MCQ Part 1 2003 1. Regarding fracture healing in children: A Union is faster in toddlers than in adolescents.

B Faster healing is attributable to the thickened periosteum. C Type-V physeal injuries are associated with limb lengthening after union. D Rotational deformity is spontaneously corrected by remodeling process. E Union in the upper limb is faster than the lower limb. 2 A comminuted fracture with a large butterfly fragment is biomechanically produced by the following forces: A Tensile. B Compression. C Bending. D Shearing. E Torsion. 3. The following are true regarding shock: A A restless patient should be treated with sedatives. B A low urine output with high specific gravity indicates the need for more transfusion. C The patient should be kept sitting up at all times. D Transfusion of Rhesus positive group AB blood should be given in cases of emergency. E Cardiogenic shock mimics presentation of hypovolemic shock. 4. Neuropathic ulcer of the foot is commonly A develops under a metatarsal head. B surrounded by hyperkeratotic skin edges. C painless. D poses pinkish punch-out base that bleeds easily. E associated with warm foot and bounding pulses.

5. The following are true of malignant tumours of the bone: A Primary tumours are more common than metastatic lesions. B Bone pain typically precedes bone swelling. C A raised serum alkaline phosphatase is pathognomonic. D Fine needle aspiration is adequate to confirm the diagnosis. E Limb salvage surgery is the current trend of treatment for all cases. 6. The following are true regarding antibiotics: A A bacteriostatic agent should not be combined with a bactericidal agent. B A combination of bactericidal agents of different class and spectrum of activity produces synergistic effect. C Efficacy in-vitro equals efficacy in-vivo. D Efficacy requires that the plasma concentration exceed the Minimum Bactericidal Concentration (MBC) E Macrolides are mainly effective against gram-negative bacteria. 7. Structures likely to be injured after a valgus force is applied to an extended knee in external rotation position include A medial collateral ligament. B medial meniscus. C anterior cruciate ligament D posterior cruciate ligament. E posterior medial corner. 8. The following are true regarding management of type-III open tibial fractures: A A 5-day course of cephalosporin and aminoglycoside is prescribed. B Primary wound closure after debridement is a relative indication. C Use of titanium implant decreases rate of infection. D Unreamed locked nail for fracture stabilization is a preferred option. E Solid nail is preferred because it resists bending greater than hollow nail.