MCQ | Dr. Ananda Adhikari

Question 1 of 18Trauma & Fractures

Which classification system is most commonly used for grading open fractures?

Question 2 of 18Joint Pathology

What is the classic physical examination test for detecting Anterior Cruciate Ligament (ACL) tear?

Question 3 of 18Pediatric Orthopedics

Slipped Capital Femoral Epiphysis (SCFE) most typically presents in which patient demographic?

Question 4 of 18Upper Limb Trauma

A 42-year-old right-hand-dominant male presents to the emergency department following a high-speed motor vehicle collision. Physical examination reveals moderate swelling and localized tenderness over the middle third of his right clavicle. Radiographs confirm a displaced midshaft clavicle fracture with 1.8 cm of shortening and a vertical butterfly fragment. Vascular examination shows symmetrical radial and ulnar pulses. Neurological examination reveals a sensory deficit over the lateral aspect of the forearm and weakness in elbow flexion (3/5). Radial nerve, median nerve, and ulnar nerve motor functions are completely intact. Which of the following neural structures is most likely injured?

Question 5 of 18Elbow Dislocation & Vascular Injury

A 28-year-old female sustains a posterolateral elbow dislocation. Following successful closed reduction, radial pulse is impalpable, but the hand remains warm, pink, and capillary refill is <2 seconds. What is the most appropriate initial management step?

Question 6 of 18Supracondylar fracture of humerus

A 6-year-old child presents after a FOOSH injury. A lateral elbow X-ray shows an extension-type supracondylar humerus fracture with posterior displacement, but the posterior cortex remains intact. The anterior humeral line passes anterior to the middle third of the capitellum. Which Gartland type is this, and what is the standard treatment?

Question 7 of 18Scaphoid

What is the eponym for avascular necrosis (osteonecrosis) of the scaphoid bone?

Question 8 of 18Coxa vara

What is the primary biomechanical objective of performing a valgus-producing osteotomy (such as Modified Pauwels' Intertrochanteric Osteotomy) in a vertical femoral neck nonunion (Pauwels Type III)?

Question 9 of 18Tendon injury

A 24-year-old patient presents with a swollen PIP joint following a sports injury. During the Elson test, the patient demonstrates weak PIP extension against resistance, while the DIP joint becomes rigid and resists passive flexion. What is the most likely diagnosis?

Question 10 of 18Scoliosis

A 13-year-old girl presents with adolescent idiopathic scoliosis. Her standing whole-spine radiograph demonstrates a Cobb angle of 32°. She is premenarchal, Risser grade 0, and has significant growth remaining. What is the most appropriate initial management?

Question 11 of 18Pediatric trauma

In a posteromedially displaced extension-type supracondylar fracture, which forearm position helps facilitate reduction?

Question 12 of 18Tendon injury

During open repair of an acute Achilles tendon rupture using the Krackow technique, which technical factor is MOST important for obtaining secure tendon purchase and minimizing suture pullout?

Question 13 of 18DHS

A 75-year-old patient undergoes cephalomedullary nailing for an intertrochanteric fracture of the femur. Postoperative radiographs show a tip–apex distance of 32 mm. Which of the following is the most appropriate interpretation?

Question 14 of 18Trauma

In tension-band wiring of an olecranon fracture, which K-wire position generally provides better mechanical stability?

Question 15 of 18Implant

While performing lag screw fixation of an oblique fracture using a fully threaded 4.5 mm cortical screw, what is the correct drilling technique?

Question 16 of 18Ankle block

A patient is scheduled for forefoot surgery under an ankle block. Which nerve provides sensory innervation to the first dorsal web space between the great toe and second toe?

Question 17 of 18Q angle

A 19-year-old female presents with recurrent lateral patellar dislocation. On clinical examination, the Q-angle is 24°. Which of the following anatomical changes can contribute to an increased Q-angle?

Question 18 of 18Tendon

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