Fracture of femur, shock (899/1700)

A young male met with a RTA and is suspected to have a femur fx. His BP is 90/60mmHg. What is the next immediate action?

a. XR
b. IV fluids
c. Put leg splint
d. Send bloods for inv
e. US

Swollen fingers after accident (1563/1700)

A man got his hand caught in machinery at work. The fingers are swollen but the XR shows no fx. What is the most appropriate management?

a. Splint
b. Put in plaster
c. Broad arm sling for 1wk
d. Elevate in high sling for 2d
e. Neighbor strapping

Fracture with cast, now limb swelling (829/1700)

A 10yo child who presented with fx of the radius which was treated with a plaster cast,
complains of pain. Exam: limb is swollen but warm and well perfused, pulses are present. What
should you do next?
a. Send for repeat XR
b. Remove cast
c. Replace cast with more padding
d. Give analgesic

Knee pain and limp (444/1700)

A 15yo boy presents with a limp and pain in the knee. Exam: leg is externally rotated and 2cm
shorter. There is limitation of flexion, abduction and medial rotation. As the hip is flexed
external rotation is increased. Choose the most likely dx?

a. Juvenile rheumatoid arthritis
b. Osgood-schlatter disease
c. Reactive arthritis
d. Slipped femoral epiphysis
e. Transient synovitis of the hip

Bursas of the knee (401/1700)

A 12yo boy presents with painful swollen knew after a sudden fall. Which bursa is most likely to
be affected?

a. Semimembranous bursa
b. Prepatellar bursa
c. Pretibial bursa
d. Suprapatetaller bursa

Childhood fracture (328/1700)

A 6yo fell on outstretched hand while playing. He feels tender at the elbow but otherwise well.
What is the most likely dx?
a. Spiral fx
b. Green stick fx
c. Compound fx
d. Supracondylar fx
e. Pulled elbow

Dinner fork deformity, which nerve damaged (191/1700)

A 37yo female had a fall with outstretched hand, presented with dinner fork deformity and
tenderness over the right arm. What is the single most associated nerve injury?
a. Axillary nerve
b. Radial nerve
c. Musculocutaneous nerve
d. Median nerve
e. Ulnar nerve

Nerve injury with hip trauma (161/1700)

A 78yo male, DM and HTN, had a fall and since then is unable to walk. He presents with
deformity and tenderness over the right hip area. XR=fx of femur neck. What is the single most
associated nerve injury?
a. Sciatic nerve
b. Gluteal nerve
c. Lateral peroneal nerve
d. Tibial nerve
e. Femoral nerve

Nerve injury in fracture of radius (135/1700)

A 37yo man slipped while he was walking home and fell on his out stretched hand. He complains
of pain in the right arm. XR showed fx of the head of radius. What is the single most associated
nerve injury?

a. Radial nerve
b. Musculocutaneous nerve
c. Median nerve
d. Ulnar nerve

Painful joint and fever (122/1700)

A 4yo child presents with pain of spontaneous onset in his knee of 2 days duration. He has
developed mild fever in the 2nd day. He can walk but has a limp. Exam: painful restriction in the
right hip. What is the most probable dx?
a. Osteosarcoma
b. Septic arthritis
c. TB arthritis
d. Exostosis
e. Osteomyelitis

Nerve injury in fracture of fibula (109/1700)

A 33yo male involved in a street fight presents with bruises and deformity in the upper part of
his leg. XR shows fx of the neck of fibula. What is the single most associated nerve injury?

a. Sciatic nerve
b. Gluteal nerve
c. Musculocutaneous nerve
d. Lateral peroneal nerve
e. Tibial nerve
f. Femoral nerve

Pain at base of thumb (53/1700)

A 23yo woman has been having pain at the base of her thumb, the pain is reproduced when
lifting her 3 month old baby or changing diapers and also with forceful abduction of the thumb
against resistance. What is the likely cause?

a. Avascular necrosis of scaphoid
b. Trigger finger.
c. De Quervain’s tenosynovitis

FOSH, elbow pan and absent pulse (27/1700)

A young boy fell on his outstretched hand and has presented with pain around the elbow. He
has absent radial pulse on the affected hand. What is the most likely dx?

a. Dislocated elbow
b. Angulated supracondylar fx
c. Undisplaced fx of radial head
d. Posterior dislocation of shoulder