SOAL BEDAH ORTHOPEDI

1. 50 years old female fell down with her right forearm in extension position. She feel pain in her wrist
area and with dinner fork deformity. Probable diagnosis for this patient is?
a. Galleazi fracture
b. Monteggia fracture
c. Smith fracture
d. Colles fracture
e. Dislocation or the wrist joint

2. Sign of artery rupture are: cold, negative capillary refill, pale, no pulse and
a. Parsthesis
b. Parese
c. Paralysis
d. Vena back flow negative
e. Pain

3. Female 86 years old came to emergency unit who has a history fall. What should you be evaluated
on the initial step of the physical examination?
A. Shoulder, wrist, and proximal femur
B. Head and cervical spine
C. Femur and tibia diaphysis
D. Ankle and metatarsal
E. Internal bleeding

4. As an emergency doctor you must be able to assess the patency of the vascular condition of an
extremity distal to the injured level. Which artery should you checked in a middle shaft humerus
fracture?

a. Radial and ulnar artery.

b. Radial, ulnar and medianus artery

c. Popliteal artery

d. Axilary and radial artery

e. Humeral and axilary artery

5. Other than palpating the pulse of the artery this following simple test is also useful to assess the
patency of the vascular condition of an extremity, distal to the injured level.

a. Capilary refill test < 4 Seconds

b. Motoric and sensoric examiation

c. Capillary refill test < 2 seconds

d. MESS score evaluation

e. None of above
6. Traction apophysitis or inflammation of the bony outgrowth that resulted to repetitive traction
is the main patophysiology for the following diseases

a. Legg – Calve – Perthes and Osgood – Schlatter disease

b. Osgood – Schlatter disease and SInding – Johansson – Larsen’s disorder

c. SInding – Johansson – Larsen’s disorder and Legg – Calve – Perthes disease

d. Osteochondroma and Legg – Calve – Perthes disease

e. All of the above are due to traction apophysitis

7. What kind of physical finding might you encounter in Osgood – Schlatter disease?

a. Tenderness and swelling in the tibial tuberosity

b. Deformity of the patella

c. Crepitation and locking of the knee

d. Genu varum with crepitation

e. All above are true

8. A 14-year-old girl has adolescent idiopathic scoliosis. Her parents would like to know what kind
of problems she will have compared to her peers who do not have scoliosis. You should inform
them that she will have:
a. difficulty with pregnancy in the future
b. more acute or chronic back pain
c. decreased pulmonary function regardless of the severity of scoliosis
d. limitations in athletic participation
e. increased risk of developing cancer

9. A 32-year-old man sustain an iliac wing fracture and a contralateral femur fracture. Twelve hours
later he has shortness of breath with tachypnea, hypoxia, and confusion. A chest radiograph is normal.
What is the most likely diagnosis?

A. Fat emboli syndrome

B. Adult respiratory distress syndrome

C. Pulmonary embolus

D. Tension pneumothorax

E. Sepsis
10. An elderly patient falls and sustain an extension injury to the neck that results in upper extremity
weakness, spared perianal sensation, and lower extremity spasticity. These findings best describe
what syndrome?

A. Brown-Sequard

B. Cauda equine

C. Anterior cord

D. Posterior cord

E. Central cord