Quiz on Orthopaedics for medicine undergraduates..

1. Orthopaedic Quiz
For medicine undergraduates
1

2. 1.What is the diagnosis? Q:1
2.Name 2 complications associated with this fracture.
2

3. Q:2
1.Identify this clinical deformity
3

4. Q:3
1.Describe the mechanism of injury?
2.Name 2 serious complications of this injury?
4

5. 1.Identify the prosthesis Q:4
2.What is the indication for its use?
5

6. 1.Identify this equipment Q:5
2. Name 2 indications for its use.
6

7. 1.Identify this fracture. Q:6
2.What is the best way to manage this fracture?
7

8. 1.Identify this injury?
2. What is the mechanism of injury. Q:7
8

9. 1.Identify the type of fracture Q:8
2.What is the clinical condition associated with this fracture?
9

10. 1.Identify this clinical deformity Q:9
2.How do you manage this child during first six months?
10

11. 1.Describe this injury. Q:10
2.Name two complications associated with this injury
11

12. 1.What is the injury? Q:11
2. What is the best way to manage this injury
12

13. 1.What is the mechanism of injury Q:12
2.How do you manage this injury?
13

14. 1.Describe the type of injury Q:13
2.How do you manage this type of injury?
14

15. 1.What is the diagnosis Q:14
2.How do manage this problem?
15

16. 1.What is the diagnosis Q:15
2.name 2 radiological features of this condition
16

17. 1.What is the diagnosis Q:16
2. How do you manage this problem?
17

18. 1.What is the diagnosis? Q:17
2.Name 2 radiological features of this condition
18

19. 1.What is the radiological feature seen n this x-ray? Q:18
2. Name 2 tumour markers associated with this condition
19

20. 1.What is the diagnosis
2.Name 2 long term complications associated with this condition Q:19
20

21. 1.What is the diagnosis Q:20
2. How do you manage this problem?
21

22. 1.What is the diagnosis Q:21
2. How do you manage this problem?
22

23. 1.What is the diagnosis Q:22
2. How do you manage this problem?
23

24. 1.What is the diagnosis? Q:23
2.Name 2 complications associated with this fracture.
24

25. Q:24
1.Identify the followings
25

26. 1. Identify the deformity. Q:25
2. How do you manage this problem?
26

27. 27

28. 1.What is the diagnosis? Q:1
2.Name 2 complications associated with this fracture.
• 1.
– Colles fracture
• 2.
– Avascular necrosis of
Scaphoid
– Osteoarthritis
– Non-union
– Delayed -union
28

29. Q:2
1.Identify this clinical deformity
• Positive Trendelenburg’s sign on left due to the weakness of left hip
abductors (gluteus medius/minimus)
29

30. Q:3
1.Describe the mechanism of injury?
2.Name 2 serious complications of this injury?
• 1.
– Falling on outstretched
hand (straight elbow)
• 2.
– Brachial artery
damage
– Compartment
syndrome
30

31. 1.Identify the prosthesis Q:4
2.What is the indication for its use?
• 1.
– Austin Moore
Hemiprosthesis
• 2.
– Intracapsular neck of
the femur fracture
31

32. 1.Identify this equipment Q:5
2. Name 2 indications for its use.
• 1.
• C-arm image intensifier
• 2.
• Manipulation
• Checking progress of surgery/
intraoperative x-rays
• Cardiac catheterization
• DHS
32

33. 1.Identify this fracture. Q:6
2.What is the best way to manage this fracture?
• 1.
– Forearm fracture of
the proximal radius &
ulna
• 2.
– Open reduction &
internal fixation
(OR+IF)
33

34. 1.Identify this injury?
2. What is the mechanism of injury. Q:7
• Transverse patellar fracture
34
• Avulsion fracture/ violent contraction of quadriceps tendon.

35. 1.Identify the type of fracture Q:8
2.What is the clinical condition associated with this fracture?
• 1.
– Wedge fracture of the
vertebral body
• 2.
– Osteoporosis
35

36. 1.Identify this clinical deformity Q:9
2.How do you manage this child during first six months?
• 1. CTEV
• 2. serial plaster casts
as soon as identify
36

37. 1.Describe this injury. Q:10
2.Name two complications associated with this injury
• 1.
– Posterior dislocation of hip
• 2.
– Sciatic nerve injury
– Avascular necrosis of
femoral head due to
twisting & rupture of
retinacular arteries.
37

38. 1.What is the injury? Q:11
2. What is the best way to manage this injury
• 1.
– Fracture of lateral
malleolus
• 2.
– OR+IF (as it is a
unstable #)
38

39. 1.What is the mechanism of injury Q:12
2.How do you manage this injury?
• 1.
– Sudden inversion of
the foot
– (violent contraction of
peroneus brevis)
• 2.
– Internal fixation (with
K-wire)
39

40. 1.Describe the type of injury Q:13
2.How do you manage this type of injury?
1. Transient facet dislocation
2. Stabilize with cervical collar & if B/L, fixation
40

41. 1.What is the diagnosis Q:14
2.How do manage this problem?
• 1.Giant cell tumor
• 2.
• Curettage, bone graft
/cementing
41

42. 1.What is the diagnosis Q:15
2.name 2 radiological features of this condition
• 1.Ewing’s sarcoma
• 2.
• periosteal reaction
• Onion peel
appearance
42

43. 1.What is the diagnosis Q:16
2. How do you manage this problem?
• 1. Osteochondroma
• 2.Excision of the tumor + symptomatic treatment 43

44. 1.What is the diagnosis? Q:17
2.Name 2 radiological features of this condition
• 1.osteosarcoma
• 2. sun ray specules, Codman’s triangle
44

45. 1.What is the radiological feature seen n this x-ray? Q:18
2. Name 2 tumour markers associated with this condition
• 1.osteosclerosis of
the pubis & ischium
• 2.
– PSA
– Prostatic acid
phosphatase
45

46. 1.What is the diagnosis
2.Name 2 long term complications associated with this condition Q:19
• 1.
– Perthes’ disease
• 2.
– Secondary
osteoarthritis
– Persistent limp
– Pain
– Dislocation
– Deformity
– Shortening
46

47. 1.What is the diagnosis Q:20
2. How do you manage this problem?
• 1.Chronic
osteomyelitis
• 2
• Pus drainage
• Antibiotics
• Excision of
sequestrum
47

48. 1.What is the diagnosis Q:21
2. How do you manage this problem?
• 1.Fracture of the
clavicle (Displaced
fracture of the middle
third of the clavicle)
• 2. “8” figure brace
48

49. 1.What is the diagnosis Q:22
2. How do you manage this problem?
• 1.
• Myositis ossificans
• 2.
• DO NOT heat or
forcefully move
• Indomethacin
49

50. 1.What is the diagnosis? Q:23
2.Name 2 complications associated with this fracture.
• 1.
– Scaphoid fracture
• 2.
– Avascular necrosis of
(proximal) Scaphoid
– Osteoarthritis
– Non-union
– Delayed -union
50

51. Q:24
1.Identify the followings
1. Flexible Intramedullary nails
2. Locked Intramedullary nails
3. Plate & screw
4. External fixator 51

52. 1. Identify the deformity. Q:25
2. How do you manage this problem?
• 1.Cubitus varus
• 2.Corrective (wedge shape) osteotomy for
correcting carrying angle 52

53. Reference
• Apleys System of Orthopaedics and
Fractures 9 ed
• Prepared as a slideshow
– by Yapa Wijeratne
53