Orthopedics MCQ 1.Acute osteomyelitis is commonly caused by: a. Staph aureus. b. S. pyogenes. c. H. influenzae. d. Salmonella. 2) Acute osteomyelitis usually begins at: a. Epiphysis. b. Metaphysis. c. Diaphysis. d. Any of the above. 3) What is not True of acute pyogenic osteomyelitis: a. Trauma is a predisposing factor. b. Common infecting agent isStaph.Aureus. c. Infection is usually blood borne. d. All are true. 4) What is not True of Brodie's abscess: a. A form of chronic osteomyelitis. b. Intermittent pain and swelling. c. Common to diaphysis. d. Excision is very often required. 5)Melon seed bodies in joint fluid are characteristic of: a. Rheumatoid arthritis. b. Tuberculous arthritis. c. Septic arthritis. d. None of the above. 6) Healing of tuberculous arthritis can lead to: a. Calcification b. Fibrous ankylosis. c. Boney ankylosis. d. None of the above. 7) Osteoid osteoma originates from: a. Periosteum. b. Cortex. c. Medullary cavity. d. All of the above.
8)Sun ray appearance of osteosarcoma is because of: a. Periosteal reaction. b. Osteonecrosis. c. Calcification along vessels. d. None of the above. 9) Bone metastasis in male commonly arises from cancer of: a. Lung. b. Prostate. c. Kidney. d. Thyroid. 10) Osteoblastic bone secondaries commonly arise fromcancer of: a. Breast. b. Lung. c. Prostate. d. Adrenal. 11) Bone metastasis can be best evaluated by: a. X-ray. b. 99mTC bone scan. c. 111Indium scan. d. Calcium-alkaline phosphatase elevation. 12)A 9-year-old boy presented with limping and pain in the right knee two days after a fall in the street. On examination he looked ill and in severe pain with high fever and swelling of the knee region extending to the thigh which was warm and very tender. The most probable diagnosis is: a. Traumatic synovitis b. Hemarthrosis c. Acute osteomyelitis of the femur d. Septic arthritis of knee e. Bone sarcoma 13) The following statements about bone sarcoma are true except that it: a. Arises from osteoblasts of the periosteum or bone cortex b. Forms a fusiform mass ensheathing the bone c. Often invades the epiphyseal cartilage and neighbouring joint d. Produces characteristic new bone formation in theX-ray e. Disseminates rapidly by the blood stream
14) Septic arthritis of infancy usually affects which of thefollowing joints: a. Shoulder b. Elbow. c.Wrist d. Hip e. Knee 15) The treatment of acute septic synovitis includes the following except: a. Massive antibiotics b. Splintage in the position of function c. Aspiration and antibiotic injection d. Arthrotony and drainage e. Excision and Winnett Orr-treatment 16) Rheumatoid arthritis primarily involves the: a. Articular cartilage b. Subchondral bone c. Synovial membrane d. Capsulee. Ligaments 17) 12 years old boy developed bilateral painless effusion of both knees together with blurring of vision and impairment of hearing. He should be suspected suffering from : a.traumatic synovitis b.tuberculous arthritis c.inherited syphilis d.rheumatic arthritis e.rheumatoid arthriris 18) A 40 years old male presented with grossly swollen painless left knee. Examination revealed a flail joint with irregular thickened bone ends, palpably swollen synovial membrane and marked grating and creaking on passive movement of joint. The first diagnostic step is: a.examination of nervous system bserological test c.x-ray examination of the joint dexamination of aspirated synovial fluid e.arthroscopy and synovial biopsy