MCQ Part 1 2003 1. Regarding fracture healing in children: A Union is faster in toddlers than in adolescents.

B Faster healing is attributable to the thickened eriosteu!. C "# e$% h#seal in&uries are associated 'ith li!b lengthening after union. ( )otational defor!it# is s ontaneousl# corrected b# re!odeling rocess. * Union in the u 2 er li!b is faster than the lo'er li!b.

A comminuted fracture with a large butterfly fragment is biomechanically produced by the following forces: A "ensile. B Co! ression. C Bending. ( +hearing. * "orsion.

3. The following are true regarding shock: A A restless atient should be treated 'ith sedati,es. B A lo' urine out ut 'ith high s ecific gra,it# indicates the need for !ore transfusion. C "he atient should be ke t sitting u at all ti!es. ( "ransfusion of )hesus ositi,e grou AB blood should be gi,en in cases of e!ergenc#. * Cardiogenic shock !i!ics resentation of h# o,ole!ic shock. 4. europathic ulcer of the foot is commonly A de,elo s under a !etatarsal head. B surrounded b# h# erkeratotic skin edges. C ( ainless. oses inkish unch$out base that bleeds easil#.

* associated 'ith 'ar! foot and bounding ulses.

!. The following are true of malignant tumours of the bone: A Pri!ar# tu!ours are !ore co!!on than !etastatic lesions. B Bone ain t# icall# recedes bone s'elling. C A raised seru! alkaline hos hatase is athogno!onic. ( Fine needle as iration is ade-uate to confir! the diagnosis. * .i!b sal,age surger# is the current trend of treat!ent for all cases. ". The following are true regarding antibiotics: A A bacteriostatic agent should not be co!bined 'ith a bactericidal agent. B A co!bination of bactericidal agents of different class and s ectru! of acti,it# roduces s#nergistic effect. C *fficac# in$,itro e-uals efficac# in$,i,o. ( *fficac# re-uires that the las!a concentration e/ceed the Mini!u! Bactericidal Concentration 0MBC12 * Macrolides are !ainl# effecti,e against gra!$negati,e bacteria. #. $tructures likely to be in%ured after a &algus force is applied to an e'tended knee in e'ternal rotation position include A !edial collateral liga!ent. B !edial !eniscus. C anterior cruciate liga!ent ( * osterior cruciate liga!ent. osterior !edial corner.

(. The following are true regarding management of type)*** open tibial fractures: A A 3$da# course of ce halos orin and a!inogl#coside is rescribed. B Pri!ar# 'ound closure after debride!ent is a relati,e indication. C Use of titaniu! i! lant decreases rate of infection. ( Unrea!ed locked nail for fracture stabili4ation is a referred o tion. * +olid nail is referred because it resists bending greater than hollo' nail.