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Orthopaedic quiz.by.yapa wijeratne

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Quiz on Orthopaedics for medicine undergraduates..

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Orthopaedic quiz.by.yapa wijeratne

  1. 1. Orthopaedic QuizFor medicine undergraduates 1
  2. 2. 1.What is the diagnosis? Q:12.Name 2 complications associated with this fracture. 2
  3. 3. Q:21.Identify this clinical deformity 3
  4. 4. Q:31.Describe the mechanism of injury?2.Name 2 serious complications of this injury? 4
  5. 5. 1.Identify the prosthesis Q:42.What is the indication for its use? 5
  6. 6. 1.Identify this equipment Q:52. Name 2 indications for its use. 6
  7. 7. 1.Identify this fracture. Q:62.What is the best way to manage this fracture? 7
  8. 8. 1.Identify this injury?2. What is the mechanism of injury. Q:7 8
  9. 9. 1.Identify the type of fracture Q:82.What is the clinical condition associated with this fracture? 9
  10. 10. 1.Identify this clinical deformity Q:92.How do you manage this child during first six months? 10
  11. 11. 1.Describe this injury. Q:102.Name two complications associated with this injury 11
  12. 12. 1.What is the injury? Q:112. What is the best way to manage this injury 12
  13. 13. 1.What is the mechanism of injury Q:122.How do you manage this injury? 13
  14. 14. 1.Describe the type of injury Q:132.How do you manage this type of injury? 14
  15. 15. 1.What is the diagnosis Q:142.How do manage this problem? 15
  16. 16. 1.What is the diagnosis Q:152.name 2 radiological features of this condition 16
  17. 17. 1.What is the diagnosis Q:162. How do you manage this problem? 17
  18. 18. 1.What is the diagnosis? Q:172.Name 2 radiological features of this condition 18
  19. 19. 1.What is the radiological feature seen n this x-ray? Q:182. Name 2 tumour markers associated with this condition 19
  20. 20. 1.What is the diagnosis2.Name 2 long term complications associated with this condition Q:19 20
  21. 21. 1.What is the diagnosis Q:202. How do you manage this problem? 21
  22. 22. 1.What is the diagnosis Q:212. How do you manage this problem? 22
  23. 23. 1.What is the diagnosis Q:222. How do you manage this problem? 23
  24. 24. 1.What is the diagnosis? Q:232.Name 2 complications associated with this fracture. 24
  25. 25. Q:241.Identify the followings 25
  26. 26. 1. Identify the deformity. Q:252. How do you manage this problem? 26
  27. 27. 27
  28. 28. 1.What is the diagnosis? Q:12.Name 2 complications associated with this fracture. • 1. – Colles fracture • 2. – Avascular necrosis of Scaphoid – Osteoarthritis – Non-union – Delayed -union 28
  29. 29. Q:2 1.Identify this clinical deformity• Positive Trendelenburg’s sign on left due to the weakness of left hip abductors (gluteus medius/minimus) 29
  30. 30. Q:31.Describe the mechanism of injury?2.Name 2 serious complications of this injury? • 1. – Falling on outstretched hand (straight elbow) • 2. – Brachial artery damage – Compartment syndrome 30
  31. 31. 1.Identify the prosthesis Q:42.What is the indication for its use? • 1. – Austin Moore Hemiprosthesis • 2. – Intracapsular neck of the femur fracture 31
  32. 32. 1.Identify this equipment Q:52. Name 2 indications for its use. • 1. • C-arm image intensifier • 2. • Manipulation • Checking progress of surgery/ intraoperative x-rays • Cardiac catheterization • DHS 32
  33. 33. 1.Identify this fracture. Q:62.What is the best way to manage this fracture? • 1. – Forearm fracture of the proximal radius & ulna • 2. – Open reduction & internal fixation (OR+IF) 33
  34. 34. 1.Identify this injury?2. What is the mechanism of injury. Q:7• Transverse patellar fracture 34• Avulsion fracture/ violent contraction of quadriceps tendon.
  35. 35. 1.Identify the type of fracture Q:82.What is the clinical condition associated with this fracture? • 1. – Wedge fracture of the vertebral body • 2. – Osteoporosis 35
  36. 36. 1.Identify this clinical deformity Q:92.How do you manage this child during first six months? • 1. CTEV • 2. serial plaster casts as soon as identify 36
  37. 37. 1.Describe this injury. Q:102.Name two complications associated with this injury • 1. – Posterior dislocation of hip • 2. – Sciatic nerve injury – Avascular necrosis of femoral head due to twisting & rupture of retinacular arteries. 37
  38. 38. 1.What is the injury? Q:112. What is the best way to manage this injury • 1. – Fracture of lateral malleolus • 2. – OR+IF (as it is a unstable #) 38
  39. 39. 1.What is the mechanism of injury Q:122.How do you manage this injury? • 1. – Sudden inversion of the foot – (violent contraction of peroneus brevis) • 2. – Internal fixation (with K-wire) 39
  40. 40. 1.Describe the type of injury Q:132.How do you manage this type of injury?1. Transient facet dislocation2. Stabilize with cervical collar & if B/L, fixation 40
  41. 41. 1.What is the diagnosis Q:142.How do manage this problem? • 1.Giant cell tumor • 2. • Curettage, bone graft /cementing 41
  42. 42. 1.What is the diagnosis Q:152.name 2 radiological features of this condition • 1.Ewing’s sarcoma • 2. • periosteal reaction • Onion peel appearance 42
  43. 43. 1.What is the diagnosis Q:162. How do you manage this problem? • 1. Osteochondroma • 2.Excision of the tumor + symptomatic treatment 43
  44. 44. 1.What is the diagnosis? Q:172.Name 2 radiological features of this condition • 1.osteosarcoma • 2. sun ray specules, Codman’s triangle 44
  45. 45. 1.What is the radiological feature seen n this x-ray? Q:182. Name 2 tumour markers associated with this condition • 1.osteosclerosis of the pubis & ischium • 2. – PSA – Prostatic acid phosphatase 45
  46. 46. 1.What is the diagnosis2.Name 2 long term complications associated with this condition Q:19 • 1. – Perthes’ disease • 2. – Secondary osteoarthritis – Persistent limp – Pain – Dislocation – Deformity – Shortening 46
  47. 47. 1.What is the diagnosis Q:202. How do you manage this problem? • 1.Chronic osteomyelitis • 2 • Pus drainage • Antibiotics • Excision of sequestrum 47
  48. 48. 1.What is the diagnosis Q:212. How do you manage this problem? • 1.Fracture of the clavicle (Displaced fracture of the middle third of the clavicle) • 2. “8” figure brace 48
  49. 49. 1.What is the diagnosis Q:222. How do you manage this problem? • 1. • Myositis ossificans • 2. • DO NOT heat or forcefully move • Indomethacin 49
  50. 50. 1.What is the diagnosis? Q:232.Name 2 complications associated with this fracture. • 1. – Scaphoid fracture • 2. – Avascular necrosis of (proximal) Scaphoid – Osteoarthritis – Non-union – Delayed -union 50
  51. 51. Q:241.Identify the followings1. Flexible Intramedullary nails2. Locked Intramedullary nails3. Plate & screw4. External fixator 51
  52. 52. 1. Identify the deformity. Q:252. How do you manage this problem? • 1.Cubitus varus • 2.Corrective (wedge shape) osteotomy for correcting carrying angle 52
  53. 53. Reference• Apleys System of Orthopaedics and Fractures 9 ed• Prepared as a slideshow – by Yapa Wijeratne 53

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