Oct 29, 2012 - Medical Quiz    Comments Off

Orthopedics

Random 20 Questions

Question 1
Lift off test is done to assess the function of:
A
Supraspinatus
B
Infraspinatus
C
Teres Minor
D
Subscapularis
Question 2
Which of the following statements about 'Menisci' is not true:
A
Medial meniscus is more mobile than lateral
B
Lateral meniscus covers more tibial articular surface than lateral
C
Medial meniscus is more commonly injured than lateral
D
Menisci are predominantly made up of Type I Collagen
Question 3
Median nerve lesion at the wrist causes all of the following, Except:
A
Thenar Atrophy
B
Weakness of Adductor Pollicis
C
Weakness of 1st and 2nd Lumbricals
D
Weakness of Flexor Pollicis Brevis
Question 4
Which of the following statements about changes in articular cartilage with aging is not true :
A
Total proteoglycan content is decreased
B
Synthesis of proteoglycans is decreased
C
Enzymatic degradation of proteoglycans is increased
D
Total water content of cartilage is decreased
Question 5
Metal on Metal articulation should be avoided in:
A
Osteonecrosis
B
Young female
C
Inflammatory arthritis
D
Revision surgery
Question 6
A patient developed breathlessness and chest pain, on second postoperative day after a total hip replacement. Echo- cardiography showed right ventricular dilatation and tricuspid regurgitation. What is the most likely diagnosis:
A
Acute MI
B
Pulmonary embolism
C
Hypotensive shock
D
Cardiac tamponade
Question 7
The characteristic triad of Klippel - Feil syndrome includes all of the following, Except
A
Short neck
B
Low hair line
C
Limited neck movements
D
Elevated scapula
Question 8
Progression of congenital scoliosis is least likely in which of the following vertebra anomalies
A
Fully segmented Hemivertebra
B
Wedge vertebra
C
Block vertebra
D
Unilateral unsegmented bar with Hemivertebra
Question 9
A patient involved in a road traffic accident presents with quadriparesis, sphincter disturbance, sensory level up to the upper border of sternum and a respiratory rate of 35/minute.The likely level of lesion is
A
C1-C2
B
C4-C5
C
T1-T2
D
T3-T4
Question 10
All of the following statements about synovial cell sarcoma, are true, Except
A
Originate from synovial lining
B
Occur more often at extra articular sites
C
Usually seen in patients less than 50 years of age
D
Knee and foot are common sites involved
Question 11
Hyperglycemia is associated with:
A
Multiple Myeloma
B
Ewing's sarcoma
C
Osteosarcoma
D
Chondrosarcoma
Question 12
Brown Tumor is seen in
A
Hypothyroidism
B
Hyperthyroidism
C
Hypoparathyroidism
D
Hyperparathyroidism
Question 13
Posterior glenohumeral instability can be tested by:
A
Jerk test
B
Crank test
C
Fulcrum test
D
Sulcus test
Question 14
Meralgin parestherica is due to involvement of:
A
Medical cutaneous nerve of thing
B
Lateral cutaneous nerve of thigh
C
Sural nerve
D
Femoral nerve
Question 15
Charactrrisic radiological feature of fibrous dysplasia:
A
Thickened bone matrix
B
Cortical erosion
C
Ground glass appearance
D
Bone enlargement
Question 16
A 60 yr old man came with pain and swelling of right knee. Ahlback grade 2 osteoarthritic changes were found on investigation.What is the further management?
A
Arthroscopic washout
B
High tibial osteotomy
C
Total knee replacement
D
Conservative
Question 17
A 65 yrs old man with H/O back pain since 3 months. ESR is raised.On examination marded stiffness and mild restriction of chest movements is found.On x-ray,syndesmophytes are present in vertebrae.Diagnosis is:
A
Ankylosing spondylitis
B
Degenerative osteoartritis of spine
C
Ankylosing hyperosteosis
D
Lumbar cannal stenosis
Question 18
Synovial fluid-all are true except:
A
Secreted by Type A cells
B
Follows non newtonian fluid kinetics
C
Contains hyaluronic acid
D
Viscosity is variable
Question 19
A lady presents with right knee swelling.Aspiration was done in which CPPD crystals were obtained.Next best investigation is:
A
ANA
B
RF
C
CPK
D
TSH
Question 20
Major mineral of the bone is:
A
Calcite
B
Hydroxyapatite
C
Calcium oxide
D
Calcium carbonate
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All Questions

Question 1
Lift off test is done to assess the function of:
A
Supraspinatus
B
Infraspinatus
C
Teres Minor
D
Subscapularis
Question 2
Which of the following statements about 'Menisci' is not true:
A
Medial meniscus is more mobile than lateral
B
Lateral meniscus covers more tibial articular surface than lateral
C
Medial meniscus is more commonly injured than lateral
D
Menisci are predominantly made up of Type I Collagen
Question 3
Median nerve lesion at the wrist causes all of the following, Except:
A
Thenar Atrophy
B
Weakness of Adductor Pollicis
C
Weakness of 1st and 2nd Lumbricals
D
Weakness of Flexor Pollicis Brevis
Question 4
Which of the following statements about changes in articular cartilage with aging is not true :
A
Total proteoglycan content is decreased
B
Synthesis of proteoglycans is decreased
C
Enzymatic degradation of proteoglycans is increased
D
Total water content of cartilage is decreased
Question 5
Metal on Metal articulation should be avoided in:
A
Osteonecrosis
B
Young female
C
Inflammatory arthritis
D
Revision surgery
Question 6
A patient developed breathlessness and chest pain, on second postoperative day after a total hip replacement. Echo- cardiography showed right ventricular dilatation and tricuspid regurgitation. What is the most likely diagnosis:
A
Acute MI
B
Pulmonary embolism
C
Hypotensive shock
D
Cardiac tamponade
Question 7
The characteristic triad of Klippel - Feil syndrome includes all of the following, Except
A
Short neck
B
Low hair line
C
Limited neck movements
D
Elevated scapula
Question 8
Progression of congenital scoliosis is least likely in which of the following vertebra anomalies
A
Fully segmented Hemivertebra
B
Wedge vertebra
C
Block vertebra
D
Unilateral unsegmented bar with Hemivertebra
Question 9
A patient involved in a road traffic accident presents with quadriparesis, sphincter disturbance, sensory level up to the upper border of sternum and a respiratory rate of 35/minute.The likely level of lesion is
A
C1-C2
B
C4-C5
C
T1-T2
D
T3-T4
Question 10
All of the following statements about synovial cell sarcoma, are true, Except
A
Originate from synovial lining
B
Occur more often at extra articular sites
C
Usually seen in patients less than 50 years of age
D
Knee and foot are common sites involved
Question 11
Hyperglycemia is associated with:
A
Multiple Myeloma
B
Ewing's sarcoma
C
Osteosarcoma
D
Chondrosarcoma
Question 12
Brown Tumor is seen in
A
Hypothyroidism
B
Hyperthyroidism
C
Hypoparathyroidism
D
Hyperparathyroidism
Question 13
Posterior glenohumeral instability can be tested by:
A
Jerk test
B
Crank test
C
Fulcrum test
D
Sulcus test
Question 14
Meralgin parestherica is due to involvement of:
A
Medical cutaneous nerve of thing
B
Lateral cutaneous nerve of thigh
C
Sural nerve
D
Femoral nerve
Question 15
Charactrrisic radiological feature of fibrous dysplasia:
A
Thickened bone matrix
B
Cortical erosion
C
Ground glass appearance
D
Bone enlargement
Question 16
A 60 yr old man came with pain and swelling of right knee. Ahlback grade 2 osteoarthritic changes were found on investigation.What is the further management?
A
Arthroscopic washout
B
High tibial osteotomy
C
Total knee replacement
D
Conservative
Question 17
A 65 yrs old man with H/O back pain since 3 months. ESR is raised.On examination marded stiffness and mild restriction of chest movements is found.On x-ray,syndesmophytes are present in vertebrae.Diagnosis is:
A
Ankylosing spondylitis
B
Degenerative osteoartritis of spine
C
Ankylosing hyperosteosis
D
Lumbar cannal stenosis
Question 18
Synovial fluid-all are true except:
A
Secreted by Type A cells
B
Follows non newtonian fluid kinetics
C
Contains hyaluronic acid
D
Viscosity is variable
Question 19
A lady presents with right knee swelling.Aspiration was done in which CPPD crystals were obtained.Next best investigation is:
A
ANA
B
RF
C
CPK
D
TSH
Question 20
Major mineral of the bone is:
A
Calcite
B
Hydroxyapatite
C
Calcium oxide
D
Calcium carbonate
Question 21
Which of the following is a pulsatile tumor?
A
Osteosarcoma
B
Chondrosarcoma
C
Ewing's sarcoma
D
Osteoclastoma
Question 22
A 30 years old man had road traffic accident and sustained fracture of femur.Two days later he developed sudden breathlessness.The most probable cause can be:
A
Pneumonia
B
Congestive heart failure
C
Bronchial asthma
D
Fat Embolism
Question 23
A 45 year old was given steroids after renal transplant.After 2 years he had difficulty in walking and pain in both hips.Which one of the following is most likely cause?
A
Primary Osteoarthritis
B
Avasular necrosis
C
Tuberculosis
D
Aluminum toxicity
Question 24
Which one of the following is the investigation of choice for evaluation of suspected Perthes disease?
A
Plain X-ray
B
Ultrasonography(US)
C
Computed Tomography(CT)
D
Magnetic Resonance Imaging(MRI)
Question 25
Subtrochanteric fractures of femur can be treated by all of the following methods except:
A
Skeletal traction on Thomas' splint
B
Smith petersen Nail
C
Condylar blade plate
D
Ender's nail
Question 26
All of the following areas are commonly involved sites in pelvic fracture except:
A
Pubic rami
B
Alae of ileum
C
Acetabula
D
Ischial tuberosities
Question 27
All of the following are true about fracture of the atlas vertebra,except:
A
Jefferson fracture is the most common type
B
Quadriplegia is seen in 80% cases
C
Atlantooccipital fusion may sometimes be needed
D
CT scans should be done for diagnosis
Question 28
A young women met with an accident and had mild quadriparesis. Her lateral X-ray cervical spine revealed C5-C6 fracture dislocation.Which of the following is the best line of management?
A
Immediate anterior decompression
B
Cervical traction followed by instrument fixation
C
Hard cervical collar and bed rest
D
Cervical laminectomy
Question 29
The most common sequelae of tuberculous spondylitis in an adolescent is:
A
Fibrous Ankylosis
B
Bony-Ankylosis
C
Pathological dislocation
D
Chromic osteomyelitis
Question 30
Heberden's Arthropathy affects:
A
Lumbar spine
B
Symmetrically large joints
C
Sacroiliac joints
D
Distal interphalangeal joints
Question 31
Om Klippel-Feil syndrome,the patient has all of the following clinical features except:
A
Low hair line
B
Bilateral Neck webbing
C
Bilateral shortness of sterno mastoid muscles
D
Gross limitations of neck movements
Question 32
Which of the following is not seen in pseudogout:
A
Small joints affected
B
Large joints affected
C
Chondrocalcinosis
D
Deposition of calcium pyrophosphate
Question 33
A young girl presented with swelling of right thigh.With history of trauma 2 months back.Now she presents with swelling at mid-shaft of tumor & low grade fever.ESR is mildly raised.X-ray shows a laminated periosteal reaction.Next line of investigation would be:
A
MRI
B
Biopsy
C
Bone scan
D
Bone scan & CRP
Question 34
Treatment of choice fro non-united fracture of lower 1/4 th tibia with multiple discharging sinuses & various puckered scar with 4 CM shortening of leg.
A
Plating
B
Externa fixator
C
Ilizarov's fixator
D
Intramedullary nail
Question 35
The ideal treatment of bilateral idiopathic clubfoot in a newborn is
A
Manipulation by mother
B
Manipulation and Dennis Brown splint
C
Manipulation and casts
D
Surgical release
Question 36
All of the following statements are true about development dysplasia (DDH) of the hip, except:
A
It is more common in females
B
Oligohydramnios is associated with a higher risk of DDH
C
The hourglass appearance of the capsule may prevent a successful closed reduction
D
Twin pregnancy is a known risk factor
Question 37
All are true regarding brachial plexus injury, except:
A
Preganglionic lesions have a better prognosis than postganglionic lesions
B
Erb's palsy causes paralysis of the abductors and external rotators of the shoulder.
C
In Klumpke's palsy, Homer's syndrome may be preseat on the ipsilateral side
D
Histamine test is useful to differentiate between the preganglionic and postganglionic lesions
Question 38
"Rugger Jersey Spine" is seen in:
A
Fluorosis
B
Achondroplasia
C
Renal osteodystrophy
D
Marfan' s syndrome
Question 39
Which of the following conditions is least likely to present as an eccentric osteolytic lesion:
A
Aneurysmal bone cyst
B
Giant cell tumor
C
Fibrous cortical defect
D
Simple bone cyst
Question 40
All the statements are true about exotosis, except:
A
It occurs at the growing end of bone
B
Growth continues after skeletal maturity
C
It is covered by cartilaginous cap
D
Malignant transformation may occur
Question 41
Brown tumors are seen in
A
Hyperparathyroidism
B
Pigmented villonodular synovitis
C
Osteomalacia
D
Neurofibromatosis
Question 42
Which of the following malignant tumors is radioresistant?
A
Ewing's sarcoma
B
Retinoblastoma
C
Osteosarcoma
D
Neuroblastoma
Question 43
Expansile lytic osseous metastases are characteristics of primary malignancy of:
A
Kidney
B
Bronchus
C
Breast
D
Prostate
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Atul Tiwari (21 Posts)

Medical Officer, Pratapgarh (Raj)


  

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