The correct emergency treatment for an injured limb is to:
a. Secure the injured limb to the uninjured one
b. Straighten the injured limb to a normal position
c. Support the injured limb without straightening it
d. Not touch the injured limb
C
An angulated fracture of a long bone is also known as
a. Oblique
b. Transverse
c. Spiral
d. Greenstick
A
An involucrum is
a. Sheath of new bone
b. Pyogenic lesion of a joint
c. Condition caused by premature closure of an epiphysis
d. Tumor metastasis to bone
A
D
A patient has a congenital coxa valga deformity. This means there is
a. An increase in the angle of inclination between the neck of the femur
b. A lengthening of the extremity on the affected side
c. An increase in the angle formed between the neck of the femur and its shaft
d. An abnormality of the upper end of the tibia
A
In case of delayed union of a fracture of the tibia or femur
a. The patient should drink more milk
b. Immobilization will be shortened
c. Full weight-bearing in a walking cast
d. Protect the fracture line against undue strain
D
In the repair of fractures
a. A spiral fracture heals more rapidly than a transverse fracture
b. The humerus and forearm bones require about the same duration to heal as the femur and tibia do
c. Beyond puberty, age has more influence on the rate of fracture healing
d. Healing time is indirectly proportional to total volume of damaged bone and the breadth of fracture defect
A
Causes for nonunion of a fracture include
a. Inadequate fixation
b. Adequate fixation
c. Oversupply of calcium in diet
d. Not enough calcium in the diet
A
In Guillan-Barre syndrome
a. There is an apparent hypertrophy of the muscles of the calf
b. There is polyneuritis, characterized by a slowly progressive, ascending motor weakness
c. The symptoms are easily confused with those of neuropathy
D. Distal muscle groups tend to be involved more commonly than proximal
B
In pseudohypertrophic muscular dystrophy there is
a. Symmetric, ascending motor weakness, sometimes easily confused with poliomyelitis
b. Apparent hypertrophy of muscles of the legs and forearms
c. Normal muscles about the shoulder girdle
d. Hypertrophy of the extensor muscles of the legs and trunk
B
Klumpke’s paralysis
a. Results from injury to cervical roots 5 and 6 during the birth process
b. Results from injury to cervical 8 and first dorsal root at birth
c. Involves the lower arm and leg
d. Movements of the wrist and fingers are not affected
B
In Erb-Duchenne or upper arm paralysis the
a. Brachial plexus is involved
b. Cervical plexus is involved (cervical roots 5-6)
c. Radial nerve is involved
d. Median nerve is involved
B
Spina bifida myelocele
a. Is the least severe form of spina bifida
b. Is the most common form of spina bifida
c. Has a low infant mortality rate
d. Infection may easily take place
D
A patient is diagnosed as having a coxa vara deformity. This means
a. There is an abnormality of the upper end of the tibia
b. There is a decrease in the angle of inclination between the neck of the femur and its shaft
c. There is a lengthening of the extremity on the affected side
d. It can be either a congenital or an acquired deformity
D
In spina bifida myelomeningocele
a. The hernia sac contains only cerebrospinal fluid
b. The hernia sac contains cerebrospinal fluid and spinal cord or nerve roots or both
c. There is less likely to be a neurological deficit in the lower extremities
d. The central canal of the spinal cord is greatly dilated and contains a large amount of cerebrospinal fluid
B
An osteotomy is
a. Removal of a sequestrum
b. Fusion of a joint
c. Debridement of osteomyelitis
d. Operative sectioning of a bone
D
Cancellous or spongy bone
a. Is nonlamellar
b. Is the structural feature of the diaphysis
c. Is found in the epiphyseal areas of long bones
d. Has the Haversian system as its conspicuous structural feature
C
Hyaline cartilage is nourished through the
a. Nutrient arteries of the diaphysis
b. Vessels from the periosteum
c. Joint fluid
d. Haversian canals
C
The four basic concepts which should be considered for fractures are
a. Reduction, refraction, retention, and rehabilitation
b. Recluse, reduction, retention, and rehabilitation
c. Recognition, reduction, retention and rehabilitation
d. Refracture, reduction, retention and rehabilitation
C
All of the following are signs and symptoms of a shoulder dislocation, EXCEPT
a. Injured shoulder is held in a flexed position
b. Head of humerus can be palpated
c. Localized pain in the area of injury
d. Definite sensation of crepitus
D
Which of the following is frequently injured as a complication of shoulder dislocation?
a. Radial nerve
b. Radial artery
c. Axillary nerve
d. Axillary artery
C
A clinical picture in which there is a deformity of (1) foot inversion, (2) forefoot adduction, and (3) plantar flexion would most likely be
a. Talipes equinovarus
b. Talipes calcaneovalgus
c. Talipes valgus
d. Talipes calcaneus
A
The etiology of congenital dysplasia of the hip is
a. Trauma at birth
b. The virus of German measles during the first trimester
c. Inadequate nutritional status of the mother
d. Unknown
D
Which of the following statements does NOT apply to osteogenesis imperfecta?
a. A rare congenital skeletal disease
b. Bones are extremely fragile and multiple fractures are common
c. The etiology is unknown
d. Bone fragility and the tendency for fractures is more severe following injury
D