2015 EXAM Flashcards
- Of the following options, which does not belong to fracture complications?
A. Joint stiffness
B. Pressure sore
C. Ankylosis of joint
D. Ischemic muscle contracture
E. Ischemic bone necrosis
A. Joint stiffness
B. Pressure sore
C. Ankylosis of joint
D. Ischemic muscle contracture
E. Ischemic bone necrosis
- Of the following fractures, the most unstable type is …..
A. Fissured fracture
B. Greenstick fracture
C. Oblique fracture
D. Transverse fracture
E. Insert fracture
A. Fissured fracture
B. Greenstick fracture
C. Oblique fracture
D. Transverse fracture
E. Insert fracture
- In acute renal failure, which answer is life threatening and should be corrected at an early stage?
A. Hyperphosphatemia
B. hyperkalemia
C. Infection
D. Metabolic acidosis
E. Fever
A. Hyperphosphatemia
B. hyperkalemia
C. Infection
D. Metabolic acidosis
E. Fever
- 27-year old female presents with typical ureteric colic pain. Which of the following examination should be conducted first in this patient?
A. CT
B. KUB
C. MRI
D. IVU
E. ULTRASOUND
A. CT
B. KUB
C. MRI
D. IVU
E. ULTRASOUND
- A woman complained of frequent micturition, urgent micturition, micturition ache, the symptom of acute urinary tract infection, to draw up preliminary treatment plan, which of the following examination is most appropriate.
A. Urine routine
B. Cystoscopy
C. Urine smear staining examination
D. Urine cytology
E. Urine culture
A. Urine routine
B. Cystoscopy
C. Urine smear staining examination
D. Urine cytology
E. Urine culture
- The Pauwel’s angle ( ) is defined as an abductor fracture of the femur neck
a. Less than 10˚
b. Less than 15˚
c. Less than 25˚
d. Less than 30˚
e. Less than 20˚
a. Less than 10˚
b. Less than 15˚
c. Less than 25˚
d. Less than 30˚
e. Less than 20˚
- The following that do not contribute to displacement of fracture segment is ()
a. None of the above
b. Improper handling and treatment
c. Magnitude and direction of violence
d. Age of the injured
e. Muscular tension
a. None of the above
b. Improper handling and treatment
c. Magnitude and direction of violence
d. Age of the injured
e. Muscular tension
- When severe popliteal soft tissue injury is accompanied by popliteal artery rupture, the simplest and most direct detection method is?
a. Examination of sensation and movement of the lower leg and foot
b. XRAY
c. Ultrasonography
d. Palpation of the dorsalis pedis artery
e. Observation of swelling of the lower leg and foot
a. Examination of sensation and movement of the lower leg and foot
b. XRAY
c. Ultrasonography
d. Palpation of the dorsalis pedis artery
e. Observation of swelling of the lower leg and foot
- A 60-year old man seeks medical attention because of increasing difficulty in urination (decreased flow, straining, hesitancy). A prostate biopsy proves benign. Which of the following statements regarding Benign prostatic hyperplasia (BPH) is true?
a. Low bladder pressures and low flow rates are suggestive of outflow obstruction (maybe)
b. All patients with BPH should be treated to prevent renal failure due to outflow obstruction
c. Initial management of BPH is transurethral resection of prostate
d. Hypernatremia is a complication of the transurethral resection of prostate for BPH
e. Indicators for surgery include urinary retention refractory to medical therapy and recurrent urinary tract infections
a. Low bladder pressures and low flow rates are suggestive of outflow obstruction (maybe)
b. All patients with BPH should be treated to prevent renal failure due to outflow obstruction
c. Initial management of BPH is transurethral resection of prostate
d. Hypernatremia is a complication of the transurethral resection of prostate for BPH
e. Indicators for surgery include urinary retention refractory to medical therapy and recurrent urinary tract infections
- Thoracic spinal cord injury, complete paralysis of both lower limbs, the muscle strength at this time is
a. Level 4
b. Level 1
c. Level 5
d. Level 2
e. Level 0
a. Level 4
b. Level 1
c. Level 5
d. Level 2
e. Level 0
- A man, 45 year old, was found a thin, smooth, sharp walled, water density lesions on CT scan. The lesion is about 3cm in diameter with no enhancement. What do you suggest this man to do next?
a. Follow up once a year
b. Partial nephrectomy
c. Radical nephrectomy
d. Renal cyst decortication
e. Percutaneous nephrolithotomy
a. Follow up once a year
b. Partial nephrectomy
c. Radical nephrectomy
d. Renal cyst decortication
e. Percutaneous nephrolithotomy
- The only characteristic of a fracture is ( )
a. Swelling
b. Pain
c. Dysfunction
d. Stasis
e. Abnormal activity
a. Swelling
b. Pain
c. Dysfunction
d. Stasis
e. Abnormal activity
- A healthy patient is noted to have a split second heart sound that does not vary with respiration ( )
a. Atrial septal defect
b. Ventricular septal defect
c. Patent ductus arteriosus
d. Mitral valve prolapses
e. Bicuspid aortic valve
a. Atrial septal defect
b. Ventricular septal defect
c. Patent ductus arteriosus
d. Mitral valve prolapses
e. Bicuspid aortic valve
- The male patient, 30 years old, was injured in a car accident. A large amount of blood was found bleeding from the left lower limb near the groin. After immediate hemostasis measures were taken, the first thing that should be examined was?
a. X ray must be done immediately
b. Whether there is any missing of active movement on the foot
c. Examination of knee reflex or Achilles tendon reflex
d. Palpation of the dorsalis pedis artery
e. Examination of limb sensation
a. X ray must be done immediately
b. Whether there is any missing of active movement on the foot
c. Examination of knee reflex or Achilles tendon reflex
d. Palpation of the dorsalis pedis artery
e. Examination of limb sensation
- following are those which may be confused with renal calculus on a plain abdominal radiograph, except?
a. Tablets in the alimentary canal
b. Ossified tip of the 12th rib
c. Renal tumors
d. Calcified mesenteric lymph node
e. Gallstones
a. Tablets in the alimentary canal
b. Ossified tip of the 12th rib
c. Renal tumors
d. Calcified mesenteric lymph node
e. Gallstones
- Urinary continence in women is maintained by
a. Lower bladder pressure
b. Detrusor muscle
c. Internal sphincter
d. Middle circular layer of the bladder neck
e. External sphincter
a. Lower bladder pressure
b. Detrusor muscle
c. Internal sphincter
d. Middle circular layer of the bladder neck
e. External sphincter
- Of the following factors, the one that has the greatest impact on fracture healing is ( ) a. Blood supply at the fracture site
b. Age
c. Fracture displacement
d. Nutritional status
e. Type of fracture
a. Blood supply at the fracture site
b. Age
c. Fracture displacement
d. Nutritional status
e. Type of fracture
- The main clinical significance of Xray examination in fracture treatment is
a. Understanding the bone density
b. Definite diagnosis
c. Predicting fracture prognosis
d. Understanding the state of an injury
e. Understanding the injury mechanism
a. Understanding the bone density
b. Definite diagnosis
c. Predicting fracture prognosis
d. Understanding the state of an injury
e. Understanding the injury mechanism
- In the following indications for open reduction and internal fixation of fractures, the wrong is ( )
a. Conservative treatment of fractures does not meet the criteria for functional reduction (maybe)
b. Manual reduction do not meet the criteria for anatomical reduction
c. There is a muscle and other soft tissue embedded between the fracture ends, and the manual reduction fails
d. Patients with intra-articular fracture who are not well positioned after manual reduction
e. Multiple fractures or major vascular injuries
a. Conservative treatment of fractures does not meet the criteria for functional reduction (maybe)
b. Manual reduction do not meet the criteria for anatomical reduction
c. There is a muscle and other soft tissue embedded between the fracture ends, and the manual reduction fails
d. Patients with intra-articular fracture who are not well positioned after manual reduction
e. Multiple fractures or major vascular injuries
- the sequence of the physics check of the sports system is?
a. Observation, touching, moving, measurement, special tests
b. Touching, observation, measurement, special tests
c. Measurement, moving, observation, touching, special tests
d. Moving, measurement, touching, observation, special tests
e. Special tests, observation, touching, moving, measurement
a. Observation, touching, moving, measurement, special tests
b. Touching, observation, measurement, special tests
c. Measurement, moving, observation, touching, special tests
d. Moving, measurement, touching, observation, special tests
e. Special tests, observation, touching, moving, measurement
- The most common site of bone ischemic necrosis after fracture is
a. Humerus head
b. Distal clavicle
c. Internal tibia condyle
d. Distal radius
e. Femoral head
a. Humerus head
b. Distal clavicle
c. Internal tibia condyle
d. Distal radius
e. Femoral head
- Which of the following is the most common cause of obstructive acute renal failure a. Calculi (Kidney Stones)
b. Bilharzia
c. Surgery
d. Retroperitoneal fibrosis
e. Pelvic malignancy
a. Calculi (Kidney Stones)
b. Bilharzia
c. Surgery
d. Retroperitoneal fibrosis
e. Pelvic malignancy
- in the following knee diseases and related examinations, the wrong was? a. Anterior drawer test (+), posterior cruciate ligament rupture
b. Floating patella test (+), knee joint effusion
c. Posterior drawer test (+), posterior cruciate ligament rupture
d. Mc Murray Test (+), meniscus injury
e. Patella friction test (+). chondromalacia patellae
a. Anterior drawer test (+), posterior cruciate ligament rupture
b. Floating patella test (+), knee joint effusion
c. Posterior drawer test (+), posterior cruciate ligament rupture
d. Mc Murray Test (+), meniscus injury
e. Patella friction test (+). chondromalacia patellae
- Which of the following intervertebral disc herniation can attenuate or eliminate Achilles tendon reflex
a. L4-L5
b. L2-L3
c. S1-S2
d. L5-S1
e. L3-L4
a. L4-L5
b. L2-L3
c. S1-S2
d. L5-S1
e. L3-L4