multiplechoicequestionsinorthopaedicsandtrauma.docVIP

MULTIPLE CHOICE QUESTIONS IN ORTHOPAEDICS AND TRAUMA 1. Which is the strongest ligament: A Ilio-femoral ligament В Ischio-femoral ligament С Pubo-femoral ligament D Transverse acetabular ligament E Ligamentum teres. A Ilio-femoral ligament blends with anterior part of hip joint capsule and is the strongest ligament at hip joint. 2. Which part of quadriceps muscle is most frequently fibrosed in post injection quadriceps contracture: A Rectus femoris В Vastus medialis С Vastus intermedius D Vastus lateralis E All of above. D Vastus lateralis is most frequently affected probably because injections are usually given in this area of thigh. 3. Radionucleide bone scanning is most useful in: A Avascular necrosis В Malignancy С Rheumatoid arthritis D Stress fractures E Acute osteomyelitis. В Radionucleide bone scanning is most useful in defining extent of primary tumour, locating unsuspected metastasis and primary malignant tumour. In all other conditions mentioned its use is more of academic interest 4. Commonest cause of failure of arthrography is: A Extra-articular injection of contrast В Bubbling of air in the joint С False positive interpretation D False negative interpretation E Allergic reaction. A Extra-articular injection of contrast medium is the commonest cause of failure of arthrography especially in smaller and deep situated joints. Allergic reaction to contrast medium is rare but when it happens examination will have to be discontinued. Other factors also make this procedure futile. 5. Myelography is necessary in following conditions: A Suspicion of an intraspinal tumour В Conflicting clinical findings and C.T. scan С Evaluation of previously operated spine D All of above E Some of above. D Due to its complications and since it is an invasive technique, myelography has been replaced by CT scan. Now a days primary indications of myelography are as mentioned in the question. 6. Arthroscope was inve