1‫ههاالا‬-In a newborn child, abduction and internal rotation produces

a click sound. It is know as:

a-Ortolanis sign.

b-telescoping sign

c-Mc Murrays sign

d-Lachmans sign

2-Which of the following test is useful in diagnosis of congenital

dislocation of hip?
(a)-Barlow s test

(b)-Thomas test

(c)-Hibb s test

(d)Laguerres test

3-Which of the following movement is restricted in congenital

dislocation of hip, in infant?
(a)-Flexion

(b)-Extension

(c)-Rotation

(d)-Abduction

4-Congenital bilateral dislocation of hip shows

(a)-Waddling gait

(b)-Lordosis

(c)+ ve Trendelenburg test

(d) + ve Von Rosen s sign

5-Which is false regarding acute osteomyelitis?

(a)- Staphylococcus is the usual organism.

(b)- Rest and elevation relieves pain.

(c)-Parenteral antibiotics are given.

(d)-Surgery is the only treatment.

6-When osteomyelitis disseminates by Hematogenous way the most

affected part of bone is:-
(a) Metaphyses

(b) Epiphyses

(c) Diaphyses

(d)Any of the above

7-What is Brodie s abscess?

(a) Long standing localized pyogenic bascess in the bone.

(b) cold abscess

(c) Subperiosteal abscess

(d)soft tissue abscess

8- Which of the following terms is inappropriate to the condition of

osteomylitis?
(a) Cloacae

(b)Involucrum

(c) Sequestrum

(d)Myelocoele

9-Non-healing sinus is a common clinical feature in chronic

[Link] most common frequent cause for this presentation
is.
(a)Resistant organisms

(b)Retained foreign body

(c)presence of sequestrum

(d)Intraosseous cavities
10-When does the lesion of osteomyelitis appear on X-ray

(a) 2 hours

(b)24 hours

(c) 1 week

(d) 2 weeks

11-The most common source of bone and joint infection is

(a) Direct spread

(b) Percutaneous

(c)Lymphatic

d-Haematogenous

12- Tuberculosis of the spine is known as:

(a)pott s disease

(b)Scheuermann s disease

(c)Perthes disease

(d) Frieberg s disease

13- HLA B 27 is associated with:

(a)Rheumatoid arthritis

(b)Ankylosing spondylitis

(c)Rheumatic arthritis.

(d)Gouty arthritis

14-Bamboo spine is seen in;

(a)Tuberculosis.

(b)Rheumatoid arthritis
(c) Ochronosis

(d)Ankylosing spondylosis

15-Treatment of osteo arthritis include all except

(a)Replacement of articular surfaces

(b)Graded muscle exercises

(c)Increase the weight bearing by the affected joint

(d)Rest the joint in acute phases

16-The most common site of primary osteoarthrosis is

(a)Hip joint

(b)Knee joint

(c)Ankle joint

(d)Shoulder joint

17-Which is characteristic for osteoarthritis on X-ray?

(a)Spurring

(b)Subchondral sclerosis

(c)Dimunition of cartilage space

(d)All of these.

18-Legg- Calves-perthes disease is

(a)Mild pyogenic arthritis.

(b)Slipped femoral epiphysis

(c)A vascular necrosis of head of femur

(d)Low grade Tuberculosis of hip

19-Osteoporosis is seen in the following except

(a)old age

(b)prolonged heparine administration

(c)Hyperthyrodism

(d)Steroid intake

20-Action of Vitamin D is

(a)Stimulates bone marrow

(b)Increase calcium loss

(c)Stimulates Absorption of calcium

(d)Stimulates osteoclasts

21-commonest benign tumour of the bone is:

(a)Osteoma

(b)osteochondroma

(c)Osteoid osteoma

(d)chondroma

22-A boy presenting with swelling at lower end femur with calcified,
nodular shadow in lung has;

(a)Osteosarcoma

(b)Osteochondroma

(c)Tuberculosis femur lower end.

(d)Osteomyelitis

23-Treatment of solitary bone cyst is;

(a)curettage.

(b)Excision.

(c)Curettage and bone grafting

(d)Irradiation

24-The most common primary Malignant bone tumour is

(a)osteosarcoma

(b)Ewing sarcoma

(c)Osteoclastoma

(d)osteochondroma

25-The most common tumour that involves bone is

(a)Giant Cell tumour

(b)chondrosarcoma

(c)Metastatic tumour from extraosseous site.

(d)Multiple myeloma.

26-Pain in thigh more at night relieved by aspirin is

(a)Ewing tumour

(b)Osteosarcoma

(c)Osteoid osteoma

(d)osteochondroma

27-Among the following bone tumour, which is most

radiosensitive?

(a)Osteoma

(b)Osteogenic sarcoma

(c)Ewing s tumour

(d)osteochondroma

28-Acute osteomylitis resembles which primary bone tumour?

(a)Ewing tumour
(b)Osteochondroma

(c)Osteosarcoma

(d)chondroma

29-The most common presentation of unicameral bone cyst is

(a)A symptomatic

(b)Infection

(c)Swelling

(d) Fracture through cyst

30-Osteoplastic Secondaries are seen in all except

(a)Carcinoma prostate

(b)Carcinoma breast

(c)carcinoma thyroid

(d)Multiple Myeloma

31-Ulnar nerve injury at wrist result in

(a)Unable to grasp card between the fingers

(b)Claw hand

(c)Inability to abduct or adduct the fingers

(d)All of the above

32-commonest cause of wrist drop is

(a)Intramuscular injection

(b)Fracture humerus

(c)Dislocation of elbow

(d)Dislocation of shoulder
33-phalen s test is positive in

(a)carpal tunnel syndrome

(b)De Quervain s disease

(c)Tennis elbow

(d)Ulnar bursitis

34-In de Quervain s disease the following tendons are involved

(a)Abductor pollicis longus +Extensor pollicis brevis

(b)Abductor pollicis brevis +Extensor pollicis longus

(c)Adductor pollicis brevis +Extensor policis longus

(d)Extensor pollicis longus +Flexor pollicis longus

35-Carrying angle is decreased in

(a)Cubitus varus

(b)Cubitus valgus

(c)Genu valgum

(d)Genu varum

36-trigger finger is

(a)A feature of carpal tunnel syndrome

(b)Injury to finger while operating a gun

(c)Stenosis tenovaginitis of flexor tendon or affected finger

(d)Any of the above

37-Dupuytrens contracture is fibrosis of

(a)Palmar fascia

(b)Forearm muscles
 (c)Sartorious fascia

(d)Non of the above

38-Gradual painfull limitation of shoulder movments in an early

suggest that the most probable diagnosis is

(a)Arthritis

(b)Osteoarthritis

(c)Periarthritis

(dMyositis Ossificans

39-Tennis elbow is

(a)Olecranon bursitis

(b)Pain over the medial epicondyle

(c)pain over the lateral epicondyle

(d)Myositis ossificans

40-Idiopathic scoliosis is

(a)A lateral curvature of the spine

(b)Rotation of the spine

(c)Lateral curvature with rotation of the spine

(d)Flexion deformity of the spine

41-Which one of the following statement regarding bow -leg is

correct

(a)Physiologically corrected

(b)Surgery is required as early as possible

(c)It is progressive deformity

(d)Idiopathic variety is rarest type

 42-The most common cause of acute sciatica is due to

(a)Trauma

(b)Secondaries of spine

(c)A cute prolapsed Intervertebral disc

(d)Tuberculosis of spine

43-The most common elbow injury in children is

(a)Supracondylar fracture of humerus

(b)Dislocation of elbow

(c)Fracture lateral condyle of humerus

(d)Fracture medial epicondyle of humerus

44-which one of the following statement is Not correct regarding

fracture scaphoid?

(a)It is the most commonly fractured carpal bone

(b)persistent tenderness in the anatomical snuffbox is highly

suggestive of fracture

(c)Immediate X-ray of hand may not reveal fracture line

(d)Mal union is a frequent complication

45-which is true about shoulder dislocation?

(a)Anterior dislocation is common than posterior

(b)Fixed medial rotation in posterior dislocation

(c)Kocher s manoeuvre is effective in anterior dislocation

(d)All of the above.

46-Flexion,adduction and internal rotation is characteristic

posture in
 (a)Anterior dislocation of hip

(b)posterior dislocation of hip

(c)Fracture of femoral head

(d)Fracture shaft of femur

47-pulled elbow is

(a)A sprain of extensor tendons

(b)Dislocation of head of radius

(c)Fracture of lateral condyle humerus

(d)Dislocation of elbow

48-Galeazzi fracture is

(a)Supracondylar fracture of humerus

(b)Fracture of distal radius with inferior radio ulnar joint

dislocation

(c)Fracture of radius in the proximal site and dislocation of elbow

(d)Fracture of the radial head

49-The most common complication of intracapsular fracture

neck of femur is

(a)Malunion

(b)Osteoarthritis

(c)Non-union

(d)Shortening

50-Patient comes with fracture femur in an acute accident,the

first thing to do is;

(a)Secure airway and treat shock.

(b)Splinting

(c)Physical examination

(d)X-rays.