MIST-MEDICAL INSTITUTE FOR SCREENING TEST

ANATOMY AND ORTHOPAEDICS SUBJECT WISE TEST

Q.1) The medial wall of the orbit is formed primarily by which bone?
a. Palatine
b. Maxilla
c. Temporal
d. Zygomatic

Q.2) The Superior oblique muscle is supplied by which nerve?

a. Frontal
b. Lacrimal
c. Abducent
d. Trochlear

Q.3) In preparation of neck dissection (surgical procedure to remove cervical lymph

nodes due to metastases), the surgeon gave the junior doctor a task of describing the
lymphatic drainage of the head and neck, he asked him that the submental group of
lymph nodes drain the lymph from which area of face?
a. Upper lip
b. Parotid gland
c. Upper incisors
d. Tip of the tongue

Q.4) A 55 year-old female consults her physician, complaining of tingling and

burning pain over the palmar aspect of her thumb, index, middle, and lateral side of
the ring finger of her right hand. The symptoms began gradually over the past two
years and lately have become more intense. They are most marked during the night,
keeping her awake. This is accompanied by some wasting in the thenar eminence.
What is the most likely diagnosis?
a. Cubital Tunnel syndrome
b. Guyon canal syndrome
c. Carpal Tunnel syndrome
d. Tarsal Tunnel syndrome

Q.5) A 35 year-old gymnast is seen by his physician after he sustained a fall to an

outstretched right arm from the parallel bars. He complains of persisting pain with
exercise involving the anatomical “snuff-box” of the right wrist. On examination, x-
rays showed fracture of a bone of hand. Which bone it can be?
a. Capitate
b. Lunate
c. Scaphoid
d. Pisiform
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ANATOMY AND ORTHOPAEDICS SUBJECT WISE TEST

Q.6) The Left 2nd posterior intercostal vein drains mainly into ?
a. Azygos vein
b. Hemiazygos vein
c. Left subclavian vein
d. Left brachiocephalic vein

Q.7) Which one of the following ribs is classified as “true” rib?

a. 7 th rib
b. 8 th rib
c. 9 th rib
d. 10th rib

Q.8) The arrow marked opening in the diaphragm is located at the level of which
thoracic vertebra?

a. 6th
b. 8th
c. 10th
d. 12th

Q.9) Which one of the following structures passes superior to the right lung root
hilum?
a. The azygos vein
b. The arch of the aorta
c. The pulmonary ligament
d. The internal thoracic artery

Q.10) Inferior Thyroid artery is branch of :

a. Thyrocervical trunk
b. Internal carotid artery
c. External carotid artery
d. Vertebral artery

Q.11) Purkinje cells end at:

a. Caudate nucleus
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ANATOMY AND ORTHOPAEDICS SUBJECT WISE TEST

b. Dentate nucleus
c. Basal ganglia
d. Amygdala

Q.12) If you want to arrow marked side of leg what nerve to be blocked?

a. Femoral nerve
b. Superficial peroneal nerve
c. Sciatic nerve
d. Deep peroneal nerve

Q.13) Which joint helps to look left and right?

a. Atlantooccipital
b. Atlanto axial
c. C3- C4
d. C4-C5

Q.14) Spinal cord end in Newborn:

a. L 1
b. L2
c. L3
d. L4

Q.15) Nerve supply of the marked muscles arise from:

a. Medial cord and posterior cord

b. Posterior cord only
c. Lateral and posterior cord
d. Medial cord only
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ANATOMY AND ORTHOPAEDICS SUBJECT WISE TEST

Q.16) A 47 year old woman is unable to invert her foot after she stumbled on her
driveway. Which of the following nerves are most likely injured?
a. Superficial and deep peroneal
b. Deep peroneal and tibial
c. Superficial peroneal and tibial
d. Medial and lateral plantar

Q.17) Structure passing through the tendinous ring of Zinn:

a. Superior ophthalmic vein
b. Trochlear nerve
c. Nasociliary nerve
d. Lacrimal nerve

Q.18) Which structure develops from all the 3 germ layers?

a. Tympanic membrane
b. External acoustic meatus
c. Auditory tube
d. Middle ear

Q.19) Mass in jugular foramen may result in all EXCEPT:

a. Difficulty in swallowing
b. Hoarseness
c. Difficulty in turning the neck to opposite side
d. Tongue deviates to same side

Q.20) Which nucleus lies under the arrow marked structure:

a. Fifth
b. Sixth
c. Seventh
d. Eighth

Q.21) Oesophagus enters through which part of diaphragm:

a. Central tendon of diaphragm
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ANATOMY AND ORTHOPAEDICS SUBJECT WISE TEST

b. Along aortic opening

c. Muscular part of diaphragm
d. Right Crus

Q.22) All of the following are composite muscles, except:

a. Flexor carpi ulnaris
b. Flexor pollicis brevis
c. Subscapularis
d. Biceps femoris

Q.23) A person is not able to hold the paper between 4th and 5th finger. He cannot the
flex the DIP of the same finger. Structure responsible for the following symptoms is
likely to be damaged at which of the following site?
a. Surgical neck of humerus
b. Shaft of humerus through spiral groove
c. Supracondylar region
d. Medial epicondyle

Q.24) Traction epiphysis is/are:

a. Head of humerus
b. Lesser tubercle of humerus
c. Deltoid tuberosity
d. Coracoid process

Q.25) Lacrimal gland supplied by:

a. Greater petrosal nerve
b. Lesser petrosal nerve
c. Nasociliary nerve
d. Supraorbital nerve

Q.26) Knee is which type of joint?

a. Synarthrosis
b. Symphysis
c. Amphiarthrosis
d. Diarthrosis

Q.27) Lower border of pharynx is the level of:

a. C2
b. C3
c. C4
d. C6
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ANATOMY AND ORTHOPAEDICS SUBJECT WISE TEST

Q.28) A 68-year-old woman presents in the emergency room with dizziness and
nystagmus. Examination reveals a loss of pain and temperature sensation over the right
side of the face and the left side of the body. The patient exhibits ataxia and intention
tremor on the right in both the upper and lower extremities. In addition, she has
hoarseness of voice. Which of the following artery block would explain the patient’s
condition:
a. Right posterior inferior cerebellar artery
b. Left posterior inferior cerebellar artery
c. Right anterior inferior cerebellar artery
d. Basilar artery

Q.29) Development of spermatozoa (sperm) from spermatogonium takes how much

time:
a. 30-35 days
b. 40-45 days
c. 50-55 day
d. 70-75 days

Q.30) In a female child at birth, gonads contain:

a. Primary oocyte arrested at prophase I
b. Secondary oocyte arrested at metaphase II
c. Primordial germ cells
d. Oogonia

Q.31) The following muscles are attached to the arrow marked structure EXCEPT:

a. Coracobrachialis
b. Short head of biceps
c. Pectoralis minor
d. Long head of triceps

Q.32) In epidural lumbar puncture, all structures are pierced EXCEPT:

a. Posterior longitudinal ligament
b. Ligamentous flavum
c. Interspinous ligament
d. Supraspinous ligament

Q.33) Which one of the following ligaments contains splenic artery?

a. Gastrosplenic ligament
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b. Splenocolic ligament
c. Splenorenal ligament
d. Splenophrenic ligament

Q.34) Arrow marked structure is which type of fibres?

a. Projection fibers
b. Commissural fibers
c. Association fibers
d. None

Q.35) A 30-year-old lady presented with swelling below inguinal ligament lateral to
pubic tubercle, which structure is lateral to this swelling:
a. Femoral artery
b. Femoral vein
c. Obturator vessels
d. Internal iliac artery

Q.36) Structure passing through both greater and lesser sciatic foramen are all except:
a. Pudendal nerve
b. Internal pudendal vein
c. Nerve to obturator internus
d. Tendon of obturator internus

Q.37) A patient is trying to make a fist, but can only partially flex index and middle
finger. Which nerve is damaged most probably?
a. Median
b. Ulnar
c. Radial
d. Anterior interosseous nerve

Q.38) Neural tube begin to close from which region?

a. Cranial
b. Cervical
c. Thoracic
d. Lumbar

Q.39) Facial colliculus located at:

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ANATOMY AND ORTHOPAEDICS SUBJECT WISE TEST

a. Pons
b. Medulla
c. Mid brain
d. Interpeduncular fossa

Q.40) Which of the following is the type of joints between malleus and incus?
a. Primary cartilaginous
b. Secondary cartilaginous
c. Saddle synovial
d. Ball & socket synovial

Q.41) Association fibers are all EXCEPT:

a. Uncinate fasciculus
b. Cingulum
c. Longitudinal fasciculus
d. Forceps major

Q.42) Wernicke’s Brodmann area is:

a. 22
b. 37
c. 39
d. 40

Q.43) Which of the following sensation is NOT carried by arrow marked tract?

a. Joint sense
b. Temperature
c. Fine touch
d. Vibration

Q.44) Identify the correct sequence of uterine blood flow:

a. Uterine artery → Arcuate artery → Radial artery → Spiral A
b. Uterine A → Radial A → Arcuate A → Spiral A
c. Uterine A → Spiral A → Radial A → Arcuate A
d. Uterine A → Arcuate A →Spiral A → Radial A

Q.45) Which of the following muscle is derivative of 1st arch:

a. Stylopharyngeus
b. Tensor tympani
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ANATOMY AND ORTHOPAEDICS SUBJECT WISE TEST

c. Platysma
d. Cricothyroid

Q.46) The parafollicular C cells of thyroid develops from:

a. 1st and 2nd pharyngeal pouch
b. 2nd and 3rd pharyngeal pouch
c. 3rd and 4th pharyngeal pouch
d. Ultimobranchial body

Q.47) All of the following are pneumatic bones EXCEPT:

a. Maxilla
b. Parietal
c. Ethmoid
d. Mastoid

Q.48) All structures pass through the arrow marked foramen EXCEPT:

a. Accessory meningeal artery

b. Middle meningeal artery
c. Lesser petrosal nerve
d. Emissary vein

Q.49) Ansa cervicalis supplies:

a. Sternohyoid
b. Mylohyoid
c. Cricothyroid
d. Geniohyoid

Q.50) Middle meningeal artery is direct branch of:

a. External carotid artery
b. Maxillary artery
c. Superficial temporal artery
d. Middle cerebral artery

Q.51) All of the following are branches of the external carotid artery EXCEPT:
a. Superior thyroid artery
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b. Transverse cervical artery

c. Lingual artery
d. Ascending pharyngeal artery

Q.52) Waldeyer’s ring consists of all of the following EXCEPT:

a. Palatine tonsils
b. Pharyngeal tonsils
c. Tubal tonsils
d. Postauricular nodes

Q.53) Not a boundary of Triangle of Auscultation:

a. Scapula
b. Trapezius
c. Latissimus dorsi
d. Serratus anterior

Q.54) During the formation of interatrial septum, Foramen ovale closes because of
fusion of:
a. Septum primum + Endocardial cushion
b. Septum secundum + Endocardial cushion
c. Septum primum + Septum secundum
d. None

Q.55) Which muscle is inserted into the floor of the arrow marked structure?

a. Latissimus dorsi
b. Teres major
c. Pectoralis major
d. Deltoid

Q.56) All are true about branchial plexus EXCEPT:

a. Lower trunk is formed by root C8 and T1
b. Lateral cord is formed by upper and middle trunk
c. Posterior cord is formed by posterior divisions of all three trunks
d. Medial cord is formed by upper and middle trunk

Q.57) Dorsal scapular nerve supplies:

a. Levator scapulae and rhomboids
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b. Supraspinatus and infraspinatus

c. Latissimus dorsi
d. Serratus anterior

Q.58) Median nerve lesion cause paralysis of all of the following EXCEPT:
a. Thenar muscles
b. Adductor pollicis
c. 1st Lumbrical
d. 2nd Lumbrical

Q.59) Occlusion occurs at the 2nd part of axillary artery, blood flow is maintained
mainly by anastomosis between:
a. Anterior and posterior circumflex humeral artery
b. Circumflex scapular and posterior circumflex humeral artery
c. Transverse cervical artery and subscapular artery
d. Anterior circumflex humeral and subscapular artery

Q.60) Which Structure is present in the arrow marked area?

a. Axillary artery
b. Cephalic vein
c. Basilic vein
d. Radial nerve

Q.61) All of the following structures pierce the clavipectoral fascia EXCEPT:
a. Lateral pectoral nerve
b. Lateral thoracic artery
c. Cephalic vein
d. Thoracoacromial artery

Q.62) Contents of the arrow marked area is ?

a. Radial Artery
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b. Tendon of Abductor pollicis longus

c. Tendon of extensor pollicis brevis
d. Scaphoid bone

Q.63) Inferior epigastric artery forms the boundary of:

a. Femoral triangle
b. Hesselbach’s triangle
c. Adductor canal
d. Popliteal triangle

Q.64) Supports of the uterus are all EXCEPT:

a. Uterosacral ligament
b. Broad ligament
c. Mackenrodt’s’ ligament
d. Levator ani

Q.65) All of the following are attached to the arrow marked structure EXCEPT:

a. Superficial transverse perineii

b. Levator ani
c. Bulbospongiosus
d. Ischio-cavernosus

Q.66) Which Nerve Supplies to the Marked area in the Image?

a. Ulnar nerve
b. Median nerve
c. Radial nerve
d. Posterior interosseous nerve

Q.67) Duct of Bellini are present in:

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ANATOMY AND ORTHOPAEDICS SUBJECT WISE TEST

a. Pancreas
b. Liver
c. Kidney
d. Salivary gland

Q.68) Contralateral loss of pain and temperature is due to injury to:

a. Anterior spinothalamic tract
b. Lateral spinothalamic tract
c. Fasciculus gracilis
d. Fasciculus cuneatus

Q.69) Nerve injured in Frey’s syndrome is:

a. Auriculotemporal nerve
b. Great auricular nerve
c. Lingual nerve
d. Inferior alveolar nerve

Q.70) External carotid artery derived from which arch:

a. 1st
b. 2nd
c. 3rd
d. 4th

Q.71) A 7 yr. old boy presented to the hospital with c/o Pain in his Right hip with
restricted movements. Careful examination revealed affected limb in an attitude of
Abduction and External Rotation. Blood tests showed normal Hemogram but mildly
raised ESR. The next best line of management is :
a. I/V Antibiotics and Splintage
b. Watchful observation
c. USG guided aspiration
d. Immediate Hospitalization

Q.72) Snowstorm appearance of knee joint with multiple loose bodies is seen in :
a. Chondromalacia patellae
b. Ewing’s sarcoma of knee joint
c. Fracture involving articular surface
d. Synovial chondromatosis

Q.73) Asymmetrical Oligoarticular Seronegative Arthritis with predilection for

Distal Interphalangeal joint and Distal Phalanx is :
a. Reiter’s Syndrome
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b. Behcet’s Syndrome
c. Psoriatic Arthritis
d. Rheumatoid Arthritis

Q.74) Initial Focus of TB Hip is :

a. Greater Trochanteric Region

b. Acetabular Roof
c. Femoral Head
d. Femoral Neck

Q.75) A young child was brought to an Orthopaedic out patient clinic , during which
X Rays appeared as :

The child has a defect in functioning of :

a. Osteoblasts
b. Osteoclasts
c. Osteocytes
d. Type 1 Collagen

Q.76) A young female presented in Orthopaedic OPD with Bone pains , Tiredness
and easy fatiguability . Her X Rays revealed areas of Radiolucency in region of Pubic
Rami :
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ANATOMY AND ORTHOPAEDICS SUBJECT WISE TEST

What is the most probable diagnosis :

a. Renal Osteodystrophy
b. Osteoporosis
c. Osteomalacia
d. Primary Hyperparathyroidism

Q.77) What’s the diagnosis of X ray picture shown below :

a. Essex-Lopresseti Fracture Dislocation

b. Galeazzi Fracture Dislocation
c. Monteggia Fracture Dislocation
d. Bennet’s Fracture Dislocation

Q.78) Most common cause of Non Traumatic Avascular Necrosis :

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a. Steroid Induced
b. Idiopathic
c. Caisson’s disease
d. Chronic alcoholism

Q.79) What is the most likely diagnosis ?

a. Osteoid Osteoma
b. Brodie’s Abscess
c. Ewing’s Sarcoma
d. Simple Bone Cyst

Q.80) A middle aged patient presented in OPD with complaints of pain in wrist around
Radial styloid with difficulty in performing activities of daily living. Clinical test
demonstrated below to diagnose this condition is :

a. Cozen’s Test
b. Finkelstein’s Test
c. Reverse Cozen’s Test
d. Phalen’s Test

Q.81) Terrible triad of elbow is known as:

a. Humerus fracture with medial and Lateral epicondyle fracture
b. Shaft fracture with dislocation and ulnar fracture
c. Elbow dislocation with Radial and Ulna shaft fracture
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d. Elbow dislocation with radial head and coronoid fracture

Q.82) All of the following statements are true regarding Brachial Plexus Injury ,
except :
a. Erb’s Palsy is an injury to Upper Trunk and has the best prognosis amongst Brachial
Plexus Injuries
b. Klumpke’s Palsy is injury to Lower Trunk and may be associated with Horner’s
Syndrome
c. Preganglionic lesions have better prognosis than Post Ganglionic Lesions
d. Histamine Test is used to differentiate between Preganglionic and Postganglionic
Lesions

Q.83) All of the following are true regarding tennis Elbow except :
a. Tenderness over Lateral Epicondyle region
b. Tendinitis of Common Extensor Origin
c. Degenerative tear in extensor Carpi Radialis Brevis
d. Degenerative tear in Extensor Carpi radialis Longus

Q.84) Most common complication of Fracture Talus is :

a. Non union
b. Avascular Necrosis of body of Talus
c. Subtalar Arthritis
d. Ankle Arthritis

Q.85) All of the following are true regarding the Whiplash injury except :
a. Cervical Spine is Most commonly involved
b. It is a Hyperextension injury
c. It is a Hyperflexion Injury
d. Sprains and strains without any obvious fracture

Q.86) A 20 year old boy presented to the emergency with complaints of pain around
st
1 Carpo Metacarpal joint after hitting with a closed fist. X Rays revealed an Intra
articular fracture of the base of 1st Metacarpal along with subluxation of Trapezio-
Metacarpal Joint. The fracture pattern described is difficult to maintain in a reduced
position mainly because of pull of :
a. Flexor Pollicis Longus
b. Abductor Pollicis Longus
c. Adductor Pollicis
d. Extensor Pollicis Longus
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ANATOMY AND ORTHOPAEDICS SUBJECT WISE TEST

Q.87) A 14 yrs old boy presented with painful swelling over Right shoulder .
Radiograph of the shoulder showed an Osteolytic area with stippled calcification over
proximal humerus epiphysis . Biopsy of lesion revealed an immature fibrous matrix
with scattered giant cells. X Rays taken revealed :

Which of the following is the most likely diagnosis ?

a. Giant Cell Tumour
b. Chondroblastoma
c. Osteogenic Sarcoma
d. Chondromyxoid Fibroma

Q.88) Investigation of choice for below mentioned injury pattern is :

a. X Ray
b. MRI Scan
c. CT Scan
d. Ultrasound

Q.89) A young soccer player sustained an injury while playing and presented to the
Orthopaedic surgeon with c/o Pain and Instability in the knee joint. The clinical test
done below is for identification of which injury pattern :
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a. Medial Collateral Ligament

b. Lateral Collateral Ligament
c. Anterior Cruciate Ligament
d. Posterior Cruciate Ligament

Q.90) Following anterior dislocation of the shoulder, a patient develops weakness of

flexion at elbow and lack of sensation over the lateral aspect forearm: nerve injured is:
a. Radial nerve
b. Musculocutaneous nerve
c. Axillary nerve
d. Ulnar nerve

Q.91) All of the following are associated with supracondylar FRACTURE

of humerus, except:
a. It is uncommon after 15 years of age
b. Extension type FRACTURE is more common than the flexion type
c. Cubitus varus deformity commonly results following malunion
d. Ulnar nerve is most commonly involved

Q.92) All of the following are true regarding Ankylosing spondylitis EXCEPT :
a. Involvement of sacroiliac joint
b. Most of people are HLAB27 positive
c. 50% of patients may have urinary infection
d. Bamboo spine may be a radiological feature

Q.93) A 60 yrs old gentleman presented with Low back pain , X Rays reveal
pathological vertebral fractures. Serum Electrophoresis was positive for M-Band .
Whats the likely biochemistry findings?
a. Hypercalcemia with Normal Alkaline Phosphatase
b. Hypocalcemia with Normal Alkaline phosphatase
c. Hypercalcemia with High Alkaline Phosphatase
d. Hypocalcemia with High Alkaline Phosphatase
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Q.94) A 40 years old man, was admitted with FRACTURE shaft femur following a
road traffic accident. On 2nd day he became disoriented. He was found to be
tachypnoeic, and had conjunctival petechiae. Most likely diagnosis is:
a. Pulmonary embolism
b. Sepsis syndrome
c. Fat embolism
d. Haemothorax

Q.95) An elderly lady with Severe Inflammatory Arthritis and on long term
medications for treatment of Osteoporosis suddenly presented in emergency with pain
in thigh with Inability to ambulate. X Rays revealed :

What is the most probable diagnosis ?

a. Atypical Fracture
b. Typical Subtrochanteric Fracture
c. Paget’s Disease of Bone
d. Metastasis

Q.96) M/C joint involvement in Rheumatoid Arthritis is :

a. Wrist Joint
b. Metacarpophalangeal (MCP ) joint
c. Proximal Interphalangeal ( PIP) joint
d. Distal Interphalangeal ( DIP) joint

Q.97) A sportsman presented with complaints of Pain and instability in his shoulder
joint since last 3 years. Careful examination revealed multiple dislocations of the
same joint . MRI taken revealed :
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What should be next step in management :

a. Arm Sling with Analgesics
b. Physical therapy with strengthening exercises
c. Surgical repair
d. Hanging Cast followed by Activity modification

Q.98) In the clinical test shown , The Right Hand show’s weakness of which muscle
and which peripheral nerve palsy is the cause for it ?

a. Abductor Pollicis Brevis; Median Nerve

b. Adductor Pollicis ; Ulnar Nerve
c. Adductor Pollicis ; Median Nerve
d. Abductor Pollicis Brevis ; Ulnar Nerve

Q.99) Ponseti’s Technique is used for correction of following paediatric

musculoskeletal deformity :
a. CTEV
b. DDH
c. Congenital Coxa Varus
d. Congenital Metatarsus Adductus

Q.100) A 16 yrs old boy presented with c/o mild pain around the knee with difficulty
in walking . X rays taken revealed a radiolucent lesion in the metaphyseal area of
Proximal tibia :
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What is the most probable diagnosis :

a. Unicameral Bone Cyst
b. Brodie’s Abscess
c. Aneurysmal Bone Cyst
d. Osteoblastoma

ANSWER KEY
1B 2D 3D 4C 5C 6D 7A 8D 9A 10 A
11 B 12 B 13 B 14 C 15 B 16 B 17 C 18 A 19 D 20 B
21 C 22 A 23 D 24 B 25 A 26 D 27 D 28 A 29 D 30 A
31 D 32 A 33 C 34 B 35 B 36 D 37 A 38 B 39 A 40 C
41 D 42 A 43 B 44 A 45 B 46 D 47 B 48 B 49 A 50 B
51 B 52 D 53 D 54 C 55 A 56 D 57 A 58 B 59 C 60 B
61 B 62 A 63 B 64 B 65 D 66 C 67 C 68 B 69 A 70 C
71 C 72 D 73 C 74 B 75 B 76 C 77 A 78 B 79 A 80 B
81 D 82 C 83 D 84 C 85 C 86 B 87 B 88 B 89 A 90 B
91 D 92 C 93 A 94 C 95 A 96 B 97 C 98 B 99 A 100 B