Orthopedics

1. A fracture of the lateral condyle of femur underwent malunion with angulation. Deformity likely to occur is:
A. Genu varum
B. Tibia vara
C. Genu recurvatum
D. Genu valgum

2. In carpal tunnel syndrome, nerve most commonly involved is:
A. Musculocutaneous
B. Radial
C. Median
D. Ulnar

3. House maid's knee is due to:
A. Involvement of supra-patellar bursa
B. Involvement of infrapatellar bursa
C. Involvement of medial condyle of tibia
D. Involvement of prepatellar bursa

4. Bouchard's nodes are seen in which of the following joint:
A. Knee
B. Distal interphalangeal joint
C. Proximal interphalangeal joint
D. Sterno-clavicular joints

5. Heberden's nodes are seen in:
A. Still's disease 
B. Traumatic arthritis
C. Rheumatoid arthritis
D. Osteoarthritis

6. Comminuted fracture of patella is treated with:
A. Closed reduction
B. Open reduction
C. Tension band wiring 
D. Total patellectomy

7. Inheritance pattern of osteogenesis imperfecta is:
A. X-linked dominant
B. Autosomal dominant or autosomal recessive
C. Autosomal dominant
D. Autosomal recessive

8. In Volkmann's ischemic contracture due to compartmental syndrome treatment of choice is:
A. Fasciotomy
B. Early aggressive fluid
C. Chloride rich fluid
D. Bicarbonate

9. In children most common cause of Volkmann's ischemic contracture is:
A. Both forearm bones fracture
B. Medial condyle fracture of humerus
C. Lateral condyle fracture of humerus
D. Supracondylar fracture of humerus

10. Not a treatment of Volkmann's ischemic contracture:
A. Remove the plaster and bandage
B. Fasciotomy
C. Exploration
D. Sympathetic block

11. Most common cause of Volkmann's ischemic contracture is:
A. Tight bandage and plaster
B. Brachial artery injury
C. Dislocation of elbow
D. Fracture of femoral shaft

12. In Volkmann's ischemic contracture, muscle most commonly involved is:
A. Flexor digitorum superficialis
B. Flexor digitorum profundus
C. Flexor carpi radialis longus
D. Pronator teres

13. Most common complication of Colles' fracture is:
A. Malunion
B. Rupture of tendon of EPL
C. Nonunion
D. Sudeck's osteodystrophy

14. Most common complication of Colles' fracture is:
A. Sudeck's osteodystrophy
B. Vascular injury
C. Malunion
D. Non union

15. In myositis ossificans, joint commonly involved is:
A. Ankle
B. Knee
C. Elbow
D. Wrist

16. For myositis ossificans the treatment of choice is:
A. Immobilization
B. Active exercise
C. Passive exercise
D. Surgery

17. Acute myositis ossificans is treated with:
A. Passive mobilization
B. Active mobilization
C. Immobilization of elbow
D. Infrared therapy of elbow

18. In which of the following sarcomas, onion layering is seen:
A. Ewing's
B. Chondrosarcoma
C. Osteogenic
D. Synovial

19. Ewing's sarcoma can be confused histologically with which of the following:
A. Osteomyelitis
B. Osteosarcoma
C. Giant cell tumor
D. Myeloma

20. False regarding Ewing's sarcoma is:
A. N myc chromosome amplification
B. Arise from diaphysis
C. Arises from medullary cavity of tubular bone
D. 5-10% are associated with transaction between 11 amd 22

21. Histology of Ewing's sarcoma shows small round cells filled with:
A. Glycogen
B. Fat
C. Iron
D. Mulch

22. Ewing's sarcoma arises from which of the following:
A. Squamous cells
B. Mesothelial cells
C. Endothelial cells
D. None of the above

23. False regarding Perthes' disease is:
A. Congenital dislocation of hip
B. Boys are affected more commonly
C. Osteochondritis of hip
D. Avascular necrosis of head of femur

24. Perthes' disease commonly occurs at the age of:
A. > 10 years
B. 5-9 years
C. < 5 years
D. 2-3 years

25. Bone involved in Caffey's disease is:
A. Short bones
B. Skull
C. Phalanges
D. Mandible

26. In which of the following conditions osteomyelitis of haw is seen:
A. Osteopoikilosis
B. Caffey's disease
C. Osteoporosis
D. Osteomalacia

27. Fracture of the surgical neck of humerus causes damage to which of the following nerves:
A. Ulnar
B. Axillary
C. Radial 
D. Muscuocutaneous

28. Blount's disease is:
A. Knock knee
B. Genu recurvatum
C. Genu valgum
D. Genu varum

29. Card test is done for which of the following nerves:
A. Radial
B. Axillary
C. Ulnar
D. Median

30. Epiphyseal bone tumor is a:
A. Osteoid osteoma
B. Giant cell tumor 
C. Ewing's sarcoma
D. Osteogenic sarcoma

31. In X-ray soap bubble appearance is seen in:
A. Paget's diseases
B. Osteosarcoma
C. Ewing's sarcoma
D. Osteoclastoma

32. Treatment for osteoclastoma of lower end of radius is:
A. Amputation.
B. Chemotherapy
C. Local resection
D. Radiotheraphy

33. Meralgia paresthetica is due to:
A. Involvement of lateral peroneal nerve of leg
B. Involvement of lateral cutaneous nerve of thigh
C. Involvement of median nerve
D. Involvement of ulnar nerve

34. Smith's fracture is managed by:
A. Plaster cast with forearm in pronation
B. Open reduction and fixation
C. Above elbow cast with forearm in supination
D. Closed reduction with elbow cast

35. All are false regarding phantom limb except:
A. It occurs after filariasis
B. It is a psychiatric illness
C. It follows amputation
D. It is seen in leprosy

36. Bennett's fracture is fracture dislocation of the base of:
A. 1st metacarpal
B. 4th metacarpal
C. 3rd metacarpal
D. 2nd metacarpal

37. An 18-year-old boy was playing football, when he suddenly twisted his knee on the ankle and he fell down. After 10 minutes of this injury he again got up and started playing. But on the next day his knee was swollen and he could not move his knee. Most likely diagnosis is:
A. Posterior cruciate ligament injury
B. Medial collateral ligament injury
C. Anterior cruciate ligament injury
D. Medial meniscus tear

38. Medial meniscus tear is more common than lateral because it is:
A. Larger in size
B. Less mobile
C. Medial rotation is more than the lateral rotation
D. Fibro-elastic

39. Medial meniscus is more vulnerable to injury die to its:
A. Semicircular shape
B. Action of adductor magnus
C. Attachments of fibrous capsule
D. Fixity to medial collateral ligament

40. Joint not fused in triple arthrodesis is:
A. Calcaneocuboid
B. Talonavicular
C. Subtalar
D. Tibiotalar

41. Triple arthrodesis does not refer to the fusion of which of the following:
A. Calcaneocuboid
B. Talonavicular
C. Subtalar
D. Tibiotalar

42. Most common site for simple bone cyst is which of the following bones:
A. Radius
B. Tibia
C. Humerus
D. Femur

43. An 8-year-old has fracture in neck of humerus one year back. His X-ray revealed cystic lesion. Most likely diagnosis is:
A. Osteogenic sarcoma
B. Osteoclastoma
C. Osteomyelitis
D. Unicameral bone cyst

44.  False regarding unicameral bone cyst is:
A. More common in males
B. Rapidly outgrows diameter of shaft
C. Occurs in upper end of humerus
D. It occurs in 5-15 years of age

45. Most common presentation of unicameral bone cyst is:
A. Infection
B. Asymptomatic
C. Swelling
D. Fracture through cyst

46. In which of the following condition, adduction, internal rotation and flexion deformity is seen:
A. Fracture of neck of femur
B. Posterior dislocation of hip
C. Fracture of shaft of femur
D. Anterior dislocation of hip

47. Position commonly seen in posterior dislocation of hip is:
A. External rotation, extension, and adduction 
B. External rotation, flexion, and adduction
C. Internal rotation, flexion, and adduction
D. Internal rotation, extension, and adduction

48. Posterior dislocation is ipsilateral hip should be suspected when X-ray of midshaft of femoral fracture shows which of the following:
A. Adduction deformity 
B. Abduction deformity
C. Both
D. None

49. Maximum shortening of lower limb is seen in which of the following conditions:
A. Trochanteric fracture
B. Posterior dislocation of hip
C. Fracture of neck of femur
D. Fracture of shaft of femur

A 50-year-old woman falls from height presented with shortening of leg. Examination revealed flexion, adduction and internal rotation of the affected lower limb. Most likely diagnosis is:
A. Intertrochanteric fracture
B. Intracapsular fracture of neck of femur
C. Posterior dislocation of hip
D. Anterior dislocation of hip

51. Mallet finger is caused by:
A. Flexor contracture
B. Rupture of flexor tendon
C. Tenosynovitis
D. Rupture of extensor tendon

52. Mallet finger is due to:
A. Flexor digitorum superficialis weakness
B. Intrinsic muscle weakness
C. Rupture of extensor slip
D. Rupture of flexor slip

53. True regarding mallet finger is:
A. Avulsion of tendon at the base of middle phalanx
B. Fracture of proximal phalanx
C. Avulsion of extensor tendon at the base of distal phalanx
D. Fracture of distal phalanx

54. The basic unit of bone is:
A. Osteoclast
B. Osteon
C. Osteoblast
D. Osteocyte

55. True regarding arch fracture is:
A. 2nd and 3rd metacarpal fracture
B. Fracture of the 4th and 5th metatarsal
C. 2nd and 3rd metatarsal fracture
D. Avulsion of the 5th metatarsal

56. Not a predisposing factor for osteoarthritis:
A. Irregularity of articular surface
B. Obesity
C. Diabetes mellitus
D. Defective joint position

57.  Term a pathological fracture is used for:
A. A fracture beneath a sutured wound
B. A fracture along the bone with secondaries
C. A comminuted fracture
D. A fracture involving more than one bone

58. Nongonococcal septic arthritis is most commonly caused by:
A. Staphylococcus aureus
B. Haemophilus influenzae
C. Streptococcus pyogenes
D. Pseudomonas aeruginosa

59. A 2-year-old child with septic arthritis, most probably the causative organism is:
A. Pneumococcus
B. Streptococcus pyogenes
C. Haemophilus influenzae
D. Staphylococcus aureus

60. Serum alkaline phosphatase level is increased in:
A. Paget's disease
B. Multiple myeloma
C. Hypoparathyroidism
D. Osteoporosis

61. For Paget's disease of bone, the treatment of choice is:
A. Calcitonin
B. Surgical treatment
C. Immobilization
D. Vitamin D

62. A child falls from a height and lands on his fully out-stretched hands. Examination revealed there is pain and swelling over his right elbow. Most likely diagnosis is:
A. Fracture olecranon
B. Posterior dislocation of elbow
C. Supracondylar fracture of humerus
D. Fracture both bones forearm

63. Triangular relation of elbow is maintained i which of the following conditions:
A. Fracture of ulna
B. Anterior dislocation of elbow
C. Supracondylar fracture of humerus
D. Posterior dislocation of elbow

64. Bony triangle is not disturbed in:
A. Lateral condylar fracture of humerus
B. Intercondylar fracture of humerus
C. Supracondylar fracture of humerus
D. Posterior dislocation of elbow

65. In which of the following fractures three-point relationship is maintained:
A. Dislocation of elbow joint
B. Supracondylar fracture of humerus
C. Medial condyle fracture of humerus
D. Lateral condyle fracture of humerus

66. A 6-year-old child has congenital dislocation of hip. All of the following operations can be done except:
A. Open reduction and arthrodesis
B. Chiari's osteotomy
C. Pemberton's precapsular osteotomy
D. Salter's osteotomy

67. False regarding osteogenesis imperfecta is:
A. Deafness is seen 
B. Increased fragile fractures
C. Decreased healing of fracture
D. Ligament laxity

68. In anterior dislocation of shoulder the nerve involved is:
A. Musculocutaneous
B. Axillary
C. Radial 
D. Ulnar

69. Nerve most commonly injured in anterior dislocation of shoulder is:
A. Ulnar
B. Radial
C. Musculocutaneous
D. Circumflex humeral

70. In Osgood-Schlatter disease, osteochondritis affects:
A. Tibial tuberosity
B. Capitulum
C. Navicular
D. Metatarsal

71. Hyperextension of PIP joint and hyperflexion of DIP joint constitute:
A. Swan-neck deformity 
B. Trigger finger
C. Mallet finger
D. Boutonniere's deformity

72. A 50-year-old man has a lesion in midline involving the sacrum which is sclerotic. Most probably he is suffering from:
A. Chondrosarcoma
B. Metastasis
C. Chordoma
D. Osteosarcoma

73. Not derived from endothelial tissue:
A. Glomus tumor
B. Lymphangioma
C. Hemangioma
D. Chordoma

74. Not a benign bone tumor:
A. Chordoma
B. Eosinophilic granuloma
C. Chondroma
D. Osteoid osteoma

75. Most common type of meniscal injury is:
A. Medial meniscus anterior horn
B. Lateral meniscus bucket handle type tear
C. Lateral meniscus anterior horn
D. Medial meniscus bucket handle type tear

76. Not a complication of Colles' fracture:
A. Rupture of extensor pollicis longus tendon
B. Sudeck's atrophy
C. Nonunion
D. Malunion

77. Most common cause of fat embolism is:
A. Fracture of ulna
B. Fracture of tibia
C. Fracture or femur
D. Fracture of humerus

78. Ollier's disease is characterized by:
A. Multiple exostoses
B. Multiple enchondromas
C. Multiple osteoid osteomas
D. Multiple osteochondromas

79. Fracture not commonly seen in children is:
A. Fracture of tibial condyle
B. Fracture of lateral condyle of humerus
C. Fracture of neck of radius
D. Fracture of distal radius

80. Thomas' test is done for which of the following conditions:
A. Adduction deformity of knee
B. Fixed flexion deformity of knee
C. Abduction deformity of hip
D. Fixed flexion deformity of hip

81. Pain in thighs more at nigh and which is relieved by aspirin is:
A. Osteoid osteoma
B. Ewing's tumor
C. Osteoclastoma
D. Osteosarcoma

82. False regarding osteoid osteoma is:
A. Malignant conversion is common
B. Cause night pain which is relieved by aspirin
C. Double density seen in X-ray
D. Commonly seen in adolescent boys

83. Best management of congenital vertical talus in a 1 year old child is by:
A. Calcaneal osteotomy
B. Triple arthrodesis
C. Surgery
D. Corrective cast splinting

84. In which of the following condition resorption of the phalangeal tufts is seen:
A. Multiple myeloma
B. Psoriasis
C. Hyperparathyroidism
D. Hypoparathyroidism

85. Nerve most commonly involved in dislocation of lunate is:
A. Ulnar
B. Median
C. Posterior interosseus
D. Anterior interosseus

86. Which carpal bone dislocation presents as media nerve palsy:
A. Lunate
B. Harnate
C. Trapezium
D. Scaphoid

87. Treatment of choice of a 65-year-old woman with impacted fracture of surgical neck of humerus is:
A. Wait and watch
B. Arthroplasty
C. Triangular sling
D. Arm chest strapping

88. Garden's classification is used in:
A. Epiphyseal separation
B. Intrinsic muscle weakness
C. Fracture of intertrochanter
D. Fracture of neck of femur

89. Tardy ulnar nerve palsy is seen in which of the following conditions:
A. Supracondylar fracture of humerus 
B. Cubitus valgus
C. Cubitus varus
D. Elbow dislocation

90. A 6-year-old boy has an accident and had fracture his elbow. 4 years after this accident he presented with tingling and numbness in ulnar side of finger. The fracture is:
A. Elbow dislocation
B. Olecranon fracture
C. Lateral condylar fracture of humerus
D. Supracondylar fracture of humerus

91. Tardy ulnar nerve palsy is seen in fracture of:
A. Supracondyle
B. Capitulum
C. Lateral humeral condyle
D. Medial humeral condyle

92. A patient had injury to the upper limb 3 years back. He now has valgus deformity in the elbow and paresthesias over the medial border of hand. Injury most likely to have been:
A. Lateral condyle fracture of humerus
B. Medial condyle fracture of humerus
C. Posterior dislocation of humerus
D. Supracondyle fracture of humerus

93. Which of the following is the most common benign bone tumor:
A. Solitary bone cyst
B. Osteoid osteoma
C. Osteochondroma
D. Enchondroma

94. In which of the following bones, osteochondroma is commonly seen:
A. Epiphysis
B. Scapula
C. Ribs
D. Metaphysis in femur

95. Night cries are seen in which of the following conditions:
A. Coxa vera
B. Rheumatoid arthritis
C. Tuberculosis of hip
D. Perthes' disease

96. All are false regarding Dupuytren's contracture except:
A. Early sign is palmer nodule
B. Dermal contracture
C. Common in Orientals
D. Common in females

97. In Dupuytren's contracture the treatment of choice is:
A. Amputation
B. Splint
C. Radical fasciotomy
D. Excision of the thickened part of the palmar aponeurosis

98. A father while playing with his 2-year-old son pulls him up by holding both his hands into air. Boy cries out in pain and does not allow the father to touch his hand. The injury occurred is:
A. Posterior dislocation of elbow
B. Dislocation of radial head
C. Pulled elbow
D. Supracondylar fracture of humerus

99. Pulled elbow because of:
A. Subluxation of radial head
B. Supracondylar fracture of humerus
C. Radius fracture
D. Ulnar fracture

100. Oblique view is required to diagnose:
A. Fracture of scaphoid
B. Fracture of hamate
C. Fracture of navicular
D. Fracture of capitate