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نزار عبدالله محمد القرني

معيد قسم جراحة العظام

course

MCQ

1 - chondroblastomas most commonly occurs in ?

a- epiphysis
b- diaphysis
c- metaphysis
d- medullary cavity

answer is a . other epiphyseal tumor is osteoclastoma also called THE GIANT CELL TUMOR .

2 - BOUCHARD'S NODES are seen in ?

a- proximal IP joints
b- distal IP joints
c- sternoclavicular joints
d- knee joints

answer is a . PIP JOINTS in rheumatoid arthritis . remember my mnemonic BRA . :-)

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3 - positivity of HLA B 27 in ankylosing spondylitis is ?

a- 96 %
b- 10 %
c- 78 %
d- 100 %

answer is a .

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4 - osteoarthritis involves all except ?

a- hip joint
b- knee joint
c- distal interphalangeal joints
d- metacarpophalangeal joint of the thumb
e- shoulder joint

answer is d .

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5 - metabolic bone disease is caused by excess intake of which vitamin ?

a- vit A
b- vit B
c- vit C
d- vit D
e- vit E

answer is both a and d . that is both vitamin A and D .

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6 - osteoporosis is associated with ?

a- smoking
b- reduced weight for height
c- family history present
d- late child birth

answer is a .

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7 - trendelenburg test is positive due to injury of which nerve ?

a- superior gluteal nerve
b- inferior gluteal nerve
c- pudendal nerve
d- obturator nerve

answer is a . superior gluteal nerve supplies the gluteus medius and gluteus minimus which are the abductors of hip.

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8 - sever's disease refers to ?

a- calcaneum
b- radius
c- talus
d- capitulum

answer is a . calcaneum osteochondritis is called sever's disease . the osteochondritis of the navicular bone is called kohler's disease . osteochondritis of the capitulum of the humerus is called panner's disease .

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9 - lisfranc dislocation is ?

a- tarsometatarsal dislocation
b- lunate dislocation
c- scaphoid dislocation
d- posterior dislocation of the elbow

answer is a . tarsometatarsal dislocation.

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10 - pathological changes in caissons disease is due to ?

a - N2
b- O2
c- CO2
d- CO

answer is a .

11-Joint is innervated by the articular brances of the nerves which supply the muscles which move the joint – known as:
a) Hilton’s law
b) Andry’s law
c) Wolff’s law
d) Cushing’s law
Correct answer: a) Hilton’s law.

12-Gallow’s traction is used for ?
a) Fracture shaft of femur
b) Fracture neck of femur
c) Fracture humerus
d) Fracture tibia
(Repeat AIIMS Nov 2010)
Correct answer : a) Fracture shaft of femur
Gallow’s traction is used in infants and children with femoral fractures.
Indications Gallows Traction

Child must weigh less than 12 kg
Femoral fractures
Skin must be intact

Ref: http://www0.sun.ac.za/ortho/webct-ortho/general/trac/trac-2.html

 

13-Bone remodeling in response to stress was described by:
a) Harvey Cushing
b) William Osler
c) Julius Wolff
d) Nicolas Andry
Correct answer:  c) Julius Wolff
Bone remodeling in response to stress was described by German Anatomist/Surgeon Julius Wolff (1836-1902) in the 19th century. Wolff’s law states that bone in a healthy person or animal will adapt to the loads it is placed under.
Nicolas Andry (1658 – 1742), a French doctor coined the term ‘Orthopedics’. In his book, he gave the illustration of the crooked tree, which was later used in the symbols of many orthopedic societies around the world. http://www.diavlos.gr/orto96/ortowww/andry1.htm

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