Orthopedics

Question 1

Distal pole of scaphoid bone heals

Answer 1

Easily

Question 2

Atrophy of interosseus muscles in which endocrine disease

Answer 2

In hypothyroidism due to carpal tunnel syndrome

Question 3

Atrophy of small muscles of both hands

Answer 3

Syringomyelia

Question 4

To fully anaesthetise one broken reap how many intercostal spaces must be the block performed on?

Answer 4

4

Question 5

Patient on warfarin had a fall and
throbbing headache

Answer 5

Potential intracranial bleeding

CT scan

Question 6

Klumpke palsy

Answer 6

C8, L1

Breech delivery

Claw hand

Question 7

Erbs palsy injury to

Answer 7

C5, C6

Question 8

Sudden pain in lower back and numbness in the leg after lifting heavy weight

Tenderness in L4 /L5

Inv

Answer 8

MRI

Question 9

Lower back pain

Pain after walking relieved by rest

Answer 9

Spinal canal stenosis

Question 10

Loss of foot aversion, dorsiflexion and plantar flexion,

Decreased ankle jerk

Answer 10

Sciatic nerve injury

L5

Question 11

Can’t dorsiflex and evert right foot

Answer 11

Common peroneal nerve

Question 12

Sudden onset of lower back pain after lifting heavyweight and numbness of leg

Treatment

Answer 12

Analgesia and continue daily activities

Question 13

Man with alcoholism has pins and needles in both thighs

Answer 13

Meralgia paraesthetica

Lateral cutaneous femoral nerve

Question 14

Interaction of duloxetine SSRI and
amitriptyline tricyclic antidepressant will cause

Answer 14

Respiratory depression, sedation and lethargy

Question 15

Wasting of small muscles of one hand and sensory loss over the medial forearm

Answer 15

Cervical spondylosis

Question 16

Tramadol can cause

Answer 16

Delerium

confusion

agitation

Question 17

Lithium and ibuprofen can cause

Answer 17

Lithium toxicity

Tremors

Question 18

Patient can’t reach anything over his head

Answer 18

Rotator cuff tear
= impingement syndrome

Question 19

Fracture of midshaft of humerus nerve damage

Answer 19

Radial nerve

Question 20

Coles fracture nerve damage

Answer 20

Median nerve

Question 21

Patient can’t flex three radial fingers

Answer 21

Hand of benediction

Median nerve damage

Question 22

Can’t move thumb towards other fingers

Answer 22

Median nerve 

Question 23

Wrist drop which nerve?

Answer 23

Radial nerve

Question 24

Supracondylar fracture which nerve?

Answer 24

Median nerve

Question 25

Treatment for lateral epicondylitis

Answer 25

Bracing below elbow

Question 26

Carpal tunnel syndrome nerve involved

Answer 26

Median nerve Often during pregnancy

Question 27

Fall from a height on outstretched hand

Answer 27

Mid shaft humerus fracture Includes wrist drop

Question 28

Pain in anatomical snuffbox but no changes on x-ray

Answer 28

Place in splint and re-x-ray in 48 hours

Question 29

Investigation to confirm carpal tunnel syndrome

Answer 29

Nerve conduction studies

Question 30

Elderly women with osteoporosis falling on outstretched hand

Answer 30

Coles fracture Dorsal displacement of the wrist

Question 31

Can’t dorsiflex and every R foot

Answer 31

Common peroneal nerve

Question 32

Cast for Coles fracture

Answer 32

Slight flexion slight pronation Ulnar deviation

Question 33

Nerve affected by lithotomy position

Answer 33

Peroneal nerve Extensor hallucis Longus affected

Question 33

Foot drop and weakness of ankle reflex

Answer 33

Sciatic nerve

Question 34

Medication not appropriate for prevention of post-operative nausea

Answer 34

Metoclopramide

Question 35

Lachman test positive

Answer 35

ACL tear

Question 36

Knee most painful at the end of the day

Answer 36

Osteoarthritis

Question 37

18 months old baby never been able to move his right side and never been vaccinated

Answer 37

Cerebral palsy

Question 38

Tibial tuberosity pain

Answer 38

Osgood-schlatter Can cause partial evulsion fracture