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? Kyphosis greater than 30 degrees Lack of posterior midline tenderness on examination Canal encroachment without neurological deficit Loss of anterior vertebral height of less than 50% Canal encroachment with static neurological deficit(Question 1 of 10)2. While performing a total knee replacement for a knee with valgus deformity, to balance the coronal plane, which of the following statement is CORRECT : The iliotibial band should be released with a Z-type release if the knee is tight in flexion The osteophytes are the the last structures that should be removed The popliteus should be released before the lateral capsule 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 If the lateral collateral ligament is released, there is no need to consider the use of a constrained-type prosthesis(Question 2 of 10)3. The highest concentration of proteoglycans is found in which layer of the articular cartilage? Calcified Superficial Middle Tidemark Deep(Question 3 of 10)4. 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 Increase size of femoral component Posterior capsule release Thinner tibial insert Resect more tibia Resect more distal femur(Question 4 of 10)5. The safe insertion zone of acetabular screws in total hip replacement is : Posteroinferior Anterosuperior Anteroinferior Posterolateral Posterosuperior(Question 5 of 10)6. 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 Brace Repeat X-ray in 6 months Posterior deformity correction and spinal fusion(Question 6 of 10)7. 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? Ortolani’s test Galeazzi test Limited hip abduction in flexion Barlow’s test Asymmetric skin folds in the thighs (Question 7 of 10)8. 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 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. In transverse fractures, a convex pre-bending of the plate is required to help achieving compression Compared to titanium, the elastic modulus of stainless steel is closer to the cortical bone. The bending rigidity of plate is proportional to the second power of it’s thickness(Question 8 of 10)9. Regarding obstetric brachial plexus injuries, which of the following is not typically associated with Erb’s palsy? Forearm pronation Elbow extension Increased likelihood of skin infection Shoulder adduction Anterior shoulder dislocation (Question 9 of 10)10. Comparing total hip replacement for displaced femoral neck fracture to hemiarthroplasty, total hip replacement would be expected to result in : Reduced need for blood transfusion Reduced dislocation rate Increased rate of revision surgery Increased acetabular wear Poor long term patient satisfaction (Question 10 of 10) Loading ... Courtesy: Zaid al Rub, Founder, OrthoPass Post Views: 10,254 Related Posts Knee Arthroplasty MCQs for the FRCS OrthCourtesy: Zaid Al-Rab, Founder, OrthoPass, Leeds, UK Overview Catastrophic polyethylene wear is a serious complication… Must-Know MCQs for the Fellowship ExamCourtesy: Zaid Al-RUb, FRCS Orth, Founder, OrthoPass Courtesy: Zaid Al-Rub, Founder and CEO, OrthoPass… Must-Know MCQs for the FRCS Orth- Hip ArthroplastyCourtesy: Zaid Al-Rub, Founder and CEO, OrthoPass Periprosthetic Joint Infection (PJI) Clinical Scenario Elderly patient…
Excellent test drive , excellent knowledge , would like to see more trials in it