M5 Orthopedics Posting MCQs

Hi, these are all the mcqs from those who passed me the questions from our end of posting test for CG 24-27.

Some are missing; but I guess it’s better than nothing so don’t complain man! I’ve added a * next to parts where it is likely to be different from the original but as far as possible it is quite an authentic replica of the original…Answers should be correct as they went through with us. But I wasn’t paying attention for some bits so use at your own peril.

-Gerald

1.Which of the following is not true or a posterior dislocation of the shoulder?

a.  recurrent dislocation is a complication

b.  reduction may be unstable

c.  patients with reduced dislocations have good function

d.  diagnosis is easy

e.  axillary nerve injury is uncommon

Answer: d

2. Monteggia Fracture

a.  posterior interosseous nerve injury

b.  conservative management

c.  in children only

d.  radius fracture + proximal radioulnar joint dislocation

e.  ulnar fracture + proximal radioulnar joint dislocation

Answer: e

4. Treatment of Neck of Femur fracture in a 40 year old man

a.  heals with good callus

b.  conservative treatment with traction

c.  hemiarthroplasty

d.  accurate reduction with internal fixation

e.  avascular necrosis is a rare complication

Answer: d

7. Which of the following cause stiffness following injury to the knee

a.  fibrosis of the vastus intermedius

b.  shortening of the rectus femoris

c.  adhesion of the patella to the femoral condyles

d.  adhesion of the patellar retinaculum

e.  all of the above

Answer: all of the above

8. Complications of traction of femoral shaft fractures include the following except:

a.  peroneal nerve injury

b.  knee stiffness

c.  pin-tract infection

d.  overdistraction

e.  fat embolism

Answer: e.

9. In ORIF of fractures of the mid-shaft of the humerus, the most likely nerve to be injured is:

a.  median nerve

b.  ulnar nerve

c.  radial nerve

d.  musculocutaneous nerve

e.  none of the above

Answer: c

10. Common sites of stress fractures:

a.  head of femur*

b.  2nd metatarsal

c.  distal end of femur

d.  tibia*

e.  all of the above

Answer: e.

11. After pinning for a hip fracture, a 70 yr old woman at the 7th post-op day complains of leg pain,

a.  anterior compartment syndrome

b.  DVT

Answer: b

12. Foot-drop is caused by the following except:

a.  leprosy

b.  poliomyelitis

c.  PID at L4/L5

d.  Posterior tibial nerve injury

e.  Fracture of the fibula neck

Answer: d

13. Tendons involved in Dequervain’s tenosynovitis:

a.  Abductor pollicis longus and extensor pollicis longus

b.  Extensor pollicis brevis and abductor pollicis longus

c.  Extensor pollicis brevis and extensor pollicis longus

d.  Extensor carpi radialis brevis and longus

e.  Brachioradialis and flexor carpi radialis

Answer:b

14. Disformity in fractures of the hand is commonly due to:

a.  non-union

b.  malunion

c.  cross-union

d.  tendon adhesions

e.  infections

Answer: b

15. The following tumors commonly cause bone secondaries except:

a.  breast

b.  thyroid

c.  rectum

d.  kidney

e.  lung

Answer: c

18. Conus medullaris injury :

a.  saddle anaesthesia with bowel and bladder incontinence

b.  flaccid paralysis*

c.  paralysis of hip flexors

d.  paraplegia without incontinence

e.  SLR +ve

Answer: a

Q.20 A 75 years old uncle fell on his outstretched hand and hurt his shoulder. This was treated but he came back 4 days later with inability to raise his shoulder. What is the cause?

a.Axillary nerve damage

b. Musculocutaneous nerve damage

c. Rotator Cuff tear.

d. Fracture of proximal humerus

e. Shoulder instability

Answer (C)