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Post Lec Exam > Fracture > Flashcards

Fracture Flashcards

1
Q

The 42 year old female patient is asking why her
clavicular fracture has a deformity which on xray
shows a displacement of the outer and middle
thirds of the bone. You explain to her that there is
a muscle in the area which can pull the clavicle
and cause displacement of the fracture. What is
this muscle?

a. Sternocleidomastoid
b. Deltoids
c. Upper trapezius
d. Scalenus anticus

A

A. SCM - causes superior translation of clavicle

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2
Q

The 50 year old female patient presented with an
R-U fracture (fracture of both the radius and
ulnar). ROM exercises are very important since
this forearm movement may be affected which
may lead to difficult hand function. Which forearm
movements are these?

a. Wrist DF and PF
b. Pronation-supination
c. Flexion-extension
d. Radial and ulnar deviation

A

b. Pronation-supination

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3
Q

Bones of the upper limb unite earlier than that of
the lower limb due to their size. The average time
of healing for the bones of the upper limb is
___________ weeks.

a. 1-6
b. 9-24
c. 12-18
d. 3-12

A

d. 3-12

12-18 - LE

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4
Q

A 30 year old sustained a tri-malleolar fracture of
the ankle. The forces involved in this type of
fracture include abduction/lateral rotation force
and ____________.

a. Flexion
b. Extension
c. Adduction
d. plantarflexion

A

c. Adduction

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5
Q

The 14 year old male patient came into the clinic
with a referral from the orthopedic service. His
diagnosis is a Monteggia fracture. What does this
comprise?

a. Fracture of the ulna with ulnar
subluxation
b. Fracture of the ulnar with radial head
subluxation
c. Fracture of the radius with radial head
subluxation
d. Fracture of the radius with subluxation of
the ulna

A

b. Fracture of the ulnar with radial head

subluxation

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6
Q

These fractures are more stable than most
fractures. This is called ______ fractures.

a. Compound
b. Greenstick
c. Impacted
d. Avulsion

A

c. Impacted

- compression of fxed structures

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7
Q

Recommended daily calcium intake for this life
stage of 19-50 year old

a. 800 grams/day
b. 1,000 grams/day
c. 500 grams/day
d. 1,300 grams/day

A

De Lisa

- d. 1,300 grams/day

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8
Q 
Tarsometatarsal disarticulation is also called
\_\_\_\_\_\_\_\_\_\_\_\_\_\_.
a. Boyd
b. Syme
c. Lisfranc
d. Chopart
A

c. Lisfranc

Boyd - talus dis
Syme
Chopart - Talo na CC pa

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9
Q

The 15 year old male patient who sustained a
calcaneal fracture of both feet, after jumping off a
10 foot high fence, is also complaining of severe
back pain. What is the other fracture which may
accompany his fracture?
a. Spine fracture
b. Knee fracture
c. Pelvic fracture
d. Scapular fracture

A

a. Spine fracture

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10
Q

What are the principles of fixation in fracture
healing? These are the following EXCEPT
_______.
a. A small amount of movement at a fracture
site may actually encourage fracture
healing
b. Rigid fixation may lessen the stimulus for
callus formation
c. Adequate fixation prevents impairment of
the blood supply necessary for fracture
healing
d. Any amount of movement is not allowed
to maintain fracture fixation

A

d. Any amount of movement is not allowed

to maintain fracture fixation

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11
Q

The 27-year-old male patient with an elbow
fracture undergoing rehabilitation for the past 2
weeks has new-onset pain, hematoma and
swelling of the elbow, with note of increased
limitation of motion of the elbow joint. He is
diagnosed to have a possible case of myositis
ossificans. What is the immediate treatment that
should be done?

a. Rest for the elbow in a sling
b. Aggressive ROM and stretching
c. Icing and bandaging
d. Heat, CPM and massage

A

a. Rest for the elbow in a sling

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12
Q

The 15-year-old male patient who sustained a
calcaneal fracture of both feet, after jumping off a
10-foot-high fence, underwent surgery by open
reduction and internal fixation. He is then referred
for Rehabilitation. What is the most important
movement (s) of the foot which should be
regained?

a. Inversion and eversion
b. Abduction and adduction
c. Dorsiflexion and plantarflexion
d. Pronation and supination

A

a. Inversion and eversion

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13
Q

The 67-year-old male patient came in with a
diagnosis of avulsion fracture of the anterior iliac
spine of the pelvis. What muscle might have
caused this fracture?

a. Iliopsoas
b. sartorius
c. Tensor fascia lata
d. Rectus abdominis

A

b. sartorius

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14
Q

Fracture of the ulna with radial head subluxation
is called ____________ fracture.

a. Bankart
b. Galeazzi
c. Monteggia
d. Hutchinson

A

c. Monteggia

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15
Q

Phantom limb pains in amputees are generally not
exacerbated by which of
the following?

a. Loss of a spouse
b. Illness
c. A new Job
d. Bereavement

A

c. A new Job

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16
Q

The Colles fracture of your 66 year old female
patient is noted by the orthopedic surgeon to have
overlapping of the fragments which has led to a shortening. This is called:

a. None of the answers
b. Malunion
c. Non-union
d. delayed union

A

b. Malunion

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17
Q

The 26-year-old with distal radial and ulnar
fractures, is referred for ROM exercises. What
movement/s should be focused on during therapy,
to prevent permanent forearm tightness and
contracture which is common in this type of
fracture:

a. Wrist dorsi and palmar flexion
b. Flexion and extension
c. Pronation and supination
d. Wrist radial and ulnar deviation

A

c. Pronation and supination

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18
Q

TRUE of Stress Fracture of the Metatarsal bone:
a. Usually involves the fourth and fifth
metatarsal bones

b. Temporary exhaustion of the
musculotendinous support of the foot
c. Result from repeated stresses associated
with walking
d. Onset of pain and tenderness precedes
the xray changes by 1-2 weeks
A

c. Result from repeated stresses associated

with walking

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19
Q

The main causes of delayed union in a fracture
are the following EXCEPT:

a. Poor blood supply in the area
b. Presence of infection
c. Use of internal fixation
d. Bone gap is too wide
e. All of the answers are correct

A

e. All of the answers are correct

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20
Q

The 86-year-old female patient with an impacted
fracture of the surgical neck of the humerus did
not undergo surgery of the fracture. The fracture
is managed conservatively with a sling. What
may be the most important reason why these
fractures need not be operated on?

a. Lack of good alignment does not affect
union of the fracture
b. The impaction causes stability of the
fracture
c. Early ROM may not be done in a postoperative shoulder
d. Surgery in the elderly may be very highrisk

A

b. The impaction causes stability of the

fracture

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21
Q

The 76-year-old female patient sustained a hip
fracture after a fall from her bed. Xrays show a
femoral neck fracture and is advised surgery to
avoid a complication common to this area. What
is this complication?

a. Avascular necrosis
b. Malunion
c. Osteomyelitis
d. Delayed union

A

a. Avascular necrosis

22
Q

The 16-year-old patient sustained a
supracondylar fracture of the humerus. In the
Rehabilitation and care of this patient over the
next few weeks, you will need to watch out for
several complications of this fracture mainly the
following EXCEPT:

a. All of the answers are correct
Volkmann’s contracture
c. Myositis ossificans
d. Cubitus valgus

A

a. All of the answers are correct

23
Q

A shell, frequently made from plaster or
fiberglass, that encases a limb or, in some cases,
large portions of the body) to stabilize and hold
anatomical structures—most often a broken bone
(or bones), in place until healing is confirmed is an
example of an

a. Internal fixator
b. External fixator
c. Either
d. Neither

A

b. External fixator

24
Q

A shell, frequently made from plaster or
fiberglass, that encases a limb or, in some cases,
large portions of the body) to stabilize and hold
anatomical structures—most often a broken bone
(or bones), in place until healing is confirmed is an
example of an
a. Internal fixator
b. External fixator
c. Either
d. Neither

A

b. External fixator

25
Q 
All of the following are clinical presentation in
patients with osteoporosis, except
a. Presence of fracture
b. Dowager’s hump posteriorly
c. Codfish vertebra in radiographs
d. Rib hump anteriorly
e. None of these
A

d. rib hump ant.

26
Q 
Metaphyseal chondrodysplasia has similarity to
what condition?
a. Scurvy
b. Beri-Beri
c. Ricket’s disease
d. B and C
A

c. Ricket’s disease

27
Q

Specific classification for femoral neck fracture

a. Gustillo Anderson
c. Salter Haris
b. Garden
d. Le Fort

A

b. Garden

28
Q

Another name of this condition would be marble bones

a. Osteopoikilosis
b. Osteogenesis imperfecta
c. Osteopetrosis
d. None of these

A

c. Osteopetrosis

29
Q

Replacement of bone fragments to as near anatomic position as possible

a. Restoration
c. reduction
b. Angulation
d. manipulation

A

c. reduction

30
Q

It happens when healing occurs in a faulty alignment

a. Delayed union
c. nonunion
b. Malunion
d. none of these

A

b. Malunion

31
Q

In epiphyseal plate fractures, at what grade in Salter Harris Classification would mean that there
will be cessation of bone growth

a. Grade I
b. Grade II
c. Grade IV
d. Grade VI

A

c. Grade IV

32
Q

When an injured site is immobilized in a cast, the
following statements are true in the care of a casted LE, except:

a. Flexing and extending the toes is an exercise to test nerve function
b. To check for circulation, briefly press on the large toenail until it turns white. Let
go, and observe for the normal pink color
to return
c. Occasionally, when the skin under the cast feel itchy, an object may be inserted
to relieve the itch
d. If toes are cold cover them, notify the doctor if it doesn’t feel warm

A

c. Occasionally, when the skin under the cast feel itchy, an object may be inserted
to relieve the itch

33
Q

35-55% of a transradial amputation is categorized
as

a. Short above elbow
b. Short below elbow
c. Very short above elbow
d. Very short below elbow

A

b. Short below elbow

34
Q

This is a hand deformity seen in patients with
achondroplasia where in the thumb there is a
proximally set and full abducted thumb

a. Diastrophic dwarfism
b. Main En Trident
c. Hitchhiker’s thumb
d. Gunstock deformity

A

c. Hitchhiker’s thumb

35
Q

Recommended stump shape for above knee
amputation

a. Cylindrical
b. Conical
c. Spherical
d. Cuboidal

A

BCy ACo

b. Conical

36
Q

This is the type of amputation that creates a crude
pinching mechanism by separation of the distal
ends of the forearm

a. Krukenberg amputation
b. Cineplastic amputation
c. Guilotine amputation
d. A and C

A

a. Krukenberg amputation

37
Q

The sequence in bone remodeling are as follows

a. Quiescence, Activation, Resorption,
Remodeling, Formation
b. Reversal, Resorption, Formation,
Activation, Quiscence
c. Resorption, Reversal, Formation,
Quiescence, Activation
d. None of these
A

c. Resorption, Reversal, Formation,

Quiescence, Activation

38
Q

Mode of transmission in patient with
achondroplasia

a. Droplet
b. Contact
c. Autosomal dominant
d. X-linked recessive

A

c. Autosomal dominant

39
Q

Refers to covering of the shaft of the bone

a. Periosteum
c. perimysium
b. pericranium
d. peritoneum

A

a. Periosteum

40
Q

Long bones are bones that result from
cartilaginous ossification, while the scapula
undergoes membranous ossification

a. Both statements are correct
b. Both statements are incorrect
c. Only the first statement is correct
d. Only the second statement is correct

A

a. Both statements are correct

41
Q

Bucks and Russel are both examples of skin
traction for children. This is attached to the
patient’s bone through adhesive rubber tips.

a. Both statements are correct
b. Both statements are incorrect
c. Only the first statement is correct
d. Only the second statement is correct

A

c. Only the first statement is correct

attached sa skin not sa bone

42
Q

Osteopoikilosis is a silent disease. It is assessed
and diagnosed once fractures are already evident.

a. Both statements are correct
b. Both statements are incorrect
c. Only the first statement is correct
d. Only the second statement is correct

A

b. Both statements are incorrect

43
Q

According to Wolff’s Law, every change in form &
function is followed by definite change in its
internal architecture. This allows the bone to
adapt to certain stresses that is being applied to
it.

a. Both statements are correct
b. Both statements are incorrect
c. Only the first statement is correct
d. Only the second statement is correct

A

a. Both statements are correct

44
Q 
It is the only X-linked Disorder among the
mucopolysaccharides
a. MPS I Hunter’s
b. MPS II Hurler’s
c. MPS I Hurler’s
d. MPS II Hunter’s
A

d. MPS II Hunter’s

45
Q 
This is a foot deformity seen in patients with
diastrophic dwarfism
a. pes planus 
c. pes equinus
b. pes cavus 
d. pes equinovarus
A

d. pes equinovarus

46
Q

The gold standard in assessing osteoporosis is
DEXA. DEXA stands for:

a. Dual Energy X ray Absorptiometry
b. Double Emission X ray Absorptiometer
c. Dual Energy X ray Anemometer
d. Don’t Enter Xray Area

A

a. Dual Energy X ray Absorptiometry

47
Q

. In Le fort facial facture classification, Craniofacial
disjunction belongs to

a. Le fort 1
b. Le fort 2
c. Le fort 3
d. Le fort 4

A

c. Le fort 3

48
Q

This is a complication in osteomyelitis and
represents a thick sheath of periosteal new bone

a. Sequestrum
b. Involucrum
c. Either
d. neither

A

b. Involucrum

49
Q

This bone condition transforms muscles and
fascia into an immobile structure

a. Diaphyseal dysplasia
b. Myositis ossificans
c. Heterotrophic ossification
d. B and D

A

b. Myositis ossificans

50
Q

True regarding fracture of the condyle of the
humerus. Except:

a. This is common in elderly following a fall
b. Some fractures of the condyles may extend
onto the articular surfaces
c. One of the most serious complication is a
damage to the brachial artery
d. One way of reducing this fracture is to
provide a plaster the elbow at approximately 90 degrees or more
extending from below the shoulder to the
wrist and hand.

A

a. This is common in elderly following a fall

CHILDREN

Post Lec Exam (14 decks)

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