7 Sem Traumatology & Orthopedy - Open Past Paper PDF

TRAUMATOLOGY QUESTION BANK A-correct B S.no Question Option1 Option2 1 Wha...

TRAUMATOLOGY QUESTION BANK A-correct B S.no Question Option1 Option2 1 What is the first stage of bone fracture healing? Hematoma formation Callus formation 2 Which of the following best describes the consolidation Cartilagephase is inreplaced fracturebyhealing? bone The bone regains its original shape and strength 3 Which of the following best describes a comminuted A fracture? fracture where the bone is broken A fracture into three that orresults morefrompiecesa twisting force. 4 A patient presents with a non-union of a tibial fracture Bone6 grafting months post-injury. WhichExternal of the following fixation interventions is most appropriate at 5 A 40-year-old man presents with severe pain and deformity Immediate in surgical his lowerintervention leg after a Application car andaccident. internalof fixation. X-ray a simple revealscastaand comminuted discharge.fracture of t 6 What is the most absolute (100%) physical sign of aCrepitus bone fracture? Pain 7 Which of the following is the best initial physical examination Palpation fortechnique tenderness to assess for Inspection a possible forfracture? deformity 8 Which of the following signs is most indicative of aLocalized bone fracture swelling, duringpain, a physical and deformity Generalized examination? at themuscle injuryweakness site 9 A 55-year-old woman falls and sustains a wrist injury.Colles' On fracture examination, there is swelling Smith'sand fracture tenderness over the distal radius, and a 'dinn 10 What is the most common imaging modality used toX-ray diagnose bone fractures? MRI 11 Which imaging modality is most useful for detecting MRIstress fractures that are not visible CT scanon standard X-rays? 12 A patient presents with a suspected scaphoid fracture,Repeatbut the X-ray initial in 10-14 X-raydaysis negative. MRIWhat of theis wrist the next step in the management? 13 What is the primary goal of conservative treatment To in bone allowfractures? the bone to heal in its naturalTo reduce position the risk of infection 14 A 30-year-old man with a non-displaced midshaft humerus Functional fracture brace is treated conservatively. Hanging arm Whatcastis the most appropriate method of imm 15 A 7-year-old boy falls off a playground slide and lands Immediate on his closed outstretched reductionhand.and HeApply immobilization presentsan ice withpacksevere with anda pain, prescribe splint.swelling, NSAIDs.and an inability 16 What is the main advantage of using external fixation Allows in open easyfractures? access to the woundProvidesfor cleaning the strongest and monitoring mechanical stability 17 A 28-year-old male presents with an open tibial fracture Debridement after a motorcycle and irrigation accident.Application What is theofinitial an external step infixator the surgical treatment? 18 A 28-year-old cyclist falls and lands on his outstretched Surgical hand, intervention resulting inwithimmediate open Apply reduction painaand pressure anddeformity internal bandage infixation hisand forearm. dischargeOn examination, 19 What is the most common cause of delayed union inInadequate fractures?immobilization Infection 20 A patient with a history of smoking presents with delayed Application unionofofa abone femoral stimulator fracture Bone4 months graftingafter surgery. Which of the following is th 21 What is the most common type of shoulder dislocation? Anterior Posterior 22 Which of the following is a common complication of Axillary anterior nerveshoulder injurydislocation?Suprascapular nerve injury 23 A 25-year-old male presents with an anterior shoulder Closeddislocation. reductionWhat is the mostSurgical appropriate reduction initial management? 24 Which of the following tests is most commonly used Drop to assess arm test a rotator cuff tear? Phalen's test 25 A 60-year-old patient presents with chronic shoulder Arthroscopic pain and weakness. repair An MRI confirms Sling immobilization a full-thickness tear of the supraspinatus tend 26 Which nerve is most at risk of injury in a posterior Ulnar elbow nervedislocation? Median nerve 27 A 45-year-old patient presents with a displaced radialRadial headhead fracture. arthroplasty What is the recommended Radial head surgicalresectiontreatment if there is significant co 28 Which complication is most commonly associated with Avascular scaphoid necrosis fractures? Non-union 29 A patient presents with wrist pain after falling on anThumb outstretched spica splinthand.andTherepeat pain isX-ray Immediate localized in 2 weeks toMRI the anatomical snuffbox, and the initial X 30 A baseball pitcher experiences pain on the inner side Ulnar of their collateral elbowligament after throwing (UCL)Rotator ainjury fastball. cuffWhich tear injury is most likely causing this pain 31 What is the most common type of pelvic fracture inPubic elderly ramipatients? fracture Sacral fracture 32 Which of the following complications is most concerning Hemorrhage in a patient with a pelvic Nerve fracture? injury 33 A 70-year-old woman presents with a pelvic fracture Pelvic afterbinder a fall. Sheand fluid is hemodynamically resuscitation Immediate unstable. pelvicWhat surgery is the most appropriate initial m 34 Which of the following fractures is also known as aColles distal fracture radius fracture? Greenstick fracture 35 Which of the following best describes the difference A between Colles fracturea Colles is fracture a stable and break, Aa Smith Colles whilefracture? afracture Smith fracture is a break is in always the femur, unstable. while a Smith 36 45-year-old man falls on an outstretched hand and presents Colles fracture; to the emergency Immobilizeroom the wrist Greenstick with pain, and refer swelling, fracture; for orthopedic Apply and deformity a cast evaluation immediately of the wrist. An X- 37 A 30-year-old woman presents with severe wrist pain Scaphoid after a fall. fracture; Physical Immobilization examination Colles ofreveals the fracture; wrist tenderness and Immediate referral overcasting for theananatomical orthopedicsnuffbox. evaluatioC 38 A 25-year-old man was involved in a motorcycle accident, Immediate resulting closedinreduction a hyperextension andApply splinting injury an icetopack the wrist. and observe. The patient complains of pain 39 Which of the following statements correctly differentiates A wristbetween fracture agenerally wrist spraininvolves and A wrist aawrist break sprain fracture? in the always bone,involves whereasbone a wrist displacement, sprain involve wh 40 A 50-year-old man presents with wrist pain and an Immediate inability to reduction extend hisand fingers surgical following Wrist intervention splinting a fall. Physical and physiotherapy examination reveals a palpable 41 Which of the following best describes a Garden III Complete femoral neck fracture fracture? with partial displacement Incomplete fracture with minimal displacement 42 An elderly woman with a history of osteoporosis presents Dynamic withhipa screw displaced(DHS) intertrochanteric fixation Hemiarthroplasty hip fracture. What is the most appropriate sur 43 A soccer player reports sharp pain in the groin areaHip during labralkicking tear movements. Which Patellar injury tendonitis is commonly associated with this type of pa 44 Which of the following is the most common location Femoral for a femur shaft fracture in young Femoral adults? neck 45 What is the primary concern in managing femoral shaft Blood fractures? loss Infection 46 A 25-year-old male presents with a closed femoral Intramedullary shaft fracture following nailing a motorExternal vehicle accident. fixation What is the most appropriate surgica 47 A dancer experiences pain on the side of the hip that Hipworsens bursitiswith walking or running. ACLWhichtear condition is often characterized by this typ 48 What is the most commonly injured ligament in theAnterior knee? cruciate ligament (ACL) Posterior cruciate ligament (PCL) 49 Which test is most commonly used to diagnose an anterior Lachman cruciate test ligament (ACL)McMurray tear? test 50 A patient sustained an injury to his knee with a twisting Medial force. meniscus On examination, pain Medial is felt collateral more on the ligament medial femoral side of the knee th 51 A basketball player lands awkwardly after a jump and Meniscus feels a tear popping sensation in Tennis their knee. elbow Which injury is most likely to have occurre 52 Which of the following is the primary treatment forKneea non-displaced immobilization transverse patella Open fracture? reduction and internal fixation 53 A 35-year-old male presents with a displaced comminuted Open reduction patella fracture and internal after afixation fall. Total What patellectomy is the most appropriate surgical intervention? 54 Which of the following complications is most commonly Compartment associated syndrome with tibial shaftFat fractures? embolism 55 A 30-year-old female presents with an open tibial shaft Administration fracture after of aIVmotorcycle antibioticsSurgical accident.debridement What is the first step in the management of th 56 A 30-year-old recreational athlete presents to the emergency Ankle brace department and earlywith mobilization a swollen Immediate with and weight-bearing painful surgical anklefixation following as tolerated with plates a misstep and during screwsa ba 57 Which of the following foot injuries is characterized Plantar by thefasciitis inflammation of the tissue Achilles connecting tendonthe rupture heel bone to the toes? 58 Explain the mechanism of injury commonly associated Hyperextension with a Lisfranc of theinjury footin theIncorrectly foot. fitting shoes 59 A runner experiences sharp pain and swelling in theTurf ankletoeafter rolling it during a trail Stress run.fracture Which injury is the runner likely to have susta 60 A hiker complains of pain in the heel that is especially Plantar intense fasciitis in the morning or after Stressprolonged fracturesitting. Which condition is commonly as 61 Which test is most commonly used to diagnose an injuryAnteriorto the drawer anterior test talofibular ligament Talar tilt test (ATFL)? 62 A 25-year-old female presents with ankle pain and X-ray swelling of the afterankle an inversion injury. Application She is unable of antoanklebear weight. brace What is the most appro 63 A motorcyclist involved in a crash presents with severe Quadriceps pain in strain the pelvic region and Hip difficulty dislocation bearing weight on one leg. Which type of 64 What is the most common site of a stress fracture inSecond the foot?metatarsal First metatarsal 65 Which of the following is a characteristic finding ofDiastasis a Lisfranc between injury?the first and second Fracture metatarsals of the fifth metatarsal base 66 Describe the difference between a compression fractureA compression and a burstfracture fractureisinoftenthe context Aasymptomatic, compression of spinalwhile fracture injuries. a burst is more fracture commonly leads to seen immedia in the 67 A patient is brought into the emergency room followingSpinala cord fall from contusion a significant height. Spinal They stenosis have lost sensation and motor function belo 68 A 30-year-old male presents with pain and swellingLisfranc over theinjury midfoot after a high-impact Jones injury. fractureX-ray shows widening of the space betwe 69 Which of the following chest injuries is characterizedFlail bychest a segment of the rib cage moving Pneumothorax independently from the rest of the chest wall d 70 Which of the following conditions is characterized Pneumothorax by the collection of air or gas inHemothorax the pleural cavity, leading to lung collapse and chest p 71 What is the term for a serious condition where thereHemothorax is a collection of blood in the pleural Pneumothorax space, often resulting from chest trauma? 72 A patient involved in a car accident presents with difficulty Rib fracturebreathing, sharp chest pain, Pneumothorax and visible bruising over the chest wall. Which ty 73 A football player is tackled forcefully and sustains Hemothorax a blow to the chest. Shortly after, Flail theychestexperience rapid breathing, chest tightness, and 74 Explain the difference between osteoarthritis and rheumatoid Osteoarthritis arthritis primarily in terms affects of pathophysiology weight-bearing Osteoarthritis isjoints, and an autoimmune joint whileinvolvement. rheumatoid disease,arthritis while rheuma can af 75 Describe the role of joint cartilage in the development Jointandcartilage progressionin osteoarthritis of osteoarthritis. undergoes Joint cartilage degeneration in osteoarthritis and loss,becomes causinginflamed bones toandrub s 76 A 57-year-old woman presents with gradually worsening Primary pain osteoarthritis and stiffness in her right Secondaryknee. She osteoarthritis mentions that the pain is worse after pro 77 A 65-year-old man presents with chronic pain and swelling Primary osteoarthritis in his hands, particularly Secondary in the joints osteoarthritis of his fingers. He reports that the pain is 78 Discuss the role of risk factors such as obesity, age,Obesity, and jointage, overuse and jointin the overuse development are Obesity all significant ofincreases osteoarthritis. risk the risk factors of osteoarthritis for developing dueosteoarthr to decre 79 A 70-year-old woman with a history of knee injuries Secondary and long-standing osteoarthritis obesity presents Primary with osteoarthritis bilateral knee pain, stiffness, and difficulty w 80 A 55-year-old man with osteoarthritis in his knee seeks Hot and advicecoldontherapy managing his symptoms. High-impact He hasaerobic tried exercises over-the-counter pain medication 81 Which of the following symptoms is most commonly Weakness associated of ankle with an plantarflexion L5-S1 discWeakness herniation? of knee extension 82 A 40-year-old male presents with lower back pain radiating Physical therapy down the andposterior NSAIDs aspect Lumbar of hislaminectomy right leg. MRI confirms an L5-S1 disc hernia 83 A newborn infant is brought in for a routine check-up,Congenital and the dislocation pediatricianofobserves the hipHip (CDH) asymmetry labral tearin the gluteal skin folds and limited abdu 84 What is the most common type of thoracic vertebralCompression fracture? fracture Burst fracture 85 Which of the following is the most likely cause of aOsteoporosis compression fracture in the thoracic Trauma spine? 86 Compare and contrast the characteristics and treatmentClubfoot approaches and club forhandcongenital are both clubfoot, All characterized conditions club hand, involve by abnormal syndactyly, abnormal curving and fusion polydactyly. or positioning of digits, with of t 87 A 75-year-old female with a history of osteoporosisPainpresents management with acute andback bracing pain after Vertebroplasty a minor fall. X-rays reveal a compression fracture 88 A 6-month-old infant is diagnosed with congenital Serial clubfoot casting and syndactyly and stretching in theexercises left Surgical foot and fusion hand.of Thethe affected orthopedic digits surgeon recommend 89 Which of the following symptoms is most commonly Weakness associated in shoulder with a C5-C6 abduction disc Weakness herniation?in elbow extension 90 Which of the following conditions is characterized Kyphosis by excessive outward curvatureScoliosis of the thoracic spine, often resulting in a rounded or h 91 A 45-year-old male patient presents with chronic lowerPhysical backtherapy pain and focusing radiating onleg lumbar Immediate pain extension for thesurgical pastexercises 6 months. decompression Physical examination and 92 A 35-year-old male presents with neck pain and numbness Cervicalincollar his right and armphysical aftertherapy a car Anterior accident. cervical MRI discectomy confirms a C5-C6 and fusion disc (ACDF) herniation. W 93 Which of the following bone tumors is characterized Giant by thecellpresence tumor ofofbone giant cells Osteosarcoma within the tumor mass? 94 Osteochondropathy and osteodystrophy are conditions Osteochondropathy that affect the bones refersandto ajoints. group Osteochondropathy Which of disorders of the following thatis affect a degenerative statements the growth joint best centers disease describes in chil thato 95 Bone tumors can be classified as benign or malignant. Benign Which bone of tumors the following do not statements poseBenign a risk isofbone true spreading tumors regarding to areother benign moretissues likely bone totumors? metastasize to o 96 A 14-year-old male presents with knee pain and limping. Refer to Imaging an orthopedic reveals an surgeon osteochondral for Immediate further defect evaluation surgical in the removal femoral and management ofcondyle. the defect What is the mo 97 A 30-year-old female presents with persistent boneOsteosarcoma; pain and swelling perform in theaupper bone biopsy arm. Ewing's Imaging forsarcoma; histological reveals ordera analysis lytic a PET-CT lesion with scan cortical for staging destruc 98 What is the term used to describe a common acquired Flatfoot foot deformity (Pes planus) that involves the Hallux inward valguscollapse of the arch of the foot, leading to p 99 A 50-year-old male presents with chronic foot painCustom and a noticeable orthotic shoe bunioninserts deformityImmediate at the base surgical of thecorrection big toe. What with conservative bunionectomymeasu 100 A 65-year-old female patient with diabetes presentsClose with amonitoring severe claw of toe footdeformity ulcers Immediate andaffecting infection surgical herrisk toes.correction What specialwithconsiderations toe arthroplasty shou 101 for a case of non-union of a long bone bone morphogenic protein calcium phosphate 102 tarsometatarsal amputation is also known as lisfranc,s amputation choparts amputation 103 myodesis is employed for amputation for all of ischemia trauma 104 pain due to post amputation neuroma is best surgical excision infrared therapy 105 All of the following are the biochemical changes serum calcium increases serum calcium decreases 106 Which of the following is seen in osteoporosis? normal Ca,normal PO4,normal low Ca,high po4,high ALP 107 which of the following is the best method to xray serum vitamin D levels 108 True about supracondylar humerus fracture is nerve injury manifestation are distal fragment is most 109. Most prominent part on examination of elbow in olecranon radial head 110 Which instrumental diagnostic method is commonlyX-ray used to evaluate bone fracturesMRI and(Magnetic is considered Resonance a standardImaging) imaging modality? 111 A patient presents with persistent back pain after a CTfall,(Computed and conventionalTomography)X-rays areX-ray inconclusiv What imaging method is commonly use 112 A patient with suspected stress fractures in the lower Boneextremities scan is evaluated for bone CT changes (Computed overTomography) tim What imaging modality is suitab 113 What is a common non-surgical method used to immobilizeCasting and support a fracturedExternal bone during fixationthe healing process? 114 A patient with a non-displaced, stable ankle fractureFunctional is prescribed bracing a weight-bearingCasting device that allows early ambulation. What non-surgic 115 A patient with a stable, non-displaced midshaft femur External fracturefixation is managed non-surgically. CastingWhat technique involves the use of an adjustab 116 What is the term for the surgical method that involves Open thereduction use of screws, and internal plates, fixation or rods Casting applied (ORIF) directly to the fractured bone to maintain 117 A patient with a severely displaced fracture of the forearm Closed reduction undergoes surgery whereCasting the fractured bones are realigned without direct visua 118 A patient with a complex pelvic fracture undergoesExternal a surgical fixation procedure where external Casting devices are applied to stabilize the fractured bone 119 A 35-year-old male presents with a history of a recent Neurovascular tibia fractur injuryHe complains ofInfection numbness and tingling below the fracture sit On exa 120 A 40-year-old man sustains an open fracture of the Osteomyelitis ulna and radius in a work-related Nonunion accident. Despite prompt surgical intervention and a 121 The rotator cuff is a group of muscles and tendons shoulder located in which joint of the upper elbow limb? 122 An elderly patient presents with a sudden loss of the Distal abilitybiceps to flex tendon their rupture elbow. There Golfer's is tenderness elbow in the antecubital fossa. What is the m 123 A 30-year-old patient with a undisplaced midshaft humerus Sling andfracture early motion is treated conservatively. Sling and early Whatmotion is the primary treatment modality? 124 A patient reports persistent pain and limited shoulder Proximal mobility humerus following fracture a fall on anClavicle outstretchedfracture hand. An X-ray shows a fractured surgi 125 A 45-year-old man presents with a humerus shaft fracture Closed afterreduction a motorcycle and casting accident. Open Thereduction fracture andis stable, internal andfixation there is no evidence of n 126 A 55-year-old woman with a humeral shaft fractureRadial undergoes nerve; surgical exploration fixation. andPostoperatively, repair Median nerve;she observation complains of numbness and tingling 127 A 35-year-old male presents with a closed humeral Withinshaft fractur 24 hours Theoffracture injury is displaced, Within 72 andhours the patient of injuryis otherwise healthy. What is th 128 A patient complains of pain in the lateral aspect of Tennis the elbow, elbow exacerbated by gripping Cubitaland tunnel lifting.syndrome They have tenderness over the lateral e 129 A 40-year-old female sustains an olecranon fractureConservative after a fall. The management fracture iswithnon-displaced, Closed a sling reduction and there and iscasting no evidence of elbow instabilit 130 A 32-year-old male falls onto an outstretched hand Earlyand sustains mobilization a radial andhead physical fractur Immediate therapy There is surgical no evidencefixation of elbow with ainstability, radial headandprosthes the pa 131 A 25-year-old athlete sustains an injury to the forearmMonteggia during afracture sports event. Imaging Galeazzi revealsfracture a fracture in the midshaft of the ulna with an 132 A 38-year-old patient with a history of a forearm fracture Heterotopicpresents ossification with persistent pain, Nonunionswelling, and restricted motion several weeks afte 133 A patient with a distal radius fracture is treated withMonitoring closed reductionfor carpalandtunnel casting.syndrome What Immediateis an important return to fullconsideration activity during follow-up ca 134 A 60-year-old patient falls onto an outstretched hand, Distalresulting third in a characteristic deformityProximal with thirda "dinner fork" appearance on examinati 135 A 50-year-old patient sustains a Smith fracture withOpen significant reduction anterior and internal displacement fixation Closed of thereduction distal fragment. and casting What is the recommended tre 136 A patient presents with localized tenderness and swelling Scaphoid in the fracture anatomic snuffboxDe region Quervain's of the wrist. tenosynovitis They report a history of a fall on a 137 A 30-year-old office worker presents with persistent Immobilization wrist pain andindifficulty a splint grippingImmediate objects surgical after a fall fixation onto an with outstretched screws hand. Imag 138 A 45-year-old patient presents with a fracture of theNervehamate compression; bone following immobilization a sports-related Tendon in arupture; splint injury. What immediate is a potential surgicalcomplication repair assoc 139 A 50-year-old patient presents with sharp, shootingCarpal pain and tunnel tingling syndrome in the thumb,Tennis index, and elbow middle fingers. They report weakness in th 140 A 45-year-old individual sustains a high-energy injury Losstoofthe sensation hand, resulting in the little in damage finger Lossand to ofthethumb ulnar ulnar side opposition; nervof the Whatring carpal