6weeksc)Reductionwithinternalfixationusing3cannulatedscrewsd)Bipolarhemiarthroplastye)Totalhipreplacement4.A21yearoldpresentstoyourofficeafterinjuringherkneeinasoccergame.Shestatesthatthekneeclickswhenshewalksandhas“locked”onseveraloccasions.Onexamthereisaneffusionandthekneeisgrosslystable.Themostlikelydiagnosisis:a)Anteriorcruciateligamenttearb)Meniscaltearc)Osteoarthritisd)Bursitise)Medialcollateralligamenttear5.AllofthefollowingregardingAchillestendonrupturearetrue,EXCEPT:a)PositiveThompson’stestb)PalpablegapoverAchillestendonc)Weakplantarflexiond)Mayoccursecondarytosteroidinjectione)Treatbycastingfootindorsiflexion6.OrthopedicscomesfromtheGreekwordsmeaningwhat?a)AnatomyandSurgeryb)BoneandJointc)StraightandChildd)HealingandBody7.bonymetastasisisnotseeninwhichcarcinoma?a)testisb)breastc)pelvisd)bronchus8.tuberculosisofthespinefirststartsin?a)vertebralbodyb)nucleoluspulposusc)annulusfibrosisd)paravertebraljoints9.whichofthefollowingisNOTatypicalsymptominapatientwithamusculoskeletaltumor?a)nighttimepainb)warmthoverthelesionc)distaledemad)tenderness10.whichofthefollowingisthemostcommonmalignantlesionofthebone?a)Chondroblastomab)Fibrosarcomac)Ewing’ssarcomad)Osteosarcoma11.themaximumtimecontinuoustourniquetscanbeusedforhandsurgeryis___?a)1hb)2hc)3hd)4h12.themostcommonmechanismofinjuryinadistalfractureofthefibulais__?a)supinationwitheversionb)supinationwithouteversionc)pronationwitheversiond)pronationwithouteversion.13.whichofthefollowingisthemostcommoncausativeorganisminosteomyelitis?a)salmonellab)pseudomonasc)staphylococcusd)EscherichiacoliAnswerstothisquestions:1.b2.c3.d4.b5.e6.c7.a8.a9.d10.d11.c12.c13.cOrthopedics-2TorFquestions:1.complicationsofpelvicfracture:a.hypovolemicshockTFb.sciaticNinjuryTFc.peronealNinjuryTFd.urethralinjuryTFe.internaliliacAinjuryTF2.acuteHematogenousosteomylitis:a.startsinmetaphysicTFb.earlylocaltendernessTFc.aspirationfrommaximumsiteoftendernessisimportantforinvestigationTFd.noantibioticsshouldbegivenuntiltheresultsofthecultureappearTFe.rarefactionofboneisseeninx-raywithin204daysTF3.osteoporosis:a.NormalserumlevelofmineralsinseniletypeTFb.decreasetotalmassTFc.riskofvertebralfractureTFd.duetovitamineDdeficiencyTFe.highCawillreturnthebonetonormalTF4.discherniationbetweenL5-S1:a.painradiatetoanteriorthighTFb.+veSLRtestTFc.absentAchille'stendonreflexTFd.AbsentkneereflexTFe.operationshouldbedoneassoonaspossibleTF5.posteriorhipdislocation:a.internalrotationTFb.extensionTFc.adductionTFd.avascularnecrosis(AVN)TFe.shorteningofaffectedpartTF6.Colle'sFrature:a.injurytoulnarNTFb.InjurytomedianNTFc.FxindistalpartofradiusTFd.Volkman'scontractureisseenTFe.duetoblowtoelbowTF7.Fxatthoracolumbarspine:a.causesquadriplegiaTFb.urineincontinenceTFc.pressuresoresarenotcommonTFd.1rytttisnotimportantTFe.rehabilitationisimportantTF8.scoliosis:a.increaseAPcurvatureTFb.maycausecardiopulmonarydepressionTFc.commoninneurofibromatosisTFd.mayneedOR&fusionifnottreatedbyothermethodsTFe.mainlyidiopathicTF9.Artyhroscopy:a.onlyforDxTFb.mayinjurepoplitealNerveTFc.forACLrepairTFd.onlyoneportalisusedTF10.SLR:a.+veinsciaticaTFb.cannotbe+vebilaterallyTFc.DoneinpronepositionTFd.kneeshouldbeextendedTFe.+veinlumbardiscprolapeseTF11.ulnarNerveinjurya.wristdropTFb.duetocollesfractureTFc.weakhypothenarmusclesTFd.weakthenarmusclesTFe.weak1stinterosseusmusclesTF12.clubfoot:a.moreinmalesTFb.withvalgusTFc.withequinesTFd.1stlinetttismanipulationTFe.withwastingoflowerlimbmusclesTF13.congenitalhipdislocation:a.moreinfemalesTFb.50-55degreesTFc.30%bilateralTFd.shortkegTFe.earlyDxisimportantTF14.specificcomplicationsofFxneckoffemura.AVNTFb.injurytosciaticnerveTFc.ununionTFd.needinternalfixationTFe.leadtoosreoarthritisTF15.complicationsofFracure:a.VolkmancontracturesTFb.duputerynecontracturesTFc.sudeck'satrophyTFd.frozenshoulderTFe.AVNTF16.TBofthespine:a.anteriorpartofvertebraeaffectedfirstTFb.doesn'tcuzpsoasabscessTFc.maycuzpathologicalfratur