TEST PAPER 2020 A F M G-LIMRA

ORTHOPEDICS TEST 9. Which of the following fracture does not usually

1. Which is the strongest ligament:? need open reduction and internal fixation:
a. Ilio-femoral ligament a. Mid shaft fracture of femur
b. Ischio-femoral ligament b. Pathological fractures
c. Pubo-femoral ligament c. Trochanteric fracture in elderly
d. Transverse acetabular ligament d. Displaced intra-articular fractures
e. Ligamentum teres. 10. Commonest cause of failure of internal fixation is:
2. Radionucleide bone scanning is most useful in: a. Infection
a. Avascular necrosis b. Corrosion
b. Malignancy c. Metal reaction
c. Rheumatoid arthritis d. Immune deficient patient
d. Stress fractures e. Stress fracture of implant.
e. Acute osteomyelitis. 11. Death 3 days after pelvic fracture is most likely to
3. What is the guideline to deltopectoral groove: be due to:
a. Axillary vein a. Haemorrhage
b. Cephalic vein b. Pulmonary embolism
c. Musculo-cutaneous nerve c. Fat embolism
d. Median nerve d. Respiratory distress
e. None of above. e. Infection.
4. Commonest cause of quadriceps contracture is: 12. Internal fixation of fracture is contraindicated
a. Congenital in which situation:
b. Ischaemic myositis a. Active infection
c. Following femoral shaft fracture b. When bone gap is present
d. Post injection fibrosis. c. In epiphyseal injuries
5. What is the earliest indication of Volkmann's d. In compound fracture
ischaemia: e. In pathological fracturе.
a. Pain 13. Most often open reduction of fracture is required
b. Pallor and poor capillary filling in:
c. Paraesthesia in median nerve area a. Closed fracture with nerve injury
d. Contracture of fingers b. Compound fracture
e. Gnagrene of tips of fingers. c. Fracture in children
6. Which of the following is incorrect about d. Unsatisfactory closed reduction
dislocation of sternoclavicular joint: 14. In few days old fracture ,which of the following
a. Anterior dislocation occurs due to indirect does not occur:
injury and is common type of dislocation a. Capillary proliferation
b. Posterior dislocation is rare and occurs b. Proliferation of osteogenic cells over
due to direct injury over medial end of endosteum and bone ends
clavicle c. Local pH is acid
c. Sternoclavicular dislocation is common d. Local pH is alkaline
compared to acromioclavicular e. There is very little rise in level of alkaline
dislocation phosphatase at fracture site.
d. Trachea can be compressed in posterior 15. Fracture disease can be prevented by:
dislocation a. Plaster immobilization of fracture
e. Manipulative reduction is often unstable b. Cast brace treatment of fracture
and fixation with wire may be required. c. Internal fixation of fracture
7. Which of the following is the earliest laboratory d. Physiotherapy
finding in a case of fat embolism: 16. Which of the following is commonest material
a. Increased serum cholesterol used to make orthopaedic implant:
b. Increased serum lipase a. Titanium
c. Increased serum fatty acids b. Stainless steel
d. Lipuria c. Polyethylene (UHMWPE)
e. Increased alkaline phosphatase. d. Methyl-methacrylate
8. First treatment priority in patient with multiple e. Carbon.
injuries is: 17. Bone graft works by providing following
a. Airway maintenance mechanisms. Which of these is most important.
b. Bleeding control a. Bone induction factor
c. Circulatory volume restoration b. Osteogenic cells
d. Splinting of fractures c. Living osteoblasts
e. Reduction of dislocation. d. Mineral scaffold for vascular proliferation
e. Bridging the bone gap.
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TEST PAPER 2020 A F M G-LIMRA
18. Commonest complication while using external c. Necrosis of bone ends
fixator is: d. Compression plating
a. Pin tract infection e. Infection.
b. Compartment syndrome 27. Most successful method of treatment of non-union
c. Loosening of pins is:
d. Fixation of muscles a. Compression plating
19. A patient who has sustained open wound on leg is b. Compression by external fixator
bleeding profusely. Before patient arrives in c. Addition of B.M.P.
hospital the safest method to stop bleeding is: d. Bone grafting
a. Elevation of leg 28. Which of the following muscle does not form
b. Local pressure on wound and elevation rotator cuff of shoulder:
of leg a. Subscapularis
c. Ligation of bleeding vessel b. Supraspinatus
d. Use of tourniquet c. Infraspinatus
e. Pressure over femoral artery in groin. d. Teres major.
20. Which of the following is an absolute 29. What is the commonest complication of fracture
contraindication of open reduction: of mid shaft of humerus:
a. Active infection a. Malunion
b. Small sized fragment b. Non union
c. Very soft bone c. Radial nerve paralysis
d. General medical complications d. Brachial artery injury
e. Severe scarring of adjacent soft tissues. e. Ulnar nerve injury.
21. Which of the following fracture is slowest to heal 30. Commonest cause of cubitus varus deformity
and often develops non-union: following malunited supracondylar fracture of
a. Intracapsular femoral neck fracture humerus is:
b. Scaphoid a. Rotational malalignment
c. Lower third of tibia b. Medial displacement
d. Proximal humerus c. Proximal displacement
e. Distal femur. d. Posterior displacement
22. Commonest cause of failure of internal fixation of e. Epiphyseal damage.
fracture is: 31. Most commonly fractured bone is:
a. Infection a. Hamate
b. Fatigue fracture of implant b. Triquetrum
c. Corrosion in implant c. Lunate
d. Loosening of implant d. Scaphoid.
e. Metal reaction. 32. What is the most serious complication of internal
23. Chemically Plaster of Paris is: fixation of fracture of both bones of forearm:
a. Calcium carbonate a. Infection
b. Calcium phosphate b. Cross union
c. Calcium sulphate c. Limitation of forearm rotation
d. Hemihydrated calcium sulphate. d. Refracture
24. Which of the following is not seen in a case of fat e. Non union.
embolism: 33. Which of the following bursa produces symptoms
a. Fat globules in urine in shoulder impingement syndrome:
b. Left heart strain on ECG a. Subacromial bursa
c. Snow storm appearance on chest X-Ray b. Subdeltoid bursa
d. Normal carbon dioxide tension in arterial c. Bursa in relation of subscapularis tendon
blood d. Bursa in relation to latissimus dorsi
e. Low oxygen tension in arterial blood. e. Bursa between coracoid process and
25. Closed reduction with percutaneous K-wire capsule.
fixation is best suitable for: 34. What is the commonest complication of
a. Bennett fracture supracondyla fracture of humerus:
b. Lateral malleolus fracture a. Malunion
c. Medial malleolus fracture b. Myositis ossificans
d. Lateral tibial condyle fracture c. Stiffness of elbow
e. Clavicle fracture. d. Volkmann's contracture
26. In a healing fracture amount of cartilage e. Non union.
formation increased by: 35. What is the earliest indication of Volkmann's
a. Rigid immobilization ischaemia:
b. Movement at fracture site a. Pain
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TEST PAPER 2020 A F M G-LIMRA
b. Pallor and poor capillary filling d. Closed manipulation and plaster spica
c. Paraesthesia in median nerve area e. Hanging cast
d. Contracture of fingers 43. Inability to extend interphalangeal joint of thumb
e. Gnagrene of tips of fingers. few weeks after Colles' fracture indicates
36. Which of the following is true about Monteggia development of:
fracture: a. Compartment syndrome
a. It is usually associated with posterior b. Posterior interosseous nerve palsy
interosseous nerve paralysis c. Avulsion of insertion of extensor pollicis
b. It can be usually treated conservatively in longus
adults d. Attrition rupture of extensor pollicis
c. It is not an injury of children longus tendon at the site of fracture
d. It is a combination of ractures of proximal e. Tear of extensor pollicis longus muscle
ulnar with dislocation belly.
37. A collar and cuff bandage will be most suitable 44. Regarding fracture of clavicle which of the
treatment for which of the following injury: following statement is incorrect:
a. Midshaft fracture of humerus a. Fracture is commonest in medial third
b. Undisplaced fracture of neck of humerus b. Non union is rare
c. Monteggia fracture c. Most cases can be treated conservatively
d. Dislocation of elbow d. Fracture usually occurs due to indirect
e. Fracture of radial head. injury
38. Which of the following is not applicable to radial e. Fracture is common in middle third.
neck fracture: 45. Which of the following is incorrect about
a. It is a common injury in children than dislocation of lunate:
adults a. Dislocated lunate appears triangular
b. Angulation can usually be reduced by instead of rectangular on P. x-ray
manipulation b. Dislocation is most easily recognised on
c. Open reduction is sometimes required lateral view x-ray
d. It is an epiphyseal injury of salter type-V. c. Avascular necrosis is common following
39. Which of the following statement is true about dislocation
supracondylar fracture of humerus: d. Lunate dislocates posteriorly
a. Anterior displacement of distal fragment e. Median nerve compression can occur.
is common than posterior displacement 46. Which of the following is not applicable to
b. Cubitus valgus is common than cubitus scaphoid fracture:
varus following maiunion a. Mechanism of injury is fall on
c. Neurological complications are usually outstretched hand.
transitory b. It is common in adults than elderly
d. Weakness of elbow flexion is a common persons
complication of this injury c. Often non union develops
e. Quite often elbow joint develops bony d. Avascular necrosis is rare.
ankylosis following this injury. 47. Which of the following injury is "Gamekeeper's
40. Which of the following scaphoid fracture is most thumb":
prone to develop avascular necrosis: a. Rupture of ulnar collateral ligament of
a. Fracture of waist of scaphoid wrist
b. Fracture of tubercle b. Rupture of ulnar collateral ligament of
c. Fracture of distal pole metacarpophalangeal joint of thumb
d. All of above c. Rupture of ulnar collateral ligament of
e. None of above. interphalangeal joint of thumb
41. Pull of which of the following muscle makes it d. Fracture of base of thumb metacarpal
difficult to maintain reduction of Bennett's e. Fracture of neck of thumb metacarpal.
fracture: 48. Which of the following is not true about
a. Flexor pollicis longus posterior dislocation of shoulder:
b. Flexor pollicis brevis a. Recurrent dislocation can develop
c. Extensor pollicis longus b. Reduction can be unstable
d. Abductor pollicis longus. c. Patients with unreduced dislocation can
42. Best treatment for humeral neck fracture in a 60 have good function
year old patient will be: d. Clinical diagnosis is easy
a. Collar and cuff bandage followed by e. Axillary nerve injury is uncommon.
physiotherapy
b. Open reduction and plaster spica
c. Open reduction and internal fixation
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TEST PAPER 2020 A F M G-LIMRA
ORTHOPEDICS TEST KEY
1. A 27.D
2. B 28.D
3. B 29.A
4. D 30.A
5. A 31.D
6. C 32.A
7. D 33.A
8. A 34.A
9. A 35.A
10.A 36.D
11.C 37.B
12.A 38.D
13.D 39.C
14.D 40.A
15.D 41.D
16.B 42.A
17.D 43.D
18.A 44.A
19.B 45.D
20.A 46.D
21.A 47.B
22.A 48.D
23.D
24.B
25.D
26.B

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