Kitwe Teaching Hospital
Dept of Surgery
End of orthopedic and trauma test
CBU 4th year medical Student
1. Tuberculosis of the spine most likely originates from:
a. Intervertebral disk.
b. Cancellous vertebral body.
c. Ligamentous structures.
d. Paravertebral soft tissue.
2. In Pott's spine, the disease starts in the:
a. Intervertebral disk.
b. Anterior vertebral margin.
c. Posterior vertebral margin.
d. Paravertebral soft tissue.
3) The earliest sign of TB hip in X-ray is:
a. Narrow joint space.
b. Irregular moth eaten femoral head.
c. Periarticular osteoporosis.
d. Dislocation.
4) Healing of tuberculous arthritis can lead to:
a. Calcification.
b. Fibrous ankylosis.
c. Boney ankylosis.
d. None of the above.
5) The enzyme found in osteoclasts but not in osteoblasts
is:
a. Alkaline phosphatase.
b. Acid phosphatase.
c. Elastase.
d. Cytochrome oxidase
6) In an adult patient with a fracture of the shaft of the
femur:
a. No blood can be lost without obvious swelling.
b. No blood can be lost without obvious bruising.
c. Two liters of blood can be lost without obvious swelling
or bruising.
d. There is no possibility of death from hemorrhagic
shock.
7) A greenstick fracture:
a. Occurs chiefly in the elderly.
b. Does not occur in children.
c. Is a spiral fracture- of tubular bone.
d. Is a fracture where part of the cortex is intact and part
is crumpled or cracked.
, 8) Spiral fracture is due to:
a. Blunt trauma.
b. Axial compression.
c. Twist.
d. Direct impact.
9) The single most important factor in fracture healing
is:
a. Correct bone alignment.
b. Accurate reduction.
c. Immobilization.
d. Organization of clot.
10) Immobilization is not required in fracture involving:
a. Scapula.
b. Wings of ilium.
c. Rib.
d. Proximal humerus in elderly.
e. All of the above
11) Internal reduction is considered in presence of:
a. Reduction impossible to the achieved or maintained.
b. Healing is expected to be delayed.
c. Pathological fracture.
d. All of the above.
12) The term delayed union is employed when the
fracture fails to unite within:
a. 1.5 times the normal union time.
b. Twice the normal union time.
c. 2.5 times the normal union time.
d. None of the above.
13) First bone to ossify in foetal life is:
a. Femur.
b. Tibia.
c. Clavicle.
d. Sternum.
14) What is True of clavicle fracture:
a. Non-union is rare.
b. Malunion is of no functional significance.
c. Reduction even if achieved is difficult to maintain.
d. All are true.
15) The joint most likely to have recurrent dislocation is:
a. Ankle.
b. Knee.
c. Shoulder.
d. Patella.
Dept of Surgery
End of orthopedic and trauma test
CBU 4th year medical Student
1. Tuberculosis of the spine most likely originates from:
a. Intervertebral disk.
b. Cancellous vertebral body.
c. Ligamentous structures.
d. Paravertebral soft tissue.
2. In Pott's spine, the disease starts in the:
a. Intervertebral disk.
b. Anterior vertebral margin.
c. Posterior vertebral margin.
d. Paravertebral soft tissue.
3) The earliest sign of TB hip in X-ray is:
a. Narrow joint space.
b. Irregular moth eaten femoral head.
c. Periarticular osteoporosis.
d. Dislocation.
4) Healing of tuberculous arthritis can lead to:
a. Calcification.
b. Fibrous ankylosis.
c. Boney ankylosis.
d. None of the above.
5) The enzyme found in osteoclasts but not in osteoblasts
is:
a. Alkaline phosphatase.
b. Acid phosphatase.
c. Elastase.
d. Cytochrome oxidase
6) In an adult patient with a fracture of the shaft of the
femur:
a. No blood can be lost without obvious swelling.
b. No blood can be lost without obvious bruising.
c. Two liters of blood can be lost without obvious swelling
or bruising.
d. There is no possibility of death from hemorrhagic
shock.
7) A greenstick fracture:
a. Occurs chiefly in the elderly.
b. Does not occur in children.
c. Is a spiral fracture- of tubular bone.
d. Is a fracture where part of the cortex is intact and part
is crumpled or cracked.
, 8) Spiral fracture is due to:
a. Blunt trauma.
b. Axial compression.
c. Twist.
d. Direct impact.
9) The single most important factor in fracture healing
is:
a. Correct bone alignment.
b. Accurate reduction.
c. Immobilization.
d. Organization of clot.
10) Immobilization is not required in fracture involving:
a. Scapula.
b. Wings of ilium.
c. Rib.
d. Proximal humerus in elderly.
e. All of the above
11) Internal reduction is considered in presence of:
a. Reduction impossible to the achieved or maintained.
b. Healing is expected to be delayed.
c. Pathological fracture.
d. All of the above.
12) The term delayed union is employed when the
fracture fails to unite within:
a. 1.5 times the normal union time.
b. Twice the normal union time.
c. 2.5 times the normal union time.
d. None of the above.
13) First bone to ossify in foetal life is:
a. Femur.
b. Tibia.
c. Clavicle.
d. Sternum.
14) What is True of clavicle fracture:
a. Non-union is rare.
b. Malunion is of no functional significance.
c. Reduction even if achieved is difficult to maintain.
d. All are true.
15) The joint most likely to have recurrent dislocation is:
a. Ankle.
b. Knee.
c. Shoulder.
d. Patella.
