MCQ Orthopaedic Posting Group 4 2011/2012

1. regarding peripheral nerve of upper limb

a. supination of forearm in flexed elbow is contributed by median
nerve
b. anconeus muscle is supplied by ulnar nerve
c. abductor digiti minimi is supplied by ulnar nerve
d. adductor pollicis longus supplied by radial nerve
e. lesion median nerve at wrist cause pointing index finger
2. regarding peripheral nerves
a. tinel's sign is specific for carpal tunnel syndrome
b. ulna nerve innervates the extensor carpi ulnaris
c. radial nerve innervates abductor policis longus
d. froment's sign is to test adductor policis longus
e. anconeus is innervated by median nerve
3. unstable lumbar spine injury include:
a. chance fracture
b. anterior wedge fracture
c. burst fracture
d. spinous process fracture
e. transverse process fracture
4. Shenton's line is disrupted in
a. Perthes disease
b. Septic arthritis
c. DDH
d. Fractured neck of femur
e. Slipped capital femoral epiphyseal
5. Perthe's disease
a. the onset is usually before 10 years old
b. is due to avascular necrosis of the distal femoral epiphysis
c. is more common in girls
d. there is flattening of the capital femoral epiphysis
e. is related to obesity

6. Following is associated with increase osteoclast activities and bone

resorption

a.
b.
c.
d.
e.

Osteogenesis Imperfecta
Osteopetrosis
Osteoporosis
uncompensated osteomalacia
hyperparathyroidism

7. Regarding osteomalacia
a. caused by vitamin A deficiency
b. cause pseudofracture
c. increase osteoid mineralization
d. cause proximal myopathy
e. serum Ca increase
8. Fracture in children
a. Fat embolism syndrome common than adult
b. Child abuse suspicion in femur fracture of non-walking child
c. Traction & hip spica is best treatment
d. shortening 2-3cm is acceptable
e. .
9. AVN occur in fracture of
a. head of femur
b. medial femoral condyle
c. avulsion posterior tibial spine
d. neck of talus
e. base of 5th metatarsal
10.

regarding rheumatoid arthritis

a. primary disease involving the articular cartilage
b. distal larger joint are more affected commonly
c. associated with HLR-DR4
d. often affect women
e. extra articular manifestation in 10-20% (25%)

11.

femoral neck fracture in osteoporosis

a. caused by trivial injury
b. affected limb is externally rotated
c. lead to AVN
d. best treatment is hip replacement
e. shenton line preserve in displaced fracture on pelvic frontal view

12.

radiofeatures of gouty arthritis

a.
b.
c.
d.
e.

assymetrical joint involvement T

eccentric soft tissue swelling T
sclerotic margin bony erosion F
subluxed joint F
severe osteoporosis F

13.

regarding dislocation of elbow

a. loss of triangular relationship
b. associated with olecranon
c. brachial artery injury is complication
d. elbow is immobilized in extension
e. myositis ossification is complication

14.

loss of consciousness in bilateral femur fracture

a. hypovolaemic shock
b. pneumothorax
c. subarachnoid haemorrhage
d. fat embolism syndrome
e. fracture-dislocation of C5-C6

15.

the incidence of vessel injury is higher in the following

a. scapula-thoracic dislocation
b. shoulder dislocation
c. supracondylar femoral fracture
d. knee dislocation
e. mid shaft humeral fracture

16.

organism isolated in septic arthritis in IV drug user

a. staphylococcus aureus
b. pseudomonas aeruginosa
c. diplococci
d. proteus
e. haemophilus influenza

17.

drug in musculoskeletal
a. COX-2 causes cardiovascular problem
b. Gabapentin is used for neuropathic pain
c. Indomethacine is used to inhibit myositis ossificans
d. Alendronate is used for osteoporotic fracture
e. Glucosamine is used for early OA

18.

x-rays in patient with cervical injury

a. flexion-extension view
b. oblique view
c. swimmers view
d. lateral view
e. open mouth view

19.

regarding Achilles tendinitis

a. inappropriate footwear is the cause
b. induced by plantar flexion against resistance
c. tendon rupture is complication
d. steroid injection is the treatment for chronic plantar
e. heel pad is contraindicated