Orthopedic program Promotion 2021
1- Radiograph of an 11 years old boy , who has foot pain for 4 weeks while
playing basketball for his school team, what is the best next step;
A. Coalition excision with fat interposistion .
B. Coalition excision with extensor disgitorum brevies interposostion
C. Subtalar arthrodesis
D. 4 weeks immobilization in a short leg cast
E. Excision of accessory navicular
Answer D
2- Which exercise should typically be avoided during initial therapy following ACL
reconstruction
A. Vertical squat
B. Stationary bike riding
C. Light leg press
D. Seated leg extension
E. Use a stair climbing machine
Answer D
3- 17 years old gymnast sustained an ACL injury during awkward landing, after
counseling and discussion it is decided that sje will undergo ACL reconstruction
,using hamstring autograft, what is the smallest diameter graft that can minimize
risk of rupture;
A. 7 mm
B. 7.5 mm
C. 8.5 mm
D. 9 mm
E. 10 mm
Answer C
4- What is the most common reason for hip arthroscopy revision that addresses
FAI;
A. Untreated chondral defect
B. Iatrogenic chondral injury
C. Adhesive capsulitis
D. Persistence FAI
E. Hip instability
Answer D
5- AP radiograph of a 13 years old track athlete who had immediate onset of right
hip pain after his trailing limb struck a hurdle and he fell down. The muscle
originating at the injured structure is innervating by which nerve ; photo
A. Genitofemoral
B. Pudendal
C. Femoral
D. Obturator
E. Superior gluteal
Answer C
6- A 45 years old labrador has lateral elbow pain with forceful use of the upper
extremity. An examination reveals he has pain with resisted wrist extension while
his elbow is fully extended. Which muscle origin is most likely involved
A. Distal biceps brachii
B. ECRB
C. ECRL
D. Brachoradialis
E. Pronator teres
Answer B
,7- Which risk factor for ACL injuries contribute most to the higher rate of ACL
injuries among female athletes vs male athletes participating same sport;
A. Varus alignment
B. Estrogen levels
C. ACL size
D. Intra articular notch size
E. Neuromuscular coordination and training
Answer E
8- During shoulder arthroscopy performed and 56 years old recreational tennis
player, the patient’s rotator cuff appears intact on the articular side, but he has a
partial thickness tear that is approximately 4 mm thickness and 1 cm anterior to
posterior direction. What is the appropriate treatment;
A. Conversion to full thickness tear and repair with suture anchors
B. Debridement alone
C. Debridement and acromioplasty
D. No further arthroscopic treatment
E. Acromioplasty alone
Answer A
9- According to the world health organization , an appropriate surgical “ time-
out” just prior to incision consists of which verifications and components
A. Patient’s date of birth, planned surgery, team introductions, aspiration risk.
B. Patient’s name, surgical laterality, administration of deep venous thrombosis
prohyplaxix
C. Planned surgery, DVT prophylaxis , post surgical bracing
D. Team introduction, patient identification, site and procedure, antibiotics
prophylaxis
E. Team introduction, patient identification, planned surgery , nurse break schedule
Answer D
, 10- Figures 51a and 51b are the radiographs of 40 years old recreational
basketball player who injured his knee while jumping for rebound, he felt a pop
and developed immediate swelling, what is the best next step; photo
A. MRI
B. Rest, ice and observation
C. Physical therapy to regain motion
D. Knee arthroscopy and MPFL repair
E. Open surgical repair
Answer E
11- Which ACL bundle likely is responsible for rotator stability of the knee;
A. Anteromedial
B. Anterolateral
C. Central
D. Posteromedial
E. Posterolateral
Answer E
12- a 26 years old elite sprinter is evaluated for an injury to the biceps femoris,
semimembranosus and semitendinosus and avulsion of the tendinous origins is
present. What is the best next step;
A. Ultrasound guided injection of platelet rich plasma to injury site
B. Surgical repair of all tendons to their origin at the ischial tuberosity
C. Surgical repair of the semimembranosus with tenodesis of the remaining tendons
D. Initial rest and icing with progressive strengthening program after pain subsided
E. Stretching and Progressive mobilization with strengthening after this athlete
begins running
Answer B
13- Which factor can help surgeon predict motion decid following ACL
reconstruction;
A. Male gender
B. Presence of radial lateral meniscal tear
C. Inability to access formal physical therapy
D. Typical bone bruise on MRI
E. Reconstruction delay lasting longer than 6 weeks
1- Radiograph of an 11 years old boy , who has foot pain for 4 weeks while
playing basketball for his school team, what is the best next step;
A. Coalition excision with fat interposistion .
B. Coalition excision with extensor disgitorum brevies interposostion
C. Subtalar arthrodesis
D. 4 weeks immobilization in a short leg cast
E. Excision of accessory navicular
Answer D
2- Which exercise should typically be avoided during initial therapy following ACL
reconstruction
A. Vertical squat
B. Stationary bike riding
C. Light leg press
D. Seated leg extension
E. Use a stair climbing machine
Answer D
3- 17 years old gymnast sustained an ACL injury during awkward landing, after
counseling and discussion it is decided that sje will undergo ACL reconstruction
,using hamstring autograft, what is the smallest diameter graft that can minimize
risk of rupture;
A. 7 mm
B. 7.5 mm
C. 8.5 mm
D. 9 mm
E. 10 mm
Answer C
4- What is the most common reason for hip arthroscopy revision that addresses
FAI;
A. Untreated chondral defect
B. Iatrogenic chondral injury
C. Adhesive capsulitis
D. Persistence FAI
E. Hip instability
Answer D
5- AP radiograph of a 13 years old track athlete who had immediate onset of right
hip pain after his trailing limb struck a hurdle and he fell down. The muscle
originating at the injured structure is innervating by which nerve ; photo
A. Genitofemoral
B. Pudendal
C. Femoral
D. Obturator
E. Superior gluteal
Answer C
6- A 45 years old labrador has lateral elbow pain with forceful use of the upper
extremity. An examination reveals he has pain with resisted wrist extension while
his elbow is fully extended. Which muscle origin is most likely involved
A. Distal biceps brachii
B. ECRB
C. ECRL
D. Brachoradialis
E. Pronator teres
Answer B
,7- Which risk factor for ACL injuries contribute most to the higher rate of ACL
injuries among female athletes vs male athletes participating same sport;
A. Varus alignment
B. Estrogen levels
C. ACL size
D. Intra articular notch size
E. Neuromuscular coordination and training
Answer E
8- During shoulder arthroscopy performed and 56 years old recreational tennis
player, the patient’s rotator cuff appears intact on the articular side, but he has a
partial thickness tear that is approximately 4 mm thickness and 1 cm anterior to
posterior direction. What is the appropriate treatment;
A. Conversion to full thickness tear and repair with suture anchors
B. Debridement alone
C. Debridement and acromioplasty
D. No further arthroscopic treatment
E. Acromioplasty alone
Answer A
9- According to the world health organization , an appropriate surgical “ time-
out” just prior to incision consists of which verifications and components
A. Patient’s date of birth, planned surgery, team introductions, aspiration risk.
B. Patient’s name, surgical laterality, administration of deep venous thrombosis
prohyplaxix
C. Planned surgery, DVT prophylaxis , post surgical bracing
D. Team introduction, patient identification, site and procedure, antibiotics
prophylaxis
E. Team introduction, patient identification, planned surgery , nurse break schedule
Answer D
, 10- Figures 51a and 51b are the radiographs of 40 years old recreational
basketball player who injured his knee while jumping for rebound, he felt a pop
and developed immediate swelling, what is the best next step; photo
A. MRI
B. Rest, ice and observation
C. Physical therapy to regain motion
D. Knee arthroscopy and MPFL repair
E. Open surgical repair
Answer E
11- Which ACL bundle likely is responsible for rotator stability of the knee;
A. Anteromedial
B. Anterolateral
C. Central
D. Posteromedial
E. Posterolateral
Answer E
12- a 26 years old elite sprinter is evaluated for an injury to the biceps femoris,
semimembranosus and semitendinosus and avulsion of the tendinous origins is
present. What is the best next step;
A. Ultrasound guided injection of platelet rich plasma to injury site
B. Surgical repair of all tendons to their origin at the ischial tuberosity
C. Surgical repair of the semimembranosus with tenodesis of the remaining tendons
D. Initial rest and icing with progressive strengthening program after pain subsided
E. Stretching and Progressive mobilization with strengthening after this athlete
begins running
Answer B
13- Which factor can help surgeon predict motion decid following ACL
reconstruction;
A. Male gender
B. Presence of radial lateral meniscal tear
C. Inability to access formal physical therapy
D. Typical bone bruise on MRI
E. Reconstruction delay lasting longer than 6 weeks
