Orthopedics-1
1. A 35 year old male manual labourer sustained a displaced subcapital hip fracture after falling at work. The fracture was reduced and fixed with 3 cannulated screws. Five months after the operation, he prents to your clinic with worning hip pain. What is the most likely diagnosis?
a) Nonunion溃败的意思
bodeb) Osteonecrosis
c) Looning of the cannulated screws
英语字帖
d) Malunion
cdna是什么e) Osteomyelitis
2. A 25 year old professional basket ball player lands on his right foot while it is in a pronated and externally rotated position. He hears a “snap” and is unable to weight bear on
his right foot. An ankle X-ray reveals significant talar shift without a visible fibular fracture. The most appropriate next step is:
a) Clod reduction of the ankle morti followed by application of a cast
b) Bedrest for 4 weeks followed by intenvisco physiotherapy
c) X-ray the right knee to rule out a Maisonneuve fracture
d) Open reduction with internal fixation of the right ankle
e) Splint ankle and encourage weight bearing
3. A 75 year old lady slips on a throw rug in her living room and falls. An X-ray reveals a displaced subcapital hip fracture. Prior to her fall, the patient lived alone, per formed all ADLs independently and enjoyed golfing. The most appropriate management of this fracture is:
a) Moore’s unipolar hemiarthroplasty
b) Bedrest for 6 weeks
c) Reduction with internal fixation using 3 cannulated screws
d) Bipolar hemiarthroplasty
e) Total hip replacement
4. A 21 year old prents to your office after injuring her knee in a soccer game. She states that the knee clicks when she walks and has “locked” on veral occasions.
On exam there is an effusion and the knee is grossly stable. The most likely diagnosis is:
a) Anterior cruciate ligament tear
b) Meniscal tear
c) Osteoarthritis
d) Bursitis
e) Medial collateral ligament tear
5. All of the following regarding Achilles tendon rupture are true, EXCEPT:
a) Positive Thompson’s test
b) Palpable gap over Achilles tendon
c) Weak plantar flexion
d) May occur condary to steroid injection
e) Treat by casting foot in dorsiflexion
6. "Orthopedics" comes from the Greek words meaning what?
a) Anatomy and Surgery
b) Bone and Joint
c) Straight and Child
d) Healing and Body
7. bony metastasis is not en in which carcinoma ?
a) testis
b) breast
c) pelvis
vanity faird) bronchus
8. tuberculosis of the spine first starts in ?
a) vertebral body
b) uniqueidnucleolus pulposus
c) annulus fibrosis
d) paravertebral joints
9. which of the following is NOT a typical symptom in a patient with a musculoskeletal tumor?
a) nighttime pain
kettleb) warmth over the lesion
c) distal edema
d) tenderness
10.which of the following is the most common malignant lesion of the bone?
a) Chondroblastoma
b) Fibrosarcoma
c) Ewing’s sarcoma
d) Osteosarcoma
11.the maximum time continuous tourniquets can be ud for hand surgery is___?
rsvpa) 1h
b)2h
c)3h
d)4h
12.the most common mechanism of injury in a distal fracture of the fibula is__?
a) supination with eversion
b) supination without eversion
c) pronation with eversion
d) pronation without eversion.
13.which of the following is the most common causative organism in osteomyelitis?
a) salmonella
b) pudomonas
c) staphylococcus
d) Escherichia coli
Answers to this questions:
1.b 2.c 3.d 4.b 5.e 6.c 7.a 8.a 9.d 10.d 11.c 12.c 13.c
Orthopedics-2
T or F questions:
1.complications of pelvic fracture:
a.hypovolemic shock T F
b.sciatic N injury T F
c.peroneal N injury T F
d. urethral injury T F
e.internal iliac A injury T F
2. acute Hematogenous osteomylitis:
a.starts in metaphysic T F
b. early local tenderness T F
prettygirlc. aspiration from maximum site of tenderness is important for investigation T F
d.no antibiotics should be given until the results of the culture appear T F
e. rarefaction of bone is en in x-ray within 204 days T F
3. osteoporosis:
a. Normal rum level of minerals in nile type T F
b. decrea total mass T F
c. risk of vertebral fracture T F
d. due to vitamine D deficiency T F
e. high Ca will return the bone to normal T F
4. disc herniation between L5- S1:
a. pain radiate to anterior thigh T F
b. +ve SLR test T F
