+967-774203774 [email protected]
Partner Portal Staff Login
العربية
Part of the Master Guide

Orthopedic Prometric MCQs - Chapter 3 Part 1

Orthopedic Prometric MCQs - Chapter 3 Part 11

25 Apr 2026 18 min read 2 Views
Orthopedic Prometric MCQs - Chapter 3 Part 11

Welcome to Chapter 3 Part 11 of our comprehensive Orthopedic Prometric Exam Simulator. This interactive test features 20 high-yield multiple-choice questions designed to help you prepare for the Saudi Prometric (SCFHS), DHA, HAAD, SLE, and OMSB orthopedic surgery exams.

Use the Study Mode to view detailed explanations instantly, or switch to Exam Mode to test your speed and accuracy under simulated testing conditions.

Prometric Exam Simulator


00:00

Start Quiz

Question 1

A 10-year-old girl injured her neck (Slide) after falling and hitting her head. Recommended treatment includes:





Explanation

Orthopedic Prometric Exam Chapter 3 Image The patient has an anterior compression fracture of C 7, which can be treated by cervicothoracic orthosis. Halo vest immobilization improves control of the head and upper cervical spine but is unnecessary treatment in this patients case. Although an anterior operation is an optional treatment for an anterior compression fracture, it is also unnecessary in this patientâ s case.

Question 2

Which of the following conditions is represented in the radiograph (Slide):





Explanation

This radiograph demonstrates a chance fracture. The posterior elements of the spine are separated, as indicated by the transverse fracture of the transverse processes, pedicles, and lamina. There is no significant element of rotation of the spine.

Question 3

A 15-year-old girl experienced an injury of L1 during a sledding accident (Slide). Her neurologic examination is normal. The best treatment is:





Explanation

This patient has a C hance fracture of L1, which is indicated by the compression of the anterior portion of L1 and the distraction of the posterior portion of L1. A hyperextension cast will not treat the patientâ s C hance fracture completely. Operative treatment is needed to remove residual kyphosis at the thoracolumbar junction. Posterior column compression will also likely reduce the presence of residual kyphosis. Posterior fusion of T12- L2 with pedicle screws results in the best angular correction for a patient with a C hance fracture of L1. T12-L1 with hooks is an optional treatment for patients with a C hance fracture of L1 because residual kyphosis may persist even if the inferior lamina of L1 is intact.

Question 4

Which of the following conditions is represented in this radiograph (Slide) of a childs neck:

Orthopedic Prometric Exam Chapter 3 Image





Explanation

This radiograph indicates a rotatory subluxation of a childâ s neck. Alteration of the cortical ring of the anterior atlas is present and superimposed on the lateral mass of atlas. Increased distance between the anterior atlas and axis is the result of rotation.

Question 5

Which of the following conditions is represented by this computed tomography scan of a cervical spine (Slide):





Explanation

Partial superimposition of C1 on C2 is present in this radiograph. C2 is the portion in the center of the frame. C1 and C 2 would normally be on different cuts of a scan but are superimposed because the atlas overlaps the axis as it falls forward. If an imaginary line is drawn between the vertebral foramena of C 1 and across the body of C 2, an angle will form representing the degree of malrotation, which is approximately 30°.

Question 6

Which of the following conditions is not commonly associated with C hance fractures in children:





Explanation

Chance fractures in children are often associated with blunt contusions to abdominal structures. Blunt contusions to abdominal structures cause renal and intestinal trauma and distraction of the spinal cord and may be associated with dural tearing or neurologic injury. Neurologic injuries occur in fewer than half of children with Chance fractures that have blunt contusions to abdominal structures. Although spinal fractures caused by falls or axial loads can result in multilevel spinal injuries, multilevel spinal injuries do not commonly result from Chance fractures.

Question 7

The lesion indicated in this computed tomography (Slide) most likely represents:





Explanation

This patient has an osteoid osteoma with pain in the lumbar spine where the lesion is located. The patientâ s osteoid osteoma shows hot on a photon emission computed tomography scan and is relieved by nonsteroidal anti- inflammatory agents. Most patients with osteoid osteoma with lesions have them in the posterior region of their vertebrae.

Question 8

Which of the following conditions is represented by this radiograph (Slide) of an infantâ s elbow:





Explanation

This patient has a proximal radioulnar synostosis. Patients with proximal radioulnar synostosis often have dysplasia of the proximal ulna, maldirection of the proximal radius, and cortical continuity of the ulna and radius.

Question 9

Which of the following conditions is represented by this radiograph (Slide):

Orthopedic Prometric Exam Chapter 3 Image





Explanation

This patient has early fragmentation, epiphyseal flattening, metaphyseal lucency and widening, and sclerosis typical of patients with Legg-C alvé- Perthes disease in the early stages. In patients with juvenile rheumatoid arthritis, osteopenia and joint space narrowing are present, whereas in patients with developmental dysplasia, the acetabulum is shallow. C orrect Answer: Legg-Calv-Perthes disease Orthopedic Prometric Exam Chapter 3 Image

Question 10

Which of the following designations best describes this radiograph (Slide):





Explanation

This patient has Herring body involvement of the hip. As a result, this patient has less than a 50% loss of lateral column height and is in the early fragmentation phase. This patient has a Catterall involvement of at least 3. The Stulberg classification is used to rate a patientâ s hip after it has healed.

Question 11

In which stage of Legg-Calva-Perthes disease is this patient:





Explanation

This patient is in the end of the fragmentation phase of Legg-Calv-Perthes disease. Note the extreme flattening of the head and the lateral fragmentation.

Question 12

All of the following conditions are indicated by this radiograph (Slide) of a patient with Legg- Calv-Perthes disease except:





Explanation

The hip of this patient with Legg-C alvé-Perthes disease has undergone epiphyseal flattening and premature (primarily lateral) physeal arrest. The femoral head has regrown with an enlarged width. The radiograph shows elements of coxa magna, coxa brevis, trochanteric overgrowth, and coxa plana. Coxa vara is not present.

Question 13

A 5-year-old girl is evaluated for Legg-Calva-Perthes disease. She is in the fragmentation phase, and rotation is 10° internal and 15° external. Her epiphyseal extrusion index is 15%. Recommended treatment includes:





Explanation

The patients restricted range of motion is normal for a patient in the fragmentation phase of Legg-Calva-Perthe disease. The patiens degree of epiphyseal extrusion is not extreme. Observation is the most appropriate course of treatment.

Question 14

What is the risk of hip arthroplasty for 50-year-old patients with Legg-C alva-Perthes disease:





Explanation

Long-term study has shown that 50% of 50-year-old patients with Legg-C alva-Perthes disease will have degenerative changes in their hips significant enough to make them candidates for hip arthroplasty.

Question 15

Which of the following descriptions reflects all transverse-plane factors affecting the position of the patientâ s foot during gait:





Explanation

The foot-progression angle is a reflection of all transverse-plane factors affecting the position of the patientâ s foot during gait.

Question 16

In which of the following conditions is a Trendelenburgâ s gait unlikely to occur:





Explanation

Patients with complications that cause pain around their hips or that decrease the abductor strength of their hips may develop a Trendelenburgs gait.

Question 17

In which muscle does Elys test detect spasticity or contracture:





Explanation

Elys test is performed while the patient is prone and his or her hip is at maximal extension. Elys test is positive if flexion of the patients knee causes the patientâ s hip to flex. A positive Elys test indicates spasticity or contracture of the rectus femoris.

Question 18

Stahelis test is designed to detect hip flexion contracture. Which of the following tests also detects hip flexion contracture:





Explanation

Staheliâ s test and the Thomas test are designed to detect hip flexion contracture. Staheliâ s test is performed with a patient in the prone position. The lumbar lordosis is eliminated by flexing a patientâ s hips, and then gradually extending the affected hip. The Thomas test is performed with a patient in the supine position. The lumbar lordosis is minimized by flexing a patientâ s hips forward, allowing the affected hip to go into extension.

Question 19

Which of the following conditions has the highest rate of bilaterality:





Explanation

Slipped capital femoral epiphysis has a bilaterality rate of 25% to 40%. Legg-Calva-Perthes disease, developmental dysplasia of the hip, discoid lateral meniscus, and fibular hemimelia have bilateral rates of less than 20%.

Question 20

In which pattern does the most common presentation of Trevorâ s disease occur:





Explanation

Trevors disease, also known as dysplasia epiphysialis hemimelia, refers to epiphyseal osteochondromas. Epiphyseal osteochondromas are usually few in number and are more common on the distal and medial portions of the epiphysis of one lower extremity.

You Might Also Like

Orthopedic Prometric MCQs - Chapter 3 Part 28
Orthopedic Prometric MCQs - Chapter 3 Part 28
Orthopedic Prometric MCQs - Chapter 3 Part 33
Orthopedic Prometric MCQs - Chapter 3 Part 33
Previous ChapterOrthopedic Prometric MCQs - Chapter 3 Part 10 Next Chapter Orthopedic Prometric MCQs - Chapter 3 Part 12
Dr. Mohammed Hutaif
Medically Verified Content by
Prof. Dr. Mohammed Hutaif
Consultant Orthopedic & Spine Surgeon
Chapter Index
    Back to Master Guide