MCQ Questions on Orthopedics .
Answer are given in bold highlight .
1- Gout of elbow region
a- Affect ulno-humeral joint.
b- Affect radio-humeral joint.
c- The olecranon bursa is a favorite site.
d- Affect the common extensor origin.
e- Affect the common flexor origin.
2- The best non operative treatment for posttraumatic elbow stiffness is
a- Passive exercise.
b- Early active movement through a functional range.
c- Manipulation under anesthesia .
d- Manipulation under regional anesthesia.
e- Aggressive passive manipulation.
3- Recurrent elbow instability commonly associated with
a- Muscles weakness.
b- Posterior capsular injury .
c- Lateral collateral ligament injuries.
d- Fracture olecranon.
e- Fracture coronoid.
4- Tennis elbow is characterized by
a- Localized tenderness at or just below the lateral epicondyle.
b- Pain radiate widely.
c- Damage to the bones.
d- Damage to soft-tissue attachments around the elbow.
e- The elbow flexion and extension are full and painless.
5- Semi-constrained elbow arthroplasty
a- Associated with instability.
b- Associated with dislocation.
c- Good results achieved in 90% of carefully selected patients.
d- Allow some of the forces to absorb by the soft tissues whilst maintaining some intrinsic stability.
e- Had a high failure rate due to loosening.
6- Stability of the scapho-lunate joint is tested by
a- Gripping or pinching the lunate with one hand, the triquetral-pisiform with the other, and then applying a sheer stress.
b- Pushing the pisiform radial wards against the triquetrum.
c- Pressing hard on the palmar aspect of the scaphoid tubercle while moving the wrist alternately in abduction and adduction.
d- Pushing the wrist medially then flexing and extending it.
e- Holding the radius and then balloting the ulnar head up and down.
7- The normal radial deviation is about
a- 5°.
b- 15°.
c- 25°.
d- 35°.
e- 50°.
8- The embryonic arm buds appear about
a- Fourth week.
b- Sixth week.
c- Eighth week.
d- 10th week.
e- 12th week.
9- Digital rays begin to appear
a- By 6th week.
b- By 8th week .
c- By 10th week .
d- By 12th week .
e- By 14th week .
10- Secondary ulnar dysplasia occur in children who had
a- Madelung's deformity.
b- Achondroplasia.
c- Hereditary multiple exostosis.
d- Ulnar club hand.
e- Symbrachydactyly.
11- Comptodactyly is
a- Conjoint digit.
b- Failure of embryological separation.
c- True cleft hand.
d- A bent finger.
e- Phocomelia.
12- The most unstable of the carpal bones is
a- Pisiform.
b- Lunate.
c- Hamate.
d- Trapezoid.
e- Scaphoid.
13- Clinodactyly is
a- A bent finger.
b- A digit bent sideways.
c- Complex polydactyly.
d- Multiple digits syndactyly.
e- Atypical cleft hand.
14- When there is severe pain and restriction of wrist movement in Kienbock’s disease , the best treatment is
a- Vascular bone graft.
b- Radial shortening.
c- Radial dome osteotomy.
d- Radio-carpal arthrodesis.
e- Scapho- capitate fusion.
15- The cardinal feature of the ‘rheumatoid hand’ is
a- A reciprocal ulnar deviation of the fingers.
b- Combination of instability and erosive tenosynovitis eventually leads to tendon rupture.
c- The erosion of distal radio-ulnar joint.
d- The erosion of radiocarpal joint and intercarpal joints.
e- Synovitis around the ulnar head with rupture of extensor digiti minimi.
16- The first x-rays changes in rheumatoid arthritis are
a- Peri-articular osteoporosis.
b- Diminution of the joint space.
c- Soft-tissue swelling.
d- Bony erosions.
e- Marked joint destruction.
17- Flexor tenosynovitis in rheumatoid hand
a- Is obvious as extensor tendon involvement.
b- Causes rupture of the flexor pollicis longus tendon.
c- Causes rupture of the flexor digitorum profundus tendon.
d- Causes rupture of the flexor digitorum superficialis tendon .
e- May presented as carpal tunnel syndrome.
18- Relative shortness of the ulna appears in association with
a- Carpal tunnel syndrome.
b- Kienbock’s disease.
c- Ulna-carpal impaction syndrome.
d- Central triangular fibrocartilage complex perforations.
e- Late ulno-carpal arthritis.
19- Early post traumatic boutonniere deformity is treated by
a- Division of the extensor tendon distally.
b- Surgical repair and splintage for 6 weeks.
c- Surgical repair and fixation by K-wire for 6 weeks.
d- Splinting the PIP joint in full extension for 6 weeks.
e- Tendon transfer and splintage for 6 weeks.
20- The normal angle of distal radial tilt is
a- 6°.
b- 11°.
c- 22°.
d- 30°.
e- 65°.
21- The normal angle of palmar tilt in distal radius is
a- 3°.
b- 5°.
c- 8°.
d- 11°.
e- 22°.
22- The jointed strut in the wrist formed by
a- The scaphoid, trapezoid and thumb.
b- The scaphoid, trapezium and thumb.
c- The scaphoid, trapezoid and second metacarpal.
d- The scaphoid, capitate and central metacarpal.
e- The scaphoid, trapezoid and central metacarpal .
23- The distal radial epiphysis appears at age of
a- First year.
b- Second year.
c- Fourth year.
d- Sixth year.
e- Eighth year.
24- With the wrist flexed, the thumb fall normally in
a- Flexion.
b- Supination.
c- Pronation.
d- Extension.
e- Ulnar deviation.
25- Functionally the thumb is
a- A 20% of the hand.
b- A 25% of the hand.
c- A 30% of the hand .
d- A 35% of the hand.
e- A 40% of the hand.
26- Intrinsic muscle of hand
a- Extend of the MCP and flex IP joints.
b- Extend of the MCP and extend IP joints .
c- Flexed of the MCP and extend IP joints.
d- Flexed of the MCP and flex IP joints .
e- Hyperextend of the MCP and flex IP joints.
27- Osteoarthritis in hand affect mainly the
a- Proximal interphalangeal joints.
b- Distal interphalangeal joints.
c- Metacarpophalangeal joints.
d- Carpometacarpal joints.
e- Intercarpal joints.
28- Abduction of the thumb is
a- Sideways movement in the plane of the palm.
b- Sideways movement across the palm.
c- Upward movement at the right angles to the palm.
d- Pressing against the palm.
e- Lifting the thumb backwards behind the plane of the hand.
29- The cause of hand intrinsic minus is
a- Cerebral palsy.
b- Poliomyelitis.
c- Scarring after trauma.
d- Scarring after infection.
e- Shrinkage due to ischemia.
30- Agricultural injuries of the hand usually treated by
a- Flucloxacillin or cephalosporin.
b- Flucloxacillin and Fucidin.
c- A broad-spectrum penicillin and Fucidin.
d- A broad-spectrum penicillin and metronidazole.
e- Cephalosporin and Fucidin.
31- Mobile Boutonniere deformity in rheumatoid arthritis can be treated with
a- Tendon repair.
b- Tendon transfer.
c- Arthroplasty.
d- Arthrodesis.
e- Splint.
32- In combined median and ulnar nerve injuries
a- The thumb is in palm.
b- The thumb is flexed.
c- There is a clawing of thumb.
d- The thumb lie at the side of the hand.
e- The thumb adducted and rotated.
33- The most common finger affected by trigger finger is
a- Little finger.
b- Ring finger.
c- Middle finger.
d- Index.
e- Thumb.
34- The atlanto-dental interval in adult is
a- 1 or 2 mm.
b- 2 or 3mm.
c- 4 or 5 mm.
d- 6 or 8 mm.
e- 8 or 10 mm.
35- The normal synchondrosis between the dens and the body of C2 is
a- Fuses at about 4 years.
b- Fuses at about 6 years.
c- Fuses at about 8 years.
d- Fuses at about 10 years.
e- Fuses at about 12 years.
36- The most common site of cervical spondylosis is
a- C2/3 and C3/4.
b- C3/4 and C4/5.
c- C4/5 and C5/6.
d- C5/6 and C6/7.
e- C6/7 and C7/T1.
37- The sagittal diameter of the mid-cervical spinal canal suggestive of spinal stenosis is less than
a- 9 mm.
b- 11 mm.
c- 13 mm.
d- 15 mm.
e- 17 mm.
38- The most common seronegative spondyloarthropathy to affect the cervical spine is
a- Rheumatoid arthritis.
b- Ankylosis spondylitis.
c- Juvenile poly arthritis.
d- Reiter's disease.
e- Colitis associated arthropathy.
39- Scoliosis with pain suggest
a- A spinal infection until proved otherwise.
b- A spinal tumor until proved otherwise.
c- A prolapse disc until proved otherwise.
d- A structural scoliosis until proved otherwise.
e- A postural scoliosis until proved otherwise.
40- In structural scoliosis
a- Right thoracic curves are the commonest.
b- Left thoracic curves are the commonest .
c- Right lumbar curves are the commonest .
d- Left lumbar curves are the commonest .
e- Right cervical curves are the commonest .
41- Acute pyogenic infection of the spine
a- Is uncommon.
b- Diagnosis and treatment often early done.
c- The infection start in vertebral body with secondary spread to disc.
d- Children and young adult are at greatest risk.
e- The spinal canal is commonly involved.
42- MRI in acute pyogenic infection of spine
a- May show nonspecific changes in the vertebral end plate.
b- May show nonspecific changes in the intervertebral disc.
c- Is highly sensitive and highly specific.
d- Is highly sensitive and not specific.
e- Is highly specific but not sensitive.
43- Pott's paraplegia
a- Is the rarest complication of spinal tuberculosis.
b- Early onset paresis is due to pressure by direct cord compression.
c- Late onset paresis is due to pressure by inflammatory edema.
d- In early cases, the prognosis is good.
e- The prognosis of surgical decompression in late cases is good.
44- The disc space collapse is typical
a- Traumatic compression.
b- Infection.
c- Multiple myeloma.
d- Metastatic disease.
e- Osteoporosis.
45- Hydatid disease in spine
a- Usually picked in adulthood.
b- Take many months before diagnosis made.
c- X-rays may reveal translucent area with sclerotic margin.
d- X-rays may reveal local osteoporosis and periosteal reaction.
e- Surgical eradication prevent morbidity and recurrence.
46- Root canal stenosis results from
a- Degenerative changes of disc.
b- Osteoarthritis of facet joint.
c- Thickening of the ligamentum flavum.
d- Bulging of the disc annulus fibrosus.
e- New bone formation may narrow the lateral recesses of the spinal canal and the intervertebral foramina.
47- Acute disc prolapse
a- Is uncommon in young adults.
b- Is rare in old age.
c- Presented as sciatica only.
d- The patients usually stand with a slight kyphosis.
e- May cause muscle weakness and wasting.
48- The major postoperative complication of disc surgery is
a- Bleeding from epidural veins.
b- Recurrent prolapse with sciatica is more common and may require revision decompression surgery.
c- Injury to the dura and CSF leakage.
d- Disc space infection.
e- Injuries to nerve root and spinal cord.
49- The characteristic feature of ‘segmental instability of lumbar spine’ is
a- Intervertebral disc degeneration.
b- Mainly flattening of the ‘disc space’.
c- Marginal osteophytes.
d- The appearance of a ‘traction spur’.
e- Arthritis of facet joint.
50- Lytic or isthmic spondylolisthesis forms
a- 5%.
b- 10%.
c- 20%.
d- 25%.
e- 50%.
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