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Monday 8 June 2015

AIPGMEE 2005 PREVIOUS QUESTION WITH ANSWERS - ORTHOPAEDICS



Q151: The most common sequelae of tuberculous spondylitis in an adolescent is ?
A) Fibrous Ankylosis
B) Bony-Ankylosis
C) Pathological dislocation
D) Chronic osteomyelitis

Answer: B) Bony-Ankylosis

Q152: In Radionuclide imaging the most useful radiopharmaceutical for skeletal imaging is ?
A) Gallium 67 (67Ga)
B) Technetium-sulphur-colloid (99mTc-Sc)
C) Technetium-99m (99m Tc)
D) Technetium-99m linked to Methylene disphosphonate (99m Tc-MDP)

Answer: D) Technetium-99m linked to Methylene disphosphonate (99m Tc-MDP)

Q153: Heberden's arthropathy affects ?
A) Lumbar spine
B) Symmetrically large joints
C) Sacroiliac joints
D) Distal interphalangeal joints

Answer: D) Distal interphalangeal joints

Q154: Subtrochanteric fractures of femur can be treated by all of the following methods except ?
A) Skeletal traction on Thomas' splint
B) Smith Petersen Nail
C) Condylar blade plate
D) Ender's nail

Answer: B) Smith Petersen Nail

Q155: All of the following are true about fracture of the atlas vertebra, except ?
A) Jefferson fracture is the most common type
B) Quadriplegia is seen in 80% cases
C) Atlantooccipital fusion may sometimes be needed
D) CT Scans should be done for diagnosis

Answer: B) Quadriplegia is seen in 80% cases

Q156: A 30 year old man had road traffic accident and sustained fracture of femur. Two days later he developed sudden breathlessness. The most probable cause can be ?
A) Pneumonia
B) Congestive heart failure
C) Bronchial asthma
D) Fat Embolism

Answer: D) Fat Embolism

Q157: A 45 year old was given steroids after renal transplant. After 2 years he had difficulty in walking and pain in both hips. Which one of the following is most likely cause ?
A) Primary Osteoarthritis
B) Avascular necrosis
C) Tuberculosis
D) Aluminium Toxicity

Answer: B) Avascular necrosis

Q158: The gold standard for the diagnosis of osteoporosis is ?
A) Dual energy X-ray absorptiometry
B) Single energy X-ray absorptiometry
C) Ultrasound
D) Quantitative computed tomography

Answer: A) Dual energy X-ray absorptiometry

Q159: Which one of the following is the investigation of choice for evaluation of suspected Perthes' disease ?
A) Plain X-Ray
B) Ultrasonography (US)
C) Computed Tomography (CT)
D) Magnetic Resonance Imaging (MRI)

Answer: D) Magnetic Resonance Imaging (MRI)

Q160: All of the following areas are commonly involved sites in pelvic fracture except ?
A) Pubic rami
B) Alae of ileum
C) Acetabula
D) Ischial tuberosities

Answer: D) Ischial tuberosities

Q161: Osteoclasts are inhibited by ?
A) Parathyroid hormone
B) Calcitonin
C) 1,25-dihydroxycholecalciferol
D) Tumor necrosis factor

Answer: B) Calcitonin


Q162: In Klippel-Feil syndrome, the patient has all of the following clinical features except ?
A) Low hair line
B) Bilateral Neck webbing
C) Bilateral shortness of sterno mastoid muscles
D) Gross limitations of neck movements

Answer: C) Bilateral shortness of sterno mastoid muscles



Q163: A young woman met with an accident and had mild quadriparesis. Her lateral X-ray cervical spine revealed C5-C6 fracture dislocation. Which of the following is the best line of management ?
A) Immediate anterior decompression
B) Cervical traction followed by instrument fixation
C) Hard cervical collar and bed rest
D) Cervical Laminectomy

Answer: B) Cervical traction followed by instrument fixation