Interactive Orthopedic MCQs Bank Online - Test Your Knowledge Now!

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Interactive MCQs

Interactive MCQs

Question 1
Regarding fluid balance, which of the following statements is true?
Correct answer: b. After intravenous administration of crystalloids, the distribution of these fluids throughout the body depends on its osmotic activity
Question 2
Which of the following is true of Crush syndrome?
Correct answer: c. Serum creatinine, potassium and phosphate are elevated
Question 3
On an evening ward round you glance at the blood results of a patient from another team. The results show an increased prothrombin time (PT), an increased activated partial thromboplastin time (APPT), an increased thrombin time (TT) and a low platelet count. Which of the following is the most likely underlying explanation for this set of blood results?
Correct answer: a. Disseminated intravascular coagulation (DIC)
Question 4
An otherwise healthy 32-year-old man was the driver of a car involved in a high speed RTA three days ago. He has sustained a closed fracture of his femur which has been treated surgically with an intramedullary nail, as well as fractures of his right clavicle and left radius. He was managed according to ATLS protocol when he attended the emergency department. On examination he is acutely short of breath and has a temperature of 37.5°C. The patient seems confused when you speak to him, and as you examine him, you note petechial haemorrhages. What do you think is the most likely diagnosis?
Correct answer: c. Fat embolism
Question 5
Which of the following does NOT reliably inactivate HIV?
Correct answer: a. Chlorhexidine
Question 6
What Vancouver classification describes a fracture around the stem resulting in a loose stem, but still good bone stock?
Correct answer: c. B2
Question 7
Which of the following factors increases the risk of recurrence of surgically treated Dupuytren's disease?
Correct answer: a. Family history
Question 8
An adult motorcyclist undergoes intramedullary nail stabilisation of a closed right tibial fracture. In recovery following the procedure he is noted to have a swollen calf. His heart rate is 110 bpm and blood pressure is 100/80 mmHg. In addition to clinical suspicion what measurement of intracompartmental pressure could help confirm the diagnosis of an acute compartment syndrome?
Correct answer: b. Compartment pressure of 25 mmHg
Question 9
In acetabular fracture which one of the following is an indication for surgical intervention?
Correct answer: c. Loose bodies in joint
Question 10
With regard to diagnosing carpal tunnel syndrome, which of the following best describe the listed tests?
Correct answer: b. Semmes-Weinstein testing
Question 11
What structure is most likely to be injured with an acute ACL injury?
Correct answer: b. Lateral meniscus
Question 12
What is the revision rate of unicondylar knee replacements as compared to total knee replacements (TKR)?
Correct answer: b. X2
Question 13
In the femoral triangle, which of the following is true of the femoral artery?
Correct answer: d. Posterior to the femoral branch of the genitofemoral nerve
Question 14
What Waldenstrom's classification for radiographic staging of Perthes disease involves the radiodensity of the ossification returning to normal?
Correct answer: d. Re-ossification
Question 15
What material undergoes large amount of plastic deformation before failure?
Correct answer: c. Ductile
Question 16
Which of the following micro-organisms is the commonest cause of haematogenous osteomyelitis?
Correct answer: c. Staphylococcus aureus
Question 17
A 26-year-old man is assaulted, receiving direct blows to his head. He is brought to his local Emergency department where he is assessed by the emergency doctor.

On initial examination, he opens his eyes to speech, reaches up to his head as you put pressure on his supraorbital notch and answers questions with confused conversation.

What is his Glasgow coma scale (GCS) score?
Correct answer: d. 12
Question 18
In what situation would you increase poly size in a knee replacement?
Correct answer: a. Flexion and extension loose
Question 19
Which flexor tendon zone contains the Camper's chiasma?
Correct answer: b. Zone 2
Question 20
What structure is most likely to be injured with an acute ACL injury?
Correct answer: b. Lateral meniscus
Question 21
What is the most common cause of haematogenous osteomyelitis?
Correct answer: c. Staphylococcus aureus
Question 22
Which of the following injuries may have Horner's syndrome?
Correct answer: b. Preganglionic
Question 23
Which of the following techniques would be an incomplete reshaping osteotomy following the contour of the acetabular roof inferomedially to the triradiate cartilage?
Correct answer: c. Pemberton
Question 24
Which of the following vertebrae has the most prominent spinous process?
Correct answer: a. C7
Question 25
Which of the following is true regarding cemented femoral stems with an oval cross section?
Correct answer: b. Have a good fit within the medullary cavity and as a result leave less room for cement and cancellous bone
Question 26
Which of the following joints is found in the proximal interphalangeal joints of the fingers?
Correct answer: d. Hinge
Question 27
Which of the following joints is found in the frontal coronal suture?
Correct answer: c. Fibrous
Question 28
Which muscle lies deep to the median nerve when performing a palmar incision proximally for a medial nerve decompression?
Correct answer: d. Flexor digitorum superficialis
Question 29
Which type of allergy is delayed type hypersensitivity?
Correct answer: d. Type IV
Question 30
What type of genetic abnormality is expected in a patient with a trident hand?
Correct answer: c. Fibroblast growth factor 3 receptor
Question 31
What is the satisfaction rate for total knee replacement (TKR)?
Correct answer: d. 80-89%
Question 32
What grading of trigger finger is demonstrable catching with the ability to actively extend digit?
Correct answer: b. Grade 2
Question 33
On which layer of the foot would you find quadratus plantae?
Correct answer: d. Second
Question 34
Which of the following is correct regarding erythropoietin?
Correct answer: c. Is produced by the kidneys
Question 35
Which structures are at risk with incorrect portal placement? Posterior portal too inferior
Correct answer: b. Axillary nerve
Question 36
Which of the following spinal cord tracts transmit the sensations of pain, crude temperature, and light touch?
Correct answer: e. Spinothalamic
Question 37
What type of trial would seek patient views about benefits or changes resulting from treatments?
Correct answer: c. Quality of life trials
Question 38
What is the most likely nerve to have been injured in a 68-year-old man who falls onto his outstretched hand and presents with pain in his upper arm and some sensory impairment on the dorsum of his hand and is unable to extend his wrist?
Correct answer: e. Radial nerve
Question 39
Which of the following is correct regarding screening trials?
Correct answer: c. Study the efficacy and acceptability of new screening tests
Question 40
Which nerve is at risk in anterior shoulder dislocation?
Correct answer: a. Axillary nerve
Question 41
What is the name for the closed osteocutaneous resection of the distal fibula and adjacent lateral malleolus, along with the overlying skin and subcutaneous tissue, as part of limb salvage surgery?
Correct answer: b. Boyd amputation
Question 42
Damaged bone tissue can be removed without compromising structural integrity by what phenomenon?
Correct answer: a. Creep
Question 43
Which ligamentous structure provides stability to the proximal radioulnar joint when the elbow is extended?
Correct answer: b. Quadrate ligament
Question 44
What nerve is most commonly injured with anterior shoulder dislocation?
Correct answer: a. Axillary nerve
Question 45
What structure is most commonly damaged in a lateral ankle sprain?
Correct answer: b. Calcaneofibular ligament
Question 46
What test can be used to assess the integrity of the anterior cruciate ligament (ACL)?
Correct answer: a. Lachman test
Question 47
What term describes the anatomical position in which the hand is twisted laterally (thumb pointing away from the body)?
Correct answer: a. Supination
Question 48
What is the common name for tenosynovitis of the abductor pollicis longus and extensor pollicis brevis tendons?
Correct answer: a. De Quervain's tenosynovitis
Question 49
What is the term for a fracture that occurs through a bone weakened by pre-existing disease?
Correct answer: a. Pathologic fracture
Question 50
What type of bone healing occurs with rigid fixation in the absence of tissue interposition?
Correct answer: a. Primary bone healing
Question 51
A toddler of 3 years presents to the Emergency Department with swelling of his leg and is found to have a spiral fracture of the tibia. What is the most likely cause of the injury?
Correct answer: e. Accidental fracture
Question 52
An infant is admitted with respiratory infection symptoms and is found to have several posterior rib fractures on chest radiograph. What is the most likely cause of the fractures?
Correct answer: e. Child physical abuse
Question 53
A 4-month-old girl presents with swelling of her right arm and is found to have a spiral fracture of the humerus. What is the best diagnosis?
Correct answer: e. Accidental injury
Question 54
What is the most likely cause of hypovolemic shock?
Correct answer: d. Tachycardia and lowered blood pressure
Question 55
What is the appropriate management for a patient with de Quervain's tenosynovitis?
Correct answer: e. Surgical drainage via small incisions
Question 56
What intervention has had the greatest impact on infection rates in total knee replacement?
Correct answer: e. Perioperative antibiotics
Question 57
What test is used to specifically look at IT band inflammation?
Correct answer: d. Noble compression test
Question 58
What is the most likely diagnosis for a patient with dorsoradial wrist pain, tenderness, and crepitus upon passive motion of the thumb?
Correct answer: b. De Quervain's tenosynovitis
Question 59
Which muscle lies behind the first part of the axillary nerve?
Correct answer: d. Subscapularis
Question 60
Which layer of the epidermis determines the primary mechanical properties of skin?
Correct answer: c. Stratum corneum
Question 61
What type of hypersensitivity reaction is an anaphylactic reaction?
Correct answer: a. Type I
Question 62
What structure is most likely the origin of a dorsal wrist ganglion?
Correct answer: c. Scapholunate ligament
Question 63
Which of the following is true of 1,25-dihydroxycholecalciferol?
Correct answer: e. Production increases when serum phosphate levels fall
Question 64
What stage of Lichtman's radiographic classification of Kienbock's disease is characterized by collapse of the entire lunate without fixed scaphoid rotation?
Correct answer: c. Stage 3a
Question 65
Which ligament is most frequently injured in an inversion injury of the ankle?
Correct answer: b. Anterior talofibular ligament
Question 66
Which reflex is most likely to be affected in a C7-T1 disc herniation?
Correct answer: e. None of the above
Question 67
What collagen type is both mesenchymal and chondroid in the biochemical steps of healing?
Correct answer: b. Type II
Question 68
Which one of the following is an example of a DNA virus?
Correct answer: c. Herpes simplex virus
Question 69
Which of the following statements is true regarding platelets?
Correct answer: e. Contain adenosine triphosphate and serotonin
Question 70
In children with abdominal injury, which of the following is correct?
Correct answer: d. Rectal examination is rarely performed
Question 71
What spinal cord syndrome is characterized by a greater loss of power in the upper limbs (rather than the lower), with varying degrees of sensory loss?
Correct answer: c. Central cord syndrome
Question 72
Which antibiotic is associated with an allergic 'red man syndrome' characterized by exfoliative dermatitis, Stevens-Johnson syndrome, toxic epidermal necrolysis, and vasculitis?
Correct answer: e. Vancomycin
Question 73
Which antibiotic is associated with experimental arthropathy in growing animals and therefore contraindicated in patients under 16 years?
Correct answer: c. Ciprofloxacin
Question 74
Which antibiotic has a very narrow therapeutic index, and is associated with the development of ototoxicity and nephrotoxicity, but is excellent against gram-negative infections?
Correct answer: d. Gentamicin
Question 75
Which antibiotic causes brown discoloration of growing teeth and thus should not be given to children or pregnant women?
Correct answer: d. Tetracycline
Question 76
Which antibiotic is associated with a metallic taste and can rarely cause a peripheral neuropathy?
Correct answer: d. Metronidazole
Question 77
Which of the following antibiotics inhibit cell wall synthesis?
Correct answer: d. Penicillin
Question 78
What factor increases bone resorption?
Correct answer: d. Interleukin-1
Question 79
What is the recommended target depth for pedicle screw insertion in the lumbar spine?
Correct answer: c. 80% through the vertebral body
Question 80
In the axilla, which of the following is correct?
Correct answer: b. Level 3 lymph nodes are lateral to the pectoralis minor
Question 81
Which of the following is true regarding platelets?
Correct answer: e. Contain adenosine triphosphate and serotonin
Question 82
In children with abdominal injury, which of the following is correct?
Correct answer: d. Rectal examination is rarely performed
Question 83
What spinal cord syndrome is characterized by a greater loss of power in the upper limbs (rather than the lower), with varying degrees of sensory loss?
Correct answer: c. Central cord syndrome
Question 84
Which antibiotic is associated with an allergic 'red man syndrome' characterized by exfoliative dermatitis, Stevens-Johnson syndrome, toxic epidermal necrolysis, and vasculitis?
Correct answer: e. Vancomycin
Question 85
Which antibiotic is associated with experimental arthropathy in growing animals and therefore contraindicated in patients under 16 years?
Correct answer: c. Ciprofloxacin
Question 86
Which antibiotic has a very narrow therapeutic index, and is associated with the development of ototoxicity and nephrotoxicity, but is excellent against gram-negative infections?
Correct answer: d. Gentamicin
Question 87
What is the most likely cause of sudden inability to extend the thumb in a patient who was conservatively treated for a nondisplaced distal radius fracture?
Correct answer: e. Rupture of the extensor pollicis longus tendon
Question 88
Which organism is most likely to cause a small, erythematous, pus-covered ulceration on the outer aspect of the big toe in a patient with a 20-year history of type 1 diabetes?
Correct answer: d. Staphylococcus aureus
Question 89
Which radiographic sign is not seen in acute slipped upper femoral epiphysis?
Correct answer: c. Increase in epiphyseal height
Question 90
Which of the following is correct regarding postoperative complications?
Correct answer: d. Respiratory depression post-operatively may be due to intraoperative opioids
Question 91
What is the percentage decrease in tibiotalar contact area caused by a 1 mm displacement of the talus?
Correct answer: d. 42%
Question 92
Which of the following is true regarding the median nerve?
Correct answer: c. Innervates the superficial head of flexor pollicis brevis
Question 93
Which vertebral level corresponds with the aortic opening in the diaphragm?
Correct answer: e. T12 and oesophageal opening in the diaphragm
Question 94
What is the most likely diagnosis for a patient who presents with a painful swelling at the base of their left big toe that is worse with new shoes and at the close of work?
Correct answer: a. Bunion
Question 95
Which vertebral level corresponds with the caval opening in the diaphragm?
Correct answer: d. T10 and opening for vena cava in diaphragm
Question 96
What is the most likely cause of sudden inability to extend the thumb in a patient who was conservatively treated for a nondisplaced distal radius fracture?
Correct answer: e. Rupture of the extensor pollicis longus tendon
Question 97
Which of the following is the most likely infective organism for a small, erythematous, pus-covered ulceration on the outer aspect of the big toe in a patient with a 20-year history of type 1 diabetes?
Copy Delete continue Delete
Correct answer: d. Staphylococcus aureus
Question 98
Which radiographic sign is not seen in acute slipped upper femoral epiphysis?
Correct answer: c. Increase in epiphyseal height
Question 99
Which of the following is the correct diagnosis for a patient with a red, painful swelling at the edge of their nail on the side of their right big toe that is ingrowing?
Correct answer: e. Paronychia
Question 100
Which of the following is a side effect of glucocorticoid therapy?
Correct answer: d. Reduced growth in children
Question 101
Which of the following is true regarding the diagnosis of foot pain?
Correct answer: c. A patient with a foreign body reaction is most likely to have a granuloma that can form a painful mass and in the foot, foreign bodies often enter through a puncture wound
Question 102
Which vertebral level corresponds to the radial two lumbricals?
Correct answer: e. T12 and oesophageal opening in the diaphragm
Question 103
What is the most likely diagnosis for a 60-year-old patient suffering with arthritis who presents with a painful swelling at the base of the left big toe?
Correct answer: a. Bunion
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