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Orthopaedic quiz.by.yapa wijeratne

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Page 1: Orthopaedic quiz.by.yapa wijeratne

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Orthopaedic Quiz

For medicine undergraduates

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1.What is the diagnosis?2.Name 2 complications associated with this fracture.

Q:1

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1.Identify this clinical deformityQ:2

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1.Describe the mechanism of injury?2.Name 2 serious complications of this injury?

Q:3

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1.Identify the prosthesis 2.What is the indication for its use?

Q:4

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1.Identify this equipment2. Name 2 indications for its use.

Q:5

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1.Identify this fracture.2.What is the best way to manage this fracture?

Q:6

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1.Identify this injury?2. What is the mechanism of injury. Q:7

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1.Identify the type of fracture2.What is the clinical condition associated with this fracture?

Q:8

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1.Identify this clinical deformity2.How do you manage this child during first six months?

Q:9

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1.Describe this injury.2.Name two complications associated with this injury

Q:10

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1.What is the injury?2. What is the best way to manage this injury

Q:11

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1.What is the mechanism of injury2.How do you manage this injury?

Q:12

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1.Describe the type of injury2.How do you manage this type of injury?

Q:13

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1.What is the diagnosis2.How do manage this problem?

Q:14

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1.What is the diagnosis2.name 2 radiological features of this condition

Q:15

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1.What is the diagnosis2. How do you manage this problem?

Q:16

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1.What is the diagnosis?2.Name 2 radiological features of this condition

Q:17

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1.What is the radiological feature seen n this x-ray?2. Name 2 tumour markers associated with this condition

Q:18

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1.What is the diagnosis2.Name 2 long term complications associated with this condition Q:19

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Q:201.What is the diagnosis2. How do you manage this problem?

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Q:211.What is the diagnosis2. How do you manage this problem?

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Q:221.What is the diagnosis2. How do you manage this problem?

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Q:231.What is the diagnosis?2.Name 2 complications associated with this fracture.

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1.Identify the followingsQ:24

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1. Identify the deformity.2. How do you manage this problem?

Q:25

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Answers

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1.What is the diagnosis?2.Name 2 complications associated with this fracture.

• 1.– Colles fracture

• 2.– Avascular necrosis of

Scaphoid– Osteoarthritis– Non-union– Delayed -union

Q:1

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1.Identify this clinical deformity

• Positive Trendelenburg’s sign on left due to the weakness of left hip abductors (gluteus medius/minimus)

Q:2

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1.Describe the mechanism of injury?2.Name 2 serious complications of this injury?

• 1.– Falling on outstretched

hand (straight elbow)• 2.

– Brachial artery damage

– Compartment syndrome

Q:3

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1.Identify the prosthesis 2.What is the indication for its use?

• 1.– Austin Moore

Hemiprosthesis• 2.

– Intracapsular neck of the femur fracture

Q:4

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1.Identify this equipment2. Name 2 indications for its use.

• 1.• C-arm image intensifier• 2.• Manipulation• Checking progress of surgery/

intraoperative x-rays• Cardiac catheterization• DHS

Q:5

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1.Identify this fracture.2.What is the best way to manage this fracture?

• 1.– Forearm fracture of

the proximal radius & ulna

• 2.– Open reduction &

internal fixation (OR+IF)

Q:6

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1.Identify this injury?2. What is the mechanism of injury.

• Transverse patellar fracture• Avulsion fracture/ violent contraction of quadriceps tendon.

Q:7

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1.Identify the type of fracture2.What is the clinical condition associated with this fracture?

• 1.– Wedge fracture of the

vertebral body• 2.

– Osteoporosis

Q:8

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1.Identify this clinical deformity2.How do you manage this child during first six months?

• 1. CTEV• 2. serial plaster casts

as soon as identify

Q:9

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1.Describe this injury.2.Name two complications associated with this injury

• 1.– Posterior dislocation of hip

• 2.– Sciatic nerve injury– Avascular necrosis of

femoral head due to twisting & rupture of retinacular arteries.

Q:10

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1.What is the injury?2. What is the best way to manage this injury

• 1.– Fracture of lateral

malleolus• 2.

– OR+IF (as it is a unstable #)

Q:11

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1.What is the mechanism of injury2.How do you manage this injury?

• 1.– Sudden inversion of

the foot– (violent contraction of

peroneus brevis)• 2.

– Internal fixation (with K-wire)

Q:12

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1.Describe the type of injury2.How do you manage this type of injury?

1. Transient facet dislocation2. Stabilize with cervical collar & if B/L, fixation

Q:13

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1.What is the diagnosis2.How do manage this problem?

• 1.Giant cell tumor• 2. • Curettage, bone

graft /cementing

Q:14

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1.What is the diagnosis2.name 2 radiological features of this condition

• 1.Ewing’s sarcoma• 2.• periosteal reaction• Onion peel

appearance

Q:15

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1.What is the diagnosis2. How do you manage this problem?

• 1. Osteochondroma • 2.Excision of the tumor + symptomatic treatment

Q:16

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1.What is the diagnosis?2.Name 2 radiological features of this condition

Q:17

• 1.osteosarcoma• 2. sun ray specules, Codman’s triangle

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1.What is the radiological feature seen n this x-ray?2. Name 2 tumour markers associated with this condition

• 1.osteosclerosis of the pubis & ischium

• 2.– PSA– Prostatic acid

phosphatase

Q:18

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1.What is the diagnosis2.Name 2 long term complications associated with this condition

• 1.– Perthes’ disease

• 2.– Secondary

osteoarthritis– Persistent limp– Pain– Dislocation– Deformity– Shortening

Q:19

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• 1.Chronic osteomyelitis

• 2• Pus drainage• Antibiotics• Excision of

sequestrum

Q:201.What is the diagnosis2. How do you manage this problem?

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• 1.Fracture of the clavicle (Displaced fracture of the middle third of the clavicle)

• 2. “8” figure brace

Q:211.What is the diagnosis2. How do you manage this problem?

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• 1.• Myositis ossificans• 2.• DO NOT heat or

forcefully move• Indomethacin

Q:221.What is the diagnosis2. How do you manage this problem?

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• 1.– Scaphoid fracture

• 2.– Avascular necrosis of

(proximal) Scaphoid– Osteoarthritis– Non-union– Delayed -union

Q:231.What is the diagnosis?2.Name 2 complications associated with this fracture.

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1.Identify the followings

1. Flexible Intramedullary nails2. Locked Intramedullary nails 3. Plate & screw4. External fixator

Q:24

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1. Identify the deformity.2. How do you manage this problem?

• 1.Cubitus varus• 2.Corrective (wedge shape) osteotomy for

correcting carrying angle

Q:25

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Reference • Apleys System of Orthopaedics and

Fractures 9 ed

• Prepared as a slideshow – by Yapa Wijeratne