SOAL BEDAH ORTHOPEDI

24 Maret 2014

1. 50 ye
year
ars
s old ffememalalee fel
felll dow
down n with
with her ri
righ
ghtt for
forea
earrm in ext
exten
ensi
sion
on po
posi
siti
tion
on..
She feel pain in her wrist area and with dinner fork deformity. Probable diagnosis
for this patient is?
a. a
allllea
ea!i
!i ffra
ra"t
"t#r
#ree
b. Mo
Mont nteg
eggigiaa fra
fra"t
"t#r
#ree
". Sm
Smit ith
h fra
fra"t"t#r
#ree
d. $o
$olllles
es fra"
fra"t#
t#rre
e. %is
%islo"
lo"ati
ation
on or thethe wrwris
istt &oi
&oint
nt

2. Sign
Sign of artery
artery r#pt#
r#pt#re
re ar
are'
e' "o
"old(
ld( negat
negati)e
i)e "apill
"apillary
ary re*ll
re*ll(( pa
pale(
le( no
no p#
p#lse
lse and
a. Parst
arsthe
hesi
sis
s
b. Parese
". Paraly
ralys
sis
d. +ena ba"
ba"kk ,ow
,ow negat
negati)e
i)e
e. Pain

-. emal
emalee / ye
year
ars
s ol
oldd "a
"ame
me to eme
emerrgen"
gen"y
y #n
#nit
it w
who
ho has
has a hist
histor
ory
y fall.
fall. ha
hatt
sho#ld yo# be e)al#ated on the initial step of the physi"al examination?
. Sho#lder
Sho#lder(( wris
wrist(
t( and proximal
proximal fem#r
3. ea
ead d and
and "e
"er)i
r)i"al
"al spine
spine
$. em#r and tibi
tibia
a diaph
diaphysis
ysis
%. nk
nkle
le a
and
nd meta
metatartarsal
sal
. 6n
6nte
tern
rnal
al blee
bleedi
ding
ng

s an emergen"y do"tor yo# m#st be able to assess the paten"y of the

4. )as"#lar "ondition of an extremity distal to the in&#red le)el. hi"h artery
sho#ld yo# "he"ked in a middle shaft h#mer#s fra"t#re?

a. 7a
7adia
diall an
andd #lnar
#lnar artery
artery
b. 7ad
7adial(
ial( #lna
#lnarr aand
nd mmedia
edian#s
n#s artery
artery
". Pop
opli
lite
teal
al arte
artery
ry
d. xilar
xilaryy and radia
radiall arter
artery
y
e. #m
#meraerall an
andd axila
axilary
ry arte
artery
ry

5. 8ther than palpating the p#lse of the artery this following simple test is also
#sef#l to assess the paten"y of the )as"#lar "ondition of an extremity( distal
to the in&#red le)el.

a. $ap
$apita
italar
lary
y re*ll
re*ll test
test 9 4 Se"onds
Se"onds
b. Motor
Motori"
i" and sens
sensori"
ori" exa
examinat
mination
ion

".
d. $ap
$apill
MSillar
MSSSaryy re*ll
re
s"ore*ll
s"ore ttest
e)al est
e)al#at 9 2 se
#ation
ion se"on
"onds
ds
e. :one
:one of ab
abo)
o)e
e

.  ;
 ;ra"tion
ra"tion apophysitis or in,ammation of the bony o#tgrowth
o#tgrowth that res#lted to
repetiti)e tra"tion is the main patophysiolo
patophysiology
gy for the following diseases

a. <egg
<egg=$al
=$al)e=P
)e=Perthe
erthess and 8sgood=S"
8sgood=S"hlatt
hlatter
er disea
diseasese
b. 8sgood > S"hlatter disease a and
nd Sinding
Sinding > ohansson > <arsen@
<arsen@s
s disorder
disorder
". Sin
Sindin
ding g > oh
ohan
ansso
ssonn > <ar
<arsen
sen@s
@s diso
disord
rder
er and <egg > $al$al)e
)e > Perthes
erthes
disease
d. 8steo
8steo"hon
"hondro
droma
ma and <eg
<egg
g > $al)e > Perthe
Perthess disea
disease
se
e. ll of tthe
he abo)e
abo)e ar
are
e d#e to tra"tion
tra"tion apoph
apophysit
ysitis
is
 

A. hat kind of physi"al *nding might yo# en"o#nter in 8sgood > S"hlatter
disease?

a. ;enderness
enderness and swelling in the tibial tt#berosity
#berosity
b. %efor
%eformit
mityy of tthe
he ppate
atella
lla
". $repi
$repitat
tation
ion and
and lolo"ki
"king
ng of the
the kne
knee
e
d. en
en# # )ar
)ar#m
#m with
with "r "repi
epitat
tation
ion
e. ll
ll a
abo
bo)e
)e a
arre tr#
tr#ee

/.  14=year=old girl has adoles"ent idiopathi" s"oliosis. er parents wo#ld like
to know what kind of problems she will ha)e "ompared to her peers who do
not ha)e s"oliosis. Bo# sho#ld inform them that she will ha)e'
a. diC"
diC"#lty
#lty with
with preg
pregnan"
nan"yy in the
the f#t#r
f#t#re
e
b. mor
more e a"#te
a"#te or "hr
"hroni"
oni" ba"k pain
". de"reased p#lmonary f#n"tion regar regardless
dless of
of the se)erity of s"oliosis
s"oliosis
d. limit
limitatio
ations
ns in
in athleti
athleti"
" parti"
parti"ipati
ipation
on
e. in"r
in"reased
eased risk of de)elo
de)eloping
ping "an"
"an"erer

D.  -2=year=old man s#stain an ilia" wing fra"t#re and a "ontralateral fem#r fra"t#re.
 ;
 ;wel)e
wel)e ho#rs later he has shortness of breath with ta"hypnea(
ta"hypnea( hypoxia( and "onf
"onf#sion.
#sion.
 "hest radiograph is normal. 1hat is the most likely diagnosis?

a. at embo
emboli li syn
syndr
drome
ome
b. d#
d#lt
lt rrespir
espirator
atory
y dist
distres
ress
s synd
syndrom
rome
e
". P#
P#lm
lmononarary
y em
embo
bol#
l#s
s
d. ;ension
ension pne#
pne#motmothor
horax
ax
e. Sepsis

10. n elderly patient falls and s#stain an extension in&#ry to the ne"k that res#lts
in #p
#pper
per extr
extremi
emity
ty wea
weaknkness
ess(( spare
spared
d perian
perianal
al sen
sensat
sation
ion(( and low
lower
er extr
extremi
emity
ty
spasti"ity. ;hese *ndings best des"ribe what syndrome?

a. 3row
3rown=
n=Se
SeE#
E#ar
ardd
b. $a
$a#d
#daa eE#
eE#in
inee
". n
nte
teri
rior
or "o
"orrd
d. Poste
osteri
rior
or "or
"ordd
e. $ent
$entra
rall "
"or
ordd