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Free Orthopedics Review | Dr Hutaif General Orthopedics -...

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FREE Orthopedics MCQS 2022 1651-1700

QUESTION 1
An amputation through the wrist is an indication for attempted replantation.
1
True
2
False
QUESTION 2
C are of an amputated part prior to replantation includes:
1
Painting the amputated part with povidone-iodine
2
Immersing the amputated part in water
3
Placing the amputated part in a warm saline bath
4
Wrapping the amputated part with saline-soaked gauze and placing it in a plastic bag on ice
5
Putting the amputated part next to the patientâs body to keep it warm
QUESTION 3
Replants are monitored by:
1
C olor
2
Turgor
3
Doppler probes
4
Temperature measurements
5
All of the above
QUESTION 4
C omplications post-replantation include:
1
C old intolerance
2
Stiffness
3
Excessive laxity of the digit
4
A and B only
5
All of the above
QUESTION 5
Placing some tension on a flexor tendon repair increases the ultimate tensile strength of the repair.
1
True
2
False
QUESTION 6
Flexor tendon nutrition is derived from:
1
The vincula
2
The pulleys
3
Synovial diffusion
4
All of the above
5
A and C only
QUESTION 7
Immobilization as a postoperative therapy for flexor tendon repair is recommended for:
1
Lacerations that involve both the flexor digitorum superficialis tendon and the flexor digitorum profundus tendon
2
2-strand tendon repairs
3
C hildren
4
Associated pulley rupture
5
Flexor tendon laceration in the thumb
QUESTION 8
Optimization of early active motion protocols for flexor tendon rehabilitation includes:
1
Multi-strand repair
2
Splinting the digit in extension
3
Using passive flexion of the finger to gain flexibility
4
Therapist hyperextension of the finger
5
Ultrasound as an adjunct
QUESTION 9
The splint for early active motion flexor tendon rehabilitation protocols includes:
1
A wrist flexion piece
2
A dynamic extension outrigger
3
A yoke over the affected finger
4
A hinge at the wrist to allow a tenodesis effect
5
None of the above
QUESTION 10
A 13-year-old boy tears his anterior cruciate ligament (AC L) while playing flag football. What is the preferred graft material for his AC L reconstruction:
1
Bone-patellar tendon-bone autograft
2
Quadriceps tendon autograft
3
Four-strand hamstring tendon autograft
4
Four-strand hamstring tendon allograft
5
Achilles tendon allograft
QUESTION 11
What deformity can develop in a mistreated volar PIP joint dislocation?
1
Swan neck deformity
2
Extensor lag
3
Boutonniere deformity
4
Flexion contracture
5
Hyperextension deformity
QUESTION 12
What percentage of the articular surface must be involved in a dorsal PIP joint fracture dislocation for disruption of the collateral ligaments to occur?
1
20%
2
40%
3
60%
4
80%
5
100%
QUESTION 13
Which structures are disrupted in a lateral PIP joint dislocation?
1
Volar plate by itself
2
Volar plate and both collateral ligaments
3
Volar plate, both collateral ligaments and central slip
4
Volar plate and one collateral ligament
5
Volar plate and lateral bands
QUESTION 14
A 22-year old right-hand dominant male college student consumes a large amount of alcohol and falls asleep for eleven hours with his right arm over a chair. When he awakens, he is unable to feel the dorsum of his hand and cannot extend his elbow, wrist, or the metacarpalphalangeal joints of his affected arm. Initial management should consist of
1
Upper Extremity Angiography
2
Observation
3
Non-Steroidal Anti-Inflammatory Drugs (NSAIDs)
4
Electromyography
5
Emergent Nerve Exploration, with repair if necessary
QUESTION 15
Flumazenil can be administered to reverse the effects of which of the following drugs:
1
Propofol
2
Fentanyl
3
Midazolam
4
Ketamine
5
Methohexital
QUESTION 16
A 7-year-old boy fell off the jungle gym and landed on his outstretched right arm sustaining a forearm fracture in both bones. The fracture requires reduction. He was given a combination of fentanyl and midazolam for sedation. At his current level of sedation, he is protecting his own airway. His oxygen saturation has dropped slightly to 92% but is stable. He does not display any awareness or discomfort when the fracture is being manipulated. How would you define his current level of sedation:
1
Analgesia
2
C onscious sedation
3
Deep sedation
4
General anesthesia
5
Dissociative amnesia
QUESTION 17
A 14-year-old girl with a history of multiple food allergies and severe asthma was involved in a motor vehicle accident and sustained an isolated right femur fracture. Which of the following medications is the best choice to control her pain:
1
Ketamine
2
Morphine
3
Methohexital
4
Meperidine
5
Midazolam
QUESTION 18
Which of the following choices is the best for sedating an otherwise healthy child for a fracture reduction:
1
Morphine, diazepam
2
Meperidine, midazolam
3
Fentanyl, diazepam
4
Demerol, phenergan, and thorazine
5
Fentanyl, midazolam
QUESTION 19
A 3-year-old child presents with an obvious right lower extremity abnormality. The left lower extremity has normal alignment and joint function. The right lower extremity displays a severely short thigh with a flexed hip. The right foot and leg are also abnormal. Radiographs reveal a right proximal femur with no femoral head or neck, as well as acetabular dysplasia. There is also fibular hemimelia and two missing lateral rays of the foot. The parents want treatment to preserve the function of the normal leg. The most appropriate treatment is:
1
Observation
2
Right Syme's amputation with knee fusion and prosthetic fitting
3
Van Nes rotation-plasty
4
Femoral lengthening
5
Equinus prosthesis
Dr. Mohammed Hutaif
Written & Medically Reviewed by
Consultant Orthopedic & Spine Surgeon