LIBYAN 16

ORTHOPEDIC In all the slides questions from 1 to 20

BOARD
choose the most appropriate answer

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ORTHOPEDIC
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ORTHOPEDIC KEY ANSWERS WILL BE PUBLISHED
EXAM 4.2018
BOARD
IN FEBRUARY EDITION
01) Looking at this AP plain x-ray;according to Garden classification,
what type of intra-capsular fracture of right femoral neck:
a. Type I
b. Type II
c. Type III
d. Type IV

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02) An injury associated with elbow dislocation (A and B)
treated by operative intervention. Have a look and pick
the injury shown radiologically below:
a. medial trochlea fracture
b. capitulum fracture
c. medial epicondyle fracture
d. incarcerated coronoid fracture

A B
03) Four serial (1,2,3,&4)CT axial bone windows show :
a. gleno-humeral dislocation
b. bony Bankart lesion
c. osteoma scapula
d. no fractures

1 2

3 4
04)A STRESS-STRAIN Curve of materials A and B demonstrates that:
a. material A is ductile.
b. material B is ductile.
c. both A and B are equally tough.
d. both A and B have the same calculative Young’s modulus..

material A material B
05) In both Kocher and Kaplan approaches, the forearm should be pronated to
protect PIN but Kocher approach carries lesser risk of PIN injury than Kaplan
approach.Choose the most appropriate statement:
a. Kaplan approach between ECU and anconeus (2).
b. Kaplan approach between EDC and ECRB (1).
c. Kaplan approach carries higher risk of disrupting Lateral Ulnar Collateral
Ligament.
d. a and c

2
06) Maximal temporary cavity diameter made by 7.62 mm (3500J) bullet is:
a. 4.0 to 5.0 cm
b. 4.0 to 8.3 cm
c. 13.0 to 14.0 cm
d. 17.0 to 23.0 cm
07) In presence of traumatic ACL rupture usually patients present as
radiographically normal but you may see the following two associated
injuries shown in (figures 1 and 2):
a. avulsion of tip of fibular head and osteochonditis dissicans
b. postero-lateral tibial ligament avulsion & fracture of inter-condylar notch
c. fracture of proximal lateral tibia & depression on the lateral femoral condyle
d. b and c

1 2
08) This is one of Ankle/Foot Amputations shown on Lateral plain x-ray; it is called:

a. Lisfranc amputation
b. Chopart amputation
c. Syme amputation
d. Pirogoff amputation
09) Which of the following processes relies on an exopolysaccharide glycocalyx?

a.  Osteoclast differentiation
b.  Biofilm creation
c.  Endochondral bone formation
d.  Intramembranous bone formation
10) Pectoralis major tendon used as a reference for restoring humeral height during
shoulder hemiarthroplasty, at what level cephalad to the proximal edge of the
tendon should the top of the prosthesis sit?

a.  1.0 cm
b.  2.4 cm
c.  3.8 cm
d.  5.6 cm
11) surgical fixation of proximal humerus as seen in Figures A through B. What is the
most commonly reported complication of this procedure?

A B
a.  Axillary nerve injury
b.  Valgus migration of the fracture
c.  Hardware failure
d.  Screw penetration
12) Through a posterior approach, a surgeon can identify the posterior antebrachial
cutaneous nerve and trace it proximally to which of the following nerves?

a.  Ulnar
b.  Musculocutaneous
c.  Median
d.  Radial
13) A postoperative radiograph is shown below; Clinically a new deficit of the anterior
interosseous nerve is now noted in the recovery room. What deficit can be expected
with this nerve injury?

a.  Inability to flex radio-carpal joint

b.  Loss of sensation over palmar aspect of thumb
c.  Inability to abduct index finger
d.  Inability to flex thumb interphalangeal joint
14) During placement of percutaneous iliosacral screws fixation of this pelvic ring
injury, the outlet radiograph shown below. What purpose does this view serve? 

a.  Evaluation of possible injury to L5 nerve root

b.  Best visualization of sagittal curvature of sacral ala
c.  Best visualization of sacral neural foramina
d.  Best visualization of spinal canal
15) A 14-year-old denies any history of hip trauma or pain. A left hip radiograph is
shown below, and the the abnormality in question is indicated by the white arrow.
The radiographic finding is most consistent with which of the following?
a.  Os acetabuli marginalis superior
b.  Fovea capitis
c.  Myositis ossficans
d.  Avascular necrosis.

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16) Which of the following factors has been shown to be the strongest predictor
of screw cutout of a dynamic compression hip screw used for an intertrochanteric
femur fracture?
a.  Age of the patient
b.  Intrinsic stability of the fracture
c.  Tip-apex distance
d.  Angle of the side-plate
17) Which of the following is not an appropriate implant for treatment of the
fracture seen in Figure below?

a.  Cephalomedullary nail
b.  Sliding hip screw
c.  95 degree blade plate
d.  Proximal femoral locking plate
18) A 76-year-old female with underlying osteoporosis presents with severe right leg
pain after stepping off a curb. Current femur radiographs are shown in Figure A.
A Radiograph [Figure B] of the patient's femur from that previous visit when no
other abnormal pathology was reported. What is the most likely cause of this
patient's femur fracture? 

A B
a.  Fibrous cortical defect
b.  Bisphosphonate treatment
c. Metastatic lesion
d.  Osteomyelitis
19) Partial patellectomy is the recommended treatment for one of the following injuries?

a.  Grossly displaced vertical patella fractures

b.  Tripartite patella with medial facet chondral fissuring
c.  Severely comminuted inferior pole fracture
d.  Minimally displaced Stellate patella fracture
20) A closed tibial fracture[A]. What technical adjunct could have prevented the
operative complication seen on the C arm image[B] ?
a.  Nail with a more distal Herzog curve
b.  Application of an anterior uni-cortical plate
c.  Nailing while in a hyper-flexed position
d.  A more distal and medial nail entry site

Figure A

A B
 Have a look on these two views. LIBYAN
What would you do first? ORTHOPEDIC
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How do you stabilise the knee joint?
ORAL EXAM