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#On examination of the patient, there is the solid fracture of middle one
third of knee-joint diaphysis with bone fragments displacement to length
of 2 cm and limitation of humerus extension by 30°.
What type of contraction will the patient have?
1
Total.
The absence of contraction.
Projecting.
Relative.
Anatomical.
#On examination of the patient with upper extremity trauma, there is the
anatomic axis disorder at the level of elbow joint with open angle to
outwards. What type of anatomic axis disorder does the patient have?
Varus.
1
Valgus.
Recurvation.
Anterecurvation.
#On examination of the patient with lower extremity injury, there was
anato¬mic axis disorder at the level of hip with open angle outwards, was
established.
What type of anatomic axis disorder does the patient have?
Anterecurvation
Valgus
1
Varus
Recurvation
#At examination of the patient with lower extremity trauma, there is the
anatomic axis disorder at the middle one third of tibia with open angle to
for¬wards. 80 What type of anatomic axis disorder does the patient have?
1
Recurvation.
Varus.
Valgus.
Anterecurvation.
Functional
1
Transosteal osteosynthesis by external fixation apparatus.
#The patient fell on elbow at flexed forearm. He feels the sharp pain in
elbow joint and impossibility of active movements.
On examination, the right elbow joint size increased, lengthening of
fore¬arm relatively to opposed one and humerus contraction. There is
forearm flex¬ion at the angle of 70°. The head of radial bone and the
coronal process are pal¬pated on front surface of elbow joint under the
skin. The active movements are absent. The passive movements are
springy and sharply painful.
Establish presumptive diagnosis.?
0
Forearm upper one third fracture.
Humerus diaphysis fracture.
1
Front forearm dislocation.
Elbow process fracture.
Back forearm dislocation.
#After the car crash, the patient lost consciousness and doesn't remember
what happened. The patient feels a sharp pain in knee joint and
impossibility of movements.
On examination, there are right leg extension and significant knee joint
size increased. There are bayonet deformations at the level of knee joint
and insignificant contraction of extremity (1-2 cm). The patella regarding
to shin is situated to outwards and backwards. The active movements are
absent. Passive movements are springy and sharply painful.
Establish presumptive diagnosis.?
0
Thigh-bone diaphysis fracture.
1
Shin dislocation.
Patella dislocation.
Shin-bone diaphysis fracture.
Thigh-bone one third fracture.
#After the car crash, the patient complains of sever pain in hip joint and
impossibility of leg movements.
On examination, the right leg is rotated inwards and semiflexed in knee
and hip joints. There is significant contraction of right leg compare to left
one. The greater trochanter is situated higher then Rosen-Helatone line.
The active movements in hip joint are absent. The passive movements are
springy and sharply painful.
Establish presumptive diagnosis.?
0
Thigh bone neck fracture.
Thigh bone trochanter area fracture.
1
Thigh bone back dislocation.
Greater trochanter fracture.
Acetabulum fundus fracture.
#A patient fell from great height on flexed legs. Trie patient complains of
sever pain in the left hip joint and impossibility of movements.
On examination, the left leg is flexed in hip and knee joins, abducted and
rotated to outwards. The greater trochanter is not palpabie. The active
move¬ments in hip joint are absent. The passive movements are springy
and sharply painful.
Establish presumptive diagnosis.?
0
Thigh bone trochanter area fracture.
1
Front thigh dislocation.
Thigh bone neck fracture.
Acetabulum fundus fracture.
Greater trochanter fracture.
#A patient fell from a bicycle. The patient complains of pain in left sup-
rabrachium area and movements restriction in shoulder joint.
On examination, the patient presses the left arm to the chest and supports
it under the elbow by his right hand. The left suprabrachium is rather
con¬tracted comparatively to right one. At infraclavicular fossa the
swelling and deformation are defined. There are palpatory tenderness and
crepitation at the swelling. The active movements in shoulder joint is
restricted and painfull
Establish presumptive diagnosis.?
0
Shoulder dislocation.
Humerus surgical neck fracture.
Scapula beak-shaped process fracture.
1
Collar bone fracture.
Scapula acromial process fracture.
Extensive.
Operative (metallicosteosynthesis).
Functional.
Transosteal osteosynthesis with use the external fixation apparatus.
1
Fixation.
#A patient feels pain in the right shoulder joint and inability to do active
movements of extremity due to falling.
Own examination: there is the comminuted humerus surgical neck
frac¬ture with displacement of bone fragments to width, to length and to
axis.
What is the appropriate treatment method?
Functional.
Transosteal osteosynthesis with use the external fixation apparatus.
Fixation.
1
Extensive.
Operative (metallicosteosynthesis).
Fixation.
1
Operative (metallicosteosynthesis).
Extensive.
Transosteal osteosynthesis with the use of external fixation appara¬
tus
Functional.
Extensive.
1
Functional.
Fixation.
Transosteal osteosynthesis with use the external fixation apparatus.
Operative (metallicosteosynthesis).
Extensive.
Fixation.
1
Functional.
Transosteal osteosynthesis with use the external fixation apparatus.
Operative (metallicosteosynthesis).
# A child fell from a tree on flexed elbow joint. The child complains of
pain and movements impossibility in elbow joint.
On examination: there is edema at elbow joint area. The Gunter triangle is
not disordered. 'Use Marks line is deviated outwards. There is sharp
palpa¬tory tenderness and crepitation at distal part of shoulder.
Establish the presumptive diagnosis.?
Humeruscondyle fracture.
Ulna process fracture.
Ulna head fracture.
Elbow joint bruise.
1
Humerus supradiaphysis fracture.
Fixation.
Transosteal osteosynthesis with use the external fixation apparatus.
1
Extensive.
Operative (metallicosteosynthesis).
Functional.
Fixation.
1
Operative (metallicosteosynthesis).
Extensive.
Transosteal osteosyntesis by external fixation apparatus.
Functional.
Fixation.
Transosteal osteosynthesis by external fixation apparatus.
1
Extensive.
Operative (metallicosteosynthesis).
Functional.
Extensive.
Operative (metallicosteosynthesis).
1
Fixation.
Transosteal osteosynthesis by external fixation apparatus.
Functional.
Operative (metallicosteosynthesis).
Transosteal osteosynthesis by external fixation apparatus.
Functional.
Fixation.
1
Extensive.
Extensive.
Functional.
Transosteal osteosynthesis by external fixation apparatus.
Fixation.
1
Operative (metallicosteosynthesis).
Galeazzi fracture.
Radial diaphysis fracture.
1
Forearm both bones fracture.
Elbow diaphysis fracture.
Monteggia fracture.
Operative (metallicosteosynthesis).
Functional.
1
Fixation.
Extensive.
Transosteal osteosynthesis by external fixation apparatus.
# After examination of a patient. Simple oblique lower one third elbow
diaphysis fracture with bone fragments displacement to length and width
was established.
What is the appropriate treatment method?
1
Operative (metallicosteosynthesis).
Functional.
Fixation.
Extensive.
Transosteal osteosynthesis by external fixation apparatus.
#After car crash, the patient has open comminuted middle one third
fore¬arm fracture. The wound is crushed and badly contaminated by
foreign bod¬ies.
What is the appropriate treatment method (apart from the primary
sur¬gical treatment of wound)?
Operative (metallicosteosynthesis).
Functional.
Fixation.
Extensive.
1
Transosteal osteosynthesis by external fixation apparatus.
Palmar flexion.
Moderately physiological.
Dovsal flexion.
Dovsal flexion and ulnar deviatirn.
1
Palmar flexion and ulnar deviatim.
#On examination of the patient, flexion radial bone fracture in typical site
(Smith's) was established.
What is the right position of hand in plaster bandage must be after bone
fragments reposition?
Palmar flexion.
Moderately physiological.
Dovsal flexion.
1
Dovsal flexion and ulnar deviatirn.
Palmar flexion and radial deviatim.
#What would be the hand position to treat the navicular bone fracture by
plaster bandage?
#After the car crash the patient complains of pain in neck and sharply
re¬stricted movements in head.
On examination of the patient, simple comminuted second stage fracture
of C6 body was established.
What is the appropriate treatment method?
1
Extension by Glisson's loop.
Functional.
Fixation.
Operative (spondylosyndesis).
Skeletal extension by skull
Functional.
Operative (metallicosteosynthesis).
1
Fixation.
Extension by Glisson's loop.
Skeletal extension by skull.
#A 27 years old patient has simple compression first stage fracture of Th7
body.
What is the appropriate treatment method?
#A patient got knock by stick into the back. The patient complains of pain
in lumbar region. The pain increase at muscles tension.
On examination: there are edema and hemorrhage in region of II1-IV
lumbar vertebras. There are moderate palpatory tenderness of spinal
proc¬esses and sharp tenderness of internal edge of long back muscles.
The symp¬tom of spine axis load is negative.
Establish the presumptive diagnosis.????????
# A 50 years old patient has Th2 fracture with total spinal cord injury.
What is the appropriate treatment method?
Functional.
Single-stage reclination with plaster jacket fixation.
Operative (spondylosyndesis).
1
Prevention of urosepsis, regular bowels evacuation, prevention
of
bedsores and contractions.
Gradual reclination with piaster jacket fixation.
#A patient tried to jump over hole, but was afraid and suddenly stopped.
The pain originated in the left inguinal region. The patient could move
with¬out assistance only by back forwards.
On examination: there are edema and hemorrhage in region of front part of
left iliac bone. There are palpatory tenderness and crepitation in that
region.
Establish the presumptive diagnosis.???????
Skeletal extension.
Fixation by plaster bandage.
Operative (metallicosteosynthesis).
1
Immobilization of extremity by functional splint.
Fixation by pelvic orthesis.
#A patient hardly kicked the ball at the time of a football game. The
pa¬tient feels pain in the groin and can move only by back forwards.
After examination, the ilium superior spine fracture was diagnosed.
What is the typical symptom of this injury?
Verneil's symptom.
1
Lozinsky's symptom.
Larey's symptom.
Gorinevsky's symptom.
Gabay's symptom.
Epidural anesthesia.
Nonnarcotic analgetics.
1
Anesthesia by Selivanov-Shkolnikov.
Narcotic analgetics.
Suppositories with analgetics.
#A patient had the vertical left pelvis Malgen's fracture with displacement
to a length of a 3 cm.
What is the appropriate treatment method?
1
Skeletal traction by left leg.
Immobilization in bed by Volkovich.
Fixation by pelvis jacket.
Fixation in hammock.
Operative method (metallicosteosynthesis).
#A patient complains of pain in left hip joint and groin and impaired
func¬tion extremity. The trauma was due to falling on external surface of
thigh.
On examination: there is the leg rotation. The outlines of hip joint are not
changed. There is no shortening of extremity.
There is the positive "adhering heel" symptom. The load on extremity axis
increases the pain in hip joint and in groin. The passive movements in hip
join are restricted and painful.
Establish the presumptive diagnosis.??????????
#A patient complains of moderate pain in hip joint and in groin. The pain
irradiates to knee joint and increases at extremity load. Trauma was due to
failing of external surface of hip joint.
On examination: the patient lays on the back. The extremity is moderate
rotated to outwards. The contraction of leg is absent. The outlines of hip
joint are not changed. The level of greater trochanter is on Rozen-
Helaton's line. The Girgolov's symptom is positive. The active lifting of
extending leg is re¬stricted because of pain. The load on great trochanter
and on extremity axis increases the pain in hip joint and in groin. Passive
movements in hip joint are not much painful. The joint range of motions is
full.
What is the typical injury may has the patient?
Extensive method.
Operative method (metallicosteosynthesis).
1
Symptomatic therapy.
Transosteal osteosynthesis by external fixation apparatus.
Fixation method.
Fixation method.
Functional method.
1
Extensive method.
Operative method.
Transosteal osteosynthesis by external fixation apparatus.
Extensive method.
Functional method.
Fixation method.
Operative method (endoprosthesis).
1
Operative method (metallicosteosynthesis).
#A patient has oblique lower one third diaphysis fracture with typical for
this level bone fragments displacement.
What complication may happen in this case?
Extensive method.
Transosteal osteosynthesis by external fixation apparatus.
Fixation method.
1
Operative method (metallicosteosynthesis).
Functional method.
Fixation method.
Operative method (metallicosteosynthesis).
1
Extensive method.
Transosteal osteosynthesis by external fixation apparatus.
Functional method.
Extensive method.
Operative method.
Transosteal osteosynthesis by external fixation apparatus.
1
Fixation method.
Functional method.
Operative method.
1
Fixation method.
Functional method.
Extensive method.
Transosteal osteosynthesis by external fixation apparatus.
Fixation method.
1
Operative method.
Functional method.
Transosteal osteosynthesis by external fixation apparatus.
Extensive method.
Fixation method.
1
Extensive method.
Transosteal osteosynthesis by external fixation apparatus.
Functional method.
Operative method (metailieosteosynthesis).
Extensive method.
1
Transosteal osteosynthesis by external fixation apparatus
Operative method (metallicosteosynthesis).
Fixation method.
Functional method.
#A patient was taken to hospital from the place of car crash because of
shin trauma. The first medical care was not provided.
On examination: there is an open lower one third shin bones fracture. The
wound is bruised. There is intense arterial haemorrhage from wound.
What is the primary treatment task?
Direct.
Load on extremity axis.
Foot eversion.
Load on axis with dorsal flexion of foot.
1
Foot inversion.
Dorsal flexion.
At the angle 90°.
1
Inversion..
Plantar flexion.
Eversion.
#A patient complains on pain in ankle joint and impossibility of extremity
load.
On examination: there is fracture of lover end of tibia anterior articular
surface.
What is the mechanism of this injury?
Inversion.
Load on axis with plantar flexion of foot.
Direct.
Eversion.
1
Load on axis with dorsal flexion of foot.
Eversion.
Plantar flexion.
1
At the angle 90°.
Inversion.
Dorsal flexion.
#A patient has simple anterior articular surface shin bone fracture with
displacement (Lauenshteyn's fracture)
What is the reponation position of foot must be in plaster bandage?
Inversion.
1
Dorsal flexion.
At the angle 90°.
Eversion.
Plantar flexion.
¹
The parents of a 3.5 months old child addressed to anorthopaedist. From
the child's mother words, the child has restricted movements in left hip
joint.
On examination: there is externa! rotation of extremity and irregularity of
skin folds on the thighs. There is significant restriction of left !eg
abduc¬tion in hip joint. On radiograms: the acetabular index is equal to 45
degree. There is thigh bone displacement upwards by 1 cm. The
ossification core of thigh bone in the left is significantly lower then in
opposed side. The ossifica-tion core is decentered relative to acetabulum
but does not leaves its region.
Establish the diagnosis.????
Arthrogryposis.
Injury of foot at the act of deliver}'.
1
Congenital clubfoot.
Spastic (cerebral) paralysis.
Flaccid (spinal) paralysis.
Scoliosis.
Paralysis of thoracal muscles.
Winglike shoulder-blade..
1
Shprengel disease.
Shoyerman - Mau disease.
# A 43 years old patient grumbles about low back pain, which arises
after the physical loading. The last month the irradiating pains appeared on
the right leg around of the I -st toe of the foot.
On examination: is diminished lordozis of lumbar spine, moderate
atro¬phy of muscles of right leg, dysestesia of the I -st toe of the foot,
positive symptoms of pull.
On the roentgenogram of lumbal- spine - nan-owing a space between the
bodies of vertebrae at level LIV - L V.
To put a diagnosis.???????
Tumour of spine.
Stenosis of vertebral canal
1
Hernia of the vertebral disk L JV
Hernia of the vertebral disk L V -
Lumbago.
#A 52 years old patient grumbles about pain in the ankle joint, which
in¬creases after the protracted loading. There was a fracture of lover end
of tibia 10 years ago.
On examination: posttraumatic I degree deforming arthrosis of the left
ankle joint on the ground of flat-valgus deformation of foot.
What medical treatment expediently to appoint to the patient above all
things?
#A 47 years old patient grumbles about pain in the ankle joint, which
in¬creases even in case of the insignificant loading, and limitation of
motions in joint.
On examination: III degree deforming arthrosis of the ankle joint.
What medical treatment expediently to apply?
Osteoma.
Osteomyelitis.
1
Osteosarcoma.
D.
Chondroma.
Chondroblastoma.
Osteogenous sarcoma.
Chondroma.
Osteomyelitis.
1
Osteoma.
Osteoid-osteoma.
#A 32 years old patient complains of the tumour in lower third of the left
thigh, pain, loss of weight, impossibility to walk without crutches.
On the roentgenograms of lower third of thigh: destruction of methadiaf-
izal part of thigh, a bone structure is not determined, periostal spiculi. On
the roentgenograms of thorax - numerous metastases in lungs.
Diagnosis: osteosarcoma.
To choose medical tactic.?????
Radiotherapy.
Chemotherapy.
Amputation of extremity.
Segmental resection.
1
Symptomatic medical treatment.