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Orthopedics Quiz | Practice MCQ #mcq.ImBooz

February 15, 2020 by imBooz Leave a Comment

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1 >>Most common organism causing infection after open fracture ?

  • (A) Pseudomonas
  • (B) Staphylococcus aureus
  • (C) Kiebsiella
  • (D) Gonococcus

2 >>Chronic persistent neutrophilic discharge is seen in: ?

  • (A) Chronic osteomyelitis
  • (B) Acute osteomyelitis
  • (C) Septic arthritis
  • (D) None

3 >>Cloacae are present in: ?

  • (A) Sequestrum
  • (B) Involucrum
  • (C) Normal bone
  • (D) Myositis

4 >>Sequestrum is best defined as: ?

  • (A) A piece of dead bone
  • (B) A piece of dead bone surrounded by infected tissue
  • (C) A piece of bone with poor vascularity
  • (D) None

5 >>Postsurgical osteomyelitis most common organism is: ?

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  • (A) Staphylococcus aureus
  • (B) Staphylococcus pyogenes
  • (C) Coli
  • (D) Pseudomonas

6 >>Osteomyelitis most commonly starts at: ?

  • (A) Epiphysis
  • (B) Metaphysis
  • (C) Diaphysis
  • (D) None

7 >>Brodies abscess at upper end tibia is: ?

  • (A) Acute osteomyelitis
  • (B) Subacute osteomyelitis
  • (C) Chronic osteomyelitis
  • (D) Septic Arthritis

8 >>Acute osteomyelitis is most commonly caused by: ?

  • (A) Staphylococcus aureus
  • (B) Actinomyces bovis
  • (C) Nocardia asteroids
  • (D) Borrelia Vincentii

9 >>A, 16/M has history of surgical drainage of left thigh and he now has a discharging sinus along the lateral aspect of thigh, femoral bone is irregular and tender. On X-ray there is lamellated appearance of periosteal reaction, has sclerosed fragment in centre reactive new bone around the sclerosed bone ?

  • (A) Sclerosed bone is sequestrum
  • (B) Reactive bone is involucrum
  • (C) Both correct
  • (D) Both wrong

10 >>Acute osteomyelitis of long bones commonly affects the: ?

  • (A) Epiphysis
  • (B) Diaphysius
  • (C) Metaphysis
  • (D) Articular surface

11 >>Chronic osteomyelitis is diagnosed mainly by: ?

  • (A) Sequestrum
  • (B) Bone fracture
  • (C) Deformity
  • (D) Brodie’s abscess

12 >>Which of the following is NOT TRUE regarding tubercular osteomyelitis? ?

  • (A) It is a secondary TB
  • (B) Periosteal reaction is seen
  • (C) Sequestration is uncommon
  • (D) Inflammation is minimum

13 >>Complications of acute osteomyelitis: ?

  • (A) Malignancy
  • (B) Fracture of the affected bone
  • (C) Sepsis
  • (D) Chronicity

14 >>True regarding acute osteomyelitis in a child: ?

  • (A) Diagnosis by X-ray shows periosteal reaction in 8�10 days after onset
  • (B) There is tenderness at the site
  • (C) Antibiotic therapy should be at least for 6 weeks
  • (D) Salmonella is the most common cause

15 >>An 8-year-old boy presents with a gradually progressing swelling and pain since 6 months over the upper tibia. On X-ray, there is a lytic lesion with sclerotic margins in the upper tibial metaphysis. The diagnosis is: ?

  • (A) Osteogenic sarcoma
  • (B) Osteoclastoma
  • (C) Brodie’s abscess
  • (D) Ewing’s sarcoma

16 >>All are associated with chronic osteomyelitis except: ?

  • (A) Amyloidosis
  • (B) Sequestrum
  • (C) Metastatic abscess
  • (D) Myositis ossificans

17 >>True about HIV, osteomyelitis is all EXCEPT: ?

  • (A) Necrosis absent
  • (B) Often bilateral
  • (C) Periosteal new bone formation
  • (D) Most common cause is Staphylococcus. aureus

18 >>The most common organism causing osteomyelitis in drug abusers is: ?

  • (A) E. coli
  • (B) Pseudomonas
  • (C) Kiebsiella
  • (D) Staphylococcus Aureus

19 >>The most common source of bone and joint infection is: ?

  • (A) Direct spread
  • (B) Percutaneous
  • (C) Lymphatic
  • (D) Haematogenous

20 >>Instillation treatment in osteomyelitis is: ?

  • (A) Continuous suction + continuous drainage
  • (B) Intermittent suction + continuous drainage
  • (C) Continuous suction + intermittent drainage
  • (D) Intermittent suction + intermittent drainage

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