Orthopaedics 2

Question 1

Test for evaluation of osteoporosis

Answer 1

Vitamin D

Question 2

Before starting bisphoshonates

Answer 2

Check vitamin D and renal function tests

Question 3

Test for prediction of risk of osteoporosis

Answer 3

Dexa

Question 4

Most common site of scaphoid fracture

Answer 4

Waist of the bone

Question 5

Frozen shoulder is common in

Answer 5

Diabetes

Question 6

The earliest finding of compartment syndrome

Answer 6

Throbbing pain

Question 7

Trauma of pelvis and legs can cause

Answer 7

Fat embolism

Includes altered mental state
Lung problems
and petechiae

Question 8

Early detection of hip osteoarthritis

Answer 8

Loss of internal rotation

Question 9

If a child has isolated patella tenderness

Answer 9

X-ray is required

Question 10

Treatment of paget disease

Answer 10

Zoledronic acid

Question 11

Which movement cannot be performed with mallet finger injury

Answer 11

Active extension of DISTAL interphalange joint

Treatment - hyper extension for 6 weeks

Question 12

Pain between third and fourth metatarsal heads

Answer 12

Morton neuroma

Pain is relieved by squeezing forefoot

Question 13

Which part of the skeleton affects Paget disease the most?

Answer 13

Pelvis

Question 14

Low absolute fracture risk

Recommendation

Answer 14

Exercise

Question 15

Plantar fasciitis treatment

Answer 15

Exercise to stretch the fascia

Question 16

Anterior shoulder dislocation

Position of the arm

Answer 16

Abduction and external rotation

Question 17

In what part of scaphoid the incidence of avascular necrosis is the highest?

Answer 17

Proximal

Question 18

T score for osteoporosis

Answer 18

-2.5 or below

Question 19

Earliest symptoms of ankylosing spondylitis

Answer 19

Sacroilitis

Being down age of onset is 23

Question 20

Pain over the bottom of forefoot

Relieved by walking barefoot

Answer 20

Morton neuroma

Question 21

After a resection of lymph node in the neck, instability on the shoulder with winning of this scapula

Which nerve is damaged?

Answer 21

Long thoracic nerve

Question 22

Fever and a limp
And a high ESR

Answer 22

Osteomyelitis

Can arise after deep cellulitis

MRI is best

Question 23

Patient with HIV and loose buddies in the wrist joint

Answer 23

Mycobacterial tenosynovitis 

Question 24

Patient undergoing coronary artery bypass graft - nerve damage

Answer 24

Sciatic nerve palsy

Due to prolonged nerve pressure and low arterial pressure

Question 25

Foot Pain worse in the morning and after sitting Is relieved by walking

Answer 25

Plantar fasciitis

Question 26

Most common cause of bone tumour in the pelvis of young adult

Answer 26

Metastatic tumour

Question 27

Which area is most commonly affected by diabetic neuropathy?

Answer 27

Midfoot joints

Question 28

Ankylosing spondylitis treatment

Answer 28

First line NSAIDs Second line infliximab Bamboo spine on x-ray

Question 29

Lateral epicondylitis - pain with resisted

Answer 29

Extension Medial - flexion

Question 30

Week ankle after bowel resection

Answer 30

Common peroneal nerve damage

Question 31

Early finding in paget disease

Answer 31

High ALP

Question 32

Most common site of fracture with osteoporosis

Answer 32

Vertebrae

Question 33

Alendronate can cause

Answer 33

Esophagitis

Question 34

Most specific test for meniscal injury

Answer 34

Thessaly test

Question 35

Painful thickened fascia of fourth digit and palm treatment

Answer 35

Open fasciectomy Dupuytren contracture

Question 36

Patients who have taken corticosteroids for 3 months should be tested for

Answer 36

Osteoporosis

Question 37

Diabetic ulcer on the foot Not healing Persistent yellow discharge Management

Answer 37

MRI Concern is osteomyelitis

Question 38

Pain gets worse on thumb and wrist movement Tenderness on palpation proximal to radial styloid Finkelstein test positive

Answer 38

De quervain tenosynovitis

Question 39

Distal radius fracture =

Answer 39

Coles fracture

Question 40

Supracondylar fracture most serious complication

Answer 40

Chronic deformity of hands and fingers caused by contractures - volkmann ischemic contracture This is the most common elbow fracture in children

Question 41

Patient can’t extend thumb

Answer 41

Radial nerve injury

Question 42

Acute herniation of an intervertebral disc will require emergency surgery if

Answer 42

Cauda equina is being crushed

Question 43

Painter falls from height of 3 m and has a sore foot Next step

Answer 43

Spinal x-ray is spinal injury is often associated with calcaneal fracture