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Orthopedic Prometric MCQs - Chapter 3 Part 1

Orthopedic Prometric MCQs - Chapter 3 Part 44

25 Apr 2026 18 min read 2 Views
Orthopedic Prometric MCQs - Chapter 3 Part 44

Welcome to Chapter 3 Part 44 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


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Question 1

Findings associated with severe quadriceps contusions include:





Explanation

A severe quadriceps contusion is defined as having less then one-third the normal knee range of motion and can be accompanied by a sympathetic knee effusion and, sometimes, a mild extensor lag. Two-thirds the normal knee range of motion is classified as a moderate quadriceps contusion.

Question 2

The proposed site of pathology for athletes with groin pain and diagnosed with athletic pubalgia is:





Explanation

Athletic pubalgia syndrome is the result of trunk hyperextension and thigh hyperabduction. This can result in injury to the rectus abdominus insertion and origin of the adductor longus muscle. By definition, a hernia is not present. The pectineus and sartorius muscles are not implicated in athletic pubalgia.

Question 3

The initial management of athletic pubalgia consists of:





Explanation

The initial management of athletic pubalgia consists of a period of rest followed by core trunk stabilization, stretching, and gradual return to functional activities. Despite reports of low success rates after nonoperative treatment, this management must be instituted prior to surgical considerations. Reattachment of the inferolateral edge of the rectus using a modified Bassini repair has resulted in return to sports activities for the majority of patients, but the procedure should follow a nonoperative trial. Adductor release can be part of the operative approach after failure of nonoperative management. Hip joint pathology is not consistently associated with athletic pubalgia.

Question 4

The most common physical finding in patients with athletic pubalgia is:





Explanation

In a series of 157 high-performance athletes diagnosed with athletic pubalgia, 88% of patients had pain with resisted hip adduction. Peripubic tenderness was found in one-fourth of patients. By definition, a hernia is not present. Less than one-third of patients had tenderness at the origin of the adductor longus, and less than one-half of patients had pain with resisted situps.

Question 5

Magnetic resonance imaging (MRI) of the pelvis in patients with athletic pubalgia reveals:





Explanation

Although only 12% of patients with athletic pubalgia will demonstrate MRI abnormalities, more than 90% of patients will have nonspecific findings localized to the symptomatic side. Labral pathology is not a common finding in patients diagnosed with athletic pubalgia.

Question 6

Adductor longus tenotomy in athletes with chronic adductor pain resistant to nonoperative treatment results in:





Explanation

In a series of 16 athletes undergoing adductor tenotomy for chronic adductor symptoms, 12 patients returned to competitive sports at a mean 14 weeks after surgery. A decrease in objective strength was noted that did not affect functional results.

Question 7

In order of frequency, the most common compartments involved in chronic exertional compartment syndrome are:





Explanation

The most common compartment involved in chronic exertional compartment syndrome in athletes is the anterior compartment followed by the deep posterior compartment and lateral compartments. The superficial posterior compartment is only rarely involved.

Question 8

The resting pressure criteria for diagnosing chronic exertional compartment syndrome in athletes is equal to or greater than:





Explanation

The criteria for diagnosing chronic exertional compartment syndrome from compartment pressure measurements include one or more of the following: More than or equal to 15 mm Hg resting pressure A 1-minute postexercise pressure of more than or equal to 30 mm Hg A 5-minute postexercise pressure of more than or equal to 20 mm Hg

Question 9

The postexercise pressure measurement criteria for diagnosing chronic exertional compartment syndrome are:





Explanation

The criteria for diagnosing chronic exertional compartment syndrome from compartment pressure measurements includes one or more of the following: More than or equal to 15 mm Hg resting pressure A1-minute postexercise pressure of more than or equal to 30 mm Hg A5-minute postexercise pressure of more than or equal to 20 mm Hg

Question 10

Success rates after fasciotomy for chronic exertional compartment syndrome are highest for which compartment:





Explanation

In a series of patients undergoing fasciotomy for anterior or deep posterior chronic exertional compartment syndrome, satisfactory results were obtained in 96% and 65% of patients, respectively. The superficial posterior compartment is rarely involved.

Question 11

Which of the following is not a common finding in patients presenting with chronic exertional compartment syndrome:





Explanation

Patients with chronic exertional compartment syndrome will give a history of cramping or aching pain and occasional numbness with exercise. The symptoms typically resolve within minutes of rest. Most patients will have a normal initial examination unless they have exercised minutes prior to evaluation. Increased postexercise compartment pressures are diagnostic.

Question 12

The initial recommended treatment for a grade 3 acute lateral ankle sprain is:





Explanation

A review of 12 prospective studies comparing surgery, casting, and functional bracing with early range of motion revealed 75% to 100% excellent or good results regardless of treatment. The final recommendation was functional bracing.

Question 13

Earlier return to work and sport is reported after which treatment for acute lateral ligament sprain:





Explanation

Studies comparing surgery, immobilization, and early weight bearing and range of motion have shown that early weight bearing and range of motion result in earlier return to sport and work when compared to acute operative management or cast immobilization.

Question 14

Which of the following leads to lower success rates after lateral ankle ligament repair (modified Brostrom):





Explanation

Patients with generalized ligamentous laxity have fewer satisfactory results after a modified Brostrom repair. Overall, 91% of patients had good to excellent results after this procedure, but none of the five patients with generalized ligamentous laxity had an excellent result.

Question 15

With regard to the level of athletics, which group of patients can be expected to have less satisfactory results after lateral ankle repair using a modified Brostrom technique:





Explanation

In a series of 28 ankles undergoing a modified Brostrom repair for lateral ankle instability, there were no significant differences in outcome whether the patients were professional dancers, athletes, or non-athletes.

Question 16

The foot and ankle position that is most likely to result in disruption of the anterior talofibular ligament is:





Explanation

Strain in the anterior talofibular ligament increases with plantarflexion, inversion, and internal rotation. It is the primary restraint to anterior displacement, internal rotation, and inversion of the talus at all angles of flexion and is the most commonly injured ligament as a result of inversion ankle sprains.

Question 17

Which of the following arteries provides the primary blood supply to the supraspinatus tendon:





Explanation

The suprascapular artery provides the primary vascular supply to the supraspinatus tendon. The vascularity predominates on the bursal side, while the articular side is hypovascular.

Question 18

Thermal shrinkage of the shoulder capsule imparts which of the following properties on the capsule:





Explanation

Thermal shrinkage reliably decreases capsular stiffness (increasing compliance). The resultant tissue is biomechanically weaker than normal tissue.

Question 19

Ligaments and joint capsule are primarily composed of collagen. What is the predominant type of collagen in these structures:





Explanation

As thermal modification of soft tissue becomes a common procedure, orthopedic surgeons must have an understanding of collagen. Type I collagen predominates in ligaments, joint capsule, bone, tendon, meniscus, annulus of intervertebral disks, and skin. Type II collagen predominates in articular cartilage and nucleus pulposus of intervertebral disks. Type V collagen is found in small amounts in articular cartilage, as is types VI and IX.

Question 20

Magnetic resonance imaging will demonstrate labral abnormalities in the throwing shoulder in approximately what percentage of asymptomatic professional baseball pitchers:





Explanation

Miniaci and colleagues discovered that 79% of asymptomatic professional baseball pitchers had labral abnormalities on magnetic resonance imaging. They further discovered that the incidence of labral lesions was similar between throwing and nonthrowing shoulders in this population.

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Dr. Mohammed Hutaif
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