MCQ Exam for the FRCS Orth 1 This exam must be completed in 20 minutes. Click here to start the exam Time left: 1200 1. Which of the following would be an evidence-based indication for operative intervention for a typical thoracolumbar burst fracture of the spine? Loss of anterior vertebral height of less than 50% Kyphosis greater than 30 degrees Canal encroachment without neurological deficit Canal encroachment with static neurological deficit Lack of posterior midline tenderness on examination(Question 1 of 10)2. Which of the following is the most sensitive clinical sign for detection of developmental dysplasia of the hip (DDH) in a baby aged 6 months? Asymmetric skin folds in the thighs Barlow’s test Galeazzi test Limited hip abduction in flexion Ortolani’s test(Question 2 of 10)3. Comparing total hip replacement for displaced femoral neck fracture to hemiarthroplasty, total hip replacement would be expected to result in : Increased acetabular wear Reduced need for blood transfusion Reduced dislocation rate Increased rate of revision surgery Poor long term patient satisfaction (Question 3 of 10)4. The safe insertion zone of acetabular screws in total hip replacement is : Posteroinferior Anteroinferior Anterosuperior Posterosuperior Posterolateral(Question 4 of 10)5. A 25 years old patient is admitted with a forearm radius and ulna shaft fractures. You proceed with an open reduction and internal fixation. Regarding the implant used, which of the following statements is CORRECT: The bending rigidity of plate is proportional to the second power of it’s thickness In transverse fractures, a convex pre-bending of the plate is required to help achieving compression The pullout strength of screw is proportional to the core diameter of the screws Maximum efficiency of plate is achieved when it’s applied to the tension side of the fracture. Compared to titanium, the elastic modulus of stainless steel is closer to the cortical bone.(Question 5 of 10)6. Regarding obstetric brachial plexus injuries, which of the following is not typically associated with Erb’s palsy? Forearm pronation Elbow extension Shoulder adduction Anterior shoulder dislocation Increased likelihood of skin infection(Question 6 of 10)7. During a primary total knee replacement on a patient with previous fixed flexion deformity, you complete the distal femur and proximal tibia cuts. The gap is tight in extension, but balanced in flexion, what is the most appropriate first step to address this Thinner tibial insert Increase size of femoral component Resect more tibia Resect more distal femur Posterior capsule release(Question 7 of 10)8. While performing a total knee replacement for a knee with valgus deformity, to balance the coronal plane, which of the following statement is CORRECT : If there is a valgus deformity of greater than 15 degree, both the iliotibial band and the popliteal tendon will often need to be released The osteophytes are the the last structures that should be removed The iliotibial band should be released with a Z-type release if the knee is tight in flexion If the lateral collateral ligament is released, there is no need to consider the use of a constrained-type prosthesis The popliteus should be released before the lateral capsule(Question 8 of 10)9. A 12 year old girl attends the outpatient clinic for follow up of thoracic spine scoliosis. The cobb angle is measured at 30 degrees and she is found to be Risser grade 2. The best management option would be: Observation Anterior release and posterior deformity correction and spinal fusion Posterior deformity correction and spinal fusion Brace Repeat X-ray in 6 months(Question 9 of 10)10. The highest concentration of proteoglycans is found in which layer of the articular cartilage? Tidemark Middle Deep Superficial Calcified(Question 10 of 10) Loading ... Courtesy: Zaid al Rub, Founder, OrthoPass Post Views: 10,123 Related Posts Knee Arthroplasty MCQs for the FRCS OrthCourtesy: Zaid Al-Rab, Founder, OrthoPass, Leeds, UK Catastrophic Polyethylene Wear in Total Knee Replacement Factors… Must-Know MCQs for the Fellowship ExamCourtesy: Zaid Al-RUb, FRCS Orth, Founder, OrthoPass Must-Know MCQs for the FRCS Orth- Hip ArthroplastyCourtesy: Zaid Al-Rub, Founder and CEO, OrthoPass
Excellent test drive , excellent knowledge , would like to see more trials in it