2017 exam MCQ

  1. western Girl with ulnar wrist pain and is a gymnast, which is true on x-ray


    B)
  2. Patellar instability which of the following is associated



    A)

    • 3 risk factors for intability
    • Miserable malalignment
    • Previous dislocation
    • Ehler dahnlos
  3. What is a contraindication to give oxygen in a trauma patient



    C)
  4. All of the following are part of the PLC complex except:



    A)
  5. Which of the following is true for trigger finger


    B)

    • Pathology is A1 pulley
    • Dont do perc bc proximity of digital nerves
  6. With regards to Langerhans cell histiocytosis, all are true except:



    C)
  7. With regards to managing compartment syndrome, all are true except



    B)
  8. All of the following are true in burnout in orthopedic surgeons when compared to other medical specialties except



    A)
  9. Description of a patient who is a 66-year-old male patient with a history of metastatic colon cancer. Patient is presenting with a 3 week history of worsening muscle power in the lower extremities, all of the following are options for treatment except (A picture is supplied showing thoracic vertebral body mets, collapse and protrusion into the canal with kyphosis):



    A)
  10. All of the following are true regarding DISI deformity except?



    C)
  11. 50 female with 3 part prox hum # options are, except:
    a) tension band with screw fixation or pins
    b) CRPP
    c) ORIF
    d) Hemiarthroplasty
    A?
  12. what anatomical landmark do you look at in scapular winging?


    A)
  13. what causes instability feeling



    A)
  14. With regards to reverse shoulder arthroplasty, which of the following DOES NOT correlate with anterior dislocation:



    A)
  15. With regards to enchondroma of the hand, all are true except



    D)


    Recurrence is >10% for low grade chondrosarc
  16. The stem talks about a 12-year-old boy presenting with a description of osteosarcoma of the distal femur. All of the following are part of the workup for this patient except



    A)
  17. What is the treatment plan of adamantinoma (there was an xray of one)?



    A)
  18. Picture of Type IV capitellum fracture (McKee variant), what is true?



    B)
  19. 8 year old presents with right hip pain, afebrile, labs normal. Past medical history significant for leukemia treated with whole body radiation, now in remission. Radiographs shown have an unusual SCFE



    C)
  20. All of the following are treatment for Swan Neck deformity except:



    B)

    • Swan neck options: SPlint to limit hyperextension
    • FDS tenodesis
    • Oblique retinacular ligament recon
    • Lateral band tranlocation
    • Volar plate repair

    FOr DIP only option is Fusion
  21. Salvage THA for FN # after failed ORIF vs 1ry THA, except:



    A)
  22. 60 female with an olecranon fracture with failure of tension band, what is the most likely cause of failure



    C)
  23. All of the following are indication for acute scaphoid fixation except:



    A)

    INtrascaphoid angle > 35 degrees
  24. 75 male, presents with bowel and bladder symptoms with anterior soft tissue mass, no matrix, the lesion is mid-sacral lesion



    D)
  25. What is associated with highest rate of non-union of a distal femur fracture treated with a locking plate?



    A)

    Metaphyseal comminution is risk factor

    others are: open fracture,disruption of blood supply
  26. Chronic PCL injury, all of the following are true except:


    A)

    Arthritis is medial and PF
  27. What is associated with normal motor strength in the lower extremities, but loss of bowel and bladder function



    B)
  28. Question about association of spondylolisthesis and idiopathic scoliosis, all are true except



    C)

    Correction of spondy can fix non rotational curves
  29. All are true about isthmic spondylolisthesis, except?



    A)

    High pelvic incidence increases risk of spondy
  30. Biceps procedure 1 vs 2 incision question



    A)
  31. Atypical femur fracture most common in:



    D)
  32. 11 female with medial epicondyle fracture, now at 6 months full rom and asymptomatic and no union on the x-ray



    C)
  33. Tibial tubercle fracture what is an important thing to assess in this patient


    B)
  34. Tibial tubercle fracture what is an important thing to assess in this patient


    A)
  35. DDH what indicates early surgery with PAO:
    a) CEA <5, with BMI>30
    b) CEA<25 with BMI>30
    c) CEA <5, active patient
    d) CEA<25 active patient
    C or A
  36. With regards to scoliosis in NF, all are true except



    B)
  37. Flexible flat foot in peds



    B)
  38. What is true about the properties of ceramic bearing surfaces



    C)
  39. Female who had a TKA knee and “didn’t feel normal” to her since Sx, ROM is normal what is the most common cause:



    B)
  40. 50yo guy comes to your clinic, otherwise healthy with no other medical issues. Found to have ankle OA which is very severe but patient has no pain at all. All of the following will be included in your work up and discussion except:




    B)

    Neuropathic foot is contraindication to TAA
  41. What is the antibiotic of choice for open tendon laceration after a human bite?



    B)
  42. Hand and wrist tendinopathies, which one is correct?



    B)
  43. In dequervian’s, which is true


    B)
  44. What is true about Kienbock’s disease?
    a) Radial shortening is not indicated in ulnar neutral wrists
    b) Closing-wedge radial osteotomy increases radial inclination
    c) STT fusion does not affect wrist ROM
    All are false
  45. When comparing the outcomes of ankle arthrodesis and ankle arthroplasty with those of a control group, all of the following are true except



    A)
  46. Vitamin D in fractures



    D)

    Daily dose is 800-1000 vit D and 1200-1500 calcium
  47. All of the following are risk factors for recurrence of shoulder dislocation after anterior Bankart reconstruction except



    B)

    Its age <20

    Form ISIS score

    • Age<20
    • Competitive sports
    • COntact sport
    • Shoulder hyperlaxity
    • HIll sachs on AP ER
    • Glenoid loss on x ray
  48. What is the important obstacle in treating obese orthopedic patients



    A)
  49. When performing an ankle supramalleolar osteotomy, all are true except



    B)

    If >10 degrees varus address fibula
  50. TSA best construct


    A)
  51. What is true regarding non-displaced scaphoid fractures when comparing percutaneous screw to casting?


    C)
  52. Odontoid fracture in elderly all the following are acceptable treatment options except:



    D)
  53. All of the following are part of TFCC stabilization except:



    C)
  54. All of the following are treated with neoadjuvant therapy and wide excision except:



    B)
  55. 22yM with Lt knee pain x 6 months, Xrays described not provided. Lytic metaphyseal, epiphyseal lesion, no matrix, expansile to tissues and (neocortex) around tissues most likely dx:



    A)
  56. Which is not an acceptable entry point for L3 pedicle screw



    D)
  57. 4 months old with clinical picture of calcaneovalgus, flexible, picture showing that you can plantigrade, Xrays that show posterior bowing of tib fib distally, no pseudoarthrosis, what will you do:



    C)


    This is benign only treat LLD
  58. Pt with ankle impingement had scope for osteophytes anterior tibia and anterior talus, What is poor prognostic signs after ankle scope:



    B)
  59. what is not a primary static stabilizer of the elbow



    A)
  60. Pt with recurrent sprains (Chronic instability) not improving with non-op treatment most likely cause, except?



    A)
  61. Scaphoid fracture xray provided that shows proximal pole fracture, it says young healthy patient, injury happened 5 months ago, still having pain what to do:


    A)
  62. Question of fracture of BBF that malunited, which is true
    a) proximal third affects supination more
    b) Proximal third affects pronation more
    d) Distal third affects supination more
    a) 

    Malunion lose more supiantion than pronation
  63. Which of the following is incorrect for surgery for lumbar stenosis


    C)
  64. All of the following are true except


    A)
  65. Patient has a soft sarcoma worried about kids



    B)
  66. 45 y.o male patient has acute Achilles tendon rupture. What is appropriate to tell him? (REPEAT)



    C)
  67. Fibrous dysplasia bone graft, which one is true



    A)
  68. 75 female with pseudoparalysis what is best for outcome for pain and ROM with normal joint line:



    B)
  69. Unconcoius patient needs emergency surgery and family not around:



    A) or d)
  70. Incorrectly rejecting the null:



    C)

    • Alpha type 1: null hypothesis is true but rejected
    • Type 2: null hypothesis false but fails to be rejected
  71. In prosthetic joint infection, increasing the HPF from 5 to 10 will lead to which of the following

       (in the french version, increasing PMN from 5-10/HPF will result in:)



    D)

    • Specificity: Correctly identify those who dont have disease
    • Sensitivity: TEst those who have the disease
  72. TKA after tibial plateau fracture



    A)

    From canadian JBJS study
  73. Best test to assess going ahead with DCO in a trauma patient



    B)
  74. Risk factor for clavicle # nonunion (Repeat Question)



    D)

    degree of displacement in calgary stem
  75. Indication for glenoid # ORIF


    A)
  76. Distal humerus anatomical alignment



    B)
  77. More lateral entry point when inserting femoral nail will lead to:


    A)
  78. When fixing a syndesmotic injury with tibiofibular screws versus with an ORIF of the posterior malleolus, which of the following is true? (REPEAT)



    A)
  79. In charcot spine which of the following is true


    B)

    Mostly caused by SCI
  80. 38F polytrauma patient presents with mandible fracture and maxillary fracture with a C5-6 dislocation which was reduced with 15lbs and is now quad. She is now 2h post reduction on the ward and she complains of tinnitius, dysphagia, vision loss, dysphagia, etc…What is the cause:



    C)
  81. Which of the following XR findings demonstrate Occipitocervical dissociation:



    A)

    c and D are for atlantoaxial instability
  82. 45 male skateboarding, felt a pop posterior ankle and then went to physio and is now 6 weeks after



    C)

    Chronic achilles
  83. Os trigon all true except


    A)
  84. Increase risk of MI in arthroplasty



    D)
  85. Tibiotalar impingment causes except:



    D)
  86. Indomethacin in post wall #



    D)
  87. For post-traumatic or post-operative arthrofibrosis of the knee, which is true? (REPEAT)



    B)
  88. Thumb CMC arthritis most commonly attenuated ligament


    A)

    Called beak ligament
  89. Kid presents 10 days after DR# with 20˚ dorsal angulation, what to do:


    C)
  90. 5th MC fracture ORIF indication:



    C)

    No rotation accepted
  91. Volar PIP dislocation causes of it being irreducible



    A)
  92. While doing radial head replacement, increasing the height by 4mm will lead to:


    C)
  93. GT proximal humerus fracture: what is indication for sx?



    B)
  94. All cause AVN except:



    B)
  95. Conforming TKA polyethylene, which is true:



    A)
  96. 13 year old pneumonic with a LLD of 4 cm on x-ray pt is 14.5 year old bone age:



    B)
  97. SCH # type 3 in peds which is true:



    A)
  98. FAI scope vs open


    A)
  99. 50 y/o with labral tear undergoing labral debridement:
    a) 15% risk of secondary surgery at 2 years
    b) 10% risk of pudendal nerve injury with arthroscopic
    a)
  100. hronic ACL, what do you see, except:



    B)
  101. DVT prophylaxis in below knee trauma


    C)
  102. DVT prophylaxis in TAA


    B)
  103. Tranexamic acid, all are true except



    D)

    Excreted in kidney
  104. Talar malunion most common


    C)
  105. Talar neck irreducible during surgical dual approach, what is the NEXT step:



    A)
  106. Marjolins ulcer, which is true



    A)
  107. Brachial plexus what is true



    D)
  108. CP UE with elbow flexion contracture 45˚ except question



    D)
  109. CP kid long fold crutches and needs wheelchair for long distances, what is the GMFCS score:



    D)
  110. Elbow dislocation reduced but opening in valgus and stable in full extension Mx:



    D)
  111. 12 year old presents with olecranon fracture while playing. Previous contra-lateral olecranon fracture year previously. Normal height, bad dentition. Previous fractures of both distal radius and left tibia. What should you do?


    C)
  112. Bad outcomes in acetabulum fracture except:



    C)
  113. 2ry congruency is in which acetabular fracture:


    C)
  114. Kid short, proportionate, frontal bossing, genu varum and presenting with sleep apnea what to do:


    B)

    bossing short proportional is achondroplasia
  115. MCL insufficiency of the elbow most accurate diagnostic test



    B)

    JAAOS 2014
  116. Schatzker 2 tibial plateau ORIF, what causes the least amount of subsidence:


    A)
  117. Patient post TKA having weak ankle dorsiflexion and decrease sensation dorsum of the foot, what is his most common pre-op deformity:



    A)
  118. In open fracture with bone loss, which is true



    D)
  119. Gunshot to the right side of the neck, presenting with brown-sequard, what do you find lost:



    A)
  120. To decrease radiation exposure intra-operative which is true




    E)
  121. Patient with L femur # for IMN in hemilithotomy position with a BMI of 40 on a fracture table for 2 hours, wakes up with severe contralateral leg pain and pain with passive stretch, what is the cause:



    A)
  122. What is true for idiopathic toe-walkers
    a) Spontaneous resolution
    b) Associated with neurological condition
    c) Posterior tibial thrust
    d) Associated with hereditary causes
    a vs d
  123. What is the primary functional loss with a low median nerve palsy? (REPEAT)



    C)
  124. Patient with a PCL and Posterolateral corner injury: (REPEAT)



    A)
  125. All of the following complications regarding unicameral bone cysts of the proximal humerus or femur are true, EXCEPT:



    B)
  126. After scapholunate ligament injury, which describes the abnormality of the proximal row? (EXCEPT?)


    A)

    Scaphoid flexes and supinates
  127. In total knee arthroplasty, which will lead to patellar maltracking



    B)
Author
egusnowski
ID
345815
Card Set
2017 exam MCQ
Description
2017 mcq
Updated