McqMate
| 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 | |
| 51. |
A segmental compound fracture tibia with 1cm skin wound is classified as |
| A. | type i |
| B. | type ii |
| C. | type ilia |
| D. | typeiiib |
| Answer» A. type i | |
| 52. |
Steinman pin is used for all except |
| A. | fracture of upper end of tibia |
| B. | fracture through lower end of tibia |
| C. | fracture through lower end of femur |
| D. | skull traction |
| Answer» D. skull traction | |
| 53. |
Treatment after removal of plaster for supracondylar fracture of humerus is |
| A. | active mobilization at elbow joint |
| B. | massage |
| C. | no treatment |
| D. | passive movements at elbow |
| Answer» A. active mobilization at elbow joint | |
| 54. |
Lateral condyle can cause |
| A. | genu valgum |
| B. | genu varus |
| C. | genu recarvatum |
| D. | dislocation of ankle |
| Answer» A. genu valgum | |
| 55. |
Muscles involved in Volkmann's ischemic contracture |
| A. | flexor pollicis longus |
| B. | flexor profundus |
| C. | flexor sublimis |
| D. | all |
| Answer» D. all | |
| 56. |
Medial meniscus tear is more common than lateral meniscus because of its decreased |
| A. | nerve supply |
| B. | vascularity |
| C. | mobility |
| D. | fibroelasticity |
| Answer» C. mobility | |
| 57. |
Volkmann's ischaemic contracture is due to |
| A. | arterial injury |
| B. | venous injury |
| C. | nerve injury |
| D. | increase of compartment pressure in the limb |
| Answer» D. increase of compartment pressure in the limb | |
| 58. |
Attitude of the limb in anterior dislocation of hip |
| A. | flexion, abduction, external rotation |
| B. | flexion, adduction, external rotation |
| C. | flexion, abduction, internal rotation |
| D. | flexion, adduction, internal rotation |
| Answer» A. flexion, abduction, external rotation | |
| 59. |
Treatment of fracture clavicle in an infant is best treated by |
| A. | cuff and sling |
| B. | figure of 8 bandage |
| C. | open reduction |
| D. | shoulder cast |
| Answer» B. figure of 8 bandage | |
| 60. |
Dislocation of hip joint palpable on per rectal examination |
| A. | cogenital dislocation of hip |
| B. | posterior dislocation of hip |
| C. | fracture neck of femur |
| D. | anterior dislocation of hip |
| Answer» A. cogenital dislocation of hip | |
| 61. |
Fractures common in elderly women are all except |
| A. | clavicular |
| B. | colles |
| C. | intertrochanteric |
| D. | neck of femur |
| Answer» C. intertrochanteric | |
| 62. |
Late complication of Acetabular fracture |
| A. | avascular necrosis of head of femur |
| B. | avascular necrosis of iliac crest |
| C. | fixed deformity of the hip joint |
| D. | secondary osteoarthritis of hip joint |
| Answer» A. avascular necrosis of head of femur | |
| 63. |
Treatment of anterior dislocation of shoulder is by |
| A. | kocher\s manoeuvre |
| B. | dennis browne splint |
| C. | barlows manoeuvre |
| D. | surgery |
| Answer» A. kocher\s manoeuvre | |
| 64. |
Patient comes with fracture of femur in an acute accident, the first thing to do is |
| A. | secure airway and treat the shock |
| B. | splinting |
| C. | physical examination |
| D. | x-rays |
| Answer» A. secure airway and treat the shock | |
| 65. |
Multiple bone fractures in a new born is seen in |
| A. | scurvy |
| B. | syphilis |
| C. | osteogenesis imperfecta |
| D. | morquio\s syndrome |
| Answer» C. osteogenesis imperfecta | |
| 66. |
c*ck up splint is used in management of |
| A. | ulnar nerve palsy |
| B. | brachial plexus palsy |
| C. | radial nerve palsy |
| D. | combined ulnar & median nerve palsy |
| Answer» C. radial nerve palsy | |
| 67. |
The type of displacement of fractured fragment in which bone is not remodelled |
| A. | anterior angulation |
| B. | posterior angulation |
| C. | lateral angulation |
| D. | rotation |
| Answer» B. posterior angulation | |
| 68. |
Carrying angle is decreased in |
| A. | cubitus varus |
| B. | cubitus valgus |
| C. | genu valgum |
| D. | genu varum |
| Answer» A. cubitus varus | |
| 69. |
Bennet's fracture is fracture dislocation of base of _____ matacarpal |
| A. | 4th |
| B. | 3rd |
| C. | 2nd |
| D. | 1st |
| Answer» D. 1st | |
| 70. |
What is the most probable cause of death ? |
| A. | starvation and chest infection |
| B. | myocarditis |
| C. | hypercalcemia |
| D. | hyperphosphatemia |
| Answer» A. starvation and chest infection | |
| 71. |
The commonest elbow injury in children is |
| A. | extension type of supracondylar fracture of humerus |
| B. | di slocation of elbow |
| C. | fracture lateral condyle of humerus |
| D. | fracture medial epicondyle of humerus |
| Answer» A. extension type of supracondylar fracture of humerus | |
| 72. |
Ideal treatment with fracture neck of humerus in a lady will be |
| A. | triangular sling |
| B. | hemiarthroplasty |
| C. | chest arm bandage |
| D. | internal fixation |
| Answer» A. triangular sling | |
| 73. |
In Intertrochanteric #has most common complication of |
| A. | non union |
| B. | malunion |
| C. | avascular necrosis |
| D. | nerve injury |
| Answer» B. malunion | |
| 74. |
Luxatio erecta |
| A. | tear of the glenoidal labrum |
| B. | inferior dislocation of shoulder |
| C. | anterior dislocation of shoulder |
| D. | defect in the humeral head |
| Answer» B. inferior dislocation of shoulder | |
| 75. |
McMurray's osteotomy operation is based on the following principle |
| A. | mechanical |
| B. | biological |
| C. | bio-mechanical |
| D. | none |
| Answer» C. bio-mechanical | |
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