1- Removal of the forefoot and talus followed by calcaneotibial arthrodesis

Pirogoff amputation (hind foot amputation)

2- stable heel pad amputation
Syme amputation (ankle disarticulation)
3- Most common nerve causes foot drop
Common peroneal

4- Zone 2 flexor tendon

FDS insertion to distal palmar crease
5- Broker classification
6- Absorbable suture
lunate
7- x-ray lat wrist

8- notch indix

9- AVN seen --- in -- MRI

10- Tibia incision post TKA

Most lateral

11- Nerve in Guyon's canal

ulnar nerve

12- Major criteria of marfen

13- Young male severe ankle
dorsiflexion,inversion ttt as ankle sprain.. Still in
pain and instability
1
A- stress x. Ray,
B- Ct (a)
C- lateral x. Ray

14- Hip dislocation reduction in prone position. Name of maneuver

Stimpson technique

15- 2question about CTs -treatment at 30mmhg

and the other one is best investigation (NCV)

16- Isolation of organisms in blood culture in acute hematogenous

osteomyelitis
A. 10%
B. 25% (C)
C. 40%
D. 90%

17- The most common cause of bony ankylosis at hip joint

A. Rheumatoid arthritis
B. Septic arthritis of hip )B(
C. Tubercular arthritis
D. Osteitis deformans

18- Bone marrow labelled with leucocytes under floroscopy is seen as

A. not visible
B. faint line
C. double faint line
D. mild opacity

19- In cases of leg fractures, above knee plaster is applied with knee slightly
flexed for which of the following reason:
A- To avoid stretching posterior capsule of knee joint
В- То keep the cruciate ligaments relaxed
С- То allow easier ambulation (D)

2
D- To prevent rotational movements being transmitted to the fracture site
E - Plaster application is easier with knee slightly flexed.
initial long leg cast be applied w/ knee in 0 to 5 deg flexion (more flexion will allow better rotation control
of the fracture);( Wheeless' Textbook)

20- Cartilage best bear load if it is loaded

A. vertically
B. cyrically
C. prependicular
D. tangentially ????

21- most commen nerve causes foot drop

A- common peroneal
B- post tibial , (A)
C- superficial peroneal

22- THA,which quadrants liable in acetabulum in danger é screw....

A.post.sup.&post.inferior (B)
B.ant.superior&ant.inferior
C.Post inferior& ant inferior
D.post.superior&ant superio

23- Concerning intra-articular fractures

at knee which of the following statement
is true:

A- Early knee mobilization is inadvisable

В- Intercondylar fracture of femur quite often leads to avascular
3
necrosis
С- Non-union of tibial condyle fracture is common (E)
D- Extraarticular adhesions play no role in producing joint stiffness
E - Displaced intra-articular fractures usually need open reduction.

24- old patient treated from rheumatoid arthritis for a long period he came to
your clinic suffers from burning pain and numbness in the thumb and the next
two fingers the diagnosis is
A. carpal tunnel syndrome (A)
B. ulnar nerve injury

25- 80years old patient suffered from four part fracture head of the humerus
the treatment is
A. hemiarthroplasty
B. total shoulder replacement (A)
C. Reduction and fixation
D. conservative treatment

26- Scenario unstable pelvic fracture , hemodynamic unstable become stable

after transfusion of 2litre crystalloid ,u.s appear blood in abdomen ,pelvic and
scrotal hematoma ttt
a- Urgent lapratomy
b- Urgent CT abdomen and pelvic ??
c- Give crystalloid fluid
d- Observation

27- In cases of leg fractures, above knee plaster is applied with knee slightly
flexed for which of the following reason:
A- To avoid stretching posterior capsule of knee joint
В- То keep the cruciate ligaments relaxed
С- То allow easier ambulation
D- To prevent rotational movements being transmitted to the fracture
site
E- Plaster application is easier with knee slightly flexed (D)

4
28- In Autogenous Chondrocytes Transplantation (ACT) what is true:
A- Osteo-chondral graft is taken from un loaded part of the knee
B- Previous cartilage biopsy should be taken first ??
C- Porcine chondrocytes are implanted in the defect
D-The procedure can be done arthroscopically in one stage

29- Rickets in which zone:

Hypertrophic cell zone (calcified zone)

30- The common deficiency occur in which trace element in total parenteral
infusion:
A- Calcium
B- Barium (C)
C- Zinc
D- Magnesium

31- In type b wedge fracture of the humerus and forearm is plate used is:
A- Buttress
B- Bridging ( B)
C- Compression

32- What is the first step to do for painful TB arthritis knee:

A- Debridement
B- Anti-TB drug (C)
C- Knee splint

33- spinal stenosis commonly occure in level

A. L3-4
B. L4-L5 (B)
C. L5-S1
D. L2-L3

34- Osteoprosis is adeficiency in:

A- Calcium deposition
B- Calcium metabolism (E)
C- Protein supporting tissue
5
D- All of the above
E- Non of the above

35- Causes of failure of stem

A- Break of PMMA
B- Polyethylene failure,
C- Large stem

The most common indications for revision were:

 Aseptic loosening (45.3%)
 Osteolysis/wear (15.7%)
 Instability (15.7%)
 Infection (10.7%)
 Periprosthetic fracture (5.7%)

36- The expected time of internal complete remodeling of bone transplant is

A. 6 ms
B. 1 year
C. 2 years
D. never

37- Commonest cause of deformity in a long bone is:

A- Osteoporosis
В- Rickets (D)
С- Paget's disease
D- Malunited fracture
E- Fibrous dysplasia

38- Stretch of brachio radialis muscle in anterior exposure of middle 1/3 of

forearm may result in injury of :
A- Anterior interosseous artery. (E)
B- Anterior interosseous nerve.
C- Deep branch of radial nerve.

6
 D- Posterior interosseous nerve.
E- Sensory branch of radial nerve.
39- Patient conscious with multiple trauma ,first step in management :
A. asses airway
B. I.V line (A)
C. endo tracheal intubation
D. bl.transfusion

40- Traction 90/90 is used in reduction in which subtrochanteric# :

A. Lesser trochanter é distal fragment
B. lesser trochanter é proximal fragment (a)
C. comminuted sub trochanter fragment

41- How to protect PIN in proximal medial approach

A. elbow flexion +pronation ( B )??
B. elbow flexion +supination

42- Tibial bowing which goes for pseudo arthrosis :

A- Ant.lateral
B- Post.lateral
C- Ant.medial (A)
D- Post.medial

43- 54 years pt. with hand cold and pulseless with rail road accident,bl
pressure 80/50. What is mangled ischemic
severity score
A- 5
B- 7
C- 9
D- 11 (D)

44- Causes of failure of DHS :

A- Loss of calcar reduction
B- Head and neck osteoporosis
C- Use of long barrel
D- Use of 130 barrel (A)
7
45- Brooker classification
for HO Multiple spurs
arond hip é no spur around
greater trochanter é
distance less than 1cm
The grade is :
A- 0
B- 1
C- 2
D- 3 ( C)

46- Spurs around hip and greater trochanter = 9 mm

The grade is :
A- 0
B- 1
C- 2
E- 3 (C)

47- Duchen boy é scoliosis non ambulatory é 30 degree what to do

A. Bracing
B. Observation till reach 45 degree
C. Surgery (C)

Scoliosis

Older boys with DMD (Duchenne and Becker Muscular Dystrophy)

exhibit scoliosis 90-95% of the time; the age of onset is variable. Trunk muscles progressively
weaken, leading to collapse of the spine into a long C-shaped curve. In addition to seating
problems and discomfort, scoliosis can lead to respiratory compromise due to decreased lung
volume. A spine exam and spine X-rays (sitting anteroposterior spine) should be performed on
a routine basis after the age of 10 years or when patients become non-ambulatory. Scoliosis
surgery is recommended when the curvature measures 20 to 30 degrees; bracing is not
thought to be helpful and is poorly tolerated. Scoliosis correction is major surgery and should
be performed before pulmonary or cardiac function is too compromised.

8
 Orthopaedic care - orthotics or surgery for contractures and scoliosis. Scoliosis is usually
progressive and treated with surgery.[8]

48- 80years female with low demand came to E.R é fracture Rt neck femur
Treatment:
A- total hip arthroplasty
B- Bipolar hemi arthro plasty (B)
C- mono polar hemi arthroplasty ??
D- fixation

49- 55 years old ,fall down yesterday and came é fracture neck femur
Treatment
A- open reduction and screw fixation
B- closed reduction and screw fixation
C- hemi arthroolasty
D- total arthro plasty

50- RTA patient é G lll _c open # tibia é injury vascularity in proximal&

middle 1/3 , amputation will be done
A- Trans knee better than below knee
B- Trans knee equall above knee
C- Above knee better than trans knee (C)
D-Below knee better than above knee

51- X ray fracture of the scapula and clavicle

A- flail shoulder
B- flail chest
C- float shoulder (C)
D- scapulothorasic dislocation

52- Commonest cause of loose bodies in joints

A- Tuberculous tenosynovitis
B- Rheumatoid arthritis

9
 C- Osteo arthritis (D)
D- Osteo chondritis

53- The normal notch index is

A- 0.231
B- 0.312
C- 0.132
D- 0.321
(A)

54- Gait analysis ,computer and physical examination is important for

outcome of surgery in
A- DDH
B- cerebral palsy
C- TEV
D- poliomyelitis (B)

55- Arthrogrypotic baby with extension elbow &knee , bilateral hip

dislocation ,scoliosis and bilateral TEV
Which correct first :
A- foot
B- Elbow
C- Shoulder
D- Hip (A)

56- A boy felt down on his elbow,the lateral x ray shows

A- anterior pad sign
B- posterior pad sign (B)

57- The probe alligment in total knee replacement is

A- 7 degree varus in anatomical axis
B- 7 degree valgus in anatomical axis (b)

10
 C- 7 degree varus in mechanical axis
D- neutral anatomical axis

58- The best position for ankle arthrodesis

A. 10 degree dorsuflexion and neutral varus
B. 10 degree dorsiflexiob and 5o varus
C. neutral dorsiflexion with 5 o valgus
D. neutral dorsiflexion with 10 o varus (C)
F. 5 o planter flexion with 5 o varus

59- Gustello type 3 should irrigated by :

A - one litre .
B - 6 litres .
C - 3 litres .
D - 9 litres . (D)
60- Distal ulna fracture with limited supination routine x-ray after
reduction not required what next
A- CT for both wrist ??
B- x-ray for BOTH wrist
C- arthrography of both wrist
D- arthroscopy of the wrist

C.T.
Is the study of choice for evaluating patients with clinically
suspected DRUJ subluxation and dislocation.

61- The nature of lubricationin joints is

A- fluid lbricant
B- boundery lubricant
C- fluid &boundery lubricant (B)
D- hyper dynemic lubricant

11
62- The percentage of symptomatic patients in bone metastasis is :
A- 10% ...
B- 25%...
C- 50%..... (B)
E-100%

63- Colles fracture with numbness in thumb and lateral 2 fingers , closed
reduction was done the patient came 2nd day with increased pain and
numbness trt:
A- ORIF + CT release (A)
B- Observation
C- Repeat closed reduction

64- 85yrs male ptn.é hybrid total hip arthroplasty since 8 yrs,ptn came
for follow up é no pain
Treatment ( ‫غبنبب في اشعت‬
A- Observation (A)
B- cup revision
C- stem revision
D- Total hip revision
65- Alkaline phoshatase is a marker in
A- osteoclast
B- osteoblast (B)
C- osteocyte
D- fibroblast
66- Osteoporotic pt. on vit D suffered from fracture for ORIF , what's the
most correct scenario for the pt.
A- Stop vit d before operation and after ( A ) ???
B- Continue vit d before and after
C- Increase the dose of vit d before operation
D- Increase the dose of vit d after operation

12
67- Cause of bone osteolysis in THA:
A- Cement break
B- Polyethylene debris (B)
68- Melphalan is a medical treaement for:
A- Paget disease
B- Multipe myloma (B)
69- Pt has sickle cell anemia ,came emergency with severe leg pain
,tenderness and swelling, ESR 40, CRP 8 (n<8), wbcs 10, Hb 7
what the investigation to defferentiate betweem osteomylitis and crisis
of acute arterial occlusive disorder ????
A- CT
B- ESR
C- CRP
D- MRI e Gadolinium (D)

70- X .ray é bipolar hemi arthroplasty é protruaion+ loosening in the stem

cause of pain
A- fracture
B- protrusion
C- loosening (C)
Thigh pain (usually indicates femoral component loosening)

71- Concerning intra-articular fractures at knee which of the following

statement is true:
A- Early knee mobilization is inadvisable
В- Intercondylar fracture of femur quite often leads to avascular
necrosis
С- Non-union of tibial condyle fracture is common
D- Extraarticular adhesions play no role in producing joint stiffness
E- Displaced intra-articular fractures usually need open reduction
(E)

72- Pressure in compartment syndrome

A- More than 30 (A)
13
 B- More than 50
C- The difference in pressure =10
73- Tear of the distal tibio-fibular syndesmosis shows complete tear of the
syndesmosis above tibia plafound by:
A- More than 4.5cm (A)
B- 3 cm
C- 2 cm
D- 1 cm
74- Spurs around hip and greater = 9 mm between them
GRADE:
A- 1
B- 2
C- 3 (C)
D- 4
75- Multiple spurs around the hip with no spur around greater trochanter
with distance less than 1 cm
the grade is
A- 0
B- 1
C- 2
D- 3 ( C)
76- High cross linked polyethylene is better than conventional and it is
different in:
A- High Tolerate To Heat
B- Low Wear Rate (B)
C- Less Tension Fatigue resistance
77- X-ray ankle shows talar tilt + photo shows anterior drawer test for the
ankle, imaging:
A- MRI (A)
B- Ct bone scan
78- Transverse fracture proximal phalanx of the finger treated by
A- mini plate

14
 B- splitning of neighbour fingers
C- k. wire (interosseous ) Nail ( C)

Operative Treatment Options:

- screw fixation:

- interosseous wires
- percutaneous intramedullary K wire:
- indicated for transverse - unstable frx of base, shaft, and neck;
- transverse pinning technique:
- indicated for spiral - oblique frxs:
- cross pinning technique:
- K wires should never cross at the fracture site, since this will cause rigid distraction;
- K wires should cross either proximal or distal to the fracture and gain firm anchorage in the
proximal and distal metaphysis;

- plate fixation:
- dorsal midline approach:
- indicated for fractures located within the proximal 2/3 of the proximal phalanx;
- make a dorsal longitudinal incision which gently curves to over one side of the phalanx;
- split the extensor mechanism down the middle;
- carefully preserve the periosteal (which will be repaired over the plate):

15
79- Pain in thigh more at night relived by aspirin is
A- osteosarcoma
B- osteoclastoma
C- Ewing's tumor
D- osteoid osteoma (D)
80- A 34 year old male presented with right knee pain, swelling, redness
and fever for 2 days with no history of trauma, sore throat, not other
joint involvement, the most appropriate diagnosis is:
A- R.A.
B- Rh fever
C- Septic arthritis (C)
D- Gout
81- During fixation of depressed tibial plateu ,we find injury to
meniscus(peripheral injury)
What to do with the meniscus
A- immediate repair (A)
B- partial menisectomy
D- delayed repair after bone union, arthroscopic repair
82- AVN femoral head becomes evident clinically in ????

A-3ms.
B- 6ms.
C- 11ms.
D- 15ms.
E- 9ms.
83- In Bennet # The thumb put in
A- abduction + extension (A)
B- abduction + flexion
84- X ray showing # B.B leg midshaft é pain in calf muscles + parathesia
in the sole+ pain in dorsiflexion of big toe
A- anterior compartment syn.
B- posterior comp.syn. (B)

16
85- Delbet type 1 ,avn
A- 40_60% (b)
B- Not 80_100%

Delbet Classification

Type Description Incidence AVN Nonunion Images

Type I Transphyseal (IA, without <10% 38%

dislocation of epiphysis from
acetabulum; IB, with dislocation
of epiphysis)

Type II Transcervical 40-50% 28%

15%

Type III Cervicotrochanteric (or 30-35% 18%

basicervical) 15-20%

Type IV Intertrochanteric 10-20 5% 5%

86- The father noticed flexed thumb of baby after 6 months which not
extend passively management
A- splint (A)
B- Ambutation
C- fashiotomy
D- observation é spontanous recovery at 4 yrs
17
87- +ve apply distraction test diagnosis is
A- Meniscal inj
B- collateral lig
C- ACL (A)
88- Post traumatic female é old unitted distal radius ,2 months ago
comming now by reflex sympathetic dystrophy and inflammed hand &
fingers stifness The apropiate investigation to diagnose is
A- bone scan (A)
B- mri
C- u/s
89- Acute flexion in proximal joint of big toe with some MTP extention :
A- Claw toe
B- Hammer (B)
C- Turf
D- Mallet

90- When the ankle is dorsiflexed, the fibula moves in:

A- Internal rotation and is translated laterally
B- Internal rotation and is translated proximally
C- External rotation and is translated laterally (C)
D- External rotation and is translated distally
E- External rotation and is translated proximally
18
91- ٗ١ٍ‫ ػ‬ٌٍٟ‫ا االضئٍٗ ا‬ٍٛ‫ح‬ٚ ٖ‫ع د‬ٛ‫ظ‬ٌّٛ‫ا ا‬ٚ‫راور‬
ٍٗ‫اضئ‬3 ٗ١‫ ف‬ٟ‫ج‬١‫ ث‬ASIA CALSSIFICATION
http://www.orthobullets.com/spine/2006/spinal-cord-injuries

‫ق‬ٛ‫ ف‬ٌٍٟ‫ٕه ا‬١ٌٍ‫أضئٍخ ا‬

92- An 18-year-old male is evaluated for a suspected spinal cord injury.

His neurological exam shows diminished sensation below the T7 level. His
bulbocavernosus reflex is intact. Which physical finding of motor function,
below the affected neurological level, would classify this injury as an ASIA
B according to the American Spinal Injury Association impairment scale?
1. More than half of the major muscles demonstrate palpable or
visible muscle contraction
2. At least half of key muscles have a muscle grade of 5.
3. More than half of key muscles have a muscle grade less than 3.
4. At least half of key muscles have a muscle grade of 3 or more.
5. No motor function preserved below affected neurological level

93- A 32-year-old man is brought to the Emergency Department after

cervical spine trauma. Physical examination has classified his injury as
ASIA B at the C6 level. All of the following exam findings are
expected in this patient EXCEPT? Review Topic

1. Sensation intact in the long finger

2. Sensation intact over the medial aspect of the forearm
3. 5/5 strength in deltoid function
4. 2/5 strength in triceps function
5. 0/5 strength in the instrinic hand muscles
94-A 17-year-old football player is brought to the emergency room
following a tackling injury 90 minutes prior. On arrival to the emergency
room he is alert and oriented. On physical exam he has tenderness in his
posterior midline cervical spine. He reports intact sensation in his upper
and lower extremities. He motor exam shows he has some motion in his
arms and legs, but is unable to lift his legs or arms against gravity. His
19
bulbocavernosus reflex is absent. The decision is made to initiate
methylprednisolone. What is the most appropriate dosage and
duration? Review Topic
1. 30 mg/kg bolus followed by a 5.4 mg/kg/hr infusion x 8 hours
2. 30 mg/kg bolus followed by a 5.4 mg/kg/hr infusion x 24 hours
3. 60 mg/kg bolus followed by a 5.4 mg/kg/hr infusion x 8 hours
4. 60 mg/kg bolus followed by a 5.4 mg/kg/hr infusion x 24 hours
5. 60 mg/kg bolus followed by a 5.4 mg/kg/hr infusion x 28 hours

95- A 36-year-old male involved in a high speed motor vehicle accident is

found on exam to have Grade 2 of 5 motor strength in 80% of his key
muscle groups in his lower extremity. His perianal sensation and rectal
tone are intact. A bulbocavernosus reflex is present. His sensation is
decreased from a point at the intersection of the mid-clavicular line and the
4th intercostal space at the level of the nipples distally. Based on the
American Spinal Injury Association (ASIA) classification system, what
ASIA grade is he? Review Topic
1. ASIA A
2. ASIA B
3. ASIA C
4. ASIA D
5. ASIA E
96- A 23-year-old man falls down a flight of stairs while intoxicated and is
brought to the emergency room the following morning. On physical exam
he has no motor function in his upper and lower extremities. Sensory exam
shows diminished but present sensation in the perianal area and in the
lower extremities. Reflex exam shows his bulbocavernosus reflex is intact.
The inital CT and MRI are seen in Figures A and B. According to the
American Spinal Injury Association (ASIA), how would this injury be
classified? Review Topic
FIGURES: A B
1. ASIA A
20
 2. ASIA B
3. ASIA C
4. ASIA D
5. ASIA E
97- A 49-year-old male fell from a height of 10 feet while cleaning his
roof. He sustained the isolated injury shown in Figures A and B. Upon
transfer from the outside hospital 10 hours later, he has 0/5 motor strength
in bilateral lower extremities, no sensation distal to umbilicus, and an
intact bulbocavernosous reflex. He has no perianal sensation or rectal tone.
He received no medical management at the outside hospital. Which of the
following is the most appropriate use of methylprednisolone in this
patient.? Review Topic
FIGURES: A B
1. Initiate high-dose methylprednisolone with a loading dose of
30mg/kg and a drip of 5.4 mg/kg/hr
2. Initiate high-dose methylprednisolone, without a loading dose, at
5.4 mg/kg/hr
3. Do not initiate treatment with methylprednisolone
4. Initiate high-dose methyprednisolone if his neurologic status does
not improve over the next 14 hours
5. Administer a one-time dose of methylprednisolone at a dose of 30
mg/kg
98- A 52-year-old male is involved in an altercation where his neck was
twisted and extended with force. Upon presentation he complains of neck
pain, and loss of ability to stand or ambulate. On physical exam, he has
Grade 3 motor strength in the majority of his muscles groups in his upper
and lower extremities. His sensory is intact in all four extremities, and his
bulbocavernosus reflex is intact. Sagittal and coronal computed
tomography are shown in Figure A and B respectively. The patient's
neurologic condition is best classified as? Review Topic
FIGURES: A B
1. ASIA E

21
 2. ASIA D
3. ASIA C
4. ASIA B
5. ASIA A
99- What percentage of patients with a spinal cord injury suffer from
Major Depressive Disorder? Review Topic
1. Less than 5%
2. 5 to 20%
3. 20 to 50%
4. 50 to 75%
5. Greater than 75%
100- All of the following are attributed to the loss of supraspinal control of
the sympathetic nervous system that commonly occurs in patients with
spinal cord lesions at T-6 or higher EXCEPT Review Topic

1. Supine hypotension
2. Orthostatic hypotension
3. Spasticity
4. Autonomic dysreflexia
5. Cardiac arrhythmias
101- Functional electrical stimulation is used in the rehabilitation of
patients with spinal cord injuries. This rehabiliation method has the
greatest functional effect on which of the following? Review Topic

1. Sensory nerves
2. Motor nerves
3. Skeletal muscle
4. Motor cortex
5. Dorsal root ganglion

22
102- A 30-year-old male is involved in a motor vehicle accident and
sustains a fracture-dislocation of the cervical spine. On physical exam he
has absent distal motor function, absent sensation, absent rectal tone, and
an intact bulbocavernosus reflex. Which term best describes this spinal
cord injury pattern? Review Topic

1. Central cord syndrome

2. Incomplete spinal cord injury
3. Complete spinal cord injury
4. Neurogenic shock
5. Spinal shock
103- A 16-year-old male is involved in a diving accident six months ago
that leads to a spinal cord injury. On physical exam he has 5 out of 5
deltoid and biceps strength. He has good brachioradialis muscle tone and 5
out of 5 bilateral wrist extension. He has 0 out of 5 wrist flexion and
triceps strength. He has no anal sphincter tone, absent perianal sensation,
absent lower extremity sensation, and an intact bulbocavernosus reflex. He
has no motor tone in his lower extremities. How would you define this
patients neurologic deficit. Review Topic
1. Incomplete C5 spinal cord injury (ASIA A)
2. Complete C5 spinal cord injury (ASIA E)
3. Complete C6 spinal cord injury (ASIA A)
4. Complete C7 spinal cord injury (ASIA A)
5. Incomplete C7 spinal cord injury (ASIA B)
104- Which of the following best describes a patient's functional level with
a complete C5 spinal cord injury? Review Topic

1. Electric wheelchair with only head or chin control

2. Electric wheelchair with hand control
3. Limited use of manual wheelchair, can drive car with manual
controls

23
4. Long-distance use of a manual wheelchair
5. Fully independent transfers
105- Following an acute spinal cord injury a patient presents with systemic
hypotension and relative bradycardia. His bulbocavernosus reflex is
present. This is characteristic of what type of response in acute spinal cord
injuries? Review Topic
1. Spinal shock
2. Cardiac shock
3. Neurogenic shock
4. Septic shock
5. Hypovolemic shock
106- A 2-year-old child falls down a flight of stairs and is found to have
spinal cord injury without radiographic abnormality (SCIWORA). What is
the most important predictor of her neurologic outcome? Review Topic
1. Mechanism of injury
2. Severity of initial neurologic injury
3. Injury pattern of fracture or dislocation
4. Location of spinal cord injury
5. Age of patient
107- Which of the following scenarios would be most appropriate for
posterior deltoid-to-triceps transfers? Review Topic

1. Axillary nerve injury

2. C6 ASIA A Spinal Cord Injury with 5/5 biceps and 4/5
brachioradialis
3. Erb's palsy with waiters tip deformity
4. C5 ASIA C Spinal Cord Injury with 3/5 deltoid and 2/5 biceps
5. C5 ASIA D Spinal Cord Injury with 4/5 deltoid and 4/5 biceps

24
 108- 12 boy with # both bone forearm after2 trial reduction under
hamtoma block.Oppostioning 75% & 20 degree volar angulation
A- Observation ( A ) ?????
B- Repeat reduction & pinning
C- plating

109- Old Ptn é femur# (pathological#) skull show punched out lesion
‫ اعتقد كدا بيتكهى عن ال‬multiple myeloma ‫ ؟؟‬ttt
A- traction & radiotherapy
B- traction & chemotherapy
C- Ext. fix &chemotherapy (C)
D- curettage & bone graft

110- Photo calcaneal approach with small bones on hand of surgeon

What is the long term disability
A- Arthritis
B- Malunion
C- Non union
D- Sural neuralgia

111- Malignant histocyoma comments bone is:

A- tibia B- femur (B)
C- humrus D- ulna
112- Good prognosis after neck femur fixation:
A- Accuracy of reduction (A)
B- Walking
C- Direction of screw

113- Nerve injury in proximal third radius operation:

A- AIN
B- PIN (B)
C- Ulnar
25
 D- Radial

114- Continues compression on bone cause increase growth in :

A- Concave surface
B- Convex
C- Tension side
D- Compression (D)
115- Diagnosis of sudeck's atrophy
A- X.ray
B- mri
C- u/s
D- bone scan (D)
116- The humidity of the operative room should be:
A- 10- 20
B- 25 -35
C- 40-50 From 20 up to 60% (C)

117- sc # humerus in child healed in cubitus varus it can be shown in

A- A/P Bauman's angle
B- lateral anterior spike
C- lateral crescent sign (A)

118- Description of malleolar screw Drilling for cancellous screw size 4:

A- 2.7
B- 3.2 (B)
C- 4.5
D- 2
119- X-ray of Male pt w THA 15 yrs ago now he has pain and
inability to walk for distance: cause of pain
A- Metastases
B- Osteolysis (B)

26
 C- Mantle rupture
D- Op
120- Cause of osteolysis in Arthroplasty
A- polyethelene debris (A)
B- Break down of methylecrylate
121- THA come ER with trochanteric fracture minimaly displaced :
A- Bed rest & restrict weight bearing (A)
B- Orif cerclage or plating
C- Mrevesion
122- Measurement of bone mass in
A- Forearm (A)
B- Tibia
C- Humerus
D- Hand
123- 5 years old c/o limping in ct there is AVN ttt by is:
A- Surgery THR
B- Splinting ( B )???
C- Physiotherapy

‫هو السؤال كده صح؟؟؟‬ splinting >>>>>> The recommendation treatment for AVN in children is to treat the synovitis
whenever it occurs or recurs. Abduction bracing should be used for the first six months in most young children with
idiopathic AVN of the Legg-Calvé-Perthes' type. Protected weightbearing with crutches should suffice for the early phases of
traumatic AVN. Within six months, one should be able to determine the classification and whether to continue the treatment
being used or to change to another form of treatment. Petrie casts are used rarely but can be very useful in certain patients.
Prolonged crutch use may help to prevent collapse while relieving symptoms in the older child

124- 5 days after thr heterotrophic ossification in asymbomatic pt ttt

A- Indomethacin
B- Radiotherapy
C- Observation & reasurance of pt. (A)
Observation &reassurence till 6 months ,if still present excision

125- RTA with hip dislocation and shock so cause of shock is

A- Blood loss

27
 B- Urethral injury
C- Neurogenic (A)
126- Pt 2 years e DDH after open reduction we find the Hip unstable in
extension & abduction Management:
A- Acetabuloplasty
B- Capsulorrphy
C- femoral shortening
D- Femoral derotation osteotomy (D )
127-9 yrs. old presented é limping and pain in the rt knee ,2 days after fall in
the street. On examination he looked ill and in severe pain é high fever ,
swelling of the knee region extending to the thigh which was warm and very
tender. The most appropriate diagnosis
A- septic arthritis (A)
B- acute osteomylitis
128- Structure may be injuried during excessive traction in fixation middle
1/3 B.B Forearm
A- PIN
B- superficial radial nerve (B)
129- The most common fracture in osteoprosis:
A- Colles fracture ( if prior 75 y)
B- Fracture neck of femur
C- Shaft of femur
D- Hip fracture ( if over 75 y) (D)
wrist fractures occur most commonly at age 50-60 years
vertebral fractures occur most commonly at age 60-70 years
hip fractures occur most commonly at age 70-80 years
1.5 million osteoporotic fractures occur each year
700,000 are vertebral fractures
300,000 are hip fractures
200,000 are wrist fractures
location of fractures
vertebral body > hip > wrist fractures

130- Most common musculoskeletal birth injury is

A- club foot
B- fracture humerus
C- pulled elbow
D- fracture clavicle (D)
28
131- Female RTA cervical spondylosis generalized quadriparysis in upper
limb more than lower limb So its stage
A- flaccid paralysis (A)
B- spastic
C- radiculopathy
132- X.ray in ptn receive cortisone for ttt of leukemia show small osteolytic
area in neck femur superior part no sclerosis ,no hyper dense area so it is:
A- avn
B- osteoprosis
C- transient osteoprosis ??? ( a )
133- 12 boy with # both bone forearm after2 trial reduction under hamtoma
block .Oppostioning 75% & 20 degree volar angulation
A- Observation
B- Repeat reduction & pinning
C- plating ( b )???
Operative
percutaneous vs open reduction and nancy nailing
absolute indications
unacceptable alignment following closed reduction
angulation >15 degrees, rotation >45 degrees in children less than 10
angulation >10 degrees, rotation >30 degrees in children more than 10
bayonet apposition in children older than 10 years
both bone forearm fractures in children> 13
relative indications
highly displaced fractures
technique
allows smaller dissection and advantage of a load-sharing device allowing rapid healing
fixation of one bone often sufficient stability
considerations
shorter surgical time than ORIF
less blood loss than ORIF
equal union rates, radial bow and rotation as ORIF
open reduction and internal fixation
absolute indications
unacceptable alignment following closed reduction
open fractures
refractures
angulation >15 degrees, rotation >45 degrees in children <10 years
angulation >10 degrees, rotation >30 degrees in children >10 years
bayonet apposition in children older than 10 years
both bone forearm fractures in children> 13

29
relative indications
highly displaced fractures
technique
same technique as an adult

134- x-ray of young pt. had united # distal radius IF by T plat the pt. now has
sever limitation of pronation &supination after physiotherapy what to do
A- shortening of the ulna
B- excision of distal ulna (A)
C- Advancement of distal radioulnar ligament
D- lengthening of the radius
135- 12yrs boy fall on knee , which diagnosed lateral patellar dislocation
which reduced by orthopaedician ,then returned to ER with pain, tenderness
&flexion to 70 degree Next step
A- aspiration (A)
B- antibiotics
C- synovium biopsy
D- antibiotics
136- 30 yrs ptn, X ray # neck radius, intraoperative bone loss of metaphysis
A- Plate
B- pinning
C- excision
D- arthoplasty (D)
137- * foto # supracondylar humerus displaced posteriorly
Which nerve affected :
A- Ant inter osseous (A)
B- Post interosseous
C- sup radial
D- Ulnar
but AIN is the most common nerve injury in SC#

138- X ray in 66Y patient with union if hip and acetabulum as one mass ‫يعني‬
‫أنريدي ارثرًديسد‬
C/o of back pain ,gluteus medius not acting so
A- leave it & ttt of pain (A)
B- consrtrained THA
30
 C- Arthrodesis
D- THA with metal prosthesis
sure 1 as gluteus medius paralysis will lead to unstable prothesis so no benefit from THA

139- - tear of the distal tibio-fibular syndesmosis shows complete tear of the
syndesmosis above tibia plafond by:
A- More than 4.5cm
B- 3 cm
C- 2 cm
D- 1 cm

140- 40 yrs old é TRA ,there is massive tissue injury in middle+ proximal
tibia and cut bl supply
Amputation will be done
‫دا يجًم انسؤال‬
‫االختيبر اث‬
A- Below knee superior trans joint
B- Below knee superior above knee
C- Trans joint superior above knee ( C )??
D- Trans joint the same above knee
141- Foto x ray subtrochentric pathological # in single Osteolytic lesion in
child so ttt
A- pinning
B-traction

31
 C- platting
D- curretage and bone graft lesion ‫ ( حسب حجى‬C )????
142- Adult patient with fracture shaft ulna 6 months ago and treated with
closed reduction and cast, now there is still pain in the fracture site and X ray
show hypertrophic non union treated by:
A- continue the cast
B- fixation by plate without bone graft (B)
C- fixation by plate with iliac crest bone graft
http://www.orthobullets.com/testview?qid=3022

143- Child e ms dystrophy had scoliosis >20 degree best treatment :

A- Surgery (A)
B- Orthosis
C- Physiotherapy
D- Cast jacet
http://www.orthobullets.com/spine/2056/neuromuscular-scoliosis

144- 9ys boy e' 18 monthes history of distal radius trauma treated cons. his
parents notice mild deformity in his hand
‫ انصٌره‬S.H type 5 . ttt is
A- observation (A)
B- physis distraction
C- phisiolysis
D- epiphysiodesis

145- Dislocation of elbow with coronid #..management

A- OR
B- ORIF (B)
C- CR
D- CR with pinning

146- Heterotrophic ossification grading.... Either 1,2, 3, 4 or 0,1,2,3 ... Either

way you choose the 3rd....
147- Open fracture... Always choose depridment and irrigation....
148- Alk. Phos. Indication of osteoblast
32
149- Galeazi with DRUJ disruption fix j in supination....
.....‫ من اإلمتحان‬%05 ‫ على األلل‬......‫ اسالة الجروب الرائعة‬+ ‫و راجعوا ورق الزميل الدكتور دمحم راشد علي الجروب ألنه مفيد جدا‬
27 ‫ سكور‬.....‫الحمد هلل ربنا وفمني في االمتحان اليوم‬%......

150- Adult patient with fracture shaft humerus and closed reduction was
done, post reduction X-ray there was 20 degree rotation and 15 degree
medial angulation and. 2.5 cm shortening. We should do:
A- repeat the reduction
B- Continue the brace (B)
C- Open reduction and internal fixation
D- Closed reduction and interlocking nail
151- Bone marrow labeled with leucocytes under floruscopy is seen as
A- not visible
B- faint line
C- double faint line ( C )???
D- Mild opacity
152- in case of tendoachillis injury at the middle 1/3 of the leg flap is taken
from
A- medial head of gastrocnemius
B- lateral head of gastro.
C- solius m. (C)
D- plantaris m
153- Fracture pelvis &abdominal fluid by u/s & there is hypotension which
corrected by clamping pelvis but 15 minute later ptn state deteriorated ,next
step
A- pelvic Ex.Fix (A)
B- laparotomy
C- c.t abdomen
154- Best approach to midshaft # of radius
A- Henery's app. anterior
B- Tomson's app. Dorsal (B)
The best approach for midshaft radial fracture thompson approach compared by henry approach
That mush less soft tissue stripping and expectation much more rapid return of wrist and hand function
Wheels textbook of orthopaedic

http://www.orthobullets.com/trauma/1025/radius-and-ulnar-shaft-fractures

33
155- Photo of black disculoration of 2nd and 3rd toes after an operation with
fixation by k-wires after12 hours treatment
A- removal of k-wires
B- amputation ( c ) ???
C- Observation
D- vascular surgery of anastomosis
156- the most common organism causes osteomyelitis at the age of 4 years is
A- staph aureus (A)
B- strept. pyogens
C- haemofelus infl.
D- salmonella
‫ شيٌر‬6 ‫اقم ين‬ streptococci
‫ سنٌاث‬4 ‫ شيٌر اني‬6 ‫ ين‬haemophilus influenza
‫ سنين‬4 ‫أكتر ين‬ staph aurus

staph aureus is the most common organism in all age groups..... H. Infl. Is less common due to h. Infl. Vaccine....
Orthobullet.

157- Adult with distal third fracture humerus and disruption in the distal
radio-ulnar joint and swelling and pain in the forearm treated by:
A- Closed reduction and cast
B- Open reduction by plate and screw (B)
C- Closed reduction and IN
D- Open reduction and ILN
158- structure may be injured during fixation of middle 1/3 # both bones of
the forearm
A- PIN ??
B- AIN
C- superficial radial n. (C )
D- superficial cutanious n. of forearm
159- unstable pelvic # with hemodynamic, after 2 liters i.v crystalloid u/s
show fluid in abdomen, best management
A- pelvic sheet
B- Ex.fix (B)
C- C.T abdomen

34
160- Stress # metatarso phalyngeal bone not seen in
Xray next step
A- C.T
B- MRI (B)

161-
‫يب جًبعو انسؤال بتبع انًريض انهي يشدًد في انسرير نٌع انشده‬
‫إيو‬
balanced ext. fixator
combined ext. fixator

ٗ‫ٍٗ اجبث‬١‫ُ ِش الل‬١‫دٖ ضؤاي ػم‬

‫ثص األلرة‬balanced traction

162- Inter locking nail tibia,3 months ago é discharge from proximal screw,
X ray show screw in site and united fracture Wt is ttt
A- wait until united then remove (A)
B- immediate remove nail
C- remove screw , put cast
163- A child fall on an out stretched hand and flexed elbow, exam showed
swelling around elbow with no radial pulse, best management:
A- Closed reduction
B- Closed reduction then check for radial pulse (B)
C- Open reduction
D- Cuff and collar for 3 weeks
164- The father noticed flexed thumb of baby after 6 months which not
extend passively Management
A- splint (A)
B- Amputation
C- fashiotomy
D- observation é spontaneous recovery at 4 yrs
165- # medial tibial plateau ttt by ORIF type of plate
A- compression
B- buttress (B)

35
166- 8 years old girl presented shortening 4 cm of left lower limb. No other
signeficant data or abnormality in examination
ttt
A- epiphysiodesis of Rt side (A)
B- shose
C- observation
167- Adult pt hard worker motor accident presented e sever comminuted
patella (closed) Manag.
A- partial patellectomy
B- total patellectomy
C- patella replacement
D- tension band wiring
168- lat. Calcaneal approach comp. _______subtalar arthritis

169- acute flexion in proximal joint of big toe with some MTP extention :
. Claw toe . Hammer . Turf . Mallet ( A )??
170- TEV ttt by ponesetti manover,3rd stage of ttt
A- cavus
B- equinus
C- Adduction
D- Varus (D)
171- V wedge fracture of humerus , radius or ulna.... Is fixed with:
A- Bridging plate (A)
B- Neutralization plate
C- Buttrres plate
D- Compression plate
172- Syndesmotic screw position
A- 15 deg.with ankle dorsi flexion
B- 30 deg.with ankle dorsi flexion (B)
C- 15 deg.with planter flexion
D- 30 deg.with planter flexion
173- Infected nonunion with shortening deformity better ttt by :
A- NIMN

36
 B- ORIF
C- Ring shaped ex fix with wires (C)
174- 65years old male worker surfers fracture shaft femur same as a 20 years
old worker last year..... The union rate will be:
A- The same
B- longer
C- shorter
D- non union
175- X ray showing bony ankylosis deformity adult. This indicates a
childhood :
A- TB infection
B- pyogenic infection. (B)
176- which artery affected in protriso acetabulam operation :
A- Common iliac (A)
B- femoral
C- Peroneal
D- Obturator
177- 16 yrs male complain of pain of lt hip ,normal gait
,tender extreme internal and external rotation .
X.ray and mri show mass in the proximal femur
The swelling most common
A- Aneurysmal bone cyst
B- osteoclastoma
C- osteosarcoma sun rise(axial)view
D- m.m

178- Patellofemoral assement by radiological method

A- AP
B- lateral view
C- Tunnel view Axial computed tomography of the knee
D- axial CT (D)
Axial radiographs of the patellofemoral joint (“sunrise” views) are useful for demonstrating the
general morphology of the patella, including the different Wiberg types based on the lengths of the medial

37
and lateral facets,45 as well as the size of the patella with respect to the trochlea (Figure 9).18 Techniques
described by Merchant et al30 and Laurin et al26 are the 2 most widely used.

179- 14 y boy of anterior shaft of tibia pain x-ray showing anterior cortical
lesion the next stip
A- CT scan ?? ( b ) ???
B- MRI
C- bone scan
D- biopsy
180- During fixation of pelvic #(posterir iliac spine) injury to
A- sacral roots ( A ) ??
B- bladder
C- internal iliac vessels
181- Cause of flexion in TB of hip :
A- Paralysis of y band
B- Muscle contracture
C- Flexion of level above
D- Joint destruction (D)
http://l.facebook.com/l.php?u=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fpmc%2Farticles%2FPM
C4292318%2F&h=OAQGAe_jy

182- Acute LBP with pain and paraesthesia in Rt lower limb,, with
weakness of big toe extension...management
A- medications and physiotherapy
B- urgent decompression
C- spinal fusion
D- medications for three weeks then if pain persist go for
decompression
183- Wilson test is done for
A- Osteochondritis dissicance (A)
B- osteonecrosis of femoral condyle
C- medial meniscus
http://l.facebook.com/l.php?u=http%3A%2F%2Fwww.orthobullets.com%2Fsports%2F3028%2Fost
eochondritis-dissecans&h=qAQHQHq3H

184- The most common site for injury of the scaphoid

A- The waist
B- Proximal pole
38
 C- Distal pole
........
185- The pathognomonic feature in congenital vertical talus
A- Rocker bottom deformity
186- Scapholunate ligament injury
I don't remember the displacement …. Method for management
A- K wire fixation
B- Ligament repair (B)
C- Limited wrist fusion
187- What is the importance of tibial metal packs in TKA
A- To protect polyethylene
B- To protect the subchondral bone
In theory, the MB tibial component reduces bending strains in the stem, reduces compressive
stresses in the cement and cancellous bone beneath the baseplate (especially during asymmetric
loading), and distributes load more evenly across the interface (Bartel et al. 1982, 1985, Taylor et al.
1998).

188- Mason 3 # head radius intra articular é 3 part 32 years old male
A- Fixation é screw (A)
B- Exesion
C- Total elbow
D- Cast
189- Minimal Line Thickness In Tka To Decrease Wear Is
A- 6-8 Mm
B- 8-10 Mm ( B )???
C- 10-12 Mm
190- Osteiod osteoma pedicle L4
A- Radiation
B- Exesion (B)
191- X.ray Odotoid fracture type2 # next step(young patient)
A- soft collar
B- hard collar
C- Halo traction (C)
D- inter body fusion

39
192- Isolated injury of medial collateral lig
A- early repair
B- delayed repair
C- cast
D- conservative or orthosis ( D )?
193- Carpal tunnel view for
A- Scaphoid
B- Hook.of hamate (B)
C- Capitate
D- Lunate
194- Multiple spine injury %
A- 2
B- 3
C- 5
D- 7
195- Graft of iliac crest
A- Osteogenic, osteoinductive, osteoconductive (A)
B- Osteogenic, osteoinducive, osteoprudctive
C- Osteogenic, osteoconductive, osteoproductive
D- Osteoinductive, osteoproductive, osteoconductive
196- Total hip 12days wound discharge pus with investigating wbcs
increase
A- Removal tha
B- Change tha
C- Depridment wound (C)
197- Female pt trauma of playing football
‫ اشعت ركبت ً صٌرة ًاحد بيعًم‬anterior or posterior drawer ‫ ً بيقٌني في‬pain
and.swelling of popliteal fossa ‫ ً انسؤال ايو ىٌ ال‬management
A- orif
B- Arthroscopy (B)
C- Long leg cast
D- Repair partial cruciate tear
198- During fixation of pelvic #(posterir iliac spine) injury to
A- sacral roots (A)

40
 B- bladder
C- internal iliac vessels
‫ضذ‬ٛ‫ ٘بفزىرٖ ٘بٔسٌٗ ِغ اٌج‬ٌٍٟ‫ا‬ٚ ..ْ‫اضئٍخ االِزحب‬
‫غ‬١ّ‫فك اٌج‬ٛ٠ ‫رثٕب‬ٚ

199- In fracture talus hawkins 3 aim is

- reduction of tibial articular surface.
- reduction of talar body
- restore talus alignment and dorasl lateral displacement,..)
Operative
o open reduction and internal fixation
 indications

 all displaced fractures (Hawkins II-IV)

 techniques
 extruded talus should be replaced and treated
with ORIF

Hawkins Type III Talar Fractures

 inorder to reduce talar body into the mortise, foot is
dorsiflexed w/ heel translated anteriorly;
- the foot is then everted, and talar body translated
medially, and finally is plantar flexed; weeless text book

200- Chronic wrist pain, lunate change in mri

{kienbok}

201- Incidence of multiple level spine fracture

in trauma pt either adjcent or away from each
other
(1_2%,2_3%,3_4%)

202- Normal LL anatomic axis (3,6,9,12)

41
 203- major
criteria of
marfen
A- flat
cornea,
B- mitral valve,
C- high arch palate,
D- scoliosis (D)

204- 8yrs child with mild mitral valve, progressive scoliosis with curve 25
(marfan )
A- observe
B- Brace
C- anterior fusion ( C )??
D- post fusion
205- Osteochodroma proximal tibial medial side 20 years old male
complaining of pain and increase in size, mri (malignant tranformation i
think as cap is. 54cm
206- Ganger toes after correction osteotomy
(observation, remove wire, deliver wire) observation is not rt answer..
Remove wire may be the rt one
207- acute felxion deformity of toe felxion pip extension mtpj(hammer toe,
clow toe)

42
208- 55 yrs old femal pt low back pain, fall down fracture at around tip of
cementless bipolar looks stable ( cementless thr long stem, cemented thr long
stem, orif with circulage wire)

209- 80 yrs old low demand female cemented, loose (short stem +bg, long
stem cemented, long stem cementeless)
210- what is the most important to decrease stiffness post flexor tendon
repair zone 2 (core suture 6 band(rt) , repair epitenon, tendon sheath, use
outrigger splint )
210- transeverse fracture phalanges
211- 2 q of brooker classification both less than 1 cm
212- young male severe ankle dorsiflexion,inversion ttt as ankle sprain.. Still
in pain and instability, click (stress x. Ray, ct, lateral x. Ray) think stress is rt
answer
213- lesion proximal femur ( abc )
214- picture of glomus tumor ( surgery)
215- shoulder dislocation reduction in prone position. Name of
manufer Stimson technique
216- index notch
217- mineral defect in nutrition
218- @ ct senario (ncv)
219- @ picture of osteoid osteoma spine.
220- posterolateral sc humerus nerve affected (AIN)
221- UHM versus ordineray polyethylene ( fatigue)
222- Picture of blount disease in 3yrs old child progressive varus advice (
surgery, bracing) think surgery rt answer
223- @pt with varus what criteria that appear in x. Ray lead u to further
investigation ( widdening, buckling of metaphysic
‫انتيج اسئهت انسييم‬
224- Sc # humerus in a child healed in cubitus varus it can be shown in:
A- AP bauman angle (A)
B- Lateral anterior spike
43
 C- Lateral crescent sign
D- ??
225- as regard ischemic index diabetic foot or amputation is expected to
heel when the index is:
A- 0.6 (A)
B- less than 0.5
C- less than 0.4
D- less than 0.3
226- 54 yrs male ptn with hand cold and pulseless with Rail road accident,
bld pressure 80/50
What is mangeled ischemic severity score
A- 5
B- 7
C- 9
D- 11 (D)
227- Brooker classification for HO
multiple spurs around the hip with no spur around greater trochanter with
distance less than 1 cm
the grade is 0 1 2 3
228- spurs around hip and greater = 9 mm between them
anser is 3
229- pt has sickle cell anemia ,came emergency with severe leg pain
,tenderness and swelling, ESR 40, CRP 8 (n<8), wbcs 10, Hb 7
what the investigation to defferentiate betweem osteomylitis and crisis
of acute arterial occlusive disorder ????
A- CT
B- ESR
C- CRP
D- MRI e Gadolinium (D)
230- child fall down and at night get fever , toxemia and pallor with
hoteness and tenderness
Diagnosis:
A- Fracture
B- Acute O.M.

44
231- Enneking
classification for
tumours 2 questions

232- Most common

organism in children
from 0-4 yrs
A- H.influenza
B- Staph aureus (A)
233-RTA patient with GIII –c open # tibia with lnjury vascularity in
proximal & middle third
A- trans knee better than below
B- Trans equal above
C- Above knee better trans
D- Below better than above c ( d ) ???
234- Indicated Immediate Disectomy In..
Cauda-Equina
235- loss
of
sensation
in lateral
aspect of
leg and
foot,
weak
extension
of toes ,
weak
gluteus
medius:
A- S1
B- L5
45
 (B)
C- L4

236- by exam defect in the back severe ( spondylolithesis )

237- power ratio atlanto-occiptal dislocation
238- Clay shoveler # avulsion of the spinous processes of the lower
cervical vertebra
239- photo with leg injury and skin+ms loss in the middle 1l3 +
external fixator :
A- Split skin graft
B- Full thickness graft
C- Soleus flap
D- Free flap
240- Trigger finger, released in which pulley
A- A2
B- A1 (B)

46
 C- A3
D- A4
241- Syndesmotic ligament is MOST likely to be teared in
A- Weber type A
B- Weber type B
C- C (C)
D- D

242- The bone interface

labelled by
administering
tetracycline,
With homogenous bone
graft under fluorescent ultraviolet light
Microscopy.shows:
A- Faint line
B- Dense band
C- Double band
243- Tear of the distal tibio-fibular syndesmosis shows complete
tear of the syndesmosis above tibia plafound by:
A- More than 4.5cm (A)
B- 3 cm

47
 C- 2 cm
D- 1 cm
Indications for Syndesmotic Fixation:
- combination of irreparable medial joint injury along w/ disruption of the syndesmosis > 4.5 cm proximal to the
joint (Weber C Frx),
is an indication for surigical fixation;
- hence standard teaching is that w/ rigid ORIF of the medial malleolus frx, a syndesmotic screw would
generally not be required);
- between 3 to 4.5 cm indication for fixation remains unclear;
- in contrast to the standard teaching, the report by Tornetta P (2000) demonstrated using an in vivo
radiographic model that in bimalleolar fractures,
medial injury may be an osseous avulsion, leaving the deltoid intact on the displaced fragment, or it may
be a combination of ligamentous
and osseous injury with disruption of the deep portion of the deltoid ligament;
- in the later case, ORIF of the medial malleolus may not restore function to the deltoid ligament;
- in this case, it is unclear whether syndesmotic fixation would be required;

244- incidence of AVN head of femur after post. Hip dislocation and
reduction within 6 hours:
A- 5-10% (A)
B- 20-30%
C- 40-60%
D- 80-100%
overall incidence between 5-40%;
- if reduction is performed w/in 6 hours, incidence of AVN will be less than 10%;
- in the study by McKee, et al (1998), the occurance of AVN was 26% with a mean time to reduction of 15.3 hours;
- time after dislocation when the dx of of AVN is variable;
- AVN occurs 2-5 yrs after posterior dislocation of the hip;
- typically, period of 3-4 months is required following dislocation before sufficient atrophy is present in surrounding bone to
contrast living and dead bone on x-ray for the purpose of dx

245- 80YRS Old female with low demand came to the ER with
fracture Rt neck of femur,tttt: (xrays bad quality)
A- Total hip arthroplasty
B- Bipolar hemiarthroplasty
C- Monopolar hemiarthroplasty
D- Fixation

246- 55 yrs old male, fall down yesterday and came with fracture
neck of femur
A- Open reduction and screw fixation
48
 B- Closed reduction and screw fixation (B)
C- Hemiarthroplasty
D- Total arthroplasty
247- photo of Rt knee swollen, with history of giving way and +ve
valgus stress test, x-ray no fracture, splint was done, patient still
complaining what further:
A- Mri (A)
B- CT
C- Bone scan
248- xray ankle shows talar tilt + photo shows anterior drawer test
for the ankle, imaging:
A- Mri (A)
B- Ct bone sacn
249- according to Wassel classification the most common type of
thumb polydactyly is:
A- type 1
B- type 2
C- type 3
D- type 4 (D)

Type IV most common (43%)

Type II second most common (15%)
250- Which nerve is affected in Guyon canal :
A- median
B- ulnar (B)
C- radial
D- tibial
251- most common nerve involved in foot drop is:
A- Superficial peroneal nerve
B- Common peroneal n. (B)
C- Deep porneal n.
D- Tibial n.
252- Duchen boby with scoliosis non ambulatory with 30 degree what to do
A- bracing

49
 B- observation till it reaches 45 degrees
C- surgery (C)
253- patient with cp , quadriplegic with thoracolumbar scoliosis,
patient can set without support,ttt
A- Surgery
B- Thoracolumbar brace
C- Simple brace with physiotherapy ( C )??
D- Observation
254- boy with history of osteoid osteoma and progressive scoliotic
curve ttt
A- Surgery (A)
B- Brace
C- High dose aspirin
255- patient scenario with ?? infection D12-T1 what is the
management:
CT guided needle biopsy
256- Xrays show very small fragment avulsion fracture base
proximal phalanx ulnar collateral Rt thumb,with +ve stress tests
views .ttt
A- Open reduction internal fixation (A)
B- Closed reduction +IF
C- CR+ immobilization 4 wks Historically, cast immobilization for 4 to
6 weeks in an acute injury was recommended regardless of the stability of the MCPJ
[4, 27]. Currently, most authors have agreed with Stener opinion that 75% of the cases
will fail to heal when there is complete rupture of the ulnar collateral ligament of the
thumb [10, 13, 24, 33]

257- X rays with bipolar hemiarthroplasty with protrusion +

loosening in the stem, cause of the pain:
A- Fracture
B- Prortrusion
C- Loosening (C)
258- 85 yrs Xrays male patient with hybrid Total hip arthroplasty
since 8 yrs ( but I see no problem although xray bad quality),ptn
came for follow up with no pain :trt:
50
 A- Observation
B- Cup revision
C- Stem revision
D- Total hip revision
259- Disadvantages of patch porous coated stem in THA:
A- Forming channels for particulate debris (A)
B- Periprosthetic fracture in the coated area
260- the best way to increase load on the proximal femur in THA:
A- Fully coated stem
B- Increased stem cross section
C- Long stem
D- ??
THA loading arising from increased femoral anteversion and
offset may lead to critical cement stresses.

261- Case with THA since 18 yrs complain pain ,xrays showed old
fashion cemented THA with severe osteoporosis and loosening ttt:
A- Revision with Cementless long stem THA
B- Revision with Extensive ?? stem
262- Rt. Hip OA /
Use the cane at Rt. or Lt.

Taking the pressure

off with walking aids
Sometimes taking pressure off the hips and providing additional support to the
joints can help to reduce osteoarthritis pain. A cane or a walker can help reduce
pressure on the hip joints when walking. It can also reduce your risk of falling by
helping your stability and balance.

Here are a few tips for using a cane:

51
Ensure the cane is not too tall or short. You should not slump or slouch over
when using a cane, and its height should come to the top of your wrist.
Use the cane on your “strong” side. If your affected hip is your right one, you
should hold the cane with your left hand. When you step forward with your
right leg, the cane will provide support. Your affected leg and the cane should
move at the same time.
Advance the cane an appropriate distance. The cane should move about 2
inches to the front or side of you. If it’s too far away from your body, you might
be thrown off balance.
A physical therapist can demonstrate these techniques for safe use.

Check if your insurance companies will reimburse you for these aids. Your doctor
can write a prescription for these mobility aids to help in the reimbursement
process.

263- patient with history of locking in the knee with radi-opaque

shadows in x-rays:
Osteochondritis dissecans@@
264- causes of failure of DHS :
A- Loss of calcar reduction (A)
B- Head and neck osteoporosis
C- Use of long barrel
D- Use of 130 barrel
265- fracture surgical neck humerus xrys, what is the cause of
ischemia:
A- Valgus impaction
B- Osteoporosis
C- Medial metaphyseal
D- Increased displaced fragments ??

Predictors of humeral head ischemia : Hertel

R. Hertel, A. Hempfing, M. Stiehler, M. Leunig. JSES, Volume 13, 2004, Pages
427-433

52
 Good predictors of ischemia:

 Length of metaphyseal head extension (accuracy 0.84 for calcar segments <8 mm)

 Integrity of the medial hinge (accuracy 0.79 for disrupted hinge)

 Basic fracture pattern (accuracy 0.7 for fractures comprising the anatomic neck)

Poor predictors of ischemia

 Angular displacement of the head (accuracy 0.62 for angulations over 45 deg)

 Extent of displacement of the tuberosities (displacement over 10 mm: accuracy 0.61)

 Gleno-humeral dislocation (accuracy 0.49)

 Head-split components (accuracy 0.49)

By combination of the above criteria : anatomic neck, short calcar, disrupted hinge,
positive predictive values of up to 97% obtained in Hertel’s study.

266- causes of claw toes : neurologic disease

267- colles fracture with numbness in thumb and lateral 2 fingers ,
closed reduction was done the patient came 2nd day with increased
pain and numbness trt:
A- ORIF + CT release (A)
B- Observation
C- Repeat closed reduction
268- ptn with boxer's fracture with 45 degree angulation trt with:
A- ORIF
B- CR + ulnar gutter
269- Pelvic Inlet View Angle :
A- 30 Down (b)
B- 60 Down
C- 40 Upword
270- In Autogenous Chondrocytes Transplantation (ACT) what is
true:
A- Osteo-chondral graft is taken
B- Previous cartilage biopsy should be taken first

53
 C- Porcine ‫ خنسيري‬chondrocytes are implanted in the defect
D- The procedure can be done arthroscopically in one stage
271- For healing of the articular cartilage:
A- Immobilization
B- Immobilization + intermittent active motion
C- intermittent active motion
D- Immobilization + passive motion
272- The dangerous zone of ThA is
A- poseriorsuperior+posterior inferior.
B- Anterior superior +anteriot inferior (B)
C- Another mixed chices
273- Cause of bone osteolysis in THA:
A- Cement break
B- Polyethylene debris (B)
274- High cross linked polyethylene is better than conventional and
it is different in:
A- High Tolerate To Heat
B- High Wear Rate (B)
C- Less Tension Fatigue Strengnth
The introduction of highly cross-linked polyethylene (XLPE), which has demonstrated
superior wear properties in total hip replacement (THR), has led to its recent use in TKR.
275- rickets in which zone:
A- Proliferative
B- Hypertrophic ( ?? )
276- young adult patient suffers from long standing pain in the wrist
joint and on x-ray examination there was increased density of the
lunate bone the diagnosis is ?
A- keinbock's dis. (A)
B- kohler dis.
C- frieberg dis
D- sever's dis
277- the common defeciency occur in which trace element in total
parenteral infusion:
A- calcium
B- barium
54
 C- zinc (C)
D- magnesium
278- paediatric lower limb Xrays show bilateral Genu valgum with
broading metaphases:
Diagnosis:
A- Rickets
B- Hypervitaminosis A
C- Scurvy
279- Child with old supracondylar fracture femur treated
conservatively since 2 years , now he came with shortening and
tenting in the femoral condyles what is the most cost effective
imaging to assess the knee:
A- Scanogram
B- Mri
C- Ct
280- Distal ulna fracture with limited supination routine x-ray after
reduction not required what next
A- CT for both wrist
B- x-ray for BOTH wrist
C- arthrography of both wrist
D- arthroscopy of the wrist
281- Most common complication after THA is:
A- Dislocation
B- DVT (B)
C- Infection
282- traction 90 / 90 is used in reduction in which sutrochanteric
fracture
A- lesser trochanter with distal fragement
B- lesser trochanter with proximal fragement (A)
C- comminuted subtroch. Fr.
283- %Of Knee Pain After Intramedullary Nail Tibia
A-Less 20%
B-50% (B)
C-80%
D-100%
55
Knee pain remains the most common complication of intramedullary tibial
nailing. It has been reported in up to 69% of patients22 although in a study

of the severity of knee pain Court-Brown et al17 found that 82.3% of

patients either had no or mild pain. There is little evidence that the type of
incision causes a rise in the prevalence of knee pain and, in particular, it
would seem that a transpatellar approach gives the same incidence of pain
as a paratendinous approach.20,22 Väistö et al20 followed a cohort of
patients for eight years after tibial nailing. They found that anterior knee
pain resolved with time in many patients
284- in type b wedge fracture of the humerus and forearm is plate
used is:
A- Buttress
B- Bridging (B)
C- Compression
285- the most common complication after calcalneal fracture (photo
of lateral calc.approach):
A- Subtalar arthritis (A)
B- Sural nerve palsy
C- Malunion
D- Nonunion
286- what is the first step to do for painful TB arthritis knee:
A- Debridement
B- Anti-TB drug
C- Knee splint ???
287- ankylosing spondylitis
A- HLA-27 (A)
B- HLA-DR4
C- ANA
HLA-B27 is present in about 90% of patients who have AS, and approximately
6.5% of those with HLA-B27 develop the disease.
288- the most common THA complication with ankylosing
spondylitis
- anterior hip dislocation

56
289- old woman drunken of alcohol... get up in the morning with
sever pain and inlflamation of her big toe ... aspiration is expected to
show:
A- pyrophosphate
B- urate crystals (B)
C- calcium phosphate
D- ???
290- tibial bowing which goes for pseudoarthrosis :
A- Ant Lateral (A)
B- Pos Lateral
C- Ant Medial
D- Pos Medial
291- how to protect PIN in proximal radial approach
A- Elbow flexion +pronation
B- Flexion + supination
292- 2 questions in Tumours trt --> wide resection & enbloc
resection

293- on standing apprent shortenning of the lower limb is considered

A- adduction contructure of the hip (A)
B- abduction contructure of the hip

294- according to Wassel classification the most common type of thumb

polydactyly is:
A- type 1
B- type 2
C- type 3
D- type 4 (D)

type 4 is 43% and the least type is type 1

295- old age uses crutches may cause injury to:

A- axillary nerve
B- median nerve.

57
 C- radial nerve (C)
D- ulnar nerve
(c) crutch palsy

296- in total knee replacement the propre allignment is :

A- 7degree varus in anatomical axis
B- 7 degree valgus in anatomical axis (B)
C- 7 degree varus in mechanical axis
D- neutral anatomical axis
297- Buttress plate is used in:
A- diaphyseal fracture
B- ****physeal fracture
C- ****physeo-epiphyseal fracture (C)
D- ****physeo-diaphyseal fracture
298- tear drop fracture in cervical spine is caused by:
A- Flexion and compression mechanism (A)
B- extension mechanism
C- hyperextension mechanism
D- compression mechanism
299- posterolateral L4-5 disc prolapse cause compression on
……………… nerve root.
A- L4
B- L5 (B)
C- S1
D- cauda equina
300- osteosarcoma is malignant transformation of :
A- osteoid osteoma
B- osteo chondroma
C- Pajet's disease (C)
D- giant cell tumor
301- morel lavallee syndrome occure in
A- pelvic fracture (A )
B- spine fracture
C- femoral shaft fracture

58
Morel-Lavallée lesions are post-traumatic closed degloving soft tissue injuries where the
skin and subcutaneous tissues are separated from fascia superficial to underlying muscle
plane. Shear injury disrupts perforating vessels and lymphatics, thus creating a potential
space filled with serosanguinous fluid, blood, and necrotic fat.

Morel-Lavallée effusions may be associated with pelvic, acetabular fractures or may also
occur with blunt trauma in the absence of fracture. Morel-Lavallée lesions are most
commonly seen in the trochanteric region and proximal thigh.

302- 4ys child with perthe's dis. +irritable hip + adductor contructure
managed by
A- skin traction (A)
B- adduction brace
C- cheilectomy
D- femoral osteotomy
303- ender nails is considered:
A- cephalo-medullary
B- centro-medullary
C- condylo-cephalic (C)
D- interlocking
304- to gain stability the distance from the proximal one of the 2 distal
screws of the interlocking nail and the fracture must be at least:
A- 2cm (A)
B- 4cm
C- 6cm
D- 8cm
305- Adult patient with # shaft humerus and closed reduction was done
and on doing the post reduction x-ray there were 20 degree rotation and
15 degree medial angulation and 2.5 cm shortenning we should do:
A- repeat the reduction
B- continue on the brace (B)
C- open reduction and internal fixation
D- closed reduction and interlocking nail
306- 9ys child with dis******** of the head radius 5 months ago + pain
and limitation of movement of the elbow joint treated by
A- open reduction and annular ligament reconstruction
B- open reduction and recostruction of the lateral collateral lig.
59
 C- open reduction and ulnar osteotomy (C)
D- closed reduction and cast
In conclusion, open reduction and corrective ulnar osteotomy with plate fixation shows good
results for missed radial head dislocations in children.

307- bone is formed of collagen type

A- 1 (A)
B- 2
C- 3
D- 4
The five most common types are:

 Type I: skin, tendon, vascular ligature, organs, bone (main component of the organic part of
bone)
 Type II: cartilage (main collagenous component of cartilage)
 Type III: reticulate (main component of reticular fibers), commonly found alongside type I.
 Type IV: forms basal lamina, the epithelium-secreted layer of the basement membrane.
 Type V: cell surfaces, hair and placenta

308- all of the following are tests of nerve irritation except:

A- flip test
B- cotralateral nerve strech test.
C- Patrick test
(C)
D- Lassegue test
Performing the Test: The patient's tested leg is placed in a "figure-4" position, where the
knee is flexed and the ankle is placed on the opposite knee. The hip is placed in flexion,
abduction, and external rotation (which is where the name FABER comes from). The
examiner applies a posteriorly-directed force against the medial knee of the bent leg
towards the table top. A positive test occurs when groin pain or buttock pain is produced.
Due to forces going through the hip joint as well, the patient may experience pain if
pathology is located in the hip as well.

Diagnostic Accuracy: Sensitivity: .71, Specificity: 1.0; -LR: .23 ("Pain provocation tests
for the assessment of sacroiliac joint dysfunction"), +FABER Test in 97% of patients with
labral impingement (phillippon et al, AJSM, 2007).

Importance of Test: When this test is clustered, it can prove highly useful in identifying
those suffering from sacroiliac joint dysfunction. Check out the Lumbar Spine/Sacroiliac
60
home page for the cluster. This tests the sacroiliac joint, because as the horizontal
abduction force goes through the femur, the tensioned soft tissues transfer the forces to
the sacroiliac joint. Hence, this test can indicate pathology located in the hip or sacroiliac
joint. The test also assesses the hip, due to forces being transferred through the joint.
The position of flexion, abduction, and external rotation, when combined with
overpressure, stresses the femoral-acetabular joint and produces pain, if irritated.

309- as regard ischemic index diabetic foot or amputation is expected to

heel whenthe index is:
A- 0.6 (A)
B- less than 0.5
C- less than 0.4
D- less than 0.3

310- adult patient with fracture shaft ulna 6 months ago and treated with
closed reduction and cast now there is sill pain in the fracture site and x-
ray show hypertrophic nonunion treated by:
A- continue on the cast
B- fixation by plate without bone graft ????
C- fixation with plate and iliac crest bone graft ( C )???
D- closed reduction and interlocking nail
311- the most common complication of ilizarov in treatment of
comminuted fracture tibial platuea is
A- knee stiffness
B- pin tract infection (B)
C- septic arthritis
312- indication of open reduction and internal fixation in tibial platue
fracture when the displacement in the articular surface is:
A- 2mm
B- 5mm (B)
C- 10mm
D- 15mm
313- after trauma to the knee the patient examined in prone position and
there is increased external rotation of the knee in 30 degree and 90 degree
flexion thus he has:
A- PCL injury
61
 B- PCL and posterolateral corner injury (B)
C- meniscal tear
D- ACL injury
314- patient undergo trauma to the knee joint and on examination of the
knee there is increadsed external rotation of the knee in 30 degree and 90
degree of flexion thus he has ……….
PCL and posterolateral corner injury
315- the common defeciency occure in which trace element in total
parenteral infusion:
A- calcium
B- barium
C- zinc (C)
D- magnesium
316- For pollicization of the index finger in child with hypoplastic thumb
we require:
A- stable 1st carpo-****carpal joint ( A ) ???
B- stable 2nd ****charpo-phalyngeal joint
C- functioning interphalyngeal joint of the index finger
D- good thenar ms.
317- in AC dis******** the desplacement of the clavicle occure when
A- disruption in AC lig. (b)
B- disruption in CoracoClavicular lig.
C- Disruption in Coraco acromial lig.
318- the common unusual organism cause osteomylitis in drug abusers is
A- staph. Aureus
B- strep. Coccus
C- pseudomonus arogenusa (C)
The most common cause of vertebral osteomyelitis in IV drug users is Staphylococcus
aureus, although other organisms including Pseudomonas aeruginosa and Candida can
be also seen. More rarely, enteric gram-negative bacilli can also be a cause of vertebral
osteomyelitis. However, these organisms typically cause spinal infection after urinary tract
infection or instrumentation [12–14].
319- in chronic SCFE the best treatment is
A- Closed reduction and fixation
B- open reduction and fixation
62
 C- fixation in situ (C)
D- leave it
320- the normal notch index is
A- 0.231 (A)
B- 0.312
C- 0.132
D- 0.321
321- After THR surgery by 5 days and on follow up x-ray there was
small island of heterotropic bone around the joint in asymptomatic
patient the treatment is
A- radiotherapy
B- open surgery and removal
C- indomethacin 75mg /day (C)
D- reassurance and observation
322- newborn with bilateral talipes equino varus the treatment should
started :
A- immediatily (A)
B- after 6 months
C- after one year
D- after 2 years
323- loss of function may occur when we do repair in flexor tendon in
which area:
A- insertion of FDS
B- from the distal palmer crease to the site of in sertion of FDS ( B )
C- carpal tunnel
D- proximal to carpal tunnel
324- in trendlenburg test the trunk:
A- sway ‫يًيم‬on the affected side and the pelvis drops on the opposite side
B- sway on the opp. Side and the pelvis drops on the aff. Side
C- sway on the aff. Side and the pelvis drops on the aff. Side
D- sway on the opp. Side and the pelvis drops on the opp. Side.

63
 325- in buttress plate all is true except:
A- it negates the shearing and compression force (A)
B- used in ****physeo-epiphyseal fracture
C- contouring is a must
D- it is anchoured on the most stable fragment and the fragment
that it support
Define negate: to cause (something) to not be effective
326- . what is the cause of this case
Serum ca …… normal
Serum phosphate….. decreased
Urine ca…… decreased
Urine phosphate ………. Increased
Alkaline phosphatase …….. increased
A- renal disfunction
B- gene mutation (B)
C- malabsortion syn.
D- thyroid adenoma
(b) the cause of hypophosphatemic rickets
327- fracture neck talus and fixed by screws and after 8 weeks there is
radiolucent area appeared near the dome what is the cause?
A- non union
B- infection
C- good revascularization (C)
328- . according to Hawkin classification fracture talus + dis******** in
ankle joint is
A- type 1
B- type 2
C- type 3 (C)
D- type 4
329- 50ys old patient diabetic and smoker with thickness in the palmer facia
and flexion of the little and ring finger and thin subcutaneous facia treated
by
a. subcutaneous fasciactomy
64
b. partial fasciactomy (B)
c. complete fasciactomy
d. ambutation
330- 26years old military man after walking for 36 km he suffered from
pain in the left thigh and did AP & Lateral x-ray on the hip and thigh and
where normal what is the common missed diagnosis?
A- quadriceps ms rupture
B- stress fracture (B)
C- osteosarcoma
D- infection

331- after THR surgery by 5 days the patient suffered from sever pain in the
thigh and calf ms ,redness and fever and diffuse edeama in the leg but with
normal walking the diagnosis is?
A- infection
B- DVT (B)
C- dis******** of the joint
332- 80years old patient suffered from four part fracture head of the
humerus the traetment is
A- hemiarthroplasty
B-total shoulder replacement
C- reduction and fixation
D- conservative treatment
333- old patient suffered from polyarticular arthritis and arthritis in the DIP
with no morning stiffness
A- rheumatoid arthritis
B- osteoarthritis (B)
C- infection
D- TB
334- . spinal stenosis commonly occure in level
A- L3-4
B- L4-L5
C- L5-S1
D- L2-L3

65
335- adult with distal 1/3 fracture humerus and disruption in the distal
radio-ulnar joint and swelling and pain in the forearm treated by?
A- closed reduction and cast
B- open reduction and plate w screw
C- closed reduction and interlocking nail
D- open reduction and interlocking nail
‫الزو اثبج انعضد‬

336- young adult patient suffers from long standing pain in the wrist joint
and on x-ray examination there was increased density of the lunate bone the
diagnosis is ?
A- kein bock's dis. (A)
B- kohler dis.
C- frieberg dis
D- sever's dis
337- the expected time of internal complete remodeling of bone
transplant is
A- 6 ms
B- 1 year
C- 2 years
D- never
338- gait analysis ,computer and physical examination is important
for outcome of surgery in
A- DDH
B- cerebral palsy
C- TEV
D- poliomylitis
339- young male patient suffers from chronic pain in his leg and
swelling in the tibia the pain is relieved by salcylate and on x-ray
examination there was a nidus radiolucent area in the diaphysis
serrounded by sclerosis the diagnosis is
A- osteoid osteoma (A)
B- pajets disease
C- osteo sarcoma
D- osteo chondroma
66
340- old patient treated from rheumatoid arthritis for along period he
came to your clinic suffers from burning pain and numbness in the
thumb and the next two fingers the diagnosis is
A- carpal tunnel syndrome (A)
B- ulnar nerve injury
341- The most common site for osteomyelitis is:
A- Epiphysis
B- Diaphysis
C- ****physis (C)
D- Blood flow
342- The most important exogenous risk factor for osteoporosis is:
A- Alcohol intake
B- Age
C- Smoking (C)
D- Lack of exercise
343- A boy felt down on his elbow , the lateral x-ray shows:
A- Anterior Pad sign (b)
B- Posterior pad sign
C- Anterior line of humerous intersecting the cubilium
D- Radial line forming 90 degree with cubilium
344- 70y male with osteoporosis the T score of bone densometry
would be :
A- -3.5 establish OP
B- -2.5
C- 1
D- 2
E- 3.5
345- What is the initial management for a patient newly diagnosed
knee osteoarthritis.
A- Intra-articular corticosteroid.
B- Reduce weight. ( d?? )
C- Exercise.
D- Strengthening of quadriceps muscle.

67
346- Which of the following is true regarding perths disease :
A- Commonly seen between 11-16 years of age .
B- Always unilateral .
C- May present by painless limp . (C)
D- Characteristically affect the external rotation of hip .
E- More in female .
347- Patient was presented by back pain relieved by ambulation ,
what is the best initial treatment :
A- Steroid injection in the back .
B- Back bracing .
C- Physical therapy . (C)
348- little finger , with atrophy of the hypothenar muscles , EMG
showed cubital tunnel compression of the ulnar nerve , what is your
action now :
A. Ulnar nerve decompression . (A)
B. Steroid injection .
C. CT scan of the spine .
349- Patient came after deep laceration at the anterior part of the
wrist:
A- Wrist drop
B- Sensory loss only
C- Claw hand
D- Unable to do thumb opposition (D)
1- Radial nerve injury : wrist drop , common with humers injury (humers groove)
2- Unlar nerve injury : claw hand , common with elbow injury
3- Median nerve inury :unable to do thumb opposition , common with wrist injury

350- Old lady afraid of Osteoprosis, to avoid the risk, you should
advise her to do:
A- Weight bearing exercise
B- ?
C- ?
D- ?
351- Sickle cell anemia patient presented with asymptomatic
unilateral hip pain, most likely diagnosis is:

68
 A- Septic arthritis
B- Avascular Necrosis (B)
352- Best way to decrease pain in elderly with bilateral knee pain
and crepitation is:
A- NSAID
B- Decrease weight (B)
C- Exercise
353- Young male with morning stiffness at back relieved with
activity and uveitis:
A- Ankylosing Spondylitis (A)

354- Young patient with HTN came complaining of high blood

pressure and red, tender, swollen big left toe, tender swollen foot and
tender whole left leg. Diagnosis is:
A- Cellulitis (A )
B- Vasculitis
C- Gout Arthritis
The correct answer is a , because tender and swollen whole left leg.

355- Bursitis of the elbow joint caused by:

A- Elbow trauma (A)
B- Autoimmune disease
C- Staph. Aureus
D- ? rupture of bursa
356- The best non-medical therapy is proven to be of benefit for
osteoarthritis is:
A- Muscle strength exercise (A)
B- Give NSAID
C- Back slap
D- ?

69
Fahed Sukkar
September 4, 2015

‫السالم عليكم ورحمة هللا وبركاته‬

‫انصح كل شخص مشارن في هذا الغروب ان يستفيد ويفيد لتعم الفائدة على‬
‫الجميع‬
‫هذه االسئلة يلي تذكرتها من امتحاني بعون هللا‬
‫وبالتوفيك للجميع‬

:Reduction Of Ant Shoulder Dislocation In Prone Position-1

Stimpson
………………………………
:Which Of This Pt Not Need Operative Ttt-2
# Open
Radial N.Palsy
Flotting Elbow
.…………………………………
Talus With Diaslocation Ankle #Neck Hawkins-3
I
Ii
@Iii
Iv
.…………………………………………
:Ac Dislocation Distal Clavicle Due To Tear-4
Ac
Trapizid
@Coracoclavicular
………………………
:The Most Good Prognosis Of Tibial Bowing-5
Ant Lateral
Pos Lateral
Ant Medial
@Pos Medial
……………………………………
:Metaphyseal Infection In 4 Y Old Spread-6
@Throwgh Cortex To The Periosteum
Throwgh Epiphysis To Joint
……………………………………
: Rta Pt Hit At His Side X Ray # Superior Pupic Ramus-7
A-P Compression
Avulsion Injury
@ L-C I
L-C II
..……………………………………
Photo Hill Sachs Lesion-8
…………………
: Pelvic Inlet View Angle -9
Down 33 .
@ Down 63 .
Upword 43 .
…………
Cp Child Walking In Cruchs , Ascend Upstairs With Side Support , Need Chair If Long Distance -13
What Gmcs Classification
Grade 1

70
@Grade 2
Grade 3
Grade 4
=======
3 > Case Senario Patient In Rta Mre Than Half Muscles Motore Power -11
‫ ؟‬What Asia Classification
Grad A
Grade B
Grade C
@ Grade D
.……………………………
X Ray In 66 Patient Wiht Union Of Hip And Acetabulam As One Mass -12
: Complains Of Back Pain , Gluteus Medius Not Act So
Ttt Of Pain& Leave It .
Constrained Tha .
Arthrodesis .
Tha With Metal Prosthesis .
: HLUMPE Linked Compared To Concentional One-13
High Tolerate To Heat.
Hihg Wear Rate . ???
@ Less Tension Fatigue Strengnth .
..……………………………………
: Ossificatio Centre Of Iliac Physis Important In -14
Progresion Of Kyphosis .
Progresion Of Sceliosis .
Prognosis Of Sceleosis Surgery .
Determenation Of Age .
The significance of the iliac apophyses lies in its use as a more accurate criterion for the completion
of vertebral growth and for the progress of the spinal curvature. Moreover, it is an invaluable aid
that could be used widely in determining those patients whose deformity will remain static and,
therefore, do not need preventative treatment. The patient could be told that the attachment of
the iliac apophysis indicates the end of increase in his deformity. This information should save
the patient needless worry and a considerable expenditure for unnecessary treatment.

..…………………………
Years Boy With Back Pain Increase At Night Relaifed By Asprin 12-15
:Progresive Kyphosis ,Xray Shows Osteolytic Nadus On Bone Ttt
Increase Aspirin .
Cortisone Injection .
@ Surgery .
..………………………
:Measurement Of Bone Mass In-16
@ Radius.
Tibia .
Humerus .
Hand .
=======
Case Senario B No Dorsiflexion Of Big Toe , Loss Of Sensation In Anterolateral Aspect Of Leg-17
L1.
L4.
@ L5.
71
.………………………………
: Which Artery Affected In Protriso Acetabulam Operation-18
@Common Iliac Art .
. Femoral.
Peroneal
Obturator .
………………………………
:Rickets Occur In Which Layer -19
@ Calcification .
Hypertrophic .
Prolefrative .
………………
Of Knee Pain After Intramedullary Nail Tibia‫؟‬%--23
Less 20%-
@ %53-
%83-
%133-
..……………………………
Minimal Line Thickness In Tka To Decrease Wear Is—21
Mm 8-6
Mm 13-8
Mm 12-13
.……………………………
..........................................................................................
Delbet Classification Type 1 Avn-22
@133-83
53,
33,
.………………………………………
Syndesmosis Screw Distance Plafond-23
More Than 4.5 Cm)1
Cm 4 )2
Cm 3)3
Cm 2 )4
..……………………………………
Once you have achieved accurate reduction, insert syndesmotic screws parallel to the ankle
joint in the coronal plane to maintain reduction. Ideally, place the screw 2 to 4 cm proximal to
the ankle joint and 25 to 30 degrees from the posterolateral position to anteromedial, keeping in
mind that the tibia is located anterior to the fibula.2,3,13 During screw insertion, a clamp should
hold the reduction to avoid shifting and maintain proper alignment and length. It is thus likely
that the most important aspect of syndesmotic fixation is anatomical reduction of the
syndesmosis and not the degree of ankle dorsiflexion during fixation.3

Arthrogryptisis Photo-24
.……………………
Knee ,Bilateral Hip Dislocation ,Scoliosis & Baby With Extension Albow -25
: Which Corect First
Ankle
…Elbow
…Shoulder
Hip
==========
X Ray Multiple Small Fractures In Insertion Of Calcaneous In A Dancer -26
Ttt
72
 Cortison Inj .
Achillis Augmentation .
Excetion .
@ Physio Theraby & Nsaid .
……………………………………
Foto X Ray Knee Fracture (As I See) Tibial Eminece What Next Step -27
Traction.
Post Slab
Immediate Physiotheraby
Aspirat
..…………………………
: Thomas Test Is A Test Of Hip-28
@Flexion
Extension
...Adduction
……………………………
Myositis Ossificans Since 6months In Upper Thigh In Patient 66 Year With Ttt-29
....Indomethacin75 Daily For 6 Weeks)1
...Irradiation)2
@Resection )3
…………………………………
Index Notch -33
.………………………………
Salter Harris Fracture Affects Which Zone-43
@Hypertrophic -1
Proliferative -2
Reserve -3
ndry Spongiosa2 -4
.………………………………
Boy 7 Yeer Old With Cp.. He Has Range Of -41
Abductio Of Hips 30 And Popliteal Angle With Leg
About 100 Degree ( ????) And Both Ankles Are Dorseflxed Just To 10 Degrees And Other
Measurements I Cant Remmeber … He Can Stand Dependent And Walk With Support And Clim Stairs
With Supporting To Stair Shelf… He Under Program Of Rehabilitation And Physiotherapy… Recent
Next Step >>> Xray Shows Concentric Reductionof Both Hip Joint
Continue Pt Program .1
Adductor Tenotomy .2
Posterior Root Rhizotomy .3
Actabular Osteotomy .4
.…………………
Adult Acquired Pes Planus-42
Affect
Talus -1st Metatrsal Angle
……………………………
‫؟‬What Is Most Sensitive Diagnostic Method In Early A Symptomatic Avn Hip-43
@ Mri
Ct
Bone Scan
X Ray
…………………………………
Young Girl With Halux Valgus 25 Operation Of Choice Milch If Mtp Joint--44
Congruent
....................................
Hip Dislocation With One Piece # Classification Thompson–Epstein-45
I

73
@ Ii
Iii
Iv
.……………
Brooker Classification 2q 47-46
..........................................................
Lunate Dislocation Photo-48
..............................
..Indicated Immediate Disectomy In-49
Cauda-Equina
..............................................................
year Girl E 24 Genu Valgus Deformity Ttt12-53
High Tibia Osteotomy
@Distal Femur Osteotomy
Both Ostetomy
…………………………
Comnuted # Distal Radius 72 Y. Female Management-51
Ext Fix
Orif
Crif
..……………………………………
Nerve At Risk In Prox Radius Fixation -52
Pin
Ain
Radial
Ulnar
..............................
:Tension Plate In Femur-53
Medial Cortex
@ Medial Cortex Intact & Lateral Cortex
..……………………………………………………………………………
:Fixed Thumb Flexion Deformity 2 Years Boy-54
Observation
@ Surgical Release
.……………………………………………………
:Medial Stabilization Of Patella During Flexion-55
??? Medial Patellofemural Lig-
Patellar Tendon –
Patellomeniscal Tendon –
.……………………………………………
Hawkin's Sigin In Talus-65
………………………………
Main Supply Of Femur Head 4-7 Y -66
Lateral Epiphysis Artrey
.…………………………………………………
:Dangerous Site Of Screw In Acetabulum-67
@Ant Inf + Ant Sup
Pos Inf +Pos Sup
.…………………………………………………
:Commonest Site Of Degenerative Spondylolithesis-68
L4-5
..………………………………………………………
Bumboo Spine -69
Anklosing Spodylitis
.…………………………………………………………

74
 X-Ray The Hand With Bone Cyst Phalanx The Diagnose-73
..……Enchondroma
..……………………………………………………………
Basocervical 10 Years Old Femoral Neck The Treatment Is-71
……Traction
..… Spica
..… Orif
Crif
………………………………………………………………………
X-Ray Fracture Of The Scapula And Clavicle--72
Flail Chest
@Float Shoulder
Scapothoracic Dissociation
..…………………………………
Scenario Of Cts The Diagnosis--73
Nerve Conduction-1
Electromyelogram Of Thenar And Paraspinal Muscles -2
Mri Of Cervical Spine-3
..............................................................
Smith Fracture The Postion Of Cast--74
Pronation Dorsal-1
@Supination Dorsal -2
Volar Supination-3
Volar Pronation-4
.................................................................
Degree Of Hallux Valgus Mitchel The Mtp Joint Is 23 --75
Congruent-1
Incongruent-2
-Suluxate 4-3
............................................................................
Scapholunate Space Is 5 Mlm Athelts Fell On His Hand --76
Pinnin And Repair Ligament-1
Open Reduction-2
Cast-3
Scapholunate Instability Xray / Diagnositc Tests

 Standard views may not demonstrate scapholunatue widening. Allows consider PA Clenched first view.
 Lateral radiographs may show the scapholunate angle to be increased beyond 60°. >80° confirms SL
instability. Normal scapholunate angle=47 range=30-60 degrees.
 Radiographic findings: PA radiograph, the scaphoid appears foreshortened, has a “cortical ring”
sign(volar flexed scaphoid distal pole seen in cross section) and there is a scapholunate gap of greater
than 3 mm. Scapholunate gap >5mm confirms scapholunate interosseous ligament disruption.
Terry Thomas sign = enlarged scapholuante gap. Lunate may also appear triangular (should be
quadrilateral in shape).
 PA clenched fist view in ulnar deviation accentuates widenings at the scapholunate interval.
 Comparision views of the uninjury wrist are generally indicated.
 MRI

...................................................................
Distal Ulna Fracture With Limited Supination Routine X-Ray After Reduction Not Required What -77
Next
Ct For Both Wrist -1
X-Ray For Both Wrist -2
Arthrography Of Both Wrist-3

75
 Arthroscopy Of The Wrist-4
...................................................................
Photo* Torticollis *--78
.…………………………
‫؟‬Tinel Sign In Sunderland Type What—79
I..Ii…Iii..Iv…V
..……………………………
: Acute Flexion In Proximal Hoint Of Big Toe With Some Mtp Extention -83
. Clow Toe .
@Hummer Toe
. Tuff Toe .
Malt
..…………………………
Foto # Supracondylar Humerus Displaced Posteriomedial -81
: Which Nerve Affected
Ant Inter Osseou .
Post ..Inter .
@ Radial .
Ulnar .
……………………………
: Transeverse # Of Proximal Phalnx Best Stabilization -82
Blaster
Mini Plate
Nailing
Ring Fexator
..……………………
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Comment
99
Comments

Ahmad Marndie
‫فهد‬.‫هللا يجزين الخير د‬
Like · Reply · 1 · September 4, 2015 at 6:32am

Mostafa Mohamed
‫ربنا يكرمن‬
Like · Reply · 1 · September 4, 2015 at 6:33am

Mohamed Awad
‫هللا يحفظن ويبارن فين‬
Like · Reply · 1 · September 4, 2015 at 3:41pm

‫أحمد عربى‬.‫ د‬up

Like · Reply · November 16, 2015 at 4:46pm

‫ايهاب المغربي‬
٠١‫سؤال‬CP٢ ‫ مش‬٣‫اجابته‬
Like · Reply · 1 · November 17, 2015 at 11:07pm

‫ايهاب المغربي‬

76
 ‫سؤال‬syndesmotic screw‫ مسافه كأم سم من ال‬plafond‫؟‬
Like · Reply · November 17, 2015 at 11:12pm

‫ايهاب المغربي‬
‫ف‬
Like · Reply · November 18, 2015 at 3:30am

Mohamed Fahmy Ibrahim Abdelghany

Like · Reply · November 23, 2015 at 9:13am

‫أحمد عربى‬.‫ د‬Mohammed Saleh

Like · Reply · November 24, 2015 at 10:01am

Hashm Hakam Gross Motor Function Classification Scale (GMFCS)

Level I Near normal gross motor function, independent ambulator
Level II Walks independently, but difficulty with uneven surfaces, minimal ability to jump...See More
Like · Reply · December 21, 2015 at 7:12am

Bahaa Mohammed
‫مصدر المذاكره من اورثو بوليت؟ يا د فهد‬
Like · Reply · December 24, 2015 at 11:46pm

‫ نصر النجار‬Mohamed Saad

Like · Reply · September 17 at 8:40pm

‫ نصر النجار‬Ahmed Awaden

Like · Reply · September 17 at 8:41pm

Mohammad Haj Zaid 66blood suply ...l think medial not lat.
Like · Reply · September 17 at 10:08pm

‫ نصر النجار‬Ahmed Ghazy number 14th? ??

Like · Reply · 1 · September 28 at 10:58am

Ahmed Ghazy replied · 3 Replies

‫ نصر النجار‬Ahmed Ghazy numerous 23??

Like · Reply · 1 · September 28 at 11:00am

Ahmed Ghazy replied · 3 Replies

77
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user name person veu SC1795518

‫بر ثرٔبِج االِزحبْ ٔخزبر‬١‫ خبٔٗ اخز‬ٝ‫ ف‬ٛ٘: ‫اي‬ٛ‫ض‬

Saudi Commission for health specialties
‫ال ٔخزبر‬ٚ
saudi licencing examination
‫ثرجبء اٌرد‬
‫شىرا‬ٚ

Angry

Comment

11

78
Comments

Ashraf Mousa Orabi saudi licencing examination

Like · Reply · May 23 at 9:14pm

Drmhs Hawary

ْ‫سا اال‬١‫ ٘بدفغ ثبٌف‬ٝٔ‫ػٓ رجرثٗ ال‬

Like · Reply · May 23 at 9:21pm · Edited

Ashraf Mousa Orabi

..‫اره ِبرمٍمش‬ٛ‫ وًّ خط‬..‫ اٌذفغ اخر حبجخ‬..ٟ‫احذ صحج‬ٚ ‫سا‬١‫أب دفؼذ ثف‬ٚ ..ٞ‫اد ػبد‬ٛ‫وًّ اٌخط‬ٚ ‫ػٓ رجرثخ‬

Like · Reply · May 23 at 9:21pm

Drmhs Hawary

‫شىرا‬

Like · Reply · 1 · May 23 at 9:22pm

Ashraf Mousa Orabi

‫ك‬١‫ف‬ٛ‫ثبٌز‬

Like · Reply · May 23 at 9:22pm

Ashraf Mousa Orabi

‫ذ‬١‫ه ربو‬١‫ؼط‬١٘ ٖ‫ ثؼذ وذ‬..ْ‫لذ وّب‬ٌٛ‫ا‬ٚ ٗ١‫ض ٘زّزحٓ ف‬ٚ‫ ِفر‬ٌٍٟ‫ؼبد ا‬١ٌّ‫ا‬ٚ ..ْ‫٘زجذأ رخزبر ِروس االِزحب‬ٚ ..‫اد‬ٛ‫ اٌخط‬ٟ‫اِش‬
‫ثؼذ وذٖ رذفغ‬ٚ

Like · Reply · May 23 at 9:23pm

Drmhs Hawary

ٗ‫ح‬١‫ إٌص‬ٍٝ‫شىرا ػ‬
79
‫‪Like · Reply · May 23 at 9:28pm‬‬

‫‪DrYoussef Joe‬‬

‫ِؼٍش ‪٠‬ب جّبػٗ ِّىٓ رم‪ ٌٌٝٛٛ‬احجس ٌالِزحبْ ازا‪ٜ‬؟؟؟ ادخً ػٍ‪ِٛ ٝ‬لغ ا‪ ٗ٠‬ثبٌظجط ‪ٚ‬ا‪ ٗ٠‬اٌخط‪ٛ‬اد اٌٍ‪ ٝ‬اػٍّ‪ٙ‬ب؟؟؟؟‬

‫‪Like · Reply · May 23 at 11:22pm‬‬

‫‪Ashraf Mousa Orabi‬‬

‫ِ‪ٛ‬لغ ِّبرش اٌخبص ث‪١ٙ‬ئخ اٌزصٕ‪١‬فبد اٌطؼ‪ٛ‬د‪٠‬خ ‪ٚ‬ثزؼًّ ٌه حطبة ػٍ‪ ٟ‬اٌّ‪ٛ‬لغ ‪ٚ‬ررفغ اٌش‪ٙ‬بداد ‪ٚ‬ش‪ٙ‬بداد اٌخجرح ‪ٚ‬ص‪ٛ‬رح‬
‫شخص‪١‬خ ‪ٚ‬ص‪ٛ‬رح اٌجبضج‪ٛ‬ر‪ ..‬ثؼذ وذٖ ثزطزٕ‪ ٟ‬اٌ‪١ٙ‬ئخ رؼزّذ اٌحطبة ‪ٚ‬ثزجؼذ ٌُ رلّ‪ٚ ..ٓ١‬احذ ٌحجس اٌجر‪ِٚ‬زرن( رلُ االحم‪١‬خ)‬
‫‪ٚٚ‬اخذ ٌٍذارب فٍ‪ (ٛ‬اٌز‪ٛ‬ث‪١‬ك )‪ٚ ..‬ثبٌز‪ٛ‬ف‪١‬ك‬

‫‪Like · Reply · 1 · May 23 at 11:45pm‬‬

‫‪DrYoussef Joe replied · 1 Reply‬‬

‫نصر النجار‬

‫أب ِش ػبرف اػًّ حطبة ػٍ‪ِّ ٟ‬برش ِّىٓ حذ ‪٠‬ؼرفٕ‪ٟ‬‬

‫‪Like · Reply · 1 · May 24 at 1:06am‬‬

‫‪Ashraf Mousa‬‬
‫‪Orabihttps://m.facebook.com/groups/130071220378786?view=permalink&id=1002179919834574‬‬

‫المهتمين باعالنات مكتب التوظيف السعودى ‪ ...‬يارب ارحم د فتافيت ‪‎Ahmed Al‎to‬‬

‫· ‪September 12, 2015‬‬

‫‪Facebook Groups for Android‬‬

‫·‬

‫اٌطالَ ػٍ‪١‬ىُ‬

‫‪80‬‬
 ‫ِّبرش‬
‫‬‬ ‫‪#‬‬
‫‪#‬دارب_فٍ‪‬ٛ‬‬
‫ثذا‪٠‬خ أصح ا‪ ٞ‬دوز‪ٛ‬ر أٗ ‪٠‬ؼًّ ثٕفطٗ االوب‪ٔٚ‬ذ ثزبع ِّبرش ‪ٚ‬اٌذارب فٍ‪ٛ‬‬
‫‪ٚ‬حجس اٌجر‪ِٚ‬زرن‬
‫اٌّ‪ٛ‬ظ‪ٛ‬ع اثطط ِب ‪٠‬ى‪ ْٛ‬ز‪ ٞ‬اٌف‪١‬ص وذا اُ٘ شئ ‪٠‬ى‪ِ ْٛ‬ؼبن وبرد ف‪١‬سا ٌٍذفغ ع إٌذ ‪ِّٚ‬ىٓ رى‪ٌ ْٛ‬حذ ِؼرفخ‬
‫‪ٚ‬رحبفظ ع خص‪ٛ‬ص‪١‬بره ‪ٚ‬خص‪ٛ‬صب أه ٘زحزبج اوب‪ٔٚ‬ذ ِّبرش ثؼذ وذا ف أ‪ ٞ‬إجراء ‪ٚ‬ر‪ٛ‬فر اٌّجٍغ اٌٍ‪٘ ٟ‬زذفؼٗ ٌٍشروبد ‪...‬‬

‫‪ٚ‬اْ شبء هللا ِٓ خالي اٌج‪ٛ‬ضذ دا ٕ٘حب‪ٚ‬ي ٔطبػذ ثؼط ف إٌمبط ا‪٢‬ر‪١‬خ‬

‫‪ -1‬و‪١‬ف‪١‬خ اٌزطج‪ ً١‬ثّ‪ٛ‬لغ ٘‪١‬ئخ اٌزخصصبد اٌطؼ‪ٛ‬د‪٠‬خ (ِّبرش)‬

‫و‪١‬ف‪١‬خ اٌحص‪ٛ‬ي ػٍ‪ ٝ‬رلُ احم‪١‬خ ٌذخ‪ٛ‬ي اِزحبْ اٌزصٕ‪١‬ف "‬

‫‬‬ ‫"‪#‬‬

‫" ‪#‬و‪١‬ف‪١‬خ اٌحص‪ٛ‬ي ػٍ‪ ٝ‬رلُ احم‪١‬خ ٌز‪ٛ‬ث‪١‬ك اٌش‪ٙ‬بداد ثـ دارب فٍ‪" ٛ‬‬

‫ِّبرش ‪ٚ ٛ٘ :‬صٍخ ث‪ٕ١‬ه ‪ٚ‬ث‪١٘ ٓ١‬ئخ اٌزخصصبد اٌطؼ‪ٛ‬د‪٠‬خ‬

‫ٌّٓ ُ٘ خبرج اٌٍّّىخ ‪٠‬زُ ِٓ خالٌٗ اصذار رلّ‪ٓ١‬‬
‫رلُ أحم‪١‬خ االِزحبْ ٌحجس اٌجر‪ِٚ‬زرن‬
‫‪ٚ‬رلُ أحم‪١‬خ اٌز‪ٛ‬ث‪١‬ك ٌٍذارب فٍ‪ٛ‬‬

‫رلُ أحم‪١‬خ (رلُ اٌجٍ‪ٛ‬ش ) االِزحبْ ث‪١‬ى‪ ْٛ‬صبٌح ٌّذح ‪ 6‬أش‪ٙ‬ر ِٓ ربر‪٠‬خ اصذارٖ صبٌح ٌحجس االِزحبْ ِٓ ػٍ‪ِٛ ٝ‬لغ‬
‫اٌجر‪ِٚ‬زرن ‪ٚ‬اْ ٌُ ‪٠‬زُ اٌزمذَ رحزطت ِرح ِٓ ِراد دخ‪ٌٛ‬ه‬
‫رلُ احم‪١‬خ اٌز‪ٛ‬ث‪١‬ك ‪٠‬ز‪١‬ح ٌه ر‪ٛ‬ث‪١‬ك ش‪ٙ‬بداره ِٓ ػٍ‪ِٛ ٝ‬لغ اٌذارب فٍ‪ٚ ٛ‬ث‪١‬ى‪ ْٛ‬الخر ش‪ٙ‬بدح ػٍّ‪١‬خ حصٍذ ػٍ‪ٙ١‬ب ثبالظبفخ‬
‫ٌش‪ٙ‬بدح خجرح‬

‫إٌظبَ اٌجذ‪٠‬ذ ا‪ ْ٢‬ا‪ٚ ٞ‬احذ ٘‪١‬طبفر الزَ ‪٠‬خٍص‪ ُٙ‬ف‪ ٟ‬ثٍذٖ االِزحبْ ‪ٚ‬اٌذارب فٍ‪ٛ‬‬

‫طر‪٠‬مخ اصذار رلُ أحم‪١‬خ ِٓ ِّبرش‪https://youtu.be/bvZ90fdWLZs‬‬

‫طر‪٠‬مخ ر‪ٛ‬ث‪١‬ك اٌش‪ٙ‬بداد ِٓ خالي ِ‪ٛ‬لغ دارب فٍ‪https://goo.gl/ABWlsk: ٛ‬‬

‫ِ‪ٛ‬لغ ِّبرش ‪http://goo.gl/8vkWRJ :‬‬

‫ِ‪ٛ‬لغ اٌذارب فٍ‪http://goo.gl/QxHnkI : ٛ‬‬

‫ِ‪ٛ‬لغ اٌجر‪ِٚ‬زرن ‪https://goo.gl/Je7kby :‬‬

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