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Dr. Batman
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Name: Batman
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ORTHOPEDICS REVIEW
(Total Questions - 129)Q.1. Patient presented with metatarsal fracture, X- ray does not show exact fracture, what is the next investigation?
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Correct Answer : C
Imaging in metatarsal fracture -
1) X-ray “AP, lateral and oblique views of the foot”
2) CT
not routinely obtained
maybe of use in periarticular injuries or to rule out Lisfranc injury
3) MRI or bone scan
useful in the detection of occult or stress fractures
Q.2. A 20 years old man sustained a deep laceration on the anterior surface of the wrist. Median nerve injury would result in which of the following?
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Correct Answer : D
Ulnar nerve --> claw hand. Median --> inability to oppose the thumb to other fingers. Radial nerve --> wrist drop
Q.3. All of the following muscles are part of rotator cuff, except?
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Correct Answer : C
Q.4. A boy after running for hours, has pain in knee joint and has palpable mass on upper surface of tibia, what is the diagnosis?
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Correct Answer : A
Iliotibial band Osgood–Schlatter disease or syndrome (tibial tubercle apophyseal traction injury and epiphysitis of the tibular tubercle) is an irritation of the patellar ligament at the tibial tuberosity. It is characterized by painful lumps just below the knee and is most often seen in young adolescents. ? Risk factors include excess weight and overzealous conditioning (running and jumping). ? Diagnosis is made clinically ? Treatment is conservative with RICE (Rest, Ice, Compression, and Elevation), and if required acetaminophen.
Q.5. Patient came in OPD complaining of pain in right arm especially at night; more when he elevate his arm, tingling on lateral arm side and lateral three fingers. What is the diagnosis?
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Correct Answer : D
Brachial plexus neuropathy is characterized by acute onset of intense pain in the shoulder or arm followed shortly by focal muscle weakness.
Q.6. Patient with scoliosis, you need to refer him to the orthopedic department. What is the appropriate degree of scoliosis to refer a patient?
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Correct Answer : D
Q.7. What is true about mid-clavicle fracture?
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Correct Answer : D
Simple sling has been to give the same result as a figure-8 (more comfort and fewer skin problems).
Q.8. A young adult presented with pain in lateral elbow, and tingling of lateral arm. He plays Squash regularly, what is the diagnosis?
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Correct Answer : B
Lateral epicondylitis (inflammation of the common extensor tendon) also known as (tennis elbow, shooter's elbow, and archer's elbow) is a condition where the outer part of the elbow becomes sore and tender. It is commonly associated with playing tennis and racquet sports Medial epicondylitis (inflammation of common flexor elbow) also known (golfer's elbow)
Q.9. For a young female with pain in her elbow (lateral epicondylitis) what is the best treatment?
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Correct Answer : D
Treatment of lateral epicondylitis:
1st line : NSAID + rest + ice
2nd line: corticosteroid injection
3rd line: surgery --> percutaneous release of common tendon
Q.10. A patient came in OPD complaining of pain along median nerve distribution and positive Tinel sign. Which position of casting is more suitable for treatment?
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Correct Answer : A
Q.11. An old man with bilateral knee pain and tenderness that increase with walking and relieved by rest. What is the probable diagnosis?
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Correct Answer : B
OA: pain with activity and weight bearing and improve with rest
RA: morning stiffness > 1 hour. Painful and warm swelling of multiple symmetric joints
Q.12. What is the useful exercise for osteoarthritis in old age to maintain muscle and bone?
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Correct Answer : B
Q.13. An old patient came in OPD with complaint of bilateral knee pain with joint enlargement. ESR and CRP are normal, what is the diagnosis?
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Correct Answer : A
Q.14. An old lady came to the clinic as routine visit, she mention decrease intake of Calcium in her diet, doctor suspect osteoporosis, what is the next initial investigation?
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Correct Answer : A
Q.15. An old male patient came in your OPD with complaint of bilateral knee pain on walking. You found crepitus during examination. x-ray shows narrow joint space and subchondral sclerosis, what is the diagnosis?
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Correct Answer : B
Q.16. What is the Dietary supplement for osteoarthritis?
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Correct Answer : A
Q.17. A 10-year-old child presents with persistent back pain that worsens at night and often wakes him from sleep. There is no history of trauma or recent infection. Physical examination reveals localized tenderness over the spine, and initial X-rays suggest an abnormality in the vertebrae. What is the most likely diagnosis in this case?
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Correct Answer : D
Osteoid osteoma is a benign bone tumor commonly seen in children and adolescents. It often presents as localized pain, particularly in the back or long bones, that worsens at night and is relieved by nonsteroidal anti-inflammatory drugs (NSAIDs).
Q.18. A patient is asked to face the wall, bend his waist, and let his hands hang down without support. This test is used as a screening tool for which of the following?
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Correct Answer : C
This test is called for (Adam's Forward Bend Test)
Q.19. 5-year-old boy presents with a limp that has been progressively worsening over the past few weeks. There is no history of trauma or infection. Examination reveals limited range of motion in the affected hip. A CT scan confirms avascular necrosis of the femoral head. What is the most appropriate treatment for this condition?
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Correct Answer : B
Avascular necrosis (Legg-Calvé-Perthes disease in this age group) is a condition in which the blood supply to the femoral head is compromised, leading to bone death and eventual regeneration.
Q.20. What is true about patient with congenital hip dislocation?
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Correct Answer : A
Q.21. Which is true for Boutonnière deformity of finger?
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Correct Answer : A
Q.22. An elderly patient presents with hip pain that worsens with walking and weight-bearing activities. They report associated morning stiffness that lasts for approximately 30 minutes and improves with activity. Examination reveals a decreased range of motion in the hip joint and tenderness on palpation. What is the most likely diagnosis?
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Correct Answer : B
Q.23. An elderly patient presents with chronic back pain and stiffness that improves with activity. They report difficulty in bending their back and limited spinal mobility. Spine X-ray shows evidence of
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Correct Answer : C
Ankylosing spondylitis.
Q.24. What is the commonest nerve injury associated with humerus fracture?
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Correct Answer : A
Q.25. A 50 year old female patient came in your OPD due to bone pain. You suspect osteoporosis, what is the treatment option?
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Correct Answer : A
Q.27. An old male came in OPD due to complain of right hip joint pain on walking. The pain increased at the end of day, when he wake up in morning he complain of more joint stiffness, what is the diagnosis?
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Correct Answer : A
Q.28. What is the most common fracture in osteoporosis?
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Correct Answer : D
Q.29. 50 years old male with numbness of the little finger and he has degenerative cervicitis with restriction in the neck movement. Also there is numbness in the ring finger and atrophy of the thenar muscle + compression in the elbow. How will you manage?
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Correct Answer : A
Q.30. Which of the following is a disease modifying drug for rheumatoid arthritis?
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Correct Answer : B
Q.31. A 35-year-old male presents to the emergency department after a road traffic accident. Examination reveals an open tibial fracture with exposed bone and significant contamination of the wound. What is the most appropriate initial treatment for this injury?
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Correct Answer : D
External fixation is often used initially to stabilize the fracture while managing soft tissue damage.
Q.32. A 22-year-old football player presents with knee pain after being hit on the lateral side of his knee during a game. Examination reveals increased laxity on valgus stress testing. Lachman and McMurray tests are negative. What is the most likely diagnosis?
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Correct Answer : B
Q.33. What is the most common site of non-traumatic fracture in osteoporotic patient?
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Correct Answer : C
Q.34. A 6-year-old child presents with a complaint of in-toeing when walking. The child prefers to sit in a "W" shape and has both feet and knees pointing inward while walking. On examination, there is 20-degree inward positioning of the feet and knees, with 70-degree inward rotation of both femurs. What is the most likely diagnosis?
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Correct Answer : B
Q.35. A 2-year-old child presents to the clinic with a history of falling on a toy the previous day. The child's leg was caught under the toy during the fall. Since then, the child has been refusing to walk and appears distressed when attempting to bear weight. What is the most likely diagnosis?
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Correct Answer : B
Q.36. A 50 years old male work as a constructor, 1 week ago when he started using a hummer he develop pain on the lateral side of the elbow what is your diagnosis?
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Correct Answer : D
Q.37. A middle-aged male presents to the emergency department after falling on his elbow. He reports significant pain and swelling in the elbow. On examination, there is limited range of motion. A lateral radiograph of the elbow shows elevation of both anterior and posterior fat pads ("fat pad sign"). The fat pad sign on an elbow radiograph most commonly indicates an occult fracture in which of the following locations?
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Correct Answer : B
The fat pad sign is often an indicator of an intra-articular fracture with joint effusion.
Q.38. OlecrBatman Bursitis of the elbow joint caused by which of the following?
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Correct Answer : A
Q.39. The mother complains of sharp pain on the radial styloid while carrying her baby. The pain increases with extension of the thumb against resistance, Finkelstein test was positive, what is the diagnosis?
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Correct Answer : B
Finkelstein's test is used to diagnose DeQuervain's tenosynovitis, Radial styloid tenosynovitis, in people who have wrist pain treatment. Injection of corticosteroid and an anesthetic provides relief in more difficult cases. If conservative measures fail, surgery may be necessary to decrease pressure on the tendon (tenosynovectomy) or NSAIDS.
Phalen's maneuver is more sensitive than Tinea's sign for carpal tunnel syndrome.
Q.40. A 4 years old baby fell down. His mother pulled him by his arm & since then he kept his arm in pronated position. How will you manage this case?
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Correct Answer : B
Q.41. Regarding Polyarthralgia Rheumatica, which of the following symptom is more commonly seen?
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Correct Answer : B
Q.42. A 17-year-old male football player presents with a history of his left knee "giving out" during play. He reports episodes of instability, pain, and a feeling that his knee is about to collapse. There is no history of significant trauma, but the knee has been bothering him for some time. What is the most likely diagnosis?
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Correct Answer : D
Q.43. A 45 years old male presented in a clinic with 3 weeks history of limping that worsen in the morning, this suggests which of the following?
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Correct Answer : C
Q.44. A 20-year-old male basketball player lands awkwardly after a jump and twists his right knee. He immediately feels intense pain and notices a visible deformity on the front of his knee. He is unable to straighten his leg. On examination, the patella is displaced laterally, and there is swelling and tenderness over the knee. The deformity resolves with gentle manipulation and extension of the knee. Which of the following is the next best step in the management of this patient?
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Correct Answer : A
Q.45. A 30 years old male with history of pain & swelling of the right Knee. Synovial fluid aspiration showed yellow color, opaque fluid with variable viscosity, WBC 150000, 80% poor mucin clot. What is the diagnosis?
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Correct Answer : D
Q.46. A 25-year-old male presents with a single fracture in the shaft of the femur after a trauma. On physical examination, the patient is in pain, and the leg is shortened and externally rotated. Radiographs confirm a mid-shaft femoral fracture with slight displacement of the bone fragments. What is the most appropriate treatment for a femoral shaft fracture with slight displacement in a 25-year-old male?
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Correct Answer : B
Q.47. Which is the Radiological finding in lateral view Xray in case of occult elbow fracture?
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Correct Answer : C
Q.48. A 70 year-old man fell on outstretched hand. On examination intact both radial and ulnar pulses, but tender radial head. What is the probable diagnosis?
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Correct Answer : C
Q.49. A 6-month-old baby presents with unilateral foot deformity that appears when the baby begins to bear weight on the other foot. However, when the affected foot is non-weight bearing, the deformity disappears. The baby also has a defect in dorsiflexion of the affected foot. What is the most likely diagnosis, and what is the recommended treatment?
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Correct Answer : B
Metatarsus adductus, treated with stretching exercises
Q.50. What is the appropriate treatment for Carpal tunnel syndrome?
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Correct Answer : A
Splint the wrist in a neutral position at night and during the day if possible. Administer NSAIDs. Conservative treatment can include corticosteroid injection of the carpal canal.
Q.51. Shoulder pain occur mostly due to which of the following injury?
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Correct Answer : D
The Most Common Cause of shoulder joint pain is rotator cuff tendonitis because of overuse of the shoulder.
Q.52. A mother came to you complaining about her child as he is not using his right arm to take things from her and he keeps his arm in pronated, fisted position. How you will resolve this orthopedic problem ?
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Correct Answer : B
Q.53. A patient comes to you with pain in the posterior part of the neck and occipital area. Vision is unaffected. Cervical x Ray shows decrease of joint space. What is your diagnosis ?
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Correct Answer : A
Cervical spondylosis is a common degenerative condition of the cervical spine. Age-related changes in the intervertebral disks most likely cause it.
Q.54. A lady, a computer programmer, presents with bilateral tingling sensations in her hands. The Tinel's test is positive. What is the recommended splintage position for both hands?
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Correct Answer : B
Wrist in 30 degrees of extension
Q.55. What is true for patient with congenital hip dislocation?
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Correct Answer : A
Barlow’s maneuver: Pressure is placed on the inner aspect of the abducted thigh, and the hip is then adducted, leading to an audible “clunk” as the femoral head dislocates posteriorly.
Ortolani’s maneuver: The thighs are gently abducted from the midline with anterior pressure on the greater trochanter. A soft click signifies the reduction of the femoral head into the acetabulum.
Allis’ (Galeazzi’s) sign: The knees are at unequal heights when the hips and knees are flexed (the dislocated side is lower).
Asymmetric skin folds and limited abduction of the affected hip are also
Q.56. A 33 years old Saudi male complaining from lower back pain and considerable morning stiffness. X-ray showed sclerosis joint. Other criterion of this disease are all the following except?
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Correct Answer : D
Q.57. About Clavicular fracture in newborn, what is true?
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Correct Answer : D
The fracture typically heals spontaneously within a few weeks.
Q.58. Regarding risk of osteoporotic patient with aging, which of the following is correct?
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Correct Answer : A
Q.59. A 18 years old boy presented with back pain, which of the following investigations are important to do except?
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Correct Answer : D
Q.60. An old patient complaining of back pain on walking. on examination, there was a stiffness of the spinal muscle. X-Ray shows spinal osteophytes , what is the best effective treatment?
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Correct Answer : A
Q.61. A 25-year-old male basketball player presents to the clinic after sustaining a knee injury during a game. He complains of instability and pain in the knee. On physical examination, a Lachman test is performed, which reveals excessive anterior translation of the tibia with a soft endpoint. What is the most likely diagnosis?
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Correct Answer : A
Q.62. A 45-year-old female presents with progressively increasing pain over the right hand's lateral two radial styloid processes for the past month. On examination, there is tenderness over the radial styloid and positive Finkelstein's test. What is the most appropriate initial treatment for this condition?
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Correct Answer : C
The patient's symptoms and positive Finkelstein test suggest De Quervain's tenosynovitis, which is inflammation of the tendons and synovium at the radial styloid. The initial treatment involves rest, splinting, and NSAIDs to reduce inflammation. If symptoms persist, corticosteroid injections may be considered. Surgical intervention is generally reserved for severe, refractory cases.
Q.63. A 70-year-old male with a history of osteoporosis undergoes a bone densitometry test. What would you expect the T-score to be in this patient?
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Correct Answer : A
Above -1: Normal
Between -1 and -2.5: osteopenia
Below -2.5: osteoporosis
Q.64. Which of the following is true for Colle’s fracture?
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Correct Answer : A
Q.65. A child fell on an out-stretched hand and flexed elbow. Examination shows swelling around the elbow with no radial pulse, what is the best management?
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Correct Answer : C
Because of the vessel involvement ,the best way of treatment is by open repair.
Q.66. A 70-year-old male presents with hip pain, and during physical examination, he is asked to perform a movement involving flexion, adduction, and internal rotation of the hip. Which condition is most likely being assessed by this movement?
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Correct Answer : B
Represents 90% of dislocation. Anterior hip dislocation classily extended, externally rotated hip.
Q.67. A old lady with osteoporosis asked you about it's prevention. Which of the following vitamins are used for prevention of osteoporosis?
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Correct Answer : A
Q.68. A young male presents with morning stiffness at the back that is relieved by activity and also has uveitis. What is the most likely diagnosis?
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Correct Answer : A
Q.69. A young female presents with pain in her elbow, and the diagnosis of lateral epicondylitis (tennis elbow) is made. What is the best initial treatment?
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Correct Answer : D
Q.70. A female patient presents with complaints of neck pain and occipital headache, without other symptoms. X-ray findings reveal cervical spine osteophytes and narrow disks. What is the most likely diagnosis?
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Correct Answer : A
Q.71. Bursitis of the elbow joint caused by which of the following factor?
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Correct Answer : A
Q.72. A 48 year-old male complaining of lower back pain with morning stiffness for 30 minutes only. On exam, he was having spasm centrally on the lower back. What is the appropriate management ?
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Correct Answer : D
Q.73. An old patient had history of gout and he is currently drinking alcohol (around 4 glasses/day). He presented now with bone pain, on examination, generalized bone tenderness and proximal muscle weakness. X-ray of long bone shows osteolytic lesions. Lab shows high serum calcium. What is the diagnosis?
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Correct Answer : B
Q.74. Which of the following is the reason of shock during road traffic accident?
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Correct Answer : A
Q.75. A 55-year-old male with a history of diabetes mellitus presents with a gradual onset of limited range of motion in his right shoulder. The range of motion is restricted in all directions, both actively and passively. There is no history of trauma or injury to the shoulder. On physical examination, the patient has pain with movement, especially in the overhead position, and the shoulder feels stiff. What is the most likely diagnosis?
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Correct Answer : A
The most likely diagnosis is frozen shoulder, also known as adhesive capsulitis.
Q.76. Which of the following calcium crystal is found in Pseudogout?
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Correct Answer : A
Q.77. A 25 year old female patient has morning stiffness and pain involving the meta-carpophalengeal joint and proximal interphalangeal joints. What is the likely diagnosis?
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Correct Answer : A
Q.78. An elderly female presented with a history of bilateral hand stiffness that is worse in the morning. On examination she had bony swellings in the distal interphalangeal joints. Which of the following is the right term for these swellings?
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Correct Answer : A
Heberden's nodes: These are bony swellings at the distal interphalangeal joints, commonly seen in osteoarthritis, and are caused by osteophyte formation. This is the correct answer given the location and clinical context.
Q.79. A 74 years old female complaining of pain and stiffness in the hip and shoulder girdle muscles. She is also experiencing low grade fever and has depression. On examination no muscle weakness detected. Which of the following is the investigation of choice?
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Correct Answer : C
Q.80. Supra-condylar fracture patient presented in ER with swelling and cyanosis of fingers after plaster application, How will you manage?
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Correct Answer : B
Q.81. Which of the following is the most common site of Osteomyelitis?
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Correct Answer : C
Q.82. What is the initial management of knee osteoarthritis?
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Correct Answer : D
Q.83. Which of the following is true regarding Perth's disease?
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Correct Answer : C
Q.84. Where does anatomical Snuff box located?
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Correct Answer : A
Q.85. A patient with a long history of knee pain suggestive of osteoarthritis now presents with unilateral lower limb swelling. On examination, there is positive pedal and tibial pitting edema. What is the next appropriate investigation?
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Correct Answer : D
Osteoarthritis relief by rest. So, immobility pt. can lead to DVT.
Q.86. A patient with lumbar disc prolapse at L4-L5 presents with specific clinical findings. What is the most likely neurological deficit?
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Correct Answer : D
The L4-L5 disc prolapse compresses the L5 nerve root, which supplies the extensor hallucis longus muscle responsible for great toe extension. Sensory loss may occur over the dorsum of the foot, particularly between the first and second toes. Reflexes are generally preserved as L5 does not contribute significantly to any deep tendon reflex.
Q.87. A 2 years old baby was brought to the clinic because of inability to walk straight. On examination, there was asymmetry of skin creases in the groin. The Trendelenburg’s sign was positive on the left side. What is your diagnosis?
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Correct Answer : B
Q.88. Which of the following condition is associated with fractured pelvis?
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Correct Answer : C
Q.89. A sickle cell anemia patient presented with unilateral hip pain, what is the most likely diagnosis?
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Correct Answer : B
Q.90. By what age, the avascular necrosis of the head of femur is usually detected clinically?
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Correct Answer : A
Q.91. A 40 year old man came in OPD with backpain. His x-ray shows fracture at T8, L1 & L2, DEXA scan shows bone density= T- 1. What will be the probable diagnosis?
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Correct Answer : A
Q.92. Which of the following is NOT truly associated with Osteomyelitis?
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Correct Answer : A
Q.93. Congenital dislocation of hip; all are true EXCEPT?
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Correct Answer : C
CDH= Limited abduction of the affected hip.
Q.94. Regarding acute gait disturbance in children; all are true EXCEPT?
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Correct Answer : C
Q.95. Regarding green stick fracture in children, all are true EXCEPT ?
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Correct Answer : A
Q.96. Which of the following increase bone density and muscle strength?
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Correct Answer : A
Q.97. A hypertensive patient presented in OPD, who is on Thiazide diuretics. He complaints that at night he has severe left foot pain involving the first toe with redness extending up to the mid leg. What is the diagnosis?
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Correct Answer : C
Q.98. A child fell down and had spiral type radial fracture, what is the appropriate management?
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Correct Answer : C
Q.99. A 55-year-old male presents to the emergency department with excruciating pain in his right big toe and left knee. The pain began suddenly overnight. On examination, the big toe and knee are swollen, erythematous, and tender to touch. Joint aspiration from the affected knee reveals needle-shaped crystals that are yellow when viewed under polarized light in parallel alignment. What is the most likely composition of the crystals found in the joint?
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Correct Answer : A
The patient’s presentation is characteristic of gout, which is due to the deposition of monosodium urate (MSU) crystals in joints.
Q.100. A patient with epilepsy came in OPD with Left shoulder pain. On examination, he had flattened contour of the shoulder, and fixed adduction with internal rotation, what is the diagnosis?
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Correct Answer : B
Q.101. A child presented in ER with radial head dislocation. What is the next step in his management?
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Correct Answer : A
Q.102. Which of following would decrease the incidence of compression fracture?
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Correct Answer : A
Q.103. During fracture of elbow, where does a common injury occur?
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Correct Answer : B
Q.104. A 50-year-old male presents with persistent back pain that has been worsening over the past few months. He denies any history of trauma. X-ray imaging of the lumbar spine reveals a solitary lytic lesion. What is the next most appropriate step in the investigation?
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Correct Answer : B
In older adults with lytic lesions, prioritize serum protein electrophoresis to evaluate for plasma cell dyscrasias such as multiple myeloma.
Q.105. A Shoulder pain occurs most commonly due to which of the following condition?
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Correct Answer : A
Q.106. A 27-year-old professional football player presents with a history of trauma to the lateral side of his left knee during a game. On examination, there is swelling over the medial aspect of the left knee. Valgus stress test reveals increased laxity. What is the most likely diagnosis?
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Correct Answer : A
Q.107. A old male fell down with outstretched hand. You are suspecting a fracture. Which of the following diagnosis suits the best?
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Correct Answer : A
Q.108. Regarding Perthe's disease, what is TRUE?
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Correct Answer : A
Q.109. Regarding compression fracture in osteoporotic patients, what is TRUE
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Correct Answer : C
Q.110. Which drug can be used in acute back pain?
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Correct Answer : C
Q.111. What is the best way to decrease pain in elderly with bilateral knee pain and crepitation ?
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Correct Answer : B
Q.112. Fractures in the hummers affecting radial nerve lead to which of the following?
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Correct Answer : A
Radial nerve --> wrist drop
Peroneal nerve --> foot drop
Club foot --> congenital
Q.113. A patient with epilepsy came with left shoulder pain, on examination flattened contour of the shoulder, and fixed adduction with internal rotation, what is the diagnosis?
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Correct Answer : B
Q.114. An elderly female came in your OPD with history of recurrent fractures, vitamin D insufficiency and a smoker. Which exogenous factor has the greatest exogenous side effect on osteoporosis?
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Correct Answer : B
Q.115. A 58 years old female, known case of osteopenia, she's asking you about the best way to prevent compression vertebral fracture, what would you advise her?
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Correct Answer : B
Q.116. What is TRUE about backache with osteoporosis?
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Correct Answer : C
Q.117. An old lady with recent osteoporosis ask about drug to prevent lumbar fracture. Which drug would you prescribe?
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Correct Answer : A
Q.118. What is the most common non-traumatic fracture caused by osteoporosis?
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Correct Answer : C
Q.119. Adolescent female with eating disorder & osteoporosis, what is the treatment?
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Correct Answer : A
Q.120. What is the most common cause of cellulitis in children?
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Correct Answer : B
Staphylococcus aureus is the most common bacteria that causes cellulitis.
Q.121. What is TRUE regarding OlecrBatman bursitis?
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Correct Answer : A
Q.122. A 32-year-old woman, 4 months postpartum following a cesarean section, presents with wrist pain that has progressively worsened. Examination reveals tenderness distal to the radial styloid, a positive Finkelstein's test, and a negative Phalen's test. What is the treatment of choice for her condition?
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Correct Answer : C
The treatment is medical, therapy, and surgery … medical with NSAIDs or injection of corticosteroids or xylocaine. therapy with a splint).
Q.123. A patient presented with pain in the index finger. He feels severe pain when holding scissors, more at the base of his finger on the palmar side, the finger is locked and there is also pain on full extension of the finger. What is the probable diagnosis?
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Correct Answer : A
Q.124. A 40 years old Patient known to have Crohn's Disease. He came with complaints of fever, hip and back pain, and blood in stool. On examination, soft abdomen, normal bowel sounds, normal range of motion of hip. What is the best radiological diagnostic test?
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Correct Answer : C
In adults, musculoskeletal complications (commonly arthritis) occur with Crohn's disease attacks.
It commonly affects large joints of the lower extremity.
Q.125. A 45-year-old female presents to the ER with an acutely swollen knee. On examination, you find a positive ballottement of the patella. What is the most important next step in management?
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Correct Answer : B
Q.126. Regarding median nerve injury, what is the investigation of choice?
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Correct Answer : B
Q.127. A Patient with hypothyroidism presented due to painful right shoulder, and limited range of movement, what is the diagnosis?
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Correct Answer : C
Q.128. A 30 years old female patient came due to irregular periods and LMP was 6 months back. She also has bony pain all around her body. She works indoors and when going out, she covers herself. She had history of several years of multiple fractures caused by minimal trauma. Lab results shows low Ca , low Ph and high alkaline phosphatase . All vitamin levels were normal except for vitamin A which is low. What is the diagnosis?
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Correct Answer : A
Q.129. A patient presents with a history of trauma to the distal interphalangeal (DIP) joint following hyperextension of the finger. The patient complains of pain in the palm. What is the most likely diagnosis?
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Correct Answer : D
A mallet finger occurs when there is trauma to the distal interphalangeal (DIP) joint, typically resulting from a forced hyperextension of the finger, which leads to rupture or avulsion of the extensor tendon at the DIP joint.