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Orthopedic Mcqs

Orthopedic Mcqs

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Published by drjaara

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Published by: drjaara on Feb 27, 2011
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07/20/2013

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Diagnosing Lisfranc Foot Fracture
 A doctor will perform a physical examination, manipulating the foot to assess the levelof pain and the site of injury.  A circular motion with the foot (heel held steady) willproduce significant pain with a Lisfranc injury but minimal pain with a sprain.  A doctorwill also order diagnostic tests²x-ray, CT scan, or MRI, to determine the precise natureof the injury, the type of fracture and its severity 
.
 
 
Q2
Treatment for Erb¶s Palsy that does not spontaneously recover generally consists of exercise and physical therapy. In 80% of the babies born with Erb¶s palsy recovery willoccur without a surgical intervention.The question is at any age most effective operation in Erb¶s Palsy. (one correct answer)
A)
 
From
bi
rth
 
to
3
months
age
B
)
 
From
5
to
12
months
age
C)
 
From
3
to
5 yea
rs
 
D
)
 
All
ab
ov
e
tru
e
E)
 
All
ab
ov
e fa
l
s
e
S
urgery is found to be most effective in Erb¶s Palsy children that are between the ages of 5 and 12 months; beyond this age group, surgery will not be as effective.
 
http://ortho
i
n
o.
aa
os.or
g
/
fig
ur
e
s/
A00077
F
0
1
.jp
g 
Q3
w
h
a
t
i
s
 
th
e
most
c
ommon
 
p
rimary bone cancer.
a) Ewing's Sarcomab) Osteosarcomc) Multiple Myelomad) Chondrosarcomae)CHORDOMA 
Multiple myeloma is the most common primary bone cancer. It is a malignant tumor of bone marrow. Multiplemyeloma affects approximately five to seven people per 100,000 each year.
http://www.healthnewsflash.com/images/conditions/myl3.gif  
Q4
 All the following are diaphyseal tumors except
 
a) Ewing sarcomab) Lymphomac) Fibrous dysplasiad) Giant cell tumor e) admantinoma 
E
piphyseal Lesions
Chondroblastoma (age 10-25)Giant cell tumor (age 20-40)Clear cell chondrosarcoma (rare)
 
 
Q5
 
B
aker cysts can be treated with:1) Knee joint aspiration
 
2)  Cortisone injection
 
3) Surgical operation
 
4) Arthroscopic surgery
 
5) All of above
  
Baker cysts often resolve with removal of excess knee fluid in conjunction with cortisone injection.Medications are sometimes given to relieve pain and inflammation.When cartilage tears or other internal knee problems are associated, surgery can be the best treatmentoption. During a surgical operation, the surgeon can remove the swollen tissue ( synovium ) that leads tothe cyst formation. This is most commonly done with arthroscopic surgery.  
http://stemcelldoc.files.wordpress.com/2011/01/bakers-cyst.jpg     
  
Q6
 
Most common type of arthritis in adult associated with
B
aker cysts 1)
O
steoarthritis
 2)
Juvenile arthritis
 3)
Rheumatoid arthritis
 

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