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Ehsan batch Orthopedics exams
2015/2016
Exam 1, group A1, Thursday 8/10/2015
1. All of the following is innervated by the ulnar nerve except
a. +Opponens pollicis
b. Adductor pollicis
c. Medial Lumbricals
d. Abductor digiti minimi
e. Dorsal interossei
2. Compartmet syndrome is serious because
a. +It leads to muscle contracture & deformity
b. Delayed union
c. Nerve injury
d. Paralysis of the limb
e. Vascular compression
3. Which is a mis-match
a.+ Valgus stress – Lateral collateral ligament
b. Bending – Oblique
c. Flexion compression – vertebral body fracture
d. Dashboard injury – posterior dislocation of hip
e. Twisting injury – meniscal tear
4. Which is not an indication of surgery
a. +Anterior dislocation of humerus
b. Septic arthritis
c. Posterior dislocation of the hip
d. Severe Carpal tunnel syndrome
5. Which is wrong about anterior dislocation of humerus
a. +Needs Surgery
b. Humeral head is in the infra-coracoid area
c. External rotation of humerus
6. Which is not an indication of surgery
a. +Burst fracture in vertebra
b. Fracture of Neck femur
c. Intra-articular fracture
7. Mallet finger
a. +Injury to extensor muscle insertion on distal phalanx
8. True about DDH
a. +More in females
9. False about rigid club foot
a. +Heel large & varus
b. Leg muscle atrophy
c. Surgery is indicated
d. Uncorrectable
e. Rheumatoid Arthitis
"the heel is small"
10. Rigid flat foot is not caused by
a. +Hyperlaxity of tendons
b. Arthrogryposis
c. Tarsal coalition
d. Fracture
11. Pyogenic tenosynovitis
a. +Not an Pulp space infection
b. May lead to Infection of the deep fascial spaces
12. All are early complications of fracture except
a. +Tendon calcification
b. Vascular injudry
c. DVT
d. Fat emobolism
e. Gas gangrene
13. Management of compound fracture includes all except
a. Antibiotic
b. Wound debridement
c. Fixation
d. Anti tetanus
e. +Skin graft
14. Which of the following is not a complication of septic arthritis
a. Osteomyelitis
b. Sepsis
c. Chondrolysis
d. Contracture of the joint
e. +Malignant Metaplsia
15. Wrong about scoliosis
a. +Most common type is congenital
b. Three dimensional deformity
c. Direction (Left-right) is determined by convexity
d. The degree of curvature is measured by cobb's angle
e. Surgey is indicated if cobb's angle > 40
*16. What is wrong about Lumbosacral spondylolisthesis
a. Slippage by >50% is an indication of surgey
b. Spinal cord compression
c. Narrows intervertebral foramina
d. Could be caused by trauma
e. Congenital type is an indication of surgery
17. Waddling gait is not caused by
a. +Arthrogryposis
b. DDH
c. Slipped capital femoral epiphysis
d. Coxa vara
e. Muscular dystrophy
*18. Doesn't affect the healing of a fracture????
a. Shape of fracture
b. Method of fixation
c. Fracture fragment gap
d. +Stability of fracture
e. Blood supply
19. Which of the following is not an aim of surgey
a. +Shorten healing process
b. Realignment of the bone fragments
c. Restore joint congruity
d. Decrease complication?
20. Rotator cuff syndrome is not
a. +Teres major tendon injury
b. Caused by repeated flexion & internal rotation
c. Acute phase tt is rest & analgesia
d. Recuurent
*21. Which of the following is not a cause of pain around shoulder???
a. Ruptured biceps tendon
b. +Cervical spine collapse
c. Neglected posterior dislocation of humerus
d. Rotator cuff syndrome
Exam 2, group A4, Thursday 22/10/2015
1.The most significant diagnostic method for carpal tunnel syndrome is:
a. Tinel's sign
b.Phalen's sign
c.Nerve conduction study
2.All of the following are radiological findings of scheuermann's disease except:
a.narrow joint space
b.kyphosis
c.atrophied vertebral bodies
d. at least 3 adjacent vertebrae demonstrating wedging of >5 degrees
3.In pediatrics , normal femoral head is located:
a. medial to Perkin's line and inferior to Hilgenreiner's line
4.In sciatic nerve injury there will be :
a.loss of knee flexion only
b.loss of knee extension
c.loss of dorsiflexion
d.complete loss of below knee movemenets
5.all of the following are radiological findings of osteoarthritis except:
a.joint instability
b.narrowjoint space
c.subchondral cyst
d.Regular articular cartilage
6. All are late complications of fracture except
a. +venous compression
b. Mal-Union
c. muscle contracture
7.Rotator cuff syndrome is not :
a.+teres major tendon injury
b. Caused by repeated flexion & internal rotation
c. Acute phase tt is rest & analgesia
d. Recuurent
8. Which is not an indication of surgery
a. +Anterior dislocation of humerus
b. Septic arthritis
c. Posterior dislocation of the hip
d. Severe Carpal tunnel syndrome
9. Which is wrong about anterior dislocation of humerus
a. +Needs Surgery
b. Humeral head is in the infra-coracoid area
c. External rotation of humerus
10. Which is not an indication of surgery
a. +Burst fracture in vertebra
b. Fracture of Neck femur
c. Intra-articular fracture
11. True about DDH
a. +More in females
12. False about rigid club foot
a. +Heel large & varus
b. Leg muscle atrophy
c. Surgery is indicated
d. Uncorrectable
e. Rheumatoid Arthitis
"the heel is small"
13. Rigid flat foot is not caused by
a. +Hyperlaxity of tendons
b. Arthrogryposis
c. Tarsal coalition
d. Fracture
14. Pyogenic tenosynovitis
a. +Not an Pulp space infection
b. May lead to Infection of the deep fascial spaces
15. Wrong about scoliosis
a. +Most common type is congenital
b. Three dimensional deformity
c. Direction (Left-right) is determined by convexity
d. The degree of curvature is measured by cobb's angle
e. Surgey is indicated if cobb's angle > 40
16. What is wrong about Lumbosacral spondylolisthesis
a. Slippage by >50% is an indication of surgey
b. Spinal cord compression
c. +Narrows intervertebral foramina (Mostly)
d. Could be caused by trauma
e. Congenital type is an indication of surgery
17. Waddling gait is not caused by
a. +Arthrogryposis
b. DDH
c. Slipped capital femoral epiphysis
d. Coxa vara
e. Muscular dystrophy
18. Which of the following is not a cause of pain around shoulder???
a. +Ruptured biceps tendon( answered y Dr )
b. cervical spine collapse
c. Neglected posterior dislocation of humerus
d. Rotator cuff syndrome
19.all of the following are indications of surgery in exostosis except:
A+. Metaphysis location
b . the lesion is causing pain
c.nerve compression
d.malignant changes
20.which is a mis-match:
a.+ valgus stress – lateral collateral ligament
b.bending –oblique
c.felxion compression-vertebral body fracture
d.dashboard injury-posterior dislocation of hip
21. Boutonniere deformity
a. + due to interruption of the central slip of the extensor tendon
22.Falling on an outstretched hand can cause all of the following except:
a.superior shoulder dislocation
b. sternocalvicular joint dislocation
c.colles fracture
d.scaphoid fracture
Exam 3
Group A3
Thursday 5/11/2015
1. What is wrong about Lumbosacral spondylolisthesis
a. Slippage by >50% is an indication of surgey
b. Spinal cord compression
c. +Narrows intervertebral foramina
d. Could be caused by trauma
e. Congenital type is an indication of surgery
2. Trendelenburggait is not caused by
a. +Arthrogryposis
b. DDH
c. Slipped capital femoral epiphysis
d. Coxa vara
e. Muscular dystrophy
(Not sure thou, ask a Dr about it)
3. Which of the following is not a cause of pain around shoulder???
a. Ruptured biceps tendon
b. Cervical spine collapse
c. +Neglected posterior dislocation of humerus
d. Rotator cuff syndrome
(answer from dr qusai - senior resident)/( Ruptured biceps tendon causes pain around the shoulder)
4.The most significant diagnostic method for carpal tunnel syndrome is:
a.Tinel's sign
b.Phalen's sign
c.+Nerve conduction study
5.All of the following are radiological findings of scheuermann's disease except:
a.narrow joint space
b.kyphosis
c.+atrophied vertebral bodies
d. at least 3 adjacent vertebrae demonstrating wedging of >5 degrees
(answer from a resident)
6.In sciatic nerve injury there will be :
a.loss of knee flexion only
b.loss of knee extension
c.loss of dorsiflexion
d.+complete loss of below knee movemenets
(answer from a DR)
7.all of the following are radiological findings of osteoarthritis except:
a.+joint instability
b.narrowjoint space
c.subchondral cyst
d. Regularity of articular cartilage
(Note: joint instability is assessed clinically)
8.Falling on an outstretched hand can cause all of the following except:
a.superior shoulder dislocation
b. +sternocalvicular joint dislocation
c.colles fracture
d.scaphoid fracture
Exam 4
Group A2
Thursday 19/11/2015
1- All of the following are true about fractures in children except:
- 10% of all fractures occur in growth plate
- Growth may be affected
- Diagnosis of fractures is more difficult than adults
- Green - stick fracture is a unicortical fracture
+ Non-union is common
2- All of the following are true regarding management of knee osteoarthritis except:
+ Oral corticosteroids can be used in treatment
- Total knee arthroplasty is the last choice
- Intra-articular injection may improve symptoms
- Weight bearing AP x-ray should be done
- Non-steroidal anti-inflammatory drugs can be used
3- All of the following are true regarding septic arthritis except:
- It's an emergency
+The least joint to be infected is the hip
- It may become complicated with osteomyelitis
- It damages the articular cartilage
- High doses of intravenous antibiotics is mandatory
4- Regarding anterior dislocation of the shoulder, all of the following are true except:
- It's more common than other types
- It is most common at young age
+ Brachial artery is vulnerable to injury
- It may be complicated with injury of anterior branch of axillary nerve
5- All of the following statements are true regarding coxa vara except:
- Unilateral coxa vara resulta in trendelenburg gate
+ Coxa vara means neck-shaft angle > 135 degree
- Bilateral coxa vara results in waddling gait
- Coxa vara results in ineffective contraction of the hip abductors
- Coxa vara results in shortness of the lower limb
6- the most important stabilizer of the spine is:
- Intervertebral disk
- Thoracic cage
- Facet joint
- Anterior & posterior longitudinal ligaments
+ Paraspinal muscles
7- Stages of bone healing consist of all of the following except
+ Re-epithelization
- Inflammation
- Hematoma
- Callus
- Remodeling
8- Antibiotic given to treat acute hematogenous osteomyelitis should be characterized by
all of the following except:
- Reaching bone in high concentration
- Given intravenous
- Broad spectrum and covering Staphylococcus Aureus
+ In early osteomyelitis can be given orally
- Maximum dose
9- All of the following statements are true regarding osteoarthritis of the hip joint except
- Pain is located at groin area
+ Arthrodesis is indicated in old age cases
- Avascular necrosis may be the cause
- Total hip arthroplasty is the last solution
- Limitation of joint movement
10- All of the following are unfavorable factors that affect bony union, except:
- Impairment of blood supply
- Infection
+ Immobilization
- Intra articular fracture
- Comminuted fracture
11- All of the following are radiological signs of osteoarthritis except:
- Capsular calcifications
- Subchondral cyst
- Osteophyte formation
- Narrow joint space
+ Joint subluxation
12- All of the following are principles of fracture treatment except:
- Rehabilitation
- Maintenance of reduction
- Reduction
+Callus formation
- Prevent complications
13- Twisting injury of the knee can cause
- Dislocation of the patella
- Collateral ligament injury
- Anterior cruciate ligament injury
+ Meniscal injury
- Posterior cruciate ligament injury
14- All of the following differ between true and pseudo sciatica except:
- True sciatica is associated with positive Straight Leg Raising Leg Test
+ True sciatica is caused by spinal cord compression
- True sciatica is associated with sensory disturbance
- Pseudosciatica is a referred pain
- Pseudosciatica is not associated with myotome distribution
15- Treatment of open fracture include all of the following except
- Tetanus prophylaxis
+ Immediate skin closure
- Intra venous antibiotics
- Wound debridement
- Stabilization of fracture
16- All of the following are malignant or premalignant disease of the bone except
- Osteosarcoma
- Multiple hereditary exostoses
- Giant cell tumor
- Paget’s disease
+ Chondroma
17- All of the following should be considered in reading X-ray except
+ Always look for dynamic views
- Role of two (2 joints, 2 limbs…. Etc..)
- Looking for pathology
- Patient profile
- Quality of X-ray (Exposure)
18- The first area of long bone to be affected by infection in acute hematogenous
osteomyelitis is:
- Physis
- Cortex
+ Metaphysis
- Diaphysis
- Epiphysis
19- All of the following are general complications of fracture except:
- Pulmonary Embolism
- Shock
- Tetanus
- Fat embolism
+ Compartment syndrome
20- In acute hematogenous osteomyelitis, all of the following contribute in bone
sequestration except:
A. Subperiosteal abscess
B. Periosteal rupture
C. Increased intra-medullary pressure
D. Bacterial toxin that causes bone death
E. Intra-medullary blood thrombosis
21- Regarding osteosarcoma, all of the following are true, except:
A. It is associated with venous dilation
B. It is associated with normal temperature
C. Most common location is around the knee joint
D. It is more common at an early age
E. It is very painful
22- Rotator cuff syndrome is characterized by all of the following except:
A. Acute type is associated with paresthesia
B. Tenderness at the tip of the shoulder
C. Shoulder rotation is painful
D. Flexion and internal rotation of the shoulder is the cause
E. Shoulder abduction is painful
Exam 5
Group B1
Thursday 3/12/2015
ALL Questions were from this very same file, no single new question was found :D
Exam 6
Group B4
Thursday 17/12/2015
ALL Questions were from this very same file, no single new question was found :D
Exam 7

Group B3
Thursday 31/12/2015
This exam was copied literally, it's answers are the most reliable, thanks B3!
1. The most significant diagnostic test of the carpal tunnel syndrome is:
a. Phalyn test
b. Tinnel test
c. Compression test
d. Nerve conduction
e. Electromyogram
Answer : d
2. All of the following are radiological findings of Scheuermann’s disease except :
a. Kyphosis
b. Atrophied vertebral bodies
c. Irregularity of the end plates
d. Wedge vertebral body of < 3 vertebrae
e. Narrow disc space
Answer: b
3. On anteroposterior X-Ray of the pelvis in children, the femoral head should be :
a. Medial to the Perkin’s line and inferior to the Helgenreiner’s line
b. Medial to the Perkin’s line and superior to the Helgenreiner’s line
c. Lateral to the Perkin’s line and inferior to the Helgenreiner’s line
d. Lateral to the Perkin’s line and superior to the Helgenreiner’s line
e. Lateral to the Perkin’s line and inferomedial to the Helgenreiner’s line
Answer: a
4. Falling on the outstretched hand results in the following injuries except:
a. Scaphoid fracture
b. Colle’s fracture
c. Superior shoulder dislocation
d. Supracondylar fracture
e. Sternoclavicular dislocation
Answer: c
5. Sciatic nerve injury results in the following status:
a. Weakness of knee flexion only
b. Weakness of knee extension
c. Weakness in ankle dorsiflexion
d. Posterior leg and foot loss of sensation
e. Complete loss of below knee movements
Answer: e
6. All of the following are radiological signs of osteoarthritis except :
a. Joint instability
b. Narrow joint space
c. Deformity of the joint
d. Regularity of the articular surface
e. Subchondral sclerosis
Answer: d
7. Boutonniere’s deformity is :
a. Flexion of the joints of the finger
b. Extension deformity of the finger
c. Rupture of the cental slip of the extensor expansion
d. Rupture of the flexor digitorum profundus tendon
e. Proximal interphalageal joint sublaxation
Answer: c
8. Late complication of the fracture involves all of the following except :
a. Malunion
b. Venous obstruction
c. Tendon rupture
d. Nerve entrapment
e. Osteoarthritis
Answer: b
9. Tendon sheath infection is not :
a. infection of the finger pulp
b. Treatment is surgery
c. Associated with adhesions if not properly treated
d. Intravenous antibiotics
e. Infection spreads proximally along the sheath
Answer: a
10. Lumbo-sacral Spondylolisthesis is not :
a. Slippage of the vertebra may be due to trauma
b. 50% slippage is indication for surgery
c. Associated with intervertebral foramen narrowing
d. Associated with spinal cord compression
e. Surgery is indicated in congenital type
Answer: d
11. Scoliosis is not :
a. A three dimension deformity
b. Direction (right or left) depends on convexity
c. Congenital is the most common
d. Size of the curve is measured by Cobb’s angle
e. Surgical treatment is indicated with curve size < 40 degrees
Answer: c
12. Anterior dislocation of the shoulder is not :
a. The most common type
b. The humeral head is located below the coracoids
c. The upper limb is in external rotation
d. Treatment is surgical in most cases
e. May be associated with Axillary nerve injury
Answer: d
13. Rotator cuff syndrome is not :
a. Caused by abuse of shoulder in internal rotation and flexion
b. Surgically treated if there is osteophyte
c. In acute phase rest and analgesia is the treatment
d. Recurrence is common
e. Rupture of the teres major tendon
Answer: e
14. Pain around the shoulder is caused by all of the following except :
a. Cervical disc prolapsed
b. Rotator cuff syndrome
c. Rupture of biceps tendon
d. Septic arthritis
e. Neglected posterior dislocation
Answer: e
15. Developmental Hip Dislocation (DDH) is characterized by one of the following :
a. Affects females more than males
b. Right side more than left
c. Ortolani test is always positive
d. Is associated with scissoring gait
e. May be complicated with slipped capital femoral epiphysis
Answer: a
16. All of the following diseases need surgical management except:
a. Severe carpal tunnel syndrome
b. Septic arthritis
c. Posterior hip dislocation
d. Compound fracture
e. Anterior shoulder dislocation
Answer: e
17. Trendelenberg’s gait is caused by all of the following except :
a. Developmental Hip Dislocation
b. Coxa vara
c. Arthrogryposis multiplex
d. Muscular dystrophy
e. slipped capital femoral epiphysis
Answer: c
18. All of the following statements are true except :
a. Twisting injury of the knee results in meniscal injury
b. Valgus injury of the knee results in lateral collateral ligament injury
c. Flexion and compression of the spine causes vertebral body fracture
d. Dash board injury results in posterior hip dislocation
e. Bending of the humerus results in oblique fracture
Answer: b
19. All of the following fractures are indications for surgical treatment except :
a. Compound fracture
b. Neck femur fracture
c. Intra-articular fracture
d. Spiral fracture of the tibia
e. Burst fracture of the vertebral body
Answer: d ( not sure )
20. All of the following cause rigid flat foot except :
a. Tarsal coalition
b. Rheumatoid arthritis
c. Foot fractures
d. Neurological ..
e. Hyperlaxity of the ligaments
Answer: e
21. Rigid club foot is characterized by all of the following except :
a. Atrophied leg muscles
b. Uncorrectable
c. Deep thin creases
d. Heel is large and varus
e. Surgery is indicated
Answer: d
22. Surgical indication of exostosis includes all of the following except :
a. Nerve compression
b. Vascular compression
c. Sudden enlargement of the size
d. Metaphyseal location
e. Malignancy changes
Answer: d
Exam 8
Group C4
Thursday 18/1/2016
Firstly, most of the exam’s questions were edited past years questions, only 3 were copy from PYQs
1> All of the following are complications of falling on an outstretched hand except :
Colle's fracture
Scaphoid fx
Supracondylar fx
Sternoclavicular joint fracture
Anterior shoulder dislocation “mostly is the right answer, ask a resident”
2> The most diagnostic method for carpal tunnel syndrome is:
+Nerve conduction study
3> All of the following are radiological finding of scheurmann's disease except :A. Kyphosis
B. Atrophy intervertebral disc
C. Irregularity of end plates
*** D. Wedge vertebral body < 3 vertebrae
4> boutonniere deformity :+due to interruption of the central slip of the extensor tendo
5> Siatic n. Injury:
Foot drop
Loss of sensation on lateral foot
Loss of dorsiflex.
Knee flex. Loss
6> One of the following isn’t a sign of osteoarthritis.
Femur head position in children on x ray.
7> Rotator cuff synd. Is:
Acute phase tt is rest and analgesia
Not recurrent
tt is surgery
Ext. Rotation
8> Late complications of fracture involve all of the following except :A. Malunion
B++ vascular injury
C. Nerve entrapment
9> All of the following are true about tendon sheath infection except
tt is surgery
spread distal to proximal
may cause adhesion if untreated
spread in the .... web
10>
All of the following cause trendelenburg gait except
ankylosing spondylitis
coxa magna
.
.
.
the others are surely cause it, ask a resident about the true answer
Exam 9
Group C3
Thursday 3/3/2016
Q1) We see trendelenburge gait in all of the following, except:
a.ankylosing spondylitis(most likely)
b.coxa magna
c.DDH
d.muscular dystrophy
e.Slipped capital femoral epiphysis
‫السؤال جديد تقريبا وما حدا بعرف الجواب لذلك اسالو المقيمين عنو عالبدري‬
Q2) In pediatrics on rose x ray, normal femoral head is located:
a. medial to Perkin's line and inferior to Hilgenreiner's line
Q3) 7.Rotator cuff syndrome is not :
a.+teres major tendon injury
b. Caused by repeated flexion & internal rotation
c. Acute phase tt is rest & analgesia
d. Recuurent
‫السؤال اللي في االمتحان كان خيراتو غيربس واضح و سهل‬
‫يعني المهم انك تكون فاهم المرض وال تبصم الخيارات‬
Q4) 9. Which is wrong about anterior dislocation of humerus
a. +Needs Surgery
b. Humeral head is in the infra-coracoid area
c. External rotation of humerus
‫برضو الخيارات كانت غير والسوؤال كان بدو شو الصح مش الغلط و الجواب كان‬
treated as conservative
Q5) 18. Which of the following is not a cause of pain around shoulder?
a. Ruptured biceps tendon
b. cervical spine collapse
c. Neglected posterior dislocation of humerus
d. Rotator cuff syndrome
Q6) Wrong about scoliosis
a. +Most common type is congenital
b. Three dimensional deformity
c. Direction (Left-right) is determined by convexity
d. The degree of curvature is measured by cobb's angle
e. Surgey is indicated if cobb's angle > 40
*the most common type is adolescent type idiopathic
*cobb’s angel (less than 20 needs observation, btw 20 and 40 bracing , above 40 surgery)
Q7) The most significant diagnostic method for carpal tunnel syndrome is:
a. Tinel's sign
b.Phalen's sign
c.Nerve conduction study
d.compression test (durkan’s test)
‫اذا كان السؤال افضل فحص للتشخيص‬
clinical
‫بكون الجواب‬
D. durkan’s test
Q8) All are late complications of fracture except
a. +venous compression
b. Mal-Union
c. muscle contracture
‫دايما هاي المحاضرة عاالقل عليها سؤال بس احفظ شو االشياء‬
early VS late
Q9) all of the following are radiological findings of osteoarthritis except:
a.+joint instability
b.narrowjoint space
c.subchondral cyst
d. Regularity of articular cartilage
‫برضو اجانا و الخيارات تغيرت بس المبدا وضح جدا‬
Q10) What is wrong about Lumbosacral spondylolisthesis
a. Slippage by >50% is an indication of surgey
b. Spinal cord compression
c. Narrows intervertebral foramina
d. Could be caused by trauma
e. Congenital type is an indication of surgery
spine end at level L1\L2
Q11) In sciatic nerve injury there will be :
a.weakness of knee flexion only
b.weakness of knee extension
c.weakness of dorsiflexion
d.complete loss of below knee movemenets
Q12) Falling on an outstretched hand can cause all of the following except:
a.superior shoulder dislocation
b.sternocalvicular joint dislocation
c.colles fracture
d.scaphoid fracture
Q13) All of the following are true about tendon sheath infection except
a.treatment is surgery
b.spread distal to proximal
c.may cause adhesion if untreated
d.spread in the web
Q14) All of the following are radiological finding of scheurmann's disease except
A. Kyphosis
B. Atrophy intervertebral disc
C. Irregularity of end plates
D. Wedge vertebral body < 3 vertebrae
‫كل مرة بغيرو خيارات السؤال بدكو تعرفو المرض منيح وراح تجاوبوه عالسريع‬
‫بالنهاية االمتحان عاالغلب سنوات بس ما بنفع تكون باصم االجوبة بدك تفهم الخيارات و تفهم السؤال النو كلمة بتغيروا‬
‫ بالتوفيق‬.. ‫وهمه صارو ينتبهوا لهاي الشغلة‬
Good Luck :”)