1、Orthopedics-11. 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 presents to your clinic with worsening hip pain. What is the most likely diagnosis?
2、a) Nonunionb) Osteonecrosisc) Loosening of the cannulated screwsd) Malunione) Osteomyelitis2. 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-
3、ray reveals significant talar shift without a visible fibular fracture. The most appropriate next step is:a) Closed reduction of the ankle mortise followed by application of a castb) Bedrest for 4 weeks followed by intense physiotherapyc) X-ray the right knee to rule out a Maisonneuve fractured) Ope
4、n reduction with internal fixation of the right anklee) Splint ankle and encourage weight bearing3. 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 independentl
5、y and enjoyed golfing. The most appropriate management of this fracture is:a) Moores unipolar hemiarthroplastyb) Bedrest for 6 weeksc) Reduction with internal fixation using 3 cannulated screwsd) Bipolar hemiarthroplastye) Total hip replacement4. A 21 year old presents to your office after injuring
6、her knee in a soccer game. She states that the knee clicks when she walks and has “locked” on several occasions.On exam there is an effusion and the knee is grossly stable. The most likely diagnosis is:a) Anterior cruciate ligament tearb) Meniscal tearc) Osteoarthritisd) Bursitise) Medial collateral
7、 ligament tear5. All of the following regarding Achilles tendon rupture are true, EXCEPT:a) Positive Thompsons testb) Palpable gap over Achilles tendonc) Weak plantar flexiond) May occur secondary to steroid injectione) Treat by casting foot in dorsiflexion6. “Orthopedics“ comes from the Greek words
8、 meaning what?a) Anatomy and Surgeryb) Bone and Jointc) Straight and Childd) Healing and Body7. bony metastasis is not seen in which carcinoma ?a) testisb) breastc) pelvisd) bronchus8. tuberculosis of the spine first starts in ?a) vertebral bodyb) nucleolus pulposusc) annulus fibrosisd) paravertebra
9、l joints9. which of the following is NOT a typical symptom in a patient with a musculoskeletal tumor?a) nighttime painb) warmth over the lesionc) distal edemad) tenderness10.which of the following is the most common malignant lesion of the bone?a) Chondroblastomab) Fibrosarcomac) Ewings sarcomad) Os
10、teosarcoma11.the maximum time continuous tourniquets can be used for hand surgery is_?a) 1hb)2hc)3hd)4h12.the most common mechanism of injury in a distal fracture of the fibula is_?a) supination with eversionb) supination without eversionc) pronation with eversiond) pronation without eversion.13.whi
11、ch of the following is the most common causative organism in osteomyelitis?a) salmonellab) pseudomonasc) staphylococcusd) Escherichia coliAnswers 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.cOrthopedics-2T or F questions:plications of pelvic fracture:a.hypovolemic shock T
12、 F b.sciatic N injury T Fc.peroneal N injury T Fd. urethral injury T Fe.internal iliac A injury T F2. acute Hematogenous osteomylitis:a.starts in metaphysic T Fb. early local tenderness T Fc. aspiration from maximum site of tenderness is important for investigation T Fd.no antibiotics should be give
13、n until the results of the culture appear T Fe. rarefaction of bone is seen in x-ray within 204 days T F3. osteoporosis:a. Normal serum level of minerals in senile type T Fb. decrease total mass T Fc. risk of vertebral fracture T Fd. due to vitamine D deficiency T F e. high Ca will return the bone t
14、o normal T F4. disc herniation between L5- S1:a. pain radiate to anterior thigh T Fb. +ve SLR test T Fc.absent Achilles tendon reflex T Fd. Absent knee reflex T Fe. operation should be done as soon as possible T F5. posterior hip dislocation:a.internal rotation T Fb. extension T Fc. adduction T Fd.a
15、vascular necrosis (AVN) T Fe.shortening of affected part T F6. Colles Frature:a.injury to ulnar N T Fb. Injury to median N T Fc. Fx in distal part of radius T Fd. Volkmans contracture is seen T Fe. due to blow to elbow T F7. Fx at thoracolumbar spine:a. causes quadriplegia T Fb. urine incontinence T
16、 Fc.pressure sores are not common T Fd. 1ry ttt is not important T Fe. rehabilitation is important T F8. scoliosis:a. increase AP curvature T Fb. may cause cardiopulmonary depression T Fc. common in neurofibromatosis T Fd.may need OR B. Pain on pronation;C. Diffuse soft tissue swelling;D.Weakened hand grip
