Orthopaedics

Question 1

lytic lesion in the diaphysis of the right humerus with an ‘onion skin’ appearance suggests…

Answer 1

Ewing’s sarcoma

Question 2

triangular area of new subperiosteal bone in the metaphyseal region of the femur which shows a ‘sunburst’ pattern suggests…

Answer 2

Osteosarcoma

Question 3

The first 20 degrees of shoulder flexion is done by which muscle?

Answer 3

Supraspinatus

Question 4

Altered sensation lateral thigh aggravated by standing suggests…

Answer 4

Meralgia parasthetica

Question 5

Fever and pain on hip extension suggests…

Answer 5

Psoas abscess

Question 6

Pain in the third inter-metatarsophalangeal space suggests…

Answer 6

Morton’s neuroma

Question 7

What is the most common location of stress fractures in the foot?

Answer 7

2nd metatarsal

Question 8

Shortened, internally rotated leg suggests…

Answer 8

Posterior hip dislocation

Question 9

radial styloid process pain and painful abduction of the thumb against resistance suggests…

Answer 9

De Quervain’s tenosynovitis

Question 10

What is the most common cause of revision for THR?

Answer 10

Aseptic loosening of the joint

Question 11

Pain on straight leg raise suggests…

Answer 11

Sciatica

Question 12

Which scaphoid fractures require fixation?

Answer 12

Pole of scaphoid or displaced fractures

Question 13

Leg pain better on walking up hills or cycling suggests…

Answer 13

Lumbar stenosis

Question 14

What should be used to assess fracture risk?

Answer 14

FRAX score

Question 15

What is the treatment for sub-trochanteric NOF#?

Answer 15

Intra-medullary nail

Question 16

What is the treatment for inter-trochanteric NOF#?

Answer 16

DHS

Question 17

What are the treatment options for intracapsular NOF#?

Answer 17

THR or hemi-arthoplasty

Question 18

Which muscle is responsible for initiation of shoulder abduction?

Answer 18

Supraspinatus

Question 19

Which muscles are responsible for external rotation of the arm at the shoulder?

Answer 19

Infraspinatus & teres minor

Question 20

Which muscle is responsible for internal rotation of the shoulder?

Answer 20

Subscapularis

Question 21

Which muscles attach to the greater tuberosity of the humerus?

Answer 21

Supraspinatus, Infraspinatus and Teres Minor

Question 22

Which muscle attaches to the lesser tuberosity of the humerus?

Answer 22

Subscapularis

Question 23

How long may adhesive capsulitis last?

Answer 23

1-2 years

Question 24

What is meant by shoulder impingement?

Answer 24

impingement’ of the rotator cuff tendons in the acromioclavicular space - usually results in inflammation of the supraspinatus tendon

Question 25

What is calcific tendonitis?

Answer 25

Calcification of the supraspinatus tendon resulting in an acute & severe impingement syndrome

Question 26

What is the most important initial management of ankle fracture?

Answer 26

Reduction

Question 27

What is the most common cause of osteomyelitis in patients with sickle cell disease?

Answer 27

Salmonella

Question 28

What is the initial surgical approach for psoas abscess?

Answer 28

Percutaneous drainage