Musculoskeletal

Question 1

In the following fractures, which is best assessed

clinically rather than radiographically

Answer 1

closed/opened fracture

Question 2

Which of the following fractures have a feature of a floating maxilla

Answer 2

Le fort 2

Question 3

Fracture of distal radius without intra-articular

involvement, dorsal angulation

Answer 3

Colle’s fracture

Question 4

Fracture of distal radius without intra-articular

involvement, volar angulation

Answer 4

Smith’s fracture

Question 5

Salter- Harris fracture that extends which extends
vertically to the epiphyses and growth plate to
hypertrophic zone and then to growth plate itself

Answer 5

Salter-Harris type 3

Question 6

Salter- Harris fracture that involves shearing or
avolusion force that splits growth plate before
entering the metaphyseal bone, separating a small
fragment the “Thurston-Holland” or corner sign

Answer 6

Salter-Hariss type 2

Question 7

Mal-aggresive type of periosteal reaction

Answer 7

vetracin?

Question 8

Eccentric cystic lesion usually metaphysical

Answer 8

aneurysmal bone cyst

Question 9

Cystic lesion that does not respect growth plate, usually aggressive

Answer 9

Giant Cell tumor

Question 10

Aggressive lesion with aggressive periosteal

reactions commonly with a soft tissue component

Answer 10

Osteosarcoma

Question 11

Common charateristics of rheumatoid arthritis

Answer 11

periarticular osteoporosis

Question 12

Characteristic findings of degenerative joint disease

Answer 12

joint space narrowing

Question 13

Kelvin Lawrence grading…definite osteopines? And definite narrowing of the joint space without deformity of bone contour

Answer 13

grade 2

Question 14

Zero negative affinity commonly associated with

axial involvement and desmophytes appearance / bamboo spine appearance is

Answer 14

ankylosing spondylitis

Question 15

Joint affected with podagra

Answer 15

First metatarso-phalangeal joint

Question 16

The most common finding in acute attacks of gout

Answer 16

transient soft tissue swelling

Question 17

Dead bone involving osteomyelitis is

Answer 17

sequestrum

Question 18

Childhood hip disorder that results in infarction of

bony epiphyses of femoral head

Answer 18

legg-calve disease

Question 19

?Pleuritic bands of vertebral body associated with
hyperparathyroidism

?Sclerotic bands of vertebral end plate associated with
hyperparathyroidism

Answer 19

rugger-jersey spine

Question 20

?1. Patient is an 18 year old female… initial studies
show a rightward curve of thoracic spine with T4…
Leftward curve of the thoracolumbar loop… which is the structural curve

?2. Patient is an 18-year-old female with idiopathic scoliosis,
initial AP study shows rightward curve of the thoracic spine
with T4 and T12 as end vertebrae with an angle of 48/ 58
degrees? Leftward curvature of the thoracolumbar spine with
T12 and L4 as end vertebrae with an angle of 32 degrees on
rightward bending the thoracic dextroscoliosis is corrected to 32 degrees, on leftward bending the thoracic levoscoliosis is
corrected to 15 degrees, what is the structural curve?

Answer 20

Thoracic dextroscoliosis

Question 21

Which imaging modality is more sensitive in the detection of small amounts of soft tissue
gas and soft tissue gas?
A. MRI C. ultrasound
B. CT scan and conventional radiography D. none of the above

Answer 21

B. CT scan and conventional radiography

Question 22

Evaluation of bone cortex is better in:
A. MRI C. ultrasound
B. CT scan and conventional radiography D. none of the above

Answer 22

B. CT scan and conventional radiography

Question 23

Which imaging modality is better in detecting occult fractures and identify associated
ligament injuries?
A. MRI C. ultrasound
B. CT scan D. conventional radiography

Answer 23

A. MRI

Question 24

Which imaging modality detects better intraosseous conditions and extraarticular soft tissue?

A. MRI C. ultrasound
B. CT scan D. conventional radiography

Answer 24

A. MRI

Question 25

Which imaging modality is best in diagnosis of chronic repetitive injury, work-related
injury, inflammation, and infection in soft tissues?
A. MRI C. ultrasound
B. CT scan D. conventional radiography

Answer 25

C. Ultrasound

Question 26

What view of the knee in conventional radiography is used to evaluate abnormalities of
the patella and the patellofemoral joint?
A. AP view C. external oblique
B. sunrise view D. prone view

Answer 26

B. Sunrise

Question 27

Which ligament is described by this statement: “Runs diagonally in the middle of the \
knee, preventing the tibia from sliding out in front of the femur as well as providing
rotational stability to the knee.”?

Answer 27

B. ACL

Question 28

The most common type of meniscal tear (occuring in 10% of cases) is the:
A. Bucket-handle tear
B. radial tear
C. horizontal tear
D. complex tear composed of horizontal and radial components

Answer 28

Bucket-handle tear

Question 29

The following are true about the discoid meniscus (DM), EXCEPT:
1. is dysplastic meniscus and frequently bilateral
2. DM is more common in the LM (lateral meniscus) by a ratio of 5:1 to 50:1.
3. this structure is enlarged and shaped like a half moon.
4. DM is less susceptible to tears and cyst formation than the normal meniscus.
A. 1 and 3 C. 1, 2 and 3
B. 2 and 4 D. 4

Answer 29

D. 4 only

DM is less susceptible to tears and cyst formation than the normal meniscus.