orthopaedics

Q 229. Commonest cause for neuralgic pain in foot is:

A. Compression of communication between medial and lateral plantar nerve.
B. Exaggeration of longitudinal arches.
C. Injury to deltoid ligament.
D. Shortening of plantar aponeurosis.
Ans. A
Q 230. In actinomycosis of the spine, the abscess usually erodes:
A. Intervertebral disc
B. Into the pleural cavity
C. Into the retroperitoneal space
D. Towards the SKIN
Ans. D
Q 231. A ten-year old girl presents with swelling of one knee joint. All of the following conditions can be considered
in the differential diagnosis, except:
A. Tuberculosis
B. Juvenile rheumatoid arthritis
C. Haemophilia
D. Villonodular synovitis
Ans. C
Q 232. Avascular necrosis can be a possible sequelae of FRACTURE of all of the following bones, except:
A. Femur neck
B. Scaphoid
C. Talus
D. Calcaneum
Ans. D
Q 233. Sciatic nerve palsy may occur in the following injury:
A. Posterior dislocation of hip joint.
B. FRACTURE neck of femur.
C. Trochanteric FRACTURE .
D. Anterior dislocation of hip.
Ans. A
Q 234. A 30-year old male was brought to the casualty following a road traffic accident. His physical examination
revealed that his right lower limb was short, internally rotated and flexed and adducted at the hip. The most likely
diagnosis is:
A. FRACTURE neck of femur.
B. Trochanteric FRACTURE .
C. Central FRACTURE dislocation of hip.
D. Posterior dislocation of hip.
Ans. D
Q 235. Which one of the following tests will you adopt while examining a knee joint where you suspect an old tear
of anterior cruciate ligament?
A. Posterior drawer test.
B. McMurray test.
C. Lachman test.
D. Pivot shift test.
Ans. C
Q 236. An eight-year old boy presents with back pain and mild fever. His plain X-ray of the dorsolumbar spine
reveals a solitary collapsed dorsal vertebra with preserved disc spaces. There was no associated soft tissue
shadow. The most likely diagnosis is:
A. Ewings sarcoma.
B. Tuberculosis.
C. Histiocytosis.
D. Metastasis.
Ans. C
Q 237. Kienbocks disease is due to avascular necrosis of:
A. Femoral neck.
B. Medial cuneiform bone.
C. Lunate bone.
D. Scaphoid bone.
Ans. C
Q 238. Pseudoclaudication is due to compression of:
A. Femoral artery.
B. Femoral nerve.
C. Cauda Equina.
D. Popliteal artery.
Ans. C
O 238. Curpel tunnel syndrome ls due to compresslon of:
A. Rudlul nerve
B. Ulnur nerve
C. Pulmur brunch of the ulnur nerve
D. Medlun nerve
Ans. D
O 239. Most common nerve lnvolved ln the FRACTURE of surglcul neck of humerus ls:
A. Medlun
B. Rudlul
C. Ulnur
D. Axlllury
Ans. D
O 240. All of the followlng ure ussocluted wlth suprucondylur FRACTURE of humerus, except:
A. It ls uncommon ufter 15 yeurs of uge
B. Extenslon type FRACTURE ls more common thun the flexlon type
C. Cubltus vurus deformlty commonly results followlng mulunlon
D. Ulnur nerve ls most commonly lnvolved
Ans. D
O 241. A 40 yeurs old mun, wus udmltted wlth FRACTURE shuft femur followlng u roud trufflc uccldent. On 2nd duy he
becume dlsorlented. He wus found to be tuchypnoelc, und hud con|unctlvul petechlue. Most llkely dlugnosls ls:
A. Pulmonury embollsm
B. Sepsls syndrome
C. Fut embollsm
D. Huemothorux
Ans. C
O 242. Kumur, u 31 yeurs old motorcycllst sustulned ln|ury over hls rlght hlp |olnt. X-ruy reveuled u posterlor dlslocutlon of
the rlght hlp |olnt. The cllnlcul uttltude of the uffected lower llmb wlll be:
A. Externul rotutlon, extenslon & ubductlon
B. Internul rotutlon, flexlon & udductlon
C. Internul rotutlon, extenslon & ubductlon
D. Externul rotutlon, flexlon & ubductlon
Ans. B
O 243. Puppu, 7 yeurs old young boy, hud FRACTURE of luterul condyle of femur. He developed mulunlon us the
FRACTURE wus not reduced unutomlcully. Mulunlon wlll produce:
A. Genu vulgum
B. Genu vurum
C. Genu recurvutum
D. Dlslocutlon of knee
Ans. A
O 244. Putellur tendon beurlng POP cust ls lndlcuted ln the followlng FRACTURE :
A. Putellu
B. Tlblu
C. Medlul mulleolus
D. Femur
Ans. B
O 245. Inverslon ln|ury ut the unkle cun cuuse ull of the followlng except:
A. FRACTURE tlp of luterul melleolus
B. FRACTURE buse of the 5th metutursul
C. Spruln of extensor dlgltorum brevls
D. FRACTURE of sustentuculum tull
Ans. C
O 246. A prevlously heulthy 45 yeurs old luborer suddenly develops ucute lower buck puln wlth rlght-leg puln & weukness
of dorslflexlon of the rlght greut toe. Whlch of the followlng ls true:
A. Immedlute treutment should lnclude unulgeslcs, muscle reluxunts & buck strengthenlng exerclses
B. The uppeurunce of the foot drop lndlcutes eurly surglcul lnterventlon
C. If the neurologlcul slgns resolve wlthln 2 to 3 weeks but low buck puln perslsts, the proper treutment would lnclude
fuslon of uffected lumbur vertebru
D. If the neurologlcul slgns full to resolve wlthln 1 week, lumbur lumlnectomy und exclslon of uny hernluted nucleus
pulposus should be done
Ans. B
O 247. Acute osteomylltls ls most commonly cuused by:
A. Stuphylococcus uureus
B. Actlnomyces bovls
C. Nocurdlu usteroldes
D. Borrellu vlncentll
Ans. A
O 248. A 45 yeurs mule presented wlth un expunslle leslon ln the centre of femorul metuphysls. The leslon shows
endosteul sculloplng & punctuute culclflcutlons. Most llkely dlugnosls ls:
A. Osteosurcomu
B. Chondrosurcomu
C. Slmple bone cyst
D. Flbrous dyspluslu
Ans. B
O 249. Ru|u, u 10 yeurs old chlld, presents wlth predlsposltlon to fructures, unemlu, heputosplenomeguly und u dlffusely
lncreused rudlogruphlc denslty of bones. The most llkely dlugnosls ls:
A. Osteogenesls lmperfectu
B. Pyenodysotosls
C. Myeloflbrosls
D. Osteopetrosls
Ans. D
O 250. Hurl Vurdhmun, 9 yeurs old chlld, presents wlth scollosls, hulry tuft ln the SKIN of buck und neurologlcul deflclt.
Pluln X-ruys reveul multlple vertebrul unomulles & u vertlcul bony spur overlylng lumbur splne on AP vlew. The most
probuble dlugnosls ls:
A. Dorsul dermul slnus
B. Dlustometumyellu
C. Tlght fllum termlnule
D. Cuudul regreslon syndrome
Ans. B
O 251. In u putlent wlth heud ln|ury, unexplulned hypotenslon wurrunts evuluutlon of:
A. Upper cervlcul splne
B. Lower cervlcul splne
C. Thoruclc splne
D. Lumbur splne
Ans. C
O 252. Complete trunsectlon of the splnul cord ut the C1 level produces ull of the followlng effects except:
A. Hypotenslon
B. Llmlted resplrutory effort
C. Anuestheslu below the level of the leslon
D. Areflexlu below the level of the leslon
Ans. B
O 235. Followlng unterlor dlslocutlon of the shoulder, u putlent develops weukness of flexlon ut elbow und luck of
sensutlon over the luterul uspect fore urm. Nerve ln|ured ls:
A. Rudlul nerve
B. Musculocutuneous nerve
C. Axlllury nerve
D. Ulnur nerve
Ans. B
O 236. Bubloo u 10 yeurs old boy presents wlth FRACTURE of humerus. X-ruy reveuls u lytlc leslon ut the upper end.
Llkely condltlon ls:
A. Unlcumerul bone cyst
B. Osteosurcomu
C. Osteoclustomu
D. Aneurysmul bone cyst
Ans. A
O 237. A putlent sustulned ln|ury to the upper llmb 3 yeurs buck. He now presents wlth vulgus deformlty ln the elbow und
purestheslus over the medlul border of the hund. The ln|ury ls llkely to huve been:
A. Suprucondylur FRACTURE humerus
B. Luterul condyle FRACTURE humerus
C. Medlul condyle FRACTURE humerus
D. Posterlor dlslocutlon of the humerus
Ans. B
O 238. A womun uged 60 yeurs suffers u full. Her lower llmb ls ubducted und externully rotuted. Llkely dlugnosls ls:
A. Neck of femur FRACTURE
B. Intertrochunterlc femur FRACTURE
C. Posterlor dlslocutlon of hlp
D. Anterlor dlslocutlon of hlp
Ans. D
O 239. Trlple urthrodesls lnvolves:
A. Culcuneocubold, tulonuvlculur und tuloculcuneul
B. Tlblotulur, culcuneocubold und tulonuvlculur
C. Ankle |olnt, culcuneocubold und tulonuvlculur
D. None of the ubove
Ans. A
O 240. Bubu u 19 yeurs old mule hus u smull clrcumscrlbed sclerotlc swelllng over dluphysls of femur. Llkely dlugnosls ls:
A. Osteoclustomu
B. Osteosurcomu
C. Ewlngs surcomu
D. Osteold osteomu
Ans. D
O 241. Most common slte of osteogenlc surcomu ls:
A. Femur, upper end
B. Femur, lower end
C. Tlblu, upper end
D. Tlblu, lower end
Ans. B
O 242. Involvement of PIP |olnt, DIP |olnt und the curpometucurpul |olnt of buse of thumb wlth spurlng the wrlst ls seen ln:
A. Rheumutold urthrltls
B. Osteourthrltls
C. Psorlutlc urthrltls
D. Pseudogout
Ans. B
O 243. The plvot test ls for:
A. Anterlor cruclute llgument
B. Posterlor cruclute llgument
C. Medlul menlscus
D. Luterul menlscus
Ans. A
O 244. Illotlblul bund contructure followlng pollo ls llkely to result ln:
A. Extenslon ut hlp
B. Extenslon ut knee
C. Flexlon ut hlp und knee
D. Extenslon ut hlp und knee
Ans. C
O 240. A young womun met wlth un uccldent und hud mlld quudrlpuresls. Her luterul X-ruy cervlcul splne reveuled C5-C6
FRACTURE dlslocutlon. Whlch of the followlng ls the best llne of munugement?
A. Immedlute unterlor decompresslon.
B. Cervlcul tructlon followed by lnstrument flxutlon.
C. Hurd cervlcul collur und bed rest cervlcul lumlnectomy.
D. Cervlcul lumlnectomy.
Ans. B
O 241. Whlch one of the followlng ls the lnvestlgutlon of cholce for evuluutlon of suspected Perthes dlseuse?
A. Pluln X-ruy.
B. Ultrusonogruphy (US).
C. Computed tomogruphy (CT).
D. Mugnetlc resonunce lmuglng (MRI).
Ans. D
O 242. Neuronul degenerutlon ls seen ln ull of the followlng except:
A. Crush nerve ln|ury.
B. Fetul development.
C. Senescence.
D. Neuropruxlu.
Ans. D
O 243. In Kllppel-Fell syndrome, the putlent hus ull of the followlng cllnlcul feutures except:
A. Low hulr llne.
B. Blluterul neck webblng.
C. Blluterul shortness of sternomustold muscles.
D. Gross llmltutlons of neck movements.
Ans. C
O 244. The most common sequelue of tuberculous spondylltls ln un udolescent ls:
A. Flbrous unkylosls.
B. Bony unkylosls.
C. Puthologlcul dlslocutlon.
D. Chronlc OSTEOMYELITIS .
Ans. B
O 245. In rudlonucllde lmuglng the most useful rudlo- phurmuceutlcul for skeletul lmuglng ls:
A. Gulllum 67 (67Gu).
B. Technetlum-sulphur-collold (99mTc-Sc).
C. Technetlum-99m (99mTc).
D. Technetlum-99m llnked to methylene dlsphosphonute (99mTc-MDP).
Ans. D
O 246. Heberdens urthroputhy uffects:
A. Lumbur splne.
B. Symmetrlcully lurge |olnts.
C. Sucrollluc |olnts.
D. Dlstul lnterphulungeul |olnts.
Ans. D
O 247. Subtrochunterlc fructures of femur cun be treuted by ull of the followlng methods except:
A. Skeletul tructlon on Thomus spllnt.
B. Smlth Petersen null.
C. Condylur blude plute.
D. Enders null.
Ans. B
O 248. All of the followlng ure true ubout FRACTURE of the utlus vertebru, except:
A. Jefferson FRACTURE ls the most common type.
B. Ouudrlpleglu ls seen ln 80% cuses.
C. Atluntoocclpul fuslon muy sometlmes be needed.
D. CT scuns should be done for dlugnosls.
Ans. D
O 249. A 30-yeur-old mun hud roud trufflc uccldent und sustulned FRACTURE of femur. Two duys luter he developed
sudden breuthlessness. The most probuble cuuse cun be:
A. Pneumonlu.
B. Congestlve heurt fullure.
C. Bronchlul usthmu.
D. Fut embollsm.
Ans. D
O 250. A 45-yeur-old wus glven sterolds ufter renul trunsplunt. After 2 yeurs he hud dlfflculty ln wulklng und puln ln both
hlps. Whlch one of the followlng ls most llkely cuuse?
A. Prlmury osteourthrltls.
B. Avusculur necrosls.
C. Tuberculosls.
D. Alumlnum toxlclty.
Ans. B
O 251. All of the followlng ureus ure commonly lnvolved sltes ln pelvlc FRACTURE except:
A. Publc ruml.
2. Alue of lleum.
3. Acetubulu.
4. Ischlul tuberosltles.
Ans. D