Download - Orthopaedic quiz.by.yapa wijeratne
![Page 1: Orthopaedic quiz.by.yapa wijeratne](https://reader038.vdocuments.us/reader038/viewer/2022102319/547d4c23b4af9faf148b4662/html5/thumbnails/1.jpg)
1
Orthopaedic Quiz
For medicine undergraduates
![Page 2: Orthopaedic quiz.by.yapa wijeratne](https://reader038.vdocuments.us/reader038/viewer/2022102319/547d4c23b4af9faf148b4662/html5/thumbnails/2.jpg)
2
1.What is the diagnosis?2.Name 2 complications associated with this fracture.
Q:1
![Page 3: Orthopaedic quiz.by.yapa wijeratne](https://reader038.vdocuments.us/reader038/viewer/2022102319/547d4c23b4af9faf148b4662/html5/thumbnails/3.jpg)
3
1.Identify this clinical deformityQ:2
![Page 4: Orthopaedic quiz.by.yapa wijeratne](https://reader038.vdocuments.us/reader038/viewer/2022102319/547d4c23b4af9faf148b4662/html5/thumbnails/4.jpg)
4
1.Describe the mechanism of injury?2.Name 2 serious complications of this injury?
Q:3
![Page 5: Orthopaedic quiz.by.yapa wijeratne](https://reader038.vdocuments.us/reader038/viewer/2022102319/547d4c23b4af9faf148b4662/html5/thumbnails/5.jpg)
5
1.Identify the prosthesis 2.What is the indication for its use?
Q:4
![Page 6: Orthopaedic quiz.by.yapa wijeratne](https://reader038.vdocuments.us/reader038/viewer/2022102319/547d4c23b4af9faf148b4662/html5/thumbnails/6.jpg)
6
1.Identify this equipment2. Name 2 indications for its use.
Q:5
![Page 7: Orthopaedic quiz.by.yapa wijeratne](https://reader038.vdocuments.us/reader038/viewer/2022102319/547d4c23b4af9faf148b4662/html5/thumbnails/7.jpg)
7
1.Identify this fracture.2.What is the best way to manage this fracture?
Q:6
![Page 8: Orthopaedic quiz.by.yapa wijeratne](https://reader038.vdocuments.us/reader038/viewer/2022102319/547d4c23b4af9faf148b4662/html5/thumbnails/8.jpg)
8
1.Identify this injury?2. What is the mechanism of injury. Q:7
![Page 9: Orthopaedic quiz.by.yapa wijeratne](https://reader038.vdocuments.us/reader038/viewer/2022102319/547d4c23b4af9faf148b4662/html5/thumbnails/9.jpg)
9
1.Identify the type of fracture2.What is the clinical condition associated with this fracture?
Q:8
![Page 10: Orthopaedic quiz.by.yapa wijeratne](https://reader038.vdocuments.us/reader038/viewer/2022102319/547d4c23b4af9faf148b4662/html5/thumbnails/10.jpg)
10
1.Identify this clinical deformity2.How do you manage this child during first six months?
Q:9
![Page 11: Orthopaedic quiz.by.yapa wijeratne](https://reader038.vdocuments.us/reader038/viewer/2022102319/547d4c23b4af9faf148b4662/html5/thumbnails/11.jpg)
11
1.Describe this injury.2.Name two complications associated with this injury
Q:10
![Page 12: Orthopaedic quiz.by.yapa wijeratne](https://reader038.vdocuments.us/reader038/viewer/2022102319/547d4c23b4af9faf148b4662/html5/thumbnails/12.jpg)
12
1.What is the injury?2. What is the best way to manage this injury
Q:11
![Page 13: Orthopaedic quiz.by.yapa wijeratne](https://reader038.vdocuments.us/reader038/viewer/2022102319/547d4c23b4af9faf148b4662/html5/thumbnails/13.jpg)
13
1.What is the mechanism of injury2.How do you manage this injury?
Q:12
![Page 14: Orthopaedic quiz.by.yapa wijeratne](https://reader038.vdocuments.us/reader038/viewer/2022102319/547d4c23b4af9faf148b4662/html5/thumbnails/14.jpg)
14
1.Describe the type of injury2.How do you manage this type of injury?
Q:13
![Page 15: Orthopaedic quiz.by.yapa wijeratne](https://reader038.vdocuments.us/reader038/viewer/2022102319/547d4c23b4af9faf148b4662/html5/thumbnails/15.jpg)
15
1.What is the diagnosis2.How do manage this problem?
Q:14
![Page 16: Orthopaedic quiz.by.yapa wijeratne](https://reader038.vdocuments.us/reader038/viewer/2022102319/547d4c23b4af9faf148b4662/html5/thumbnails/16.jpg)
16
1.What is the diagnosis2.name 2 radiological features of this condition
Q:15
![Page 17: Orthopaedic quiz.by.yapa wijeratne](https://reader038.vdocuments.us/reader038/viewer/2022102319/547d4c23b4af9faf148b4662/html5/thumbnails/17.jpg)
17
1.What is the diagnosis2. How do you manage this problem?
Q:16
![Page 18: Orthopaedic quiz.by.yapa wijeratne](https://reader038.vdocuments.us/reader038/viewer/2022102319/547d4c23b4af9faf148b4662/html5/thumbnails/18.jpg)
18
1.What is the diagnosis?2.Name 2 radiological features of this condition
Q:17
![Page 19: Orthopaedic quiz.by.yapa wijeratne](https://reader038.vdocuments.us/reader038/viewer/2022102319/547d4c23b4af9faf148b4662/html5/thumbnails/19.jpg)
19
1.What is the radiological feature seen n this x-ray?2. Name 2 tumour markers associated with this condition
Q:18
![Page 20: Orthopaedic quiz.by.yapa wijeratne](https://reader038.vdocuments.us/reader038/viewer/2022102319/547d4c23b4af9faf148b4662/html5/thumbnails/20.jpg)
20
1.What is the diagnosis2.Name 2 long term complications associated with this condition Q:19
![Page 21: Orthopaedic quiz.by.yapa wijeratne](https://reader038.vdocuments.us/reader038/viewer/2022102319/547d4c23b4af9faf148b4662/html5/thumbnails/21.jpg)
21
Q:201.What is the diagnosis2. How do you manage this problem?
![Page 22: Orthopaedic quiz.by.yapa wijeratne](https://reader038.vdocuments.us/reader038/viewer/2022102319/547d4c23b4af9faf148b4662/html5/thumbnails/22.jpg)
22
Q:211.What is the diagnosis2. How do you manage this problem?
![Page 23: Orthopaedic quiz.by.yapa wijeratne](https://reader038.vdocuments.us/reader038/viewer/2022102319/547d4c23b4af9faf148b4662/html5/thumbnails/23.jpg)
23
Q:221.What is the diagnosis2. How do you manage this problem?
![Page 24: Orthopaedic quiz.by.yapa wijeratne](https://reader038.vdocuments.us/reader038/viewer/2022102319/547d4c23b4af9faf148b4662/html5/thumbnails/24.jpg)
24
Q:231.What is the diagnosis?2.Name 2 complications associated with this fracture.
![Page 25: Orthopaedic quiz.by.yapa wijeratne](https://reader038.vdocuments.us/reader038/viewer/2022102319/547d4c23b4af9faf148b4662/html5/thumbnails/25.jpg)
25
1.Identify the followingsQ:24
![Page 26: Orthopaedic quiz.by.yapa wijeratne](https://reader038.vdocuments.us/reader038/viewer/2022102319/547d4c23b4af9faf148b4662/html5/thumbnails/26.jpg)
26
1. Identify the deformity.2. How do you manage this problem?
Q:25
![Page 27: Orthopaedic quiz.by.yapa wijeratne](https://reader038.vdocuments.us/reader038/viewer/2022102319/547d4c23b4af9faf148b4662/html5/thumbnails/27.jpg)
27
Answers
![Page 28: Orthopaedic quiz.by.yapa wijeratne](https://reader038.vdocuments.us/reader038/viewer/2022102319/547d4c23b4af9faf148b4662/html5/thumbnails/28.jpg)
28
1.What is the diagnosis?2.Name 2 complications associated with this fracture.
• 1.– Colles fracture
• 2.– Avascular necrosis of
Scaphoid– Osteoarthritis– Non-union– Delayed -union
Q:1
![Page 29: Orthopaedic quiz.by.yapa wijeratne](https://reader038.vdocuments.us/reader038/viewer/2022102319/547d4c23b4af9faf148b4662/html5/thumbnails/29.jpg)
29
1.Identify this clinical deformity
• Positive Trendelenburg’s sign on left due to the weakness of left hip abductors (gluteus medius/minimus)
Q:2
![Page 30: Orthopaedic quiz.by.yapa wijeratne](https://reader038.vdocuments.us/reader038/viewer/2022102319/547d4c23b4af9faf148b4662/html5/thumbnails/30.jpg)
30
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
Q:3
![Page 31: Orthopaedic quiz.by.yapa wijeratne](https://reader038.vdocuments.us/reader038/viewer/2022102319/547d4c23b4af9faf148b4662/html5/thumbnails/31.jpg)
31
1.Identify the prosthesis 2.What is the indication for its use?
• 1.– Austin Moore
Hemiprosthesis• 2.
– Intracapsular neck of the femur fracture
Q:4
![Page 32: Orthopaedic quiz.by.yapa wijeratne](https://reader038.vdocuments.us/reader038/viewer/2022102319/547d4c23b4af9faf148b4662/html5/thumbnails/32.jpg)
32
1.Identify this equipment2. Name 2 indications for its use.
• 1.• C-arm image intensifier• 2.• Manipulation• Checking progress of surgery/
intraoperative x-rays• Cardiac catheterization• DHS
Q:5
![Page 33: Orthopaedic quiz.by.yapa wijeratne](https://reader038.vdocuments.us/reader038/viewer/2022102319/547d4c23b4af9faf148b4662/html5/thumbnails/33.jpg)
33
1.Identify this fracture.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)
Q:6
![Page 34: Orthopaedic quiz.by.yapa wijeratne](https://reader038.vdocuments.us/reader038/viewer/2022102319/547d4c23b4af9faf148b4662/html5/thumbnails/34.jpg)
34
1.Identify this injury?2. What is the mechanism of injury.
• Transverse patellar fracture• Avulsion fracture/ violent contraction of quadriceps tendon.
Q:7
![Page 35: Orthopaedic quiz.by.yapa wijeratne](https://reader038.vdocuments.us/reader038/viewer/2022102319/547d4c23b4af9faf148b4662/html5/thumbnails/35.jpg)
35
1.Identify the type of fracture2.What is the clinical condition associated with this fracture?
• 1.– Wedge fracture of the
vertebral body• 2.
– Osteoporosis
Q:8
![Page 36: Orthopaedic quiz.by.yapa wijeratne](https://reader038.vdocuments.us/reader038/viewer/2022102319/547d4c23b4af9faf148b4662/html5/thumbnails/36.jpg)
36
1.Identify this clinical deformity2.How do you manage this child during first six months?
• 1. CTEV• 2. serial plaster casts
as soon as identify
Q:9
![Page 37: Orthopaedic quiz.by.yapa wijeratne](https://reader038.vdocuments.us/reader038/viewer/2022102319/547d4c23b4af9faf148b4662/html5/thumbnails/37.jpg)
37
1.Describe this injury.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.
Q:10
![Page 38: Orthopaedic quiz.by.yapa wijeratne](https://reader038.vdocuments.us/reader038/viewer/2022102319/547d4c23b4af9faf148b4662/html5/thumbnails/38.jpg)
38
1.What is the injury?2. What is the best way to manage this injury
• 1.– Fracture of lateral
malleolus• 2.
– OR+IF (as it is a unstable #)
Q:11
![Page 39: Orthopaedic quiz.by.yapa wijeratne](https://reader038.vdocuments.us/reader038/viewer/2022102319/547d4c23b4af9faf148b4662/html5/thumbnails/39.jpg)
39
1.What is the mechanism of injury2.How do you manage this injury?
• 1.– Sudden inversion of
the foot– (violent contraction of
peroneus brevis)• 2.
– Internal fixation (with K-wire)
Q:12
![Page 40: Orthopaedic quiz.by.yapa wijeratne](https://reader038.vdocuments.us/reader038/viewer/2022102319/547d4c23b4af9faf148b4662/html5/thumbnails/40.jpg)
40
1.Describe the type of injury2.How do you manage this type of injury?
1. Transient facet dislocation2. Stabilize with cervical collar & if B/L, fixation
Q:13
![Page 41: Orthopaedic quiz.by.yapa wijeratne](https://reader038.vdocuments.us/reader038/viewer/2022102319/547d4c23b4af9faf148b4662/html5/thumbnails/41.jpg)
41
1.What is the diagnosis2.How do manage this problem?
• 1.Giant cell tumor• 2. • Curettage, bone
graft /cementing
Q:14
![Page 42: Orthopaedic quiz.by.yapa wijeratne](https://reader038.vdocuments.us/reader038/viewer/2022102319/547d4c23b4af9faf148b4662/html5/thumbnails/42.jpg)
42
1.What is the diagnosis2.name 2 radiological features of this condition
• 1.Ewing’s sarcoma• 2.• periosteal reaction• Onion peel
appearance
Q:15
![Page 43: Orthopaedic quiz.by.yapa wijeratne](https://reader038.vdocuments.us/reader038/viewer/2022102319/547d4c23b4af9faf148b4662/html5/thumbnails/43.jpg)
43
1.What is the diagnosis2. How do you manage this problem?
• 1. Osteochondroma • 2.Excision of the tumor + symptomatic treatment
Q:16
![Page 44: Orthopaedic quiz.by.yapa wijeratne](https://reader038.vdocuments.us/reader038/viewer/2022102319/547d4c23b4af9faf148b4662/html5/thumbnails/44.jpg)
44
1.What is the diagnosis?2.Name 2 radiological features of this condition
Q:17
• 1.osteosarcoma• 2. sun ray specules, Codman’s triangle
![Page 45: Orthopaedic quiz.by.yapa wijeratne](https://reader038.vdocuments.us/reader038/viewer/2022102319/547d4c23b4af9faf148b4662/html5/thumbnails/45.jpg)
45
1.What is the radiological feature seen n this x-ray?2. Name 2 tumour markers associated with this condition
• 1.osteosclerosis of the pubis & ischium
• 2.– PSA– Prostatic acid
phosphatase
Q:18
![Page 46: Orthopaedic quiz.by.yapa wijeratne](https://reader038.vdocuments.us/reader038/viewer/2022102319/547d4c23b4af9faf148b4662/html5/thumbnails/46.jpg)
46
1.What is the diagnosis2.Name 2 long term complications associated with this condition
• 1.– Perthes’ disease
• 2.– Secondary
osteoarthritis– Persistent limp– Pain– Dislocation– Deformity– Shortening
Q:19
![Page 47: Orthopaedic quiz.by.yapa wijeratne](https://reader038.vdocuments.us/reader038/viewer/2022102319/547d4c23b4af9faf148b4662/html5/thumbnails/47.jpg)
47
• 1.Chronic osteomyelitis
• 2• Pus drainage• Antibiotics• Excision of
sequestrum
Q:201.What is the diagnosis2. How do you manage this problem?
![Page 48: Orthopaedic quiz.by.yapa wijeratne](https://reader038.vdocuments.us/reader038/viewer/2022102319/547d4c23b4af9faf148b4662/html5/thumbnails/48.jpg)
48
• 1.Fracture of the clavicle (Displaced fracture of the middle third of the clavicle)
• 2. “8” figure brace
Q:211.What is the diagnosis2. How do you manage this problem?
![Page 49: Orthopaedic quiz.by.yapa wijeratne](https://reader038.vdocuments.us/reader038/viewer/2022102319/547d4c23b4af9faf148b4662/html5/thumbnails/49.jpg)
49
• 1.• Myositis ossificans• 2.• DO NOT heat or
forcefully move• Indomethacin
Q:221.What is the diagnosis2. How do you manage this problem?
![Page 50: Orthopaedic quiz.by.yapa wijeratne](https://reader038.vdocuments.us/reader038/viewer/2022102319/547d4c23b4af9faf148b4662/html5/thumbnails/50.jpg)
50
• 1.– Scaphoid fracture
• 2.– Avascular necrosis of
(proximal) Scaphoid– Osteoarthritis– Non-union– Delayed -union
Q:231.What is the diagnosis?2.Name 2 complications associated with this fracture.
![Page 51: Orthopaedic quiz.by.yapa wijeratne](https://reader038.vdocuments.us/reader038/viewer/2022102319/547d4c23b4af9faf148b4662/html5/thumbnails/51.jpg)
51
1.Identify the followings
1. Flexible Intramedullary nails2. Locked Intramedullary nails 3. Plate & screw4. External fixator
Q:24
![Page 52: Orthopaedic quiz.by.yapa wijeratne](https://reader038.vdocuments.us/reader038/viewer/2022102319/547d4c23b4af9faf148b4662/html5/thumbnails/52.jpg)
52
1. Identify the deformity.2. How do you manage this problem?
• 1.Cubitus varus• 2.Corrective (wedge shape) osteotomy for
correcting carrying angle
Q:25
![Page 53: Orthopaedic quiz.by.yapa wijeratne](https://reader038.vdocuments.us/reader038/viewer/2022102319/547d4c23b4af9faf148b4662/html5/thumbnails/53.jpg)
53
Reference • Apleys System of Orthopaedics and
Fractures 9 ed
• Prepared as a slideshow – by Yapa Wijeratne