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70+ Principle of Management Solved MCQs

These multiple-choice questions (MCQs) are designed to enhance your knowledge and understanding in the following areas: Bachelor of Computer Applications (BCA) .

1.

Which is not a principle of compound fracture treatment?

A. no tendon repair
B. aggressive antibiotic cover
C. wound debridement
D. immediate wound closure
Answer» D. immediate wound closure
2.

Medial meniscus is more vulnerable to injury because of?

A. its fixity to tibial collateral ligament
B. its semicircular shape
C. action of adductor magnus
D. its attachment to fibrous capsule
Answer» A. its fixity to tibial collateral ligament
3.

Injury to the popliteal artery 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. hematoma
Answer» A. distal fragment pressing the artery
4.

In transverse fracture of the patella, the treatment is

A. excision of small fragment
B. wire fixation
C. plaster cylinder
D. patellectomy
Answer» B. wire fixation
5.

Blood coagulation profile in pregnancy is

A. increase in fibrinogen level of 10-25 %
B. decrease in factor x, xi, xii
C. decrease in plasminogen activity
D. increase in platelet count
Answer» A. increase in fibrinogen level of 10-25 %
6.

In classical caesarean section more chances of rupture of uterus is in

A. upper uterine segment
B. lower uterine segment
C. utero cervical junction
D. posterior uterine segment.
Answer» A. upper uterine segment
7.

The most preferred treatment of fracture of neck of femur in a young person is

A. hemiarthroplasty
B. total hip treatment
C. conservative treatment
D. closed reduction & internal fixation
Answer» D. closed reduction & internal fixation
8.

Position of immobilization in fracture both bones of forearm in an adult male will be

A. prone
B. mid prone
C. supine
D. 10?? supine
Answer» C. supine
9.

True about clavicular fracture is

A. most common at medial 1/3 & 2/3
B. comminuted fracture common
C. malunion occurs
D. usually due to fall on elbow
Answer» C. malunion occurs
10.

Excision of fractured fragment is practised in all fractures except

A. patella
B. olecranon
C. head of radius
D. lateral condyle humerus
Answer» B. olecranon
11.

In 65 year old male with history of fracture neck of femur 6 weeks old, treatment of choice

A. sp nailing
B. mc murray\s osteotomy
C. hemiarthroplasty
D. none.
Answer» C. hemiarthroplasty
12.

In Colles fracture not seen in

A. proximal impaction
B. lateral rotation
C. dorsal angulation
D. medial rotation
Answer» D. medial rotation
13.

A lady presents with a history of fracture radius, which was put on plaster of paris casts for 4 weeks. After that she developed swelling of hands with shiny skin. What is the most likely diagnosis.

A. rupture of extensor pollicis longus tendon
B. myositis ossificans
C. reflex sympathetic dystrophy
D. malunion.
Answer» C. reflex sympathetic dystrophy
14.

Complication of fracture scaphoid is

A. injury to radial artery
B. avascular necrosis of proximal part
C. avascular necrosis of distal part
D. injury to radial nerve
Answer» B. avascular necrosis of proximal part
15.

Which fracture neck of femur has a poor prognosis

A. intra capsular
B. extracapsular
C. both
D. none.
Answer» A. intra capsular
16.

Fracture blisters commonly appear on how many days ?

A. 1- 3 days
B. 3- 5 days
C. 5-7 days
D. 5-9 days
Answer» B. 3- 5 days
17.

If the greater tuberosity of the humerus is lost, which of the following movements will be affected

A. adduction and flexion
B. abduction and lateral rotation
C. medial rotation and adduction
D. flexion and medial rotation
Answer» B. abduction and lateral rotation
18.

The most common cause of a sprained ankle is injury of

A. deltoid ligament
B. lateral ligament
C. inferior tibiofibular ligament
D. anterior talofibular ligament.
Answer» D. anterior talofibular ligament.
19.

In the case of 65 year old person with fracture neck offemur the treatment of choice is

A. close reduction
B. close reduction with internal fixation
C. open reduction
D. replacement of head and neck of the femur with a prosthesis
Answer» D. replacement of head and neck of the femur with a prosthesis
20.

Tardy ulnar nerve palsy is seen in :

A. cubitus valgus
B. dislocation of elbow
C. fracture scaphoid
D. supracondylar fracture of humerus
Answer» A. cubitus valgus
21.

Common injury to baby is

A. fracture humerus
B. fracture clavicle
C. fracture radius-ulna
D. fracture femur
Answer» B. fracture clavicle
22.

Young man with # tibia of left side 2 months ago, is having popliteal cast, Now needs mobilization with single crutch. Which will be the preferred site ?

A. left sided crutch
B. right sided
C. any side
D. both sides
Answer» A. left sided crutch
23.

Earliest symptom of Volkmann's ischemia is

A. pain in flexor muscles
B. absence of pulse
C. pain on passive extension
D. cyanosis of limb
Answer» A. pain in flexor muscles
24.

A patient develops compartment syndrome (swelling, pain and numbness) following manipulation and plaster for fracture of both bones of leg. What is the best treatment?

A. split the plaster
B. infusion of law molecular weight dextran
C. elevate the leg after splitting the plaster
D. do operative decompression of fascial compartment
Answer» D. do operative decompression of fascial compartment
25.

Anterior dislocation of shoulder causes all except

A. circumflex artery injury
B. avascular necrosis head of humerus
C. brachial plexus injury
D. chip fracture scapula
Answer» D. chip fracture scapula
26.

In Colles# following is most common complication

A. non union
B. malunion
C. sudeck\s dystrophy
D. volkmann\s ischemic contracture
Answer» B. malunion
27.

Patient with supracondylar fracture following reduction presented with claw hand. The likely diagnosis is

A. volkmann\s ischaemic contracture
B. median nerve injury
C. ulnar nerve injury
D. dupuytrens contracture
Answer» A. volkmann\s ischaemic contracture
28.

Pivot test for

A. anterior cruciate ligament
B. posterior cruciate ligament
C. medial meniscus injury
D. lateral meniscus injury
Answer» A. anterior cruciate ligament
29.

Triangular relation of Elbow is maintained in

A. fracture ulna
B. anterior dislocation of elbow
C. posterior dislocation of elbow
D. supracondylar fracture
Answer» D. supracondylar fracture
30.

Fracture which most often requires open reduction & internal fixation

A. lateral condyle of humerus
B. femoral condyle
C. distal tibial epiphyseal separation
D. fracture both bones forearm
Answer» A. lateral condyle of humerus
31.

Commonest type of lesion causing recurrent shoulder dislocation is

A. shallow glenoid labrum
B. bankarts lesion
C. weakness of subscapularis muscie
D. injury to humeral head
Answer» B. bankarts lesion
32.

Menisci calcification is a feature of

A. gout
B. hyperparathyroidism
C. pseudogout
D. ankylosing spondylosis
Answer» C. pseudogout
33.

A young adult presenting with oblique, displaced fracture olecranon treatment of choice

A. plaster cast
B. percutaneous wiring
C. tension band wiring
D. removal of displaced piece with triceps repair
Answer» C. tension band wiring
34.

Volkmann's ischemic contracture mostly involves

A. flexor digitorum superficialis
B. pronator teres
C. flexor digitorum profundus .
D. flexor carpi radialis longus
Answer» C. flexor digitorum profundus .
35.

Avascular necrosis is commonest in one of the following fractures

A. gorden 1 & 2 fracture of femoral neck
B. gorden 3 & 4 fracture of femoral neck
C. sub-trochanteric fracture of femoral neck
D. baso-trochanteric fracture
Answer» B. gorden 3 & 4 fracture of femoral neck
36.

On measurement, the base of Bryant's triangle on the left side is found to be short by 2 cms as compared to the right side. This indicates

A. fracture of the neck of the femur
B. fracture of the shaft of the femur
C. osteoarthritis of hip joint
D. rheumatoid arthritis of the hip joint
Answer» A. fracture of the neck of the femur
37.

All the following requires open reduction & internal fixation almost always except

A. lateral condyle of humerus
B. olecranon
C. patella
D. volar barton\s fracture
Answer» D. volar barton\s fracture
38.

Pathognomic sign of traumatic fracture

A. swelling
B. tenderness
C. redness
D. crepitus
Answer» D. crepitus
39.

A football player, while playing, twists his knees over the ankle. He still continues to play.

A. medial meniscus tear
B. anterior cruciate ligament tear
C. medial collateral ligament injury
D. posterior cruciate ligament injury.
Answer» A. medial meniscus tear
40.

K-wire is used in

A. circlage
B. fixing forearm bones
C. prior to plating
D. all of the above.
Answer» D. all of the above.
41.

Treatment of Acute myositis Ossificans is

A. active mobilization
B. passive mobilization
C. infra red therapy
D. immobilization
Answer» D. immobilization
42.

The treatment of choice for non-union of extracapsular fracture neck femur

A. hip spica
B. intramedullary nailing
C. internal fixation
D. compression plating
Answer» C. internal fixation
43.

Duga's test is helpful in

A. dislocation of hip
B. scaphoid fracture
C. fracture neck of femur
D. anterior dislocation of shoulder
Answer» D. anterior dislocation of shoulder
44.

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
Answer» D. lateral condyle of humerus fracture
45.

Avascular necrosis of the head of femur is not seen in

A. subcapital fracture
B. intertrochanteric fracture
C. transcervical fracture
D. central dislocation of hip
Answer» B. intertrochanteric fracture
46.

Stiffness in knee is maximum when traction is at

A. skin
B. lower end femur
C. upper end tibia
D. calcaneum
Answer» B. lower end femur
47.

Intramedullary fixation is ideal in a case of fracture of shaft of femur when there is

A. a transverse fracture
B. a compound fracture
C. soft tissue interposition between the fractured ends
D. such a fracture in a child
Answer» A. a transverse fracture
48.

Treatment of choice for old non-united fracture of shaft of femur

A. compression plating
B. bone grafting
C. nailing
D. compression plating with bone grafting.
Answer» D. compression plating with bone grafting.
49.

A Bennet's fracture is difficult to maintain in reduced position because of the pull of

A. extensor pollicis longus
B. extensor pollicis brevis
C. abductor pollicis longus
D. abductor pollicis brevis
Answer» D. abductor pollicis brevis
50.

Inter trochanteric fracture has trendelenberg sign negative because of the action of

A. gluteus medius
B. gluteus minimus
C. g.maximus
D. tensor fascia lata
Answer» A. gluteus medius

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