100 TOP Orthopaedics Orthopaedics Multiple Choice Questions and Answers Latest Orthopaedics Multiple Choice Questions and Answers for freshers pdf 1.Which is not a principle of compound fracture treatment? a) No tendon repair b) Aggressive Aggressive Antibiotic Antibiotic cover c) Wound debridement d) Immediate Wound closure
Ans:d .Medial meniscus is more !ulnera"le to in#ur$ "ecause of? a) Its fixity to tibial collateral ligament b) its semicircular shape c) action of adductor magnus d) its attachment to fibrous capsule
Ans:a %.&n#ur$ to the popliteal arter$ in fracture lower end of femur is often due to? a) Distal fragment pressing the artery b) Proximal fragment pressing the artery c) Tight plaster d) ematoma
Ans:a '.&n trans!erse fracture of the patella( the treatment is a) !xcision of small fragment b) Wire Wire fixation c) Plaster cylinder d) Patellectomy
Ans:b ).rmonest t$pe of dislocation of the hip is a) Anterior b) Posterior c) "entral d) Dislocation #ith fracture of the shaft
Ans:b
*. March fracture affects a) Nec$ of %nd metatarsal c) Nec$ of & st metatarsal b) 'ody of %nd (etatarsal c) Nec$ of & st metatarsal d) racture of lo#er end of tibia
Ans:a +.Commonest complication of e,tracapsular fracture of nec- of femur is a) Non *nion b) iscnemic necrosis c) (aiunion d) aTPuTmonary complications
Ans:c ./rus causin conenital defects of fetus in prenanc$ e,cept a) +ithium b) Thalidomide c) Tetracycline d) ,ulfonamide
Ans:d .2lood coaulation profile in prenanc$ is a) Increase in fibrinogen level of &-.%/ 0 b) Decrease in factor 12 1I2 1II c) Decrease in plasminogen activity d) Increase in platelet count
Ans:a 10.&n classical caesarean section more chances of rupture of uterus is in a) upper uterine segment b) lo#er uterine segment c) utero cervical 3unction d) posterior uterine segment4
Ans:a 11.Only indication for Internal version nowadays is a) Brow presentation b) Face presentation c) Second fetus of twins
d) Breech Ans:c
12.Internal xation is done in all fracture Except a) Compound b) Multiple c) Elderly person Ans:a
13.Myositis ossicans is commonly seen at the ____ oint d) Hip a) Knee b) Elbow c) Shoulder d) Hip Ans:b
1!."he most important factor in fracture healin# is a) ood ali!nment b) "r!ani#ation of blood clot c) Accurate Accurate reduction and $%%& apposition of fractured fra!ments d) 'mmobili#ation e) Ade(uate calcium intae Ans:d
1$."he most preferred treatment of fracture of nec% of femur in a youn# person is a) Hemiarthroplasty Hemiarthroplasty b) *otal hip treatment c) conser+ati+e treatment d) closed reduction , internal -.ation Ans:d
1&.'isfranc dislocation is a) *arsometatarsal dislocation b) /unate dislocation c) Scaphoid dislocation d) 0osterior dislocation of elbow Ans:a
1(.)osition of immo*ili+ation in fracture *oth *ones of forearm in an adult
male will *e a) 0rone b) Mid prone c) Supine d) $%1 Supine Ans:c
1,.-arpal *one which fractures commonly a) Scaphoid b) /unate C) Hamate d) 0isiform Ans: a
1."rue a*out clavicular fracture is 1."rue a) Most common at medial $23 , 423 b) comminuted fracture common c) malunion occurs d) usually due to fall on elbow Ans:c 2/.-ommonest site of fracture scaphoid a) 5aist b) 0ro.imal third c) 6istal third d) *uberculosis Ans:a
21.Excision of fractured fra#ment is practised in all fractures except a) 0atella b) "lecranon c) head of radius d) lateral condyle humerus Ans:b
22."he complication not common in colle0s fracture is a) malunion b) non union c) sudec7s atrophy d) sti8ness of wrist Ans:b
23.In &$ year old male with history of fracture nec% of femur & wee%s old treatment of choice a) S0 nailin! b) Mc Murray7s osteotomy c) hemiarthroplasty d) none9 Ans:c 2!.In -olles fracture not seen in a) 0ro.imal impaction b) lateral rotation c) dorsal an!ulation d) medial rotation Ans:d 2$.In fracture medial epicondyle of humeruswhich of the followin# can *e aected a) Fle.ion of -n!ers b) Adduction of -n!ers c) Abduction of -n!ers d) Fle.ion of thumb Ans:a
2&.Most common cause of patholo#ical fracture in a child is a) mali!nancy b) bone cyst c) -brous dysplasia d) pa!et7s disease Ans:b
2(. lady presents with a history of fracture radius which was put on plaster of paris casts for ! wee%s. fter that she developed swellin# of hands with shiny s%in. 4hat is the most li%ely dia#nosis. a) upture of e.tensor pollicis lon!us tendon b) Myositis ossi-cans c) e;e. sympathetic dystrophy d) Malunion9 Ans:c
2,.5 are components of 6otator cu except a) Supraspinatus b) 'nfraspinatus c) Subscapularis
d) *eres ma
2.-omplication of fracture scaphoid is a) 'n
3/.4hich fracture nec% of femur has a poor pro#nosis a) 'ntra capsular b) E.tracapsular c) Both d) =one9 Ans:a
31.7racture *listers commonly appear on how many days 8 31.7racture a) $> 3 days b) 3> ? days c) ?>@ days d) ?> days Ans:b
32.If the #reater tu*erosity of the humerus is lost which of the followin# movements will *e aected a) Adduction and ;e.ion b) Abduction and lateral rotation c) Medial rotation and adduction d) Fle.ion and medial rotation Ans:b
33. "he most common cause of a sprained an%le is inury of a) 6eltoid li!ament b) lateral li!ament c) 'nferior tibio-bular li!ament d) Anterior *alo-bular li!ament9 Ans:d
3!.In the case of &$ year old person with fracture nec% oemur the treatment of choice is a) close reduction reduction b) close reduction with internal -.ation c) open reduction d) replacement of head and nec of the femur with a prosthesis Ans:d
3$. "ardy ulnar ulnar nerve palsy is seen in 9 a) Cubitus +al!us b) 6islocation of elbow c) Fracture scaphoid d) Supracondylar fracture of humerus Ans:a
3&.-ommon inury to *a*y is a) Fracture humerus b) Fracture cla+icle c) Fracture radius>ulna d) Fracture femur Ans:b
3(.:oun# man with ; ti*ia of left side 2 months a#o is havin# popliteal 3(.:oun# cast
3,.=ryant0s trian#le is useful in dia#nosis of followin# except a) Supratrochanteric shortenin! b) 'nfratrochanteric shortenin! c) anterior dislocation hip d) posterior dislocation hip Ans:b
3.'ine oinin# nt >up. iliac spine to tip of #luteal tu*erosity should normally touch the ?reater trochanter this is a) Shoemaers line b) =elaton7s line
c) on>rossen d) 0erins Ans:b
!/.4hich of the followin# is least common in supracondylar fracture a) =on union b) Median nere in
!1.Earliest symptom of @ol%mann0s ischemia is a) 0ain in ;e.or muscles b) Absence of pulse c) 0ain on passi+e e.tension d) Cyanosis of limb Ans:a
!2. patient develops compartment syndrome Aswellin# pain and num*nessB followin# manipulation and plaster for fracture of *oth *ones of le#. 4hat is the *est treatment8 a)Split the plaster b)'nfusion of law molecular wei!ht de.tran c)Ele+ate the le! after splittin! the plaster d)6o operati+e decompression of fascial compartment Ans:d !3.nterior dislocation of shoulder causes all except a) Circum;e. artery in
)atient with supracondylar fracture followin# reduction presented
with claw hand. "he li%ely dia#nosis is a) olmann7s ischaemic contracture b) median ner+e in
!(."rian#ular relation of El*ow is maintained in !(."rian#ular a) Fracture ulna b) Anterior dislocation of Elbow c) 0osterior dislocation of Elbow d) Supracondylar fracture Ans:d !,.7racture which most often reCuires open reduction D internal xation !,.7racture a) /ateral condyle of humerus b) Femoral condyle c) 6istal tibial epiphyseal separation d) Fracture both bones forearm Ans:a !. patient had inury to the upper lim* 3 yrs earlier earlier now he presents with paresthesia over the medial *order of the hand and anaesthesia over medial two n#er. "he inuryis li%ely to have *een a) supracondylar fracture b) lateral condyle fracture humerus c) medial condyle fracture humerus b) lateral condyle fracture humerus Ans:b $/.-ommonest type of lesion causin# recurrent shoulder d islocation is a) Shallow !lenoid labrum b) Banarts lesion c) 5eaness of subscapularis muscie d) 'n
$1.Menisci calcication is a feature of a) out b) Hyperparathyroidism c) pseudo!out d) anylosin! spondylosis Ans:c $2. youn# adult presentin# with o*liCue displaced fracture olecranon treatment of choice a) 0laster cast b) 0ercutaneous wirin! c) *ension *ension band wirin! wiri n! d) emo+al of displaced piece with triceps repair Ans:c $3.@ol%mann0s ischemic contracture mostly involves $3.@ol%mann0s a) Fle.or di!itorum super-cialis b) 0ronator teres c) Fle.or di!itorum profundus 9 d) Fle.or carpi radialis lon!us Ans:c $!.vascular necrosis is commonest in one of the followin# fractures $!.vascular a) orden $ , 4 fracture of femoral nec b) orden 3 , D fracture of femoral nec c) Sub>trochanteric fracture of femoral nec d) Baso>trochanteric fracture Ans:b $$.On measurement the *ase of =ryant0s trian#le on the left side is found to *e short *y 2 cms as compared to the ri#ht side. "his indicates a) Fracture of the nec of the femur b) Fracture of the shaft of the femur c) "steoarthritis of hip
b) *enderness c) edness d) Crepitus Ans:d
$,. foot*all player player while playin# twists his %nees over the an%le. 5e still continues to play. a) Medial meniscus tear b) Anterior cruciate li!ament tear c) Medial collateral li!ament inwire is used in a) Circla!e b) -.in! forearm bones c) prior to platin! d) All of the abo+e9 Ans:d
&/."reatment of cute myositis Ossicans is &/."reatment a) Acti+e mobili#ation b) 0assi+e mobili#ation c) 'nfra ed therapy d) 'mmobili#ation Ans:d
&1. "he treatment of choice for nonunion of extracapsular fracture nec% femur a) Hip spica b) 'ntramedullary nailin! c) 'nternal -.ation d) Compression platin! Ans:c &2.Fu#a0s test is helpful in a) 6islocation of hip b) Scaphoid fracture c) Fracture nec of femur d) Anterior dislocation of shoulder Ans:d &3.Open reduction in children is done for a) Supracondylar fracture b) forearm both bone fracture
c) femoral condyle fracture d) lateral condyle of humerus fracture Ans:d
&!.vascular necrosis of the head of femur is not seen in &!.vascular a) Subcapital Fracture b) 'ntertrochanteric fracture c) *ranscer+ical fracture d) Central dislocation of hip Ans:b &$.>tiness in %nee is maximum when traction is at a) Sin b) lower end femur c) upper end tibia d) calcaneum Ans:b &&. Intramedullary xation xation is ideal in a case of fracture of shaft of femur when there is a) A trans+erse fracture fracture b) A compound fracture c) Soft tissue interposition between the fractured ends d) Such a fracture in a child Ans:a &(.Meyer0s operation is done for a) ecurrent dislocation of patella b) 6islocation of shoulder
&,."reatment of choice for old nonunited fracture of shaft of femur &,."reatment a) compression platin! b) bone !raftin! c) nailin! d) compression platin! with bone !raftin!9 Ans:d &."he last step in the healin# of a fracture is a) Hematoma formation b) Consolidation c) emodellin! d) Callus formation e) 6eminerali#ation of bones9
Ans:c
(/. =ennet0s fracture is diGcult to maintain in reduced position *ecause of the pull of a) E.tensor pollicis lon!us b) E.tensor pollicis bre+is c) Abductor pollicis lon!us d) Abductor pollicis bre+is Ans:d
+1.&nter trochanteric fracture has trendelen"er sin neati!e "ecause of the action of a) 5luteus medius b) 5luteus minimus c) 54maximus d) Tensor fascia lata Ans:a +.A semental compound fracture ti"ia with 1cm s-in wound is classified as a) Type I b) Type Type II c) Type I+IA d) TypeIII' Ans:a +%.3teinman pin is used for all e,cept a) fracture of upper end of tibia b) fracture through lo#er end of tibia c) fracture through lo#er end of femur d) s$ull traction Ans:d +'.Treatment after remo!al of plaster for supracond$lar fracture of humerus is a) active mobili6ation at elbo# 3oint b) massage c) no treatment d) passive movements at elbo# Ans:a +). Lateral cond$le can cause a) 5enu valgum b) 5enu varus c) 5enu recarvatum d) Dislocation of an$le Ans:a
+*. Muscles in!ol!ed in 4ol-mann5s ischemic contracture a) lexor pollicis longus b) lexor profundus c) lexor sublimis d) All Ans:d ++. Medial meniscus tear is more common than lateral meniscus "ecause of its decreased a) Nerve supply b) 7ascular 7ascularity ity c) (obility d) ibroelasticity Ans:c +.4ol-mann5s ischaemic contracture is due to a) Arterial in3ury b) 7enous 7enous in3ury c) Nerve in3ury d) Increase of compartment pressure in the limb Ans:d +.Attitude of the lim" in anterior dislocation of hip a) lexion2 abduction2 external rotation b) lexion2 adduction2 external rotation c) lexion2 Abduction2 internal rotation d) lexion2 adduction2 internal rotation Ans:a 0.Treatment of fracture cla!icle in an infant is "est treated "$ a) "uff and sling b) igure of 8 bandage c) 9pen reduction d) ,houlder cast Ans:b
,1.Fislocation of hip oint palpa*le on per rectal examination a) Co!enital dislocation of hip b) 0osterior dislocation of hip c) Fracture nec of femur d) Anterior dislocation of hip Ans:a ,2.7ractures ,2.7 ractures common in elderly women are all except
a) Cla+icular b) Colles c) 'ntertrochanteric d) nec of femur Ans:c
,3.'ate complication of ceta*ular fracture a) A+ascular necrosis of head of femur b) A+ascular necrosis of iliac crest c) Fi.ed deformity of the hip ays Ans:a ,&.Multiple *one fractures in a new *orn is seen in a) Scur+y b) Syphilis c) "steo!enesis imperfecta d) Mor(uio7s syndrome Ans:c ,(. Most common *one to fracture in *ody is a) adius b) Cla+icle c) femur d) +ertebra e) 0el+is Ans:b
,,.-oc% up splint is used in mana#ement of a) lnar ner+e palsy b) brachial ple.us palsy
c) radial ner+e palsy d) combined ulnar , median ner+e palsy Ans:c
,."he type of displacement of fractured fra#ment in which *one is not remodelled a) Anterior an!ulation b) 0osterior an!ulation c) /ateral an!ulation d) otation Ans:b /.-arryin# an#le is decreased in a) Cubitus +arus b) Cubitus +al!us c) enu +al!um d) enu +arum Ans:a
1. "ransverse "ransverse fracture of medial malleolus is caused *y a) Abduction b) Adduction c) otation of foot Ans:a 2.=ennet0s fracture fracture is fracture dislocation of *ase of _____ matacarpal matacarpal a) Dth b) 3rd c) 4nd d) $st Ans:d 3. Most common type of supracondylar fracture is a) e.tension type b) ;e.ion type c) abduction type Ans:a !.Intramedullary nailin# is contraindicated in fracture shaft femur if a) *he fracture is compound b) *he fracture is near the nee
$. man was dia#nosed to have myositis ossicans pro#ressiva at the a#e of 2/ yrs. 5e died $ yrs later later.. 4hat is the most pro*a*le cause of death 8 a) Star+ation and chest infection b) Myocarditis c) Hypercalcemia Hypercalcemia d) Hyperphosphatemia Hyperphosphatemia Ans:a &. "he commonest el*ow inury in children is a) E.tension type of supracondylar supracondylar fracture of humerus b) 6i slocation of elbow c) Fracture lateral condyle of humerus d) Fracture medial epicondyle of humerus Ans:a (. Ideal treatment with fracture nec% of humerus in a lady will *e a) *rian!ular *rian!ular slin! b) Hemiarthroplasty c) Chest arm banda!e d) 'nternal -.ation Ans:a ,. In Intertrochanteric ;has most common complication of a) =on union b) Malunion c) A+ascular necrosis d) =er+e 'nmechanical d) =one Ans:c
