Principle of Management Top MCQs with answer practice set

MCQs set with answer for Principle of Management

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QN1. Which is not a principle of compound fracture treatment?

a. no tendon repair

B. aggressive antibiotic cover

c. wound debridement

d. immediate wound closure


Answer: d.immediate wound closure

QN2. Medial meniscus is more vulnerable to injury because of?

a. its fixity to tibial collateral ligament

B. its semicircular shape

c. action of adductor magnus

d. its attachment to fibrous capsule


Answer: a.its fixity to tibial collateral ligament

QN3. Injury to the popliteal artery in fracture lower end of femur is often due to?

a. distal fragment pressing the artery

B. proximal fragment pressing the artery

c. tight plaster

d. hematoma


Answer: a.distal fragment pressing the artery

QN4. In transverse fracture of the patella, the treatment is

a. excision of small fragment

B. wire fixation

c. plaster cylinder

d. patellectomy


Answer: b.wire fixation

QN5. Blood coagulation profile in pregnancy is

a. increase in fibrinogen level of 10-25 %

B. decrease in factor x, xi, xii

c. decrease in plasminogen activity

d. increase in platelet count


Answer: a.increase in fibrinogen level of 10-25 %

QN6. In classical caesarean section more chances of rupture of uterus is in

a. upper uterine segment

B. lower uterine segment

c. utero cervical junction

d. posterior uterine segment.


Answer: a.upper uterine segment

QN7. The most preferred treatment of fracture of neck of femur in a young person is

a. hemiarthroplasty

B. total hip treatment

c. conservative treatment

d. closed reduction & internal fixation


Answer: d.closed reduction & internal fixation

QN8. Position of immobilization in fracture both bones of forearm in an adult male will be

a. prone

B. mid prone

c. supine

d. 10?? supine


Answer: c.supine

QN9. True about clavicular fracture is

a. most common at medial 1/3 & 2/3

B. comminuted fracture common

c. malunion occurs

d. usually due to fall on elbow


Answer: c.malunion occurs

QN10. Excision of fractured fragment is practised in all fractures except

a. patella

B. olecranon

c. head of radius

d. lateral condyle humerus


Answer: b.olecranon

QN11. In 65 year old male with history of fracture neck of femur 6 weeks old, treatment of choice

a. sp nailing

B. mc murrays osteotomy

c. hemiarthroplasty

d. none.


Answer: c.hemiarthroplasty

QN12. In Colles fracture not seen in

a. proximal impaction

B. lateral rotation

c. dorsal angulation

d. medial rotation


Answer: d.medial rotation

QN13. A lady presents with a history of fracture radius, which was put on plaster of paris casts for 4 weeks. After that she developed swelling of hands with shiny skin. What is the most likely diagnosis.

a. rupture of extensor pollicis longus tendon

B. myositis ossificans

c. reflex sympathetic dystrophy

d. malunion.


Answer: c.reflex sympathetic dystrophy

QN14. Complication of fracture scaphoid is

a. injury to radial artery

B. avascular necrosis of proximal part

c. avascular necrosis of distal part

d. injury to radial nerve


Answer: b.avascular necrosis of proximal part

QN15. Which fracture neck of femur has a poor prognosis

a. intra capsular

B. extracapsular

c. both

d. none.


Answer: a.intra capsular

QN16. Fracture blisters commonly appear on how many days?

a. 1- 3 days

B. 3- 5 days

c. 5-7 days

d. 5-9 days


Answer: b.3- 5 days

QN17. If the greater tuberosity of the humerus is lost, which of the following movements will be affected

a. adduction and flexion

B. abduction and lateral rotation

c. medial rotation and adduction

d. flexion and medial rotation


Answer: b.abduction and lateral rotation

QN18. The most common cause of a sprained ankle is injury of

a. deltoid ligament

B. lateral ligament

c. inferior tibiofibular ligament

d. anterior talofibular ligament.


Answer: d.anterior talofibular ligament.

QN19. In the case of 65 year old person with fracture neck offemur the treatment of choice is

a. close reduction

B. close reduction with internal fixation

c. open reduction

d. replacement of head and neck of the femur with a prosthesis


Answer: d.replacement of head and neck of the femur with a prosthesis

QN20. Tardy ulnar nerve palsy is seen in :

a. cubitus valgus

B. dislocation of elbow

c. fracture scaphoid

d. supracondylar fracture of humerus


Answer: a.cubitus valgus

QN21. Common injury to baby is

a. fracture humerus

B. fracture clavicle

c. fracture radius-ulna

d. fracture femur


Answer: b.fracture clavicle

QN22. Young man with # tibia of left side 2 months ago, is having popliteal cast, Now needs mobilization with single crutch. Which will be the preferred site?

a. left sided crutch

B. right sided

c. any side

d. both sides


Answer: a.left sided crutch

QN23. Earliest symptom of Volkmann’s ischemia is

a. pain in flexor muscles

B. absence of pulse

c. pain on passive extension

d. cyanosis of limb


Answer: a.pain in flexor muscles

QN24. A patient develops compartment syndrome (swelling, pain and numbness) following manipulation and plaster for fracture of both bones of leg. What is the best treatment?

a. split the plaster

B. infusion of law molecular weight dextran

c. elevate the leg after splitting the plaster

d. do operative decompression of fascial compartment


Answer: operative decompression of fascial compartment

QN25. Anterior dislocation of shoulder causes all except

a. circumflex artery injury

B. avascular necrosis head of humerus

c. brachial plexus injury

d. chip fracture scapula


Answer: d.chip fracture scapula

QN26. In Colles# following is most common complication

a. non union

B. malunion

c. sudecks dystrophy

d. volkmanns ischemic contracture


Answer: b.malunion

QN27. Patient with supracondylar fracture following reduction presented with claw hand. The likely diagnosis is

a. volkmanns ischaemic contracture

B. median nerve injury

c. ulnar nerve injury

d. dupuytrens contracture


Answer: a.volkmanns ischaemic contracture

QN28. Pivot test for

a. anterior cruciate ligament

B. posterior cruciate ligament

c. medial meniscus injury

d. lateral meniscus injury


Answer: a.anterior cruciate ligament

QN29. Triangular relation of Elbow is maintained in

a. fracture ulna

B. anterior dislocation of elbow

c. posterior dislocation of elbow

d. supracondylar fracture


Answer: d.supracondylar fracture

QN30. Fracture which most often requires open reduction & internal fixation

a. lateral condyle of humerus

B. femoral condyle

c. distal tibial epiphyseal separation

d. fracture both bones forearm


Answer: a.lateral condyle of humerus

QN31. Commonest type of lesion causing recurrent shoulder dislocation is

a. shallow glenoid labrum

B. bankarts lesion

c. weakness of subscapularis muscie

d. injury to humeral head


Answer: b.bankarts lesion

QN32. Menisci calcification is a feature of

a. gout

B. hyperparathyroidism

c. pseudogout

d. ankylosing spondylosis


Answer: c.pseudogout

QN33. A young adult presenting with oblique, displaced fracture olecranon treatment of choice

a. plaster cast

B. percutaneous wiring

c. tension band wiring

d. removal of displaced piece with triceps repair


Answer: c.tension band wiring

QN34. Volkmann’s ischemic contracture mostly involves

a. flexor digitorum superficialis

B. pronator teres

c. flexor digitorum profundus .

d. flexor carpi radialis longus


Answer: c.flexor digitorum profundus .

QN35. Avascular necrosis is commonest in one of the following fractures

a. gorden 1 & 2 fracture of femoral neck

B. gorden 3 & 4 fracture of femoral neck

c. sub-trochanteric fracture of femoral neck

d. baso-trochanteric fracture


Answer: b.gorden 3 & 4 fracture of femoral neck

QN36. On measurement, the base of Bryant’s triangle on the left side is found to be short by 2 cms as compared to the right side. This indicates

a. fracture of the neck of the femur

B. fracture of the shaft of the femur

c. osteoarthritis of hip joint

d. rheumatoid arthritis of the hip joint


Answer: a.fracture of the neck of the femur

QN37. All the following requires open reduction & internal fixation almost always except

a. lateral condyle of humerus

B. olecranon

c. patella

d. volar bartons fracture


Answer: d.volar bartons fracture

QN38. Pathognomic sign of traumatic fracture

a. swelling

B. tenderness

c. redness

d. crepitus


Answer: d.crepitus

QN39. A football player, while playing, twists his knees over the ankle. He still continues to play.

a. medial meniscus tear

B. anterior cruciate ligament tear

c. medial collateral ligament injury

d. posterior cruciate ligament injury.


Answer: a.medial meniscus tear

QN40. K-wire is used in

a. circlage

B. fixing forearm bones

c. prior to plating

d. all of the above.


Answer: d.all of the above.

QN41. Treatment of Acute myositis Ossificans is

a. active mobilization

B. passive mobilization

c. infra red therapy

d. immobilization


Answer: d.immobilization

QN42. The treatment of choice for non-union of extracapsular fracture neck femur

a. hip spica

B. intramedullary nailing

c. internal fixation

d. compression plating


Answer: c.internal fixation

QN43. Duga’s test is helpful in

a. dislocation of hip

B. scaphoid fracture

c. fracture neck of femur

d. anterior dislocation of shoulder


Answer: d.anterior dislocation of shoulder

QN44. Open reduction in children is done for

a. supracondylar fracture

B. forearm both bone fracture

c. femoral condyle fracture

d. lateral condyle of humerus fracture


Answer: d.lateral condyle of humerus fracture

QN45. Avascular necrosis of the head of femur is not seen in

a. subcapital fracture

B. intertrochanteric fracture

c. transcervical fracture

d. central dislocation of hip


Answer: b.intertrochanteric fracture

QN46. Stiffness in knee is maximum when traction is at

a. skin

B. lower end femur

c. upper end tibia

d. calcaneum


Answer: b.lower end femur

QN47. Intramedullary fixation is ideal in a case of fracture of shaft of femur when there is

a. a transverse fracture

B. a compound fracture

c. soft tissue interposition between the fractured ends

d. such a fracture in a child


Answer: a.a transverse fracture

QN48. Treatment of choice for old non-united fracture of shaft of femur

a. compression plating

B. bone grafting

c. nailing

d. compression plating with bone grafting.


Answer: d.compression plating with bone grafting.

QN49. A Bennet’s fracture is difficult to maintain in reduced position because of the pull of

a. extensor pollicis longus

B. extensor pollicis brevis

c. abductor pollicis longus

d. abductor pollicis brevis


Answer: d.abductor pollicis brevis

QN50. Inter trochanteric fracture has trendelenberg sign negative because of the action of

a. gluteus medius

B. gluteus minimus

c. g.maximus

d. tensor fascia lata


Answer: a.gluteus medius