Prometric Ortho 2014

1.
According to Wassel classification the most common type of thumb

polydactyly is:
a. Type 1
b. Type 2
c. Type 3
d. Type 4
2. Buttress plate is used in:

a. diaphyseal fracture
b. metaphyseal fracture
c. metaphyseo-epiphyseal fracture
d. epiphyseo-diaphyseal fracture
3. Tear drop fracture in cervical spine is caused by:

a. flexion and compression mechanism
b. extension mechanism
c. hyperextension mechanism
d. compression mechanism
(a)
4. Posterolateral L4-5 disc prolapse cause compression on ………………
nerve root.
a. L4
b. L5
c. S1
d. cauda equina
5. All of the following are tests of nerve irritation except:

a. flip test
b.cotralateral nerve strech test.
c. Patrick test
d.Lassegue test
6. The most common complication of ilizarov in treatment of comminuted
fracture tibial platuea is
a. knee stiffness
b. pin tract infection
c. septic arthritis
b))
7. In chronic SCFE the best treatment is
a.Closed reduction and fixation
b. open reduction and fixation
c. fixation in situ
d. leave it
(c)
8. Newborn with bilateral talipes equino varus the treatment should started :
a. immediatily
b. after 6 months
c. after one year
d. after 2 years
(a)
9. In trendlenburg test the trunk:
a. sway on the affected side and the pelvis drops on the opposite side
b. sway on the opp. Side and the pelvis drops on the aff. Side
c. sway on the aff. Side and the pelvis drops on the aff. Side
d. sway on the opp. Side and the pelvis drops on the opp. Side.
(a)
10.What is the cause of this case
Serum ca …… normal
Serum phosphate….. decreased
Urine ca…… decreased
Urine phosphate ………. Increased
Alkaline phosphatase …….. increased
family history
a. Adrenal dysfunction
b. Hypophosphatemic rickets
c. Nutritional insufficiency
d. Renal rickets
11.Fracture neck talus and fixed by screws and after 8 weeks there is
radiolucent area appeared near the dome what the cause is?
a.non union
b. infection
c. good revascularization
12.After THR surgery by 9 days the patient suffered from severe pain in the
thigh and calf muscle ,redness and fever and diffuse edeama in the leg but
with normal walking the diagnosis is?
a. infection
b. DVT
c. dislocation of the joint
d.cellulitis
13.Old patient suffered from polyarticular arthritis and arthritis in the DIP with
no morning stiffness
a. rheumatoid arthritis
b. osteoarthritis
c. infection
d. TB
14.Young adult patient suffers from long standing pain in the wrist joint and on
x-ray examination there was increased density of the lunate bone the
diagnosis is ?
a. kein bock's dis.
b.kohler dis.
c.frieberg dis
d. sever's dis
(a)
15.Sever's disease related to
a. Talus
b. Calcaneaus
c. Navicular
d. lunate
16.Which nerve is affected in Guyon canal :
a.median
b.ulnar
c.radial
d.tibial
17.Inverted pivot shift test used to detect
a.posterolateral instability
b.anteromedial instability
c.lateral instability
d.medial instability
18.Gastillow type III should be irrigated by
a. one litre
b. 6 litres
c. 3 litres
d. 9 litres
19.Thomas test is used to test
a. Flexion deformity of the hip
b. Adduction deformity of the hip
c. Abduction deformity of the hip
d. Hip stability in all directions
20.Osteoporotic patient on vit D supplement suffered from fracture and the

surgeons planned for ORIF operation what is the most correct scenario for
the patient:
a. stop vit D before the operation and calcium monitoring after the operation
b. continue vit D before operation and after
c. increase the dose of vit D before operation
d. increase the dose of vit D after operation
21.Shortening of femur in DDH

a. To prevent the avascular necrosis of the head
b. to decrease the internal rotation after splint
c. to prevent coxa vara
d. to prevent muscle fibrosis
22.Femur shortening in which age group
a. 3-6 months
b. 6-18 months
c. 1.5-4 years
d. 1-3 months
23.A 32-year-old man sustains an iliac wing fracture and a contralateral femur
fracture. Twelve hours later he has shortness of breath with tachypnea,
hypoxia, and confusion. A chest radiograph is normal. What is the most
likely diagnosis?
a.Fat emboli syndrome

b. Adult respiratory distress syndrome
c. Pulmonary embolus
d.Tension pneumothorax
24.What is the most common item cause long standing complication secondary
to its fracture
a. talus
b. humerus
c. Malunion
d. Infection
25.What factor is most likely to increase the rigidity of an external fixation

system?
a. Increased pin diameter

b. Increased pin number
c. Decreased pin separation
d. Decreased distance of the side bar to the bone
26. Hypotension begins to develop after……….blood loss

a. 30-40%
b. 15-20%
c. 10-15%
d. 20-30%
27.What component (pulley) of the flexor tendon sheath is commonly involved
in trigger finger?
a. A1
b. A2
c. A4
d. C1
28.Which score uses GCS, respiration and systolic blood pressure

a.injury severity score
b.Revised trauma score
c. Organ Injury Score
d. Acute Physiology Score
29.What is true about idiopathic juvenile scoliosis

a.Male develop curve more female
b.Douple curve more
c.
30. child e ms dystrophy had sciliosis >20 degree best treatment :

a. Surgery
b. Orthosis
c. Physiotherapy
d. Cast jacet
31.Frame knee in TB hip joint in children is:

a.premature closure of distal femoral physis due to cast for more than a year
b.knee stiffness due to plaster
c. knee stiffness due to muscle fibrosis
d.knee stiffness due to knee infection
32.Old patient with chronic shoulder dislocation 6 months with bony defect
more than 50% the best treatment is:
a. Hemiarthroplasty
b. Total shoulder arthroplasty
c. Conservative
d. Repair of the defect
33.Last thing to repain in finger ambutation
a. Nerve
b. vein
c. artery
d. bone
34.Best management of SC fracture type III fellowed during reduction with
absent pulse
a. retry reduction &check pulse
b. immediate surgical exploration
c. nerve conduction velocity test
d. intra operative angiography
35.Syndesmotic ligament is MOST likely to be teared in
a.Weble type 1
b.Weble type 2
c.Weble type 3
d.Weble type 4
36.THA e infection after 9 days with fever, disrupting the sutures and
seropurulent discharge
a.Aspiration and culture
b. surgical toilet and replacement of the cup if the infection is deep
c imperical antibiotics
d.revisin total hip
37.THA , which quadrants liable in acetabulum in danger e screws ….

a.Post.sup. & post.inf.
b. ant superior &ant inferior
c.post inferior &ant superior
d. post superior & ant superior
38.Bone deformity with ligament tear

a. Fix ligament first
b. Fix bone first
c. Fix both at the same time
d. Enenually OA then deal with it
39.Popping in flexion and extension of the knee …..
a. Discoid meniscus
b. ACL
c. PCL
d. Anterolateral tear
40.coronoid # 65% with reduced and stable elbow
a.Cast & immobilization
b.Surgery ORIF
c. coronoid excision
d. bone graft
41.Terrible triad …
a . # head radius,#coronoid &elbow dislocation
b. readial head fracture, sc fracture &elbow dislocation
c. readial head fracture, medial condyle fracture &elbow dislocation
d. readial head fracture, lateral condyle fracture &elbow dislocation
42. cartilage best bear load if it is loaded
a.Vertically
b. Cylicaly
c. Perpendicular
d. tangentially
43.Meniscal repair,which part e good healing

a. Acute tear with read on read edges
b. Chronic tear with read on white edges
c. Acute tear with read on white edges
d. Chronic tear with read on read edges
44.Hawkin sign:
a. Radiolucent area at the neck of the talus
b. Avascular necrosis of the talus
c. Malunited talus
d. Ununited talus
45.After THA,the patient develop pain in whole leg with redness and
hotness of the leg and pitting oedema
a. Cellulitis
b. DVT
c. Septic knee
d. TB
46.Trigger finger, released in which pully ……
a.A2
b.A1
c.A3
d.A4
47.The tip-apex distance is the sum of the distances from the tip of the lag
screw to the apex of the femoral head on both the AP and lateral
radiographic views. The sum should be
a. 25 mm
b. 20 mm
c. 15 mm
d. 10 mm
48.A case of female 14 yrs with trenderberg gait menarche at 9 years
With skin lesions showed at the figure x-ray with osteoporosis at one hip
49.The block test is useful to check the mobility of which

joint pes cavus deformity
a. Tarso metatarsal
b. Subtalar
c. Ankle
d. 1st metatarso phalyngea
50.A case report 23 patient with calcium level 8 alkaline phosphatase

elevated with x ray osteomalacia and bilateral neck fractures
a. nutritional osteomalacia
b. hyperparathyroidism
c.pajet disease
d.multiple myeloma
51.A case of genu valgus with normal calcium level phosphate level
decrease Family history
a. hypophosphatemic rickets
b. nutritional rickets
c. renal rickets
d. neurfibromatosis
52.In trimalleolar fracture which structure should be fixed first

a. Fibular
b. Medial malleolus
c. Posterior tibial fracture
d. Syndethmotic ligament
53. 14 years boy came to your clinic complaining by pain at midshaft region
with running x-ray show thickness at the anterior cortex of the tibia next
step
a. MRI
b. CT
c. Bone scan
d. CBC
54. The best approach for midshaft radial fracture
a. Henry approach
b. Thompson approach
c. Kocher approach
d. Allis approach
55.

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1.

According to Wassel classification the most common type of thumb

2. Buttress plate is used in:

3. Tear drop fracture in cervical spine is caused by:

5. All of the following are tests of nerve irritation except:

20.Osteoporotic patient on vit D supplement suffered from fracture and the

21.Shortening of femur in DDH

a.Fat emboli syndrome

25.What factor is most likely to increase the rigidity of an external fixation

a. Increased pin diameter

26. Hypotension begins to develop after……….blood loss

28.Which score uses GCS, respiration and systolic blood pressure

29.What is true about idiopathic juvenile scoliosis

30. child e ms dystrophy had sciliosis >20 degree best treatment :

31.Frame knee in TB hip joint in children is:

37.THA , which quadrants liable in acetabulum in danger e screws ….

38.Bone deformity with ligament tear

40.coronoid # 65% with reduced and stable elbow

a.Cast & immobilization

42. cartilage best bear load if it is loaded

43.Meniscal repair,which part e good healing

49.The block test is useful to check the mobility of which

50.A case report 23 patient with calcium level 8 alkaline phosphatase

52.In trimalleolar fracture which structure should be fixed first

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