1.

Patient with metatarsal fracture, X- ray not show exact fracture, next investigation:
a) US
b) CT
c) MRI
 Imaging in metatarsal fracture
1) X-ray “AP, lateral and oblique views of the foot”
2) CT
 not routinely obtained
 may be of use in periarticular injuries or to rule out Lisfranc injury
3) MRI or bone scan
 useful in detection of occult or stress fractures

2. 20 years old man sustained a deep laceration on the anterior surface of the wrist. Median nerve
injury would result in:
a) Claw hand defect
b) wrist drop
c) Sensory deficit only.
d) Inability to oppose the thumb to other fingers
e) The inability to flex the metacarpophalangeal joints.
 Ulnar nerve  claw hand
 Median  inability to oppose the thumb to other fingers
 Radial nerve  wrist drop

3. All of the following muscles are part of rotator cuff, except:

a) Supra-spinatus.
b)Infra-spinatus.
c) Deltoid
d)Subscapularis.
e) Teres minor.

4. Boy after running for hours, has pain in knee and mass on upper surface of tibia
a) Osgood schlatter disease
 Iliotibial band Osgood–Schlatter disease or syndrome (tibial tubercle apophyseal traction
injury and epiphysitis of the tibular tubercle) is an irritation of the patellar ligament at the tibial
tuberosity.
 It is characterized by painful lumps just below the knee and is most often seen in young adolescents.
 Risk factors include excess weight and overzealous conditioning (running and jumping).
 Diagnosis is made clinically
 Treatment is conservative with RICE (Rest, Ice, Compression, and Elevation), and if
required acetaminophen

5. Patient complaining of pain at night when he elevated his arm, tingling on lateral arm side and lateral
three fingers, what is the diagnosis?
a) Brachial plexus neuropathy
b) Shoulder impingement syndrome
c) Brachial artery thrombophlebitis
d) Thoracic outlet problem
 Brachial plexus neuropathy is characterized by acute onset of intense pain in the shoulder or arm
followed shortly by focal muscle weakness.

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6. Patient with scoliosis, you need to refer him to the orthopaedic when the degree is:
a) 5
b) 10
c) 15
d) 20

7. Mid clavicle fracture :

a) Surgery is always indicated if fracture is displaced
b) Figure-8-dressing has better outcomes than simple sling
c) Figure-8-dressing is strongly indicated in patient with un-union risk
d) Both figure-8 and simple sling has similar outcomes
 Simple sling has been to give the same result as a figure-8 (more comfort and fewer skin problems).

8. Young adult presented with pain on lateral elbow, tingling of lateral arm, he plays Squash:
a) Carbel tunnel
b) Tennis elbow
 Lateral epicondylitis (inflammation of common extensor tendon) also known as (tennis elbow, shooter's
elbow and archer's elbow) is a condition where the outer part of the elbow becomes sore and tender.
It is commonly associated with playing tennis and racquet sports
 Medial epicondylitis (inflammation of common flexor elbow) also know (golfer elbow)

9. Young female with pain in her elbow (lateral epichondylitis) best treatment is
 Treatment of lateral epichondylitis:
 1st line : NSAID + rest + ice
 2nd line : corticosteroid injection
 3rd line : surgery  percutaneous release of common tendon

10. Patient complaining of pain along median nerve distribution and positive tinel sign treatment include
casting of both hand in what position
a) Dorsiflexion
b) plantar flexion
c) Extension
d) Adduction
e) Abduction

11. Old man with bilateral knee pain and tenderness that increase with walking and relieved by rest
a) RA
b) OA
 OA: pain with activity and weight bearing and improve with rest
 RA: morning stiffness > 1 hour. Painful and warm swelling of multiple symmetric joint.

12. The useful exercise for osteoarthritis in old age to maintain muscle and bone Low resistance and
high repetition weight training:
a) Conditioning and low repetition weight training
b) Walking and weight exercise

13. Old patient c/o bilateral knee pain with mild joint enlargement ESR and CRP normal dx:
a) Osteoarthritis
b) Rheumatoid arthritis
c) Gout
14. Old lady came to clinic as routine visit , she mention decrease intake of Ca food , doctor suspect
osteoporosis , next initial investigation :
a) DEXA
b) Ca in serum
c) Thyroid function test
d) Vitamin D

15. Old male c/o knee pain on walking with crepitus x-ray show narrow joint space and subchondoral
sclerosis:
a) Rheumatoid arthritis
b) Osteoarthritis
c) Gout

16. Diet supplement for osteoarthritis

a) Ginger

17. Child with back pain that wake pt from sleep , So diagnosis
a) Lumber kyphosis
b) Osteoarthritis
c) RA
d) Scoliosis

18. A patient is asked to face the wall, bend his waist, and let his hands hang down without support. This
test is used as a screening tool for which of the following?
a) Lower limb asymmetry
b) Rectal prolapsed
c) Scoliosis
 This test is called for (Adam's Forward Bend Test )

19. 5 years old complaining of limping in CT there is a vascular necrosis, treatment is:
a) Surgery total hip replacement
b) Splint
c) Physiotherapy

20. Patient with congenital hip dislocation:

a) Abducting at flexed hip can causes click or tali

21. Boutonnière deformity of finger is:

a) Flexion of proximal interphalangeal joint & hyper extension of distal interphalangeal joint
b) Flexion of proximal interphalangeal joint & extension of distal interphalangeal joint.

22. Old age with painful hip, increased with walking & associated with morning stiffness, dx:
a) Osteoporosis.
b) Osteoarthritis
c) RA

23. Old age with…., & spine x-ray showed ankylosing spondylopathy, what is the management?
a) Injection of subdural steroid.
b) Back splint.
c) Physiotherapy
24. The commonest nerve injury associated with humours fracture is:
a) Radial nerve
b) Ulnar
c) Musculocutaneous
d) Axillary
e) Median

25. Adult with osteoporosis, what is the treatment?

a) Ca & folic acid

26. Pseud-gout is :
a) CACO3
b) CACL3

27. Old male complaining of right hip pain on walking the pain increased at the end of day when he wake
up in morning he complaining of joint pain and stiffness
a) Osteoarthritis
b) Ostiomylitis
c) Osteoprosis

28. The most common fracture in osteoporosis :

a) Colles fracture (if prior 75 y)
b) Fracture neck of femur
c) Shaft of femur
d) Hip fracture (if over 75y)

29. 50 years old male with numbness in the little finger and he has degenerative cervicitis with restriction in
the neck movement, also there is numbness in the ring finger and atrophy of the thenar muscle +
compression in the elbow, what you'll do?
a) Surgical decompression
b) CAT scan for survical spine

30. Which of the following is a disease improving drug for RA:

a) NSAID
b) Hydroxychloroquine

31. Treatment of open tibial fracture:

a) Cephazolin
b) Cephazolin+gentamicin
c) Gentamicin
d) Cephazolin, gentamicin and metronidazole

32. A football player presented with knee pain after a hit on the lateral side of his knee on exam. Increased
laxity on valgus stress negative lachman & mcmurry's test, what is the most likely diagnosis?
a) Lateral collateral lig tear
b) Medial collateral ligament tear
c) ACL tear
d) PCL
33. Most common site of non traumatic fracture in osteoporotic pt. is:
a) Head of femur
b) Neck of femur
c) Vertebra
d) Tibia

34. Child came with or Toeing-In , set in W shape , when walk both feet and knee inward with 20 degree
, both femur inward rotation 70 degree , what the diagnosis?
a) Metatarsusadductus
b) Femoral anteversion (femoral torsion)

35. 2 years old child fell down over his toy, as a result of that his leg was under the toy, in the next day
he refused to walk what is your diagnosis?
a) Spiral Fracture of the right Femur
b) Spiral Fracture of the right tibia
c) Cheeps Fracture of the right proximal tibia
d) Swelling of the soft tissue of the right leg
e) Ankle

36. 50 years old male work as a constructor, 1 week ago when he started using a hummer he develop pain
on the lateral side of the elbow what is your diagnosis?
a) Osteoarthritis
b) Rheumatoid arthritis
c) Ulnar nerve compression
d) Lateral epicondylitis

37. Middle age male fell down on his elbow and develop pain which is the early manifestation (I can
not remember) but: The fat pad sign is a sign that is sometimes seen on lateral radiographs of
the elbow following trauma. Elevation of the anterior and posterior fat pads of the elbow joint suggests the
presence of an occult fracture.
a) Anterior Pad sign
b) Posterior Pad sign

38. Olcranon Bursitis of the elbow joint caused by:

a) Repeated elbow trauma
b) Autoimmune disease
c) Staph. Aureus
d) rupture of bursa

39. Mother complains of sharp pain on radial styloid when carrying her baby. The pain increase with
extension of the thumb against resistance, Finkelstein test was positive, Dx :
a) Osteoarthritis of radial styloid
b) De Quervain Tenosynovitis
 Finkelstein's test is used to diagnose DeQuervain's tenosynovitis, Radial styloid tenosynovitis, in people
who have wrist pain treatment is Injection of corticosteroid and an anesthetic provides relief in more
difficult cases. If conservative measures fail, surgery may be necessary to decrease pressure over the
tendon (tenosynovectomy) or NSIAD
 Phalen's maneuver is more sensitive than Tinel's sign for carpal tunnel syndrome
40. 4 years old baby felt down his mother pulled him by his arm & since then he kept his arm in
pronation position what is your management:
a) Splint ………….
b) Do x-ray for the arm before any intervention
c) Orthopedic surgery

41. Polyartheralgia rhumatica. What is the thing that suggest it rather than  ESR & C-reactive protein
a) proximal muscle weakness
b) proximal muscle tenderness

42. 17 years old football player gave history of left knee giving off, the most likely diagnosis is :
a) Lateral Menisceal injury
b) Medial menisceal injury
c) Lateral collateral ligament
d) Medial collateral ligament
e) Anterior Cruciate ligament

43. 10 years old boy presented to clinic with 3 weeks history of limping that worsen in the morning,
this suggests which of the following :
a) Septic arthritis
b) Leg calve parthes disease
c) RA
d) Tumor
e) Slipped capital femoral epiphysis

44. 17 year old male while play football felt on his knee “tern over “ what do think the injury
happened
a) Medial meniscus ligament
b) Lateral meniscus ligament
c) Medial collateral ligament
d) Lateral collateral ligament
e) Anterior Cruciate ligament

45. 30 years old male with history of pain & swilling of the right Knee , synovial fluid aspiration
showed yellow colour, opaque appearance, variable viscosity, WBC 150000, 80% poor mucin clot ,, Dx
is:
a) Goutism Arthritis
b) Meniscal tear
c) RA
d) Septic Arthritis
e) Pseudogout arthritis

46. 25 year old male presented with single fracture in the shaft of the femurs. Treatment is:
a) Open retrograde intramedullary nail
b) Closed antegrade intramedullary nail
c) Internal fixation
d) Apply cast
e) Skeletal traction

47. Radiological finding in lateral view for elbow dislocation :

a) Posterior fat pad sign
48. 70 year-old man fell on outstretched hand. On examination intact both radial and ulnar pulses,
dinner fork deformity. Tender radial head. The diagnosis is:
a) Fracture of distal ulna & displacement of radial head
b) Fracture of shaft of radius with displacement of head of ulna
c) Colle’s fracture
d) Fracture of scaphoid

49. Baby present with unilateral deformity in the foot appear when it is become the weight bearing is in the
other foot but when it is the weight bearing the deformity disappear ,the patient has defect in dorsiflexion of
that foot, I think they are taking about ( club foot ) treatment :
a) Orthopedic correction
b) Shoe....
c) Surgery

50. Case scenario patient present with carpal tunnel syndrome, Treatment:
a) Corticosteroid injection
 Splint the wrist in a neutral position at night and during the day if possible.
 Administer NSAIDs.
 Conservative treatment can include corticosteroid injection of the carpal canal.
 They didn't mention a surgery in the MCQ

51. Shoulder pain most commonly due to

a) Infraspinatus muscle injury
b) Referred pain due to cardiac ischemia
c) In acute cholecystitis
d) Rotator cuff
 The Most Common Cause of shoulder joint pain is rotator cuff tendonitis because of overuse of the shoulder.

52. Mother come to you complaining of that her child not use his right arm to take things from her and
he keeps his arm in pronation position and fisted , How you will solve this orthopedic problem :
a) Orthopedic referral for possible surgical correction
b) Rapid supination of forearm

53. Patient come to you with pain in posterior of neck and accipital area , no affection of vision , by cervical x
ray there were decrease of joint space : what is your diagnosis :
a) cervical spondylosis
 Cervical spondylosis is a common degenerative condition of the cervical spine. It is most likely caused by
age-related changes in the intervertebral disks.
 If compression of a nerve roots emerging from the spinal cord may result in radiculopathy (sensory and
motor disturbances, such as severe pain in the neck, shoulder, arm, back, and/or leg, accompanied
by muscle weakness).
 If less commonly, direct pressure on the spinal cord (typically in the cervical spine) may result in
myelopathy, characterized by global weakness, gait dysfunction, loss of balance, and loss of bowel
and/or bladder control.
 Treatment: usually conservative in nature : NSAIDs , physical modalities, and lifestyle modifications
54. Lady, computer programmer developed bilateral tingling sensation of hands, +ve tinel test, mx include
splintage of both hands in which position
a) Plantoflexion.
b) Dorsiflexion
c) Extension
d) Abduction.

55. Patient with congenital hip dislocation

a) abducting at flexed hip can causes click or tali
 Barlow’s maneuver: Pressure is placed on the inner aspect of the abducted thigh, and the hip
is then adducted, leading to an audible “clunk” as the femoral head dislocates
posteriorly.
 Ortolani’s maneuver: The thighs are gently abducted from the midline with anterior pressure on
the greater trochanter. A soft click signifi es reduction of the femoral head into the acetabulum.
 Allis’ (Galeazzi’s) sign: The knees are at unequal heights when the hips and knees are fl exed (the
dislocated side is lower).
 Asymmetric skin folds and limited abduction of the affected hip are also

56. 33 years old Saudi male complaining from lower back pain and considerable morning stiffness. X-ray
showed sclerosis joint. Other criterion of this disease are all the following except:
a) Common in male
b) Negative RF
c) No subcutaneous nodules.
d) Aortic complications.

57. About Clavicular fracture in new-born what is true?

a) Most cases develop brachial plexus injury
b) Figure-8-dressing is needed
c) Internal fixation is needed
d) Most will healed spontaneously

58. Graph showing risk of osteoporotic patient with aging

a) The elderly people get higher risk than young(something like that I don’t remember)
b) 10 % of 70 year old people will develop osteop.

59. 18 years old boy with back pain investigation to do except :

a) CBC
b) ESR
c) X –ray
d) Bone scan

60. Old patient complaining of back pain on walking on examination there was stiffness of the muscle and
there was some finding on the X-Ray best effective ttt
a) Physiotherapy
b)NSAID
c) Surgery

61. In knee examination : +ve lechman test indicate injury :

a) Anterior cruciate ligament
62. Female, right hand lateral two radial styloid processes pain, since month increase progressively,
CS, positive Finkelstein test, what is the initial treatment?
a) Nerve decomperrison
b) Cast upper joint
c) Cast with thumb raised

 Initial treatment for DeQuervain's syndrome is nonoperative: first thumb-spica splint, NSAIDS may also
be of value, corticosteriod injection into the first dorsal compartment may provide sustained relief.

63. 70 years old male with osteoporosis the T score of bone densometry would be :
a) -3.5
b) -2.5
c) 1
d) 2
e) 3.5
 Above -1: normal
 Between -1 and -2.5 : osteopenia
 Below -2.5: osteoporosis

64. Colle’s fracture:

a) Distal end of the radius.
b) Scaphoid fracture
c) Around the elbow.
d) Head of the radius.

65. A child fell on an out-stretched hand and flexed elbow, exam showed swelling around the elbow with no
radial pulse, best management:
a) Closed reduction
b)Closed reduction then check for radial pulse.
c) Open reduction.
d)Cuff and collar for 3weeks.

 Because of the vessel involvement the best way of treatment is by open repair.

66. Flexion, adduction, and internal rotation is:

a) Anterior hip dislocation.
b) Posterior hip dislocation.
 Represents 90% of dislocation. Anterior hip dislocation classily extended, externally rotated hip.

67. Old lady with osteoporosis asked for treatment for prevention:
a) D
b) E
c) Retinoic Acid

68. Young male with morning stiffness at back relieved with activity and uveitis:
a) Ankylosing Spondylitis

69. Young female with pain in her elbow(lateral epichondylitis) best treatment is :
b) Rest + physical therapy + NSAID
70. Female presented with complain of neck pain and occipital headache , no other symptoms , on X-ray has
cervical spine osteophytes and narrow disks :
e) cervical spondylosis

71. Bursitis of the elbow joint caused by:

a) Elbow trauma
b) Autoimmune disease
c) Staph. Aureus
d) rupture of bursa

72. 48 year-old male complaining of lower back pain with morning stiffness for 30 minutes only. On exam he
was having spasm centrally on the lower back. What is the appropriate management :
a) Epidural steroids injection
b) Back brace
c) Facet lysis
d) Physiotherapy

73. Old patient had history of gout and drinking alcohol heavily came with bone pain, on examination
generalize bone tenderness and proximal muscle weakness, x ray of long bone shows ….i can't
remember…ix shows high ca and ph..ur dx
a) Osteomalacia CA low, ph low, alp high
b) Mets from prostatic cancer
c) Osteoarthritis
d) Paget dis ca normal, ph normal, alp high

74. RTA with hip dislocation and shock so causes of shock is

a) blood lose
b) urtheral injery
c) nrurogenic

75. Patient with DM presented with limited or decreased range of movement passive and active of all
directions of shoulder
a) Frozen shoulder
b) Impingment syndrome
c) Osteoarthritis

76. Pseudogout is Ca:

a) Pyrophosphate
b) Sulfate
c) Uriate

77. Female patient has morning stiffness and pain involving the metacarpophalengeal and proximal
interphalengeal joints. What’s the likely diagnosis?
a) Rheumatoid arthritis

78. An elderly female presented with history of bilateral hand stiffness that is worse in the morning. On
examination she had bony swellings in the distal interphalangeal joints. These swellings are:
a) Heberden nodule
b) Buchard's nodule
c) Synovial thickening
d) Synovial cysts
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79. 74 years old female complaining of pain and stiffness in the hip and shoulder girdle muscles. She is also
experiencing low grade fever and has depression. On examination no muscle weakness detected
(Polymyalgia rheumatic). Investigation of choice:
a) RF
b) Muscle CK
c) ESR

80. Supra-condylar fracture patient presented with swelling and cyanosis of finger after plaster, Management
a) Removal of splint near finger
b) Entire removal of all splint

81. The most common site for Osteomyelitis is:

a) Epiphysis
b) Diaphysis
c) Metaphysis
d) Blood flow

82. What is the initial management for a patient newly diagnosed knee osteoarthritis.
a) Intra-articular corticosteroid
b) Reduce weight
c) Exercise
d) Strengthening of quadriceps muscle.

83. Which of the following is true regarding perths disease :

a) Commonly seen between 11-16 years of age
b) Always unilateral.
c) May present by painless limp
d) Characteristically affect the external rotation of hip
e) More in female

84. Snuff box.

a) in scaphoid bone

85. A patient presents with long time history of knee pain suggestive of osteoarthritis. Now he complains of
unilateral lower limb swelling and on examination there is +ve pedal & tibial pitting edema. What is the next
appropriate investigation?
a) CXR
b) ECG
c) Echocardiography
d) Duplex ultrasound of lower limb
 Osteoarthritis relief by rest. So, immobility pt. can lead to DVT

86. In lumbar disc prolapse at L4-L5 the patient will have:

a) Pain at groin & front of thigh
b) Hypoesthesia around the knee
c) Weakness of dorsiflextion of foot
d) Absent ankle reflex
e) Fasciculation at calf muscle
87. 2 years old baby was brought to the clinic because of inability to walk straight. On examination,
there was asymmetry of skin creases in the groin. The Trendelenburg’s sign was positive on the left
side. Your diagnosis :
a) Fracture pelvis.
b) Congenital hip dislocation
c) Fracture femur on the left side.
d) Poliomyelitis.
e) Rickets

88. Fractured pelvis commonly associated with:

a) Bladder injury
b) Penile urethra injury
c) Bulbomembraneus urethra injury
d) Ureter injury

89. Sickle cell anemia patient presented with unilateral hip pain, most likely diagnosis is:
a) Septic arthritis
b) Avascular Necrosis

90. Avascular necrosis of the head of femur is usually detected clinically by:
a) 3 months
b) 6 months
c) 11months
d) 15 months.

91. Man with back pain x ray show fracture at T8, L1 & L2, Bone density T - 1,9
a) Osteopenia
b) Osteoporosis

92. Which of the following is not true regarding Osteomyelitis:

a) Puomyositis
b) Epiphyseal plate destruction
c) Septic arthritis (it can develop due to osteomylitis) “not sure”
d) Septicemia
e) After bone growth

93. Congenital dislocation of hip; all are true EXCEPT:

a) More in girls
b) Best examined after 12-36 hours from birth
c) There will be limitation in abduction of thigh
d) Barlow test will give click indicating CDH
e) Can be treated by splint

94. Acute gait disturbance in children; all are true EXCEPT:

a) Commonly self limited
b) The usual presenting symptom is limping
c) Radiological investigation can be reveal the DX
d) Most often no cause can be found

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95. Concerning green stick fracture in children, all are true EXCEPT
a) Extremely painful
b) Most commonly involve the forearm
c) Function of the limb is preserved
d) Is incomplete fracture

96. Which of the following increase bone density and muscle strength
a) Endurance and weigh exercise
b) High repetition
c) Low repetition

97. Hypertensive patient on Thiazide presented at night with severe left foot pain involving the first toe with
redniss extending to the mid leg. The Dx:
a) Cellulitis
b) Septic arthritis
c) Gouty arthritis

98. Child fall and had spiral type radial fracture, what is the management?
a) Splinting
b) Refer to orthopedics
c) Refer to pediatric
d) Open reduction with internal fixation

99. Man who is having a severe pain on his big toe with knee pain and examination revealed
negative perferingent crystals:
a) Uric acid deposit secondary to synovial fluid over saturation
b) Ca pyrophosphate secondary to synovial fluid over saturation

100. Patient with epilepsy came with Left shoulder pain, on examination flattened contour of the shoulder,
and fixed adduction with internal rotation, what is the diagnosis?
a) Inferior dislocation
b) Subacromal post Dislocation
c) Subglenoid ant dislocation
d) Subclavicle ant dislocation

101. Child with radial head dislocation, what is the next in management?
a) Reduction and subluxation
b) x ray
c) MRI

102. Which of following would decrease the incidence of compression fracture :

a) Vitamin D supplement

103. Fracture of elbow common injury of

a) humerus fracture
b) Radial

104. 50 years , back pain , x ray sowed lytic lesion :

a) bone scan
b) bone marrow biopsy 2-protien electrophoresis of blood and urine>paraprotien
105. Shoulder pain most commonly due to:
a) Infraspinatus muscle injury
b) Supraspinatus
c) Referred pain due to cardiac ischemia
d) In acute cholecystitis

106. Profeational player came with history of truma on the lateral side of left knee , on examination there is
swelling in the medial aspect of left knee , the diagnosis is
a) Medial collateral ligament spasm
b) Lateral collateral ligament spasm
c) Medial meniscus tear
d) Lateral meniscus tear

107. Old, which fracture caused by trauma on outstreatched hand

a) Colle's Fx

108. Regarding Perth's disease

a) May present with a nearly painless limb

109. Regading compression facture in osteoporotic patients what is true

a) normal x-ray rules out the diagnosis
b) serum alkaline phosphatse is normal
c) Vit d deficiency is the cause
d) steriod therapy is recommended

110. Which drug can use in acute back pain

a) Diazepam
b) Alprozam
c) Metoxelen

111. The best way to decrease pain in elderly with bilateral knee pain and crepitation is.
a) NSAID.
b) Decrease weight
c) Exercise

112. Fracture in the hummers affecting radial nerve lead to

a) Wrist drop

 Rdial nerve  wrist drop

 Peroneal nerve  foot drop
 Club foot  congenital

113. Patient with epilepsy came with left shoulder pain, on examination flattened contour of the shoulder,
and fixed adduction with internal rotation, what is the diagnosis?
a) Inferior dislocation
b) subacromal posterior dislocation
c) subglenoid anterior dislocation
d) subclavicle anterior dislocation
e) subclavicle anterior dislocation
114. Old female with recurrent fracture, Vitamin D insufficiency and smoker. Which exogenous factor has
the greatest exogenous side effect on osteoporosis?
a) Old age
b) Smoking
c) Vitamin D insufficiency
d) Recurrent fracture

115. 58 years old female, known case of osteopenia, she's asking you about the best way to
prevent compression vertebral fracture, what would you advise her?
a) avoid obesity
b) Vit. D daily
c) Wight bearing exercise

116. What is the TRUE about backache with osteoporosis?

a) Normal x ray vertebra exclude the diagnosis
b) Steroid is beneficial TTT
c) Vitamin D defiency is the cause

117. Old lady with recent osteoporosis ask about drug to prevent lumbar fracture
a) Vitamin D
b) Bisfosphonate
c) Exercise

118. What is the most common non-traumatic fracture caused by osteoporosis?

a) Colle's fracture
b) Femoral fracture
c) Vertebral compression fracture

119. Adolescent female with eating disorder & osteoporosis, what is the treatment?
a) Weight gain
b) Vitamin D
c) Bisphosphonates

120. Cellulitis in children most common causes:

a) Group A streptococcus
b) Staphylococcal aureus
 Staphylococcus aureus is the most common bacteria that cause cellulitis.
 Group A Streptococcus is the next most common bacteria that cause cellulitis. A form of rather superficial
cellulitis caused by strep bacteria is called erysipelas; it is characterized by spreading hot, bright red
circumscribed area on the skin with a sharp raised border. The so-called "flesh-eating bacteria" are, in
fact, also a strain of strep which can -- in severe cases -- destroy tissue almost as fast as surgeons can cut
it out.

121. Shoulder pain most commonly due to:

a) Infraspinatus muscle injury
b) Referred pain due to cardiac ischemia
c) In acute cholecystitis
 The most common diagnosis in patients with shoulder pain is bursitis or tendonitis of the rotator cuff.
122. Olecranon bursitis
a) Caused by multiple trauma in elbow which realeases antibodies

123. lady 4 month ago did CS ,, medically free, complain of wrist pain, phalen test –ve, Finkelstein’s
test positive,, tenderness distal to radial styloid>> I think it'sa case of DeQuervain's tenosynovitis:
a) Volar splint
b) Entrapment release"sugery"
c) Thumb splint
d) Drug I don’t remember the name
 The treatment is medical, therapy and surgery … medical with NSAIDs or injection of corticosteroids
or xylocaine. therapy with splint )

124. Young boy run for long distance "3 killometrr I think" pt complain of persist pain on examination
there is knee swelling, x-ray of knee reveals nothing. What the diagnosis: (unclear )
a) Ligament tear?
b) Tibial fracture

125. A patient presented with pain in the index finger, he feels severe pain when holding scissors in the base
of his finger on the palmar side, the finger is locked and there is also pain on full extension of the finger:
a) Trigger finger
b) Mallet finger
c) Dupuytren’s contracture
d) Tendon cyst

126. 40 years old Patient known to have crohn's Disease, came with fevers, hip and back pain, blood positive
brown stool. On examination, soft abdomen, normal bowel sounds, normal range of motion of hip. What is
the best radiological diagnosis?
a) Abdominal US
b) Abdominal CT
c) Hip CT
d) IV venogram
e) Kidney US
 In adults, musculoskeletal complications (commonly arthritis) occurs with the attacks of Crohn's disease.
Commonly affects large joints of lower extremity.

127. 45 years old female came to ER with acutely swollen knee + ballotmentpatella. The most important to
do
a) MRI of the knee
b) Aspiration
c) Complete blood count
d) Rheumatoid factor

128. Median nerve injury :

a) tunnel tests
b) phalen test

129. Patient hypothyroidism have painful shoulder , limited ROM, what is the Dx:
a) impengiment
b) rotator cuff tear
c) adhesive capsulitis
30 years old female patient came c/o irregular period and LMP was 6 months back.
She also has bony pain all around her body. She works indoors and when going out,
she covers herself. She had history of several yrs of multipe fractures caused by
minimal trauma. Lab results shows low Ca , low Ph and high alkaline phosphatase .
All vitamin levels were normal exept for vitamin A which is low. Labs didn't include
vitamin D " it was not even mentioned ", What is the diagnosis?
a) Paget disease
b) Osteoporosis secondary to menopause
c) Osteomalacia secondary to hypovitaminosis

130. History of trauma in DIP (finger hyperextension) with palm pain: (incomplete
question)
a) Extraarticular fracture in DIP
b) Intraarticular fracture in PID
c) Superficial tendon tears
d) Tendon profundus tears

131.Football player get hit on the medial side of his knee , the medial side of
the knee is red swallen and tender , the impo thing +ve valgus test of that
knee , -ve Lachman and McBurny test
a) medial collateral lig sprain
b) lateral coll lig sprain
c) medial meniscus tear
d) Lateral meniscus tear
e) patellar fracture

132. Child with in toeing and the knee and leg goes inside when he is walking,
with W shape postion while sitting. abnormality is:
a) Metatarsus vareus
b) metatarsus adductus
c) Medial femoral torsion
d) Medial tibial torsion