MCQS JULY 2017 compiled by pgs jpmc karachi

1) Dhs direction in it fracture d) Bone scan

a) Psoteroinferior or central sunchondral e) Mri

2) Medial malleolus oblique # 13) Acetabulum screw position in cement less the
a) Avulsion # of distal fibula a) Ant sup
b) Supination-addiction b) Ant inf
c) Supination external rotation c) Post sup and inf

3) Type of thyroid cancer that commonly metastasize to bone 14) Investigation of choice in bone mets
a) Medullary a) Mri
b) Papillary b) Gallium 3
c) Follicular c) Tc99
d) Ana plastic d) Indium
e) Mixed pappilary and follicular e) Skeletal survey

4) Sarmiento osteotomy for it most imp step 15) Contraindicated for osteomyelitis spine scenario
a) A.valgus osteotomy a) Ant fix
b) B.varus osteotomy b) Post fix
c) C.pfn c) Decompress and post fix
d) Thoracoscopic drainage
5) Olecranon # distal to coronoid treat e) Costotrans...
a) Recon plate
b) Narrow dcp 16) Ankle sprain treatment
c) Dcp a) Crepe bandage
d) Tbw b) Bandage and ice
e) 6mmscrew c) Pop

6) Scenario 20 yr old female.hypocalcemia.hypocalciuria hyper 17) 4 month old tendoachilles rupture in a laborer 2 cm gap rx of choice
phosphatemia polydipsia investigation for diagnosis a) Reconstruction
a) Bone biopsy b) Repair
b) Creat.clearence c) Dacron graft
d) Pop in equinus
7) Treatment of choice evans 2
a) Dhs 18) Neer 3 part fracture fixation best method
b) Dcs a) Cr kwire
c) Pfn b) Recon
d) Richered nail c) Buttress t
d) Orif screw
8) Polio patient with abduction contracture and dislocation treatment
a) Arthrodesis 19) Illizarov scenario best condition for bone healing
b) Adductor tenotomy a) 1.5cm daily
b) Q10 to 15
9) L ate complication of thr c) Low osteotomy
a) Acetabulum loosening d) Low corticotomy
b) Femoral loosening e) Wait 10 14 day before distraction
c) Infection
20) Treatment of choice is thr in
10) In which implant mri can be done a) 40 yr old traumatic oa
a) Gold b) 80yr old osteoporotic
b) Alloy c) 67 old ra arthritis multiple joint
c) Titanium d) 69 yr old

11) Most common complication ant cervical spine surgery 21) Gun shot with in 6 hr comminuted femur fracture
a) Cord a) Best treat
b) Sympathetic b) Dynamic nail
c) Recurrent laryngeal nerve c) Ex fix
d) Plate bridge mode
12) Septic arthritis ankle scenario aspiration already done diagnostic e) Debridement and skeletal traction
investigation
a) Blood cs 22) Osteoporosis scenario investigation of choice
b) Gram stain a) Dexa
c) X-ray b) Mri

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 MCQS JULY 2017 compiled by pgs jpmc karachi

c) Bone profile 32) Poly trauma pt came with abdominal trauma and femur close #bp 90/80
d) U/s densitometry laprotomy done still bp.low how will u treat damage control surg
a) Iln
23) Most commonly affected joint in syrengomilia c spine b) Plate
a) Shoulder c) Traction
b) Knee d) Ex fix
c) Hip
d) Elbow 33) Pt came with horner syndrome at which level injury
e) Mp joints a) Upper trunk
b) Lower trunk
24) Farmer with discharge pus and granules investigation c) C8 t1
a) Biopsy
b) Cs 34) Scenario ac joint injury and post classify
c) Gram stain a) 2
d) Direct microscope exam of granules b) 3
c) 4
d) 5
25) Fasciotomy done comp synd after tibia&fibula fracture shaft best fracture
fixation 35) Child with 102 fever esr 60 x ray shows codman triangle and biopsy
a) Unreamed locked nail
shows small dark polyhedral cell arranged in irregular pattern
b) Reamed lock nail
c) Ring fixator a) Septic arthritis
d) Traction b) Ewing sarcoma
c) Epithelium sarcoma
26) 13 year boy came with history of fewer swelling distal tibia
d) Mfh
a) Tlc inc esr 60
b) X-rays shows codman triangle what z your diagnosis 36) Soft tissue tumor in 14 yr old child, most sensitive to chemotherapy
c) Ewing’s a) Fibrosarcoma
d) Tb b) Synovial sarcoma
e) Osteomyelitis
c) Liposarcoma
27) Post hip dislocation with head of femur #pipkin type d) Rhabdomyosarcoma
a) 1 37) Hx rta restricted external rotation of the shoulder x ray ap normal how will
b) 2 u confirm the diagnosis
c) 4
a) Axillary view
d) 3
28) Viscous injection use in which b) Stryker notch view
a) Tb c) Hill sach view
b) Oa 38) Child with # of neck of radius with 80 degree angulation on cmr it's now
c) Psoriasis
d) Ra 30 deg supination 60 and probation b 50 what u will do now
29) Patient came with ho sublax spine after trauma he has sensory and motor a) Cmr
loss after treatment his bulbocavenous is return what z your diagnosis b) Apply backslab
a) Spinal shock c) Orif
b) Brown sequard syndrome
c) Central cord syndrome d) Crif
d) Complete cord tan section 39) Improvement in cement making has improved
a) Cup loosening
30) Young child a child came with history if b/l knee swelling painless visual b) Polyethylene wear
disturbance and deafness wit z your diagnosis
a) Tb c) Implant life
b) Syphilis d) Implant loosening
c) Rheumatic 40) Which of the following improve femoral stem fixation
d) Rheumatoid a) More viscosity
e) Oa
b) No canal
31) Synergistic gangrene caused by which of the following c) Pressurization
a) Cl welchi
b) Strep 41) Locking screw is use to
c) Staph
a) Compression
b) Lag screw

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 MCQS JULY 2017 compiled by pgs jpmc karachi

c) 90 degree in bone c) Observe

d) Denis splint
42) Dynamic stabilizers of shoulder
a) Trapezius deltoid serratus anterior
53) Lisfrank injury
b) Supra,infrascapularis and subscapularia
a) Cmr and backslab
43) Flexion at pip and hyperextension deformity at dip cause
b) Cmr and pin 12 5
a) Central slip of extensor tendon cut c) Cmr and fix 2 and 5
b) Lumbricals
c) Lateral cords 54) 9 year boy came with pain five and flexion contracture at hip o/e dorsal
lumber spine tender. What z your diagnosis
44) Old age patient underwent thr and after 10 days she had chest pain and
a) Septic arthritic
she died without an emergency rx what would be the cause? b) Psoas abscess
a) Pe c) Polio
b) Dvt d) Sufe
c) Fat embolism
55) A bay born with unable to abduct and with rotation at shoulder and
d) Angina unable flex elbow at what level injury
a) Upper trunk
45) Diagnostic for fat embolism b) Lower
c) Total
a) Petechial hemorrhage
56) Which fracture has least chance of avn
b) Chest pain
a) Compression fracture
c) Hypoxia
b) Split fracture
c) Lesser tuberosity fracture 3 part
46) 8 years old neglected club foot (ctev) best treatment
d) Greater tuberosity fracture 3 part
a) Pmr
e) 4 parts humerus
b) Ponsetti
57) In anterior shoulder approach to prevent musculocutaneous nerve injury
c) Pmr and dillwyn evans
you should avoided
a) Should not dissect medial to coracobrachialis
47) Young volley ball player ac joint dislocation type 3 best treatment.
58) Type 2 coronoid with type 3 radius treatment
a) Repair coracoclavicular ligament. a) Waey excision
b) Ac and cc ligament. b) Conservative
c) Ligament repair and k wires. c) Early excision of coronoid late radial head excision
59) Pt came close injury at arm now he is unable to extent wrist fingers
d) Cc repair and bosworth screw fixation. a) Pin injury
48) 9 yr old boy with cater all type two what would u do? b) Radial nerve at spiral groove injury
a) Chilectomy
b) Pelvic osteotomy 60) Young male with history of fall on shoulder unable to abduct shoulder
c) Femoral osteotomy passive movements possible in full range there is tenderness just below
49) Female know diabetic with wet gangrene involving the forefoot. Doppler acromion
show normal paroneal and femoral but no pedal vessels what will u do! a) Supraspinatus tear
a) Bka b) Biceps tear
b) Symes c) Axillary nerve injury
c) Forefoot amputation 61) Young male with rta. Having knee dislocation which was reduced
50) To differentiate b/w spinal muscular atrophy and muscle dystrophy?? lachman test positive and medial opening of joint is 10mm.what will u do
a) Biopsy a) Acl mcl repair
b) Emg b) Acl mcl reconst
c) Mri c) Apply cylindrical cast and acl reconstruction after 3wk
51) Reo coxib is 62) Blunt injury resulted in wrist and loss of sensation at posterior aspect of
a) Cox2 inhibitor arm reason
b) Cox1 a) Pin injury
b) Radial nerve injury at spiral groove
52) 5 days baby unstable hip treatment c) Posterior cord injury
a) Double dipper d) Radial nerve injury at elbow
b) Pavlic harness

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 MCQS JULY 2017 compiled by pgs jpmc karachi

63) In tkr contracture release.how will u set implant

a) Lat met balance
b) Flat poy ethylene
64) 48 yr old male with type 2 capitullem# management!
a) Orif
b) Excision
c) Orif with k wire
65) Arthroplasty in knee after deformity correction soft tissue are released
which of the should be done while deciding
a) Mediallateral support
b) Constrained implant

c)
66) Capitulum type 2 fracture how will u treat
a) Close reduction pop
b) Excision
c) Open reduction and fix
d) Pop

67) Pt. Came with acl mcl injury how'll u treat

a) Pop cast later acl reconstruct
b) Acl mcl repair
c) Acl mcl reconstruct

68) Child came with cal rupture how will treat

a) Repair acl with washer
b) Graft
c) Pop cast

69) 12 years old child with acl injury best treatment

a) Cast immobilization
b) Physiotherapy
c) Repair with fixation in physis

70) Which of the following x ray done to view the atlantoaxial joint dislocation
a) C spine ap
b) C spine lat
c) Open mouth view
71) Young laborer recurrent gct distal femoral condyle grade 2 treatment.
a) Resection arthrodesis.
b) Curettage and bone cement.
c) curretage bone graft

72) Arthroplasty knee with lateral instability

a) Constrained
b) Large femoral implant
73) Best indication of posterior approach in spine surgery
a)
74) Duputyren conteracture mcq?

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