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orthopedics

1. MC joint in human body to dislocate - Shoulder joint

2. MC dislocation at shoulder joint - Anterior
3. MC dislocation at elbow joint - Posterior
4. MC dislocation at Hip - Posterior
5. MC dislocation at wrist - Lunate
6. MC dislocation at spine - Anterior (C5-C6)
7. Action of knee joint - Flexion/extension/lateral rotation
8. In posterior dislocation of Hip – Flexion ,adduction, internal rotation
9. Common donor nerve used for nerve grafting - Sural nerve
10. MCC of deformity of bone - Fractures
11. Radius head pulled out of annular ligament - Pulled elbow
12. Best Rx of # of forearm bones - Conservative
13. MC cause of Sudek’s dystrophy in UL - Colle’s #
14. MC pelvic # - Ischio-pubic rami #
15. B/L ischio-pubic rami # is called as - Straddle #
16. K-nail is used for - # shaft of femur
17. Most frequently injured joint - Knee joint
18. Comminuted # of patella is known as - Stellate #
19. Jefferson’s # is # of - Atlas/C1
20. Dense sclerotic bone overlying a sequestrum is - Involucrum
21. MC complication of Acute osteomyelitis - Chronic osteomyelitis
22. MC cause of septic arthritis - Staphylococcus aureus
23. Tom smith arthritis is - septic arthritis of infancy
24. MC site of Gonococcal arthritis - Knee joint
ORTHOPEDICS

25. MC site of bone & joint TB - Spine(Pott’s spine)/Hip

26. MC site of spinal TB - Dorso-lumbar region
27. IOC for TB spine - MRI
28. MC Cause of early onset pott’s paraplegia - Abscess
29. MC cause of Hip pain in children in India - TB Hip
30. MC congenital foot deformity - CTEV
31. MC muscle related to CTEV - Tibialis Posterior
32. MC cause of Rickets in children in India - Nutritional deficiency
33. Medial epicondylitis - Golfer’s elbow

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34. Lateral epicondylitis - Tennis elbow
35. Frozen shoulder is common among - Diabetes
36. Brown’s tumor is in - Hyperparathyroidism
37. In fluorosis of bones, there is excess deposition of - Calcium
38. MC injury to major blood vessel in polytrauma - Popliteal artery
39. MC injury to nerves in polytrauma - Radial nerve
40. MC operation for non-union - Bone grafting
41. Avascular necrosis is common after a # of - Talus
42. Periosteum is attached to bone by - Sharp’s fibres
43. Le forte classification is used for - # of Maxilla
44. MC ligament injured in ankle sprain - Anterior Talofibular
45. Bone involved in stress # /March #-2nd Meta tarsal
46. Thurston Holland sign is seen in - Salter harris type ii #
47. Swan neck deformity is seen in - Rheumatoid arthritis
48. Characteristic joint involved in rheumatoid arthritis - Metacarpophalangeal joint
49. Pt with joint pain & back ache. On x-ray spine sacroiliitis is seen diagnosis is-
Ankylosing spondylitis
50. Bamboo spine appearance - Ankylosing spondylitis
51. Which joint is most commonly affected in Osteo arthritis - Knee
52. Rheumatoid factor +ve in - Rheumatoid arthritis/Sarcoidosis
53. MC site for Spondylolisthesis is - L5 over T1
54. Rheumatoid arthritis affects - Cervical spine
55. House maid’s knee is due to enlargement of - Subcutaeneous prepatellar Bursa
56. Hill sach’s lesion is seen in - Recurrent dislocation of shoulder
57. In neurapraxia, there is - Loss of conduction of Nerve fibre
58. Wallerian degeneration is seen in - Distal cut-end of the nerve
59. Tinel’s sign suggests - Nerve regeneration
60. Card test is used for paralysis of - Ulnar nerve
61. Nerve damage due to Hamate dislocation is - Ulnar
62. MC site for TB of skeletal system is - Spine
63. TB Osteomyelitis site involved - Tibia
64. TB Dactylitis site involved - Spina Ventosa
65. Synovial TB site involved - Knee joint
66. TB Tenosynovitis - Compound palmar ganglion
67. TB bursitis - Trochanteric bursitis
68. Commonest route of spread of TB to Bones is - Hematogenous

Orthopedics
 69. Collar stud abscess is seen in - TB
70. Commonest primary malignant bone Tumor - Multiple myeloma
71. Bone tumor arising from pelvis is - Chondroblastoma
72. Onion skin layering on x-ray is characteristic of - Ewing’s sarcoma
73. Onion peel appearance is seen in - Ewing’s sarcoma(Most Radoisensitive tumor)
74. In Multiple myeloma, punched out lesions are most common in - Skull
75. Vertebra plana occurs in - Eosinophilic Granuloma
76. Radio resistant malignant tumor is - Osteosarcoma
77. MC malignant bone tumor - Secondaries
78. MC benign Bone tumor - Osteoma
79. Pulsatile Tumour is - Osteosarcoma
80. Commonest cause of multiple # in childhood - Osteogenesis imperfecta
81. Pott’s puffy tumor is - Osteomyelitis of skull bone
82. Waddling gait is feature of - B/L Dislocation of Hip
83. MC affected lower limb muscle in poliomyelitis - Quadriceps femoris
84. Painful effusion of joints in congenital syphilis is known as - Clutton’s joint
85. Abnormal metacarpal index is a feature of - Marfans syndrome
86. Bag of bones effect is seen in - Charcot’s joint
87. Codfish vertebrae are seen in - Hyperparathyroidism
88. Osteomalacia can caused by - Tab.Phenytoin
89. Bone within bone appearance is seen in - Gauchers disease

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90. Calcification of menisci of knee joints is seen in - Ochronosis
91. Kanavels sign is found in - Teno-synovitis
92. MC involvement in Volkman’s ischaemia seen is that - Flexor digitorum profundus
93. Nerve injured in Medial epicondylar # - Ulnar
94. MC site seen for osteogenic sarcoma in India - Lower end of Femur
95. Compression # is most common in which part of spine - Lower Thoracic
96. Non-union is commonly seen in - Lower tibial #
97. An adventitious Bursa - Abnormality over friction site
98. Healing time for # of Tibia is - 12 weeks
99. MC site for Myositis ossificans in body is - Elbow
100. MC site of Acute Osteo myelitis seen in Infants - Hip joint
101. Claw hand is a manifestation of - Ulnar nerve injury
102. MC involvement in Dupuytren’s contracture is - Little finger
103. Nerve injured in # of Upper end of radius is - Posterior interosseus nerve
104. MC cause of Kyphosis among males is - TB
105. Monteggia # dislocation involves - upper 1/3 ulna
106. Common site for Avascular necrosis of head of femur - Subcapital region
107. Cause of Atonic bladder - Injury to sacral plexus
108. Rx for Club foot - should be started immediately after birth
109. MC nerve involved in # of surgical neck of humerus is - Axillary
110. Neuropathic joints are MC seen in - Diabetes Mellitus
111. Soap bubble appearance with Bone tumor - Osteoclastoma
112. In Hammer toe, flexion deformity is seen at - Proximal interphalangeal joint
113. MacMurray’s sign is seen in injury to - Medial meniscus
114. Radial nerve injury - Wrist drop
115. Ulnar nerve injury - Claw hand
116. Axillary nerve injury - Flattened shoulder
ORTHOPEDICS

117. Upper trunk - Porter tip hand

118. Medial nerve injury - Ape thumb deformity
119. Long thoracic nerve injury - Winging of Scapula
120. Laborer’s nerve - Median nerve
121. Saturday night palsy involves - Radial nerve
122. Anterior Drawer sign is +ve in - Ant. Cruciate ligament injury
123. Tennis Elbow - pain over the Lateral epicondyle
124. Hangman’s # is a # of - Pars interarticularis/# dislocation of C2&C3

Orthopedics
 125. Dislocation without # is seen in - Cervical spine
126. Cotton’s # is - Trimalleolar
127. Type of joint seen in Growth plate is - Primary cartilaginous
ORTHOPEDICS

128. Repair is better than removal in which part of meniscal injury - Outer area
129. Pulsating bone tumor - Osteo sarcoma
130. Direct impact on bone will lead to - Transverse #
131. Pathological # are seen in - osteogenesis imperfecta/ osteoporosis /osteomalacia /
radiation
132. Bone formation markers r - Procollagen-1 & ALP
133. MC cause of Non-union # is - Inadequate immobilisation
134. Non-union is a complication of - Scaphoid #
135. MC complication of fracture of clavicle - Malunion
136. MC site of fracture clavicle is - Junction of medial 2/3rd &lateral 1/3rd
137. Underlying cause of rheumatoid arthritis is - Immunological
138. Joints spared in Rheumatoid arthritis is - DIP joints of finger
139. Compound # is defined as - # with skin involvement
140. Open # is treated by - Debridement
141. Recurrent dislocations are common in - Shoulder
142. Recurrent dislocation least commonly seen in - knee
143. MC bone # during birth is - Clavicle

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144. MC injury with # medial epicondyle - Elbow dislocation
145. MC elbow injury in adolescents is - Supra condylar #
146. Game keeper’s Thumb is - Ulnar collateral ligament injury of MCP joint
147. # femur in children is treated with - Gallow’s splint
148. Glass holding cast is - Scaphoid cast
149. Fat embolism commonest occurs due to # of - Femur
150. # neck of humerus is common in - Elderly females
151. Calcaneum # is usually seen along with - # of vertebrae
152. Nerve involved in # neck of Fibula - Common peroneal nerve
153. MC mode of Meniscal injury - Flexion & rotation movement
154. Vitamin required for collagen formation - Vit C
155. MC cause of primary hyperparathyroidism - Solitary adenoma
156. MC site is osteochondritis dissecans - Lateral part of the medial femoral condyle
157. Type of anemia in rheumatoid arthritis - Normocytic normochromic anemia
158. Disease where distal IP joint involved - Psoriatic arthritis
159. Ankylosing spondylitis is associated with - HLA-B27
160. Bamboo spine is seen in - Ankylosing spondylitis
161. MC charcot’s joint involved in T2DM - Foot
162. How many blast cells should be in aspiration of bone marrow ->10%plasma
count
163. Most serious complication of # of a long bones - Fat embolism
164. Bone which do not have medullary cavity - Clavicle
165. MC nerve to be damage in shoulder dislocation - Axillary nerve
166. Carpel tunnel syndrome is due to involvement of - Median nerve
167. Inability to adduct thumb is due to injury of - Ulnar nerve
168. Tinel sign indicates - Nerve regeneration
169. Partial claw hand is caused by lesion involving - Ulnar nerve
170. Total claw hand is seen in paralysis of - Ulnar & Median nerve
ORTHOPEDICS

171. Punched out lesion in the skull is indicative of - Multiple myeloma

172. Duchenne’s muscular dystrophy affects - calf muscles

Orthopedics
 MCQ’s
1. Carpel tunnel syndrome is due to compres- FRACTURE shaft femur following a road
sion of: traffic accident. On 2nd day he became dis-
A. Radial nerve oriented. He was found to be tachypnoeic,
B. Ulnar nerve and had conjunctival petechiae. Most likely
C. Palmar branch of the ulnar nerve diagnosis is:
D. Median nerve A. Pulmonary embolism
Ans. D B. Sepsis syndrome
C. Fat embolism
2. Most common nerve involved in the FRAC- D. Haemothorax
TURE of surgical neck of humerus is: Ans. C
A. Median
B. Radial 5. Kumar, a 31 years old motorcyclist sus-
C. Ulnar tained injury over his right hip joint. Xray
D. Axillary revealed a posterior dislocation of the right
Ans. D hip joint. The clinical attitude of the affected
lower limb will be:
3. All of the following are associated with su- A. External rotation, extension & abduction
pracondylar FRACTURE of humerus, except: B. Internal rotation, flexion & adduction
A. It is uncommon after 15 years of age C. Internal rotation, extension & abduction
B. Extension type FRACTURE is more D. External rotation, flexion & abduction
common than the flexion type Ans. B
C. Cubitus varus deformity commonly re-
sults 6. Pappu, 7 years old young boy, had FRAC-
following malunion TURE of lateral condyle of femur. He devel-
D. Ulnar nerve is most commonly involved
oped malunion as the FRACTURE was not
Ans. D reduced anatomically. Malunion will pro-
duce:
4. A 40 years old man, was admitted with A. Genu valgum

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 B. Genu varum & punctuate calcifications. Most likely diag-
C. Genu recurvatum nosis is:
D. Dislocation of knee A. Osteosarcoma
Ans. A B. Chondrosarcoma
C. Simple bone cyst
7. Patellar tendon bearing POP cast is indicat- D. Fibrous dysplasia
ed in the following FRACTURE : Ans. B
A. Patella
B. Tibia 12. Raju, a 10 years old child, presents with
C. Medial malleolus predisposition to fractures, anemia, hepato-
D. Femur splenomegaly and a diffusely increased ra-
Ans. B diographic density of bones. The most likely
diagnosis is:
8. Inversion injury at the ankle can cause all of A. Osteogenesis imperfecta
the following except: B. Pyenodysotosis
A. FRACTURE tip of lateral melleolus C. Myelofibrosis
B. FRACTURE base of the 5th metatarsal D. Osteopetrosis
C. Sprain of extensor digitorum brevis Ans. D
D. FRACTURE of sustentaculam tali
Ans. C 13. Hari Vardhman, 9 years old child, pres-
ents with scoliosis, hairy tuft in the SKIN
9. A previously healthy 45 years old laborer of back and neurological deficit. Plain
suddenly develops acute lower back pain X-rays reveal multiple vertebral anoma-
with right-leg pain & weakness of dorsiflex- lies & a vertical bony spur overlying lum-
ion of the right great toe. Which of the fol- bar spine on AP view. The most probable
lowing is true: diagnosis is:
A. Immediate treatment should include A. Dorsal dermal sinus
analgesics, muscle relaxants & back B. Diastometamyelia
strengthening exercises C. Tight filum terminale
B. The appearance of the foot drop D. Caudal regresion syndrome
indicates early surgical intervention Ans. B
C. If the neurological signs resolve within
2 to 3 weeks but low back pain persists, 14. In a patient with head injury, unexplained
the proper treatment would include hypotension warrants evaluation of:
fusion of affected lumbar vertebra A. Upper cervical spine
D. If the neurological signs fail to resolve B. Lower cervical spine
within 1 week, lumbar laminectomy C. Thoracic spine
and excision of any herniated nucleus D. Lumbar spine
pulposus should be done Ans. C
Ans. B
15. Complete transection of the spinal cord at
10. Acute osteomylitis is most commonly the C1 level produces all of the following ef-
caused by: fects except:
A. Staphylococcus aureus A. Hypotension
B. Actinomyces bovis B. Limited respiratory effort
C. Nocardia asteroides C. Anaesthesia below the level of the
D. Borrelia vincentii lesion
Ans. A D. Areflexia below the level of the lesion
Ans. B
11. A 45 years male presented with an expan-
sile lesion in the centre of femoral metaph- 16. Commonest cause for neuralgic pain in foot
ysis. The lesion shows endosteal scalloping is:

Orthopedics
 A. Compression of communication Ans. D
between medial and lateral plantar
nerve. 22. Which one of the following tests will you
B. Exaggeration of longitudinal arches. adopt while examining a knee joint where
C. Injury to deltoid ligament. you suspect an old tear of anterior cruciate
D. Shortening of plantar aponeurosis. ligament?
Ans. A A. Posterior drawer test.
B. McMurray test.
17. In actinomycosis of the spine, the abscess C. Lachman test.
usually erodes: D. Pivot shift test.
A. Intervertebral disc Ans. C
B. Into the pleural cavity
C. Into the retroperitoneal space 23. An eight-year old boy presents with back
D. Towards the SKIN pain and mild fever. His plain X-ray of the
Ans. D dorsolumbar spine reveals a solitary col-
lapsed dorsal vertebra with preserved disc
18. A tenyear old girl presents with swelling of spaces. There was no associated soft tissue
one knee joint. All of the following condi- shadow. The most likely diagnosis is:
tions can be considered in the differential A. Ewing’s sarcoma.
diagnosis, except: B. Tuberculosis.
A. Tuberculosis C. Histiocytosis.
B. Juvenile rheumatoid arthritis D. Metastasis.
C. Haemophilia Ans. C
D. Villonodular synovitis
Ans. C 24. Kienbock’s disease is due to avascular ne-
crosis of:
19. Avascular necrosis can be a possible se- A. Femoral neck.
quelae of FRACTURE of all of the following B. Medial cuneiform bone.
bones, except: C. Lunate bone.
A. Femur neck D. Scaphoid bone.
B. Scaphoid Ans. C
C. Talus
D. Calcaneum 25. Pseudoclaudication is due to compression
Ans. D of:
A. Femoral artery.
20. Sciatic nerve palsy may occur in the follow- B. Femoral nerve.
ing injury: C. Cauda Equina.
A. Posterior dislocation of hip joint. D. Popliteal artery.
B. FRACTURE neck of femur. Ans. C
C. Trochanteric FRACTURE .
D. Anterior dislocation of hip. 26. Following anterior dislocation of the shoul-
Ans. A der, a patient develops weakness of flexion
at elbow and lack of sensation over the lat-
21. A 30year old male was brought to the ca- eral aspect fore arm. Nerve injured is:
sualty following a road traffic accident. His A. Radial nerve
physical examination revealed that his right B. Musculocutaneous nerve
lower limb was short, internally rotated and C. Axillary nerve
flexed and adducted at the hip. The most D. Ulnar nerve
likely diagnosis is: Ans. B
A. FRACTURE neck of femur.
B. Trochanteric FRACTURE . 27. Babloo a 10 years old boy presents with
C. Central FRACTURE dislocation of hip. FRACTURE of humerus. X-ray reveals a lytic
D. Posterior dislocation of hip. lesion at the upper end. Likely condition is:
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 A. Unicameral bone cyst C. Ankle joint, calcaneocuboid and
B. Osteosarcoma talonavicular
C. Osteoclastoma D. None of the above
D. Aneurysmal bone cyst Ans. A
Ans. A
31. Babu a 19 years old male has a small cir-
28. A patient sustained injury to the upper limb cumscribed sclerotic swelling over diaphy-
3 years back. He now presents with valgus sis of femur. Likely diagnosis is:
deformity in the elbow and paresthesias A. Osteoclastoma
over the medial border of the hand. The in- B. Osteosarcoma
jury is likely to have been: C. Ewing’s sarcoma
A. Supracondylar FRACTURE humerus D. Osteoid osteoma
B. Lateral condyle FRACTURE humerus Ans. D
C. Medial condyle FRACTURE humerus
D. Posterior dislocation of the humerus 32. Most common site of osteogenic sarcoma is:
Ans. B A. Femur, upper end
B. Femur, lower end
29. A woman aged 60 years suffers a fall. Her C. Tibia, upper end
lower limb is abducted and externally rotat- D. Tibia, lower end
ed. Likely diagnosis is: Ans. B
A. Neck of femur FRACTURE
B. Intertrochanteric femur FRACTURE 33. Involvement of PIP joint, DIP joint and the
C. Posterior dislocation of hip carpometacarpal joint of base of thumb
D. Anterior dislocation of hip with sparing the wrist is seen in:
Ans. D A. Rheumatoid arthritis
B. Osteoarthritis
30. Triple arthrodesis involves: C. Psoriatic arthritis
A. Calcaneocuboid, talonavicular and D. Pseudogout
talocalcaneal Ans. B
B. Tibiotalar, calcaneocuboid and
talonavicular
Orthopedics
34. The pivot test is for: Ans. D
A. Anterior cruciate ligament
B. Posterior cruciate ligament 38. Neuronal degeneration is seen in all of the
C. Medial meniscus following except:
D. Lateral meniscus A. Crush nerve injury.
Ans. A B. Fetal development.
C. Senescence.
35. Iliotibial band contracture following polio D. Neuropraxia.
is likely to result in: Ans. D
A. Extension at hip
B. Extension at knee 39. In Klippel-Feil syndrome, the patient has all
C. Flexion at hip and knee of the following clinical features except:
D. Extension at hip and knee A. Low hair line.
Ans. C B. Bilateral neck webbing.
C. Bilateral shortness of sternomastoid
36. A young woman met with an accident and muscles.
had mild quadriparesis. Her lateral X-ray D. Gross limitations of neck movements.
cervical spine revealed C5-C6 FRACTURE Ans. C
dislocation. Which of the following is the
best line of management? 40. The most common sequelae of tuberculous
A. Immediate anterior decompression. spondylitis in an adolescent is:
B. Cervical traction followed by A. Fibrous ankylosis.
instrument fixation. B. Bony ankylosis.
C. Hard cervical collar and bed rest C. Pathological dislocation.
cervical laminectomy. D. Chronic OSTEOMYELITIS .
D. Cervical laminectomy. Ans. B
Ans. B
41. In radionuclide imaging the most useful ra-
37. Which one of the following is the investiga- dio- pharmaceutical for skeletal imaging is:
tion of choice for evaluation of suspected A. Gallium 67 (67Ga).
Perthes’ disease? B. Technetium-sulphur-colloid(99mTc-Sc).
A. Plain X-ray. C. Technetium-99m (99mTc).
B. Ultrasonography (US). D. Technetium-99m linked to methylene
C. Computed tomography (CT). disphosphonate (99mTc-MDP).
D. Magnetic resonance imaging (MRI). Ans. D

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42. Heberden’s arthropathy affects: 45. A 30-year-old man had road traffic accident
A. Lumbar spine. and sustained FRACTURE of femur. Two
B. Symmetrically large joints. days later he developed sudden breathless-
C. Sacroiliac joints. ness. The most probable cause can be:
D. Distal interphalangeal joints. A. Pneumonia.
Ans. D B. Congestive heart failure.
C. Bronchial asthma.
43. Subtrochanteric fractures of femur can be D. Fat embolism.
treated by all of the following methods ex- Ans. D
cept:
A. Skeletal traction on Thomas’ splint. 46. A 45-year-old was given steroids after renal
B. Smith Petersen nail. transplant. After 2 years he had difficulty in
C. Condylar blade plate. walking and pain in both hips. Which one of
D. Ender’s nail. the following is most likely cause?
Ans. B A. Primary osteoarthritis.
B. Avascular necrosis.
44. All of the following are true about FRAC- C. Tuberculosis.
TURE of the atlas vertebra, except: D. Aluminum toxicity.
A. Jefferson FRACTURE is the most Ans. B
common type.
B. Quadriplegia is seen in 80% cases. 47. All of the following areas are commonly in-
C. Atlantooccipal fusion may sometimes volved sites in pelvic FRACTURE except:
be needed. A. Pubic rami.
D. CT scans should be done for diagnosis. B. Alae of ileum.
Ans. D C. Acetabula.
D. Ischial tuberosities.
Ans. D

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