骨科选择题(英语).doc

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1、Orthopedics-11.A35yearoldmalemanuallabourersustainedadisplacedsubcapitalhipfractureafterfallingatwork.Thefracturewasreducedandfixedwith3cannulatedscrews.Fivemonthsaftertheoperation,hepresentstoyourclinicwithworseninghippain.Whatisthemostlikelydiagnosis?a)Nonunionb)Osteonecrosisc)Loo

2、seningofthecannulatedscrewsd)Malunione)Osteomyelitis2.A25yearoldprofessionalbasketballplayerlandsonhisrightfootwhileitisinapronatedandexternallyrotatedposition.Hehearsa“snap”andisunabletoweightbearonhisrightfoot.AnankleX-rayrevealssignificanttalarshiftwithoutavisiblefibularfracture.

3、Themostappropriatenextstepis:a)Closedreductionoftheanklemortisefollowedbyapplicationofacastb)Bedrestfor4weeksfollowedbyintensephysiotherapyc)X-raytherightkneetoruleoutaMaisonneuvefractured)Openreductionwithinternalfixationoftherightanklee)Splintankleandencourageweightbearing3.A75yea

4、roldladyslipsonathrowruginherlivingroomandfalls.AnX-rayrevealsadisplacedsubcapitalhipfracture.Priortoherfall,thepatientlivedalone,performedallADLsindependentlyandenjoyedgolfing.Themostappropriatemanagementofthisfractureis:a)Moore’sunipolarhemiarthroplastyb)Bedrestfor6weeksc)Reductio

5、nwithinternalfixationusing3cannulatedscrewsd)Bipolarhemiarthroplastye)Totalhipreplacement4.A21yearoldpresentstoyourofficeafterinjuringherkneeinasoccergame.Shestatesthatthekneeclickswhenshewalksandhas“locked”onseveraloccasions.Onexamthereisaneffusionandthekneeisgrosslystable.Themostl

6、ikelydiagnosisis:a)Anteriorcruciateligamenttearb)Meniscaltearc)Osteoarthritisd)Bursitise)Medialcollateralligamenttear5.AllofthefollowingregardingAchillestendonrupturearetrue,EXCEPT:a)PositiveThompson’stestb)PalpablegapoverAchillestendonc)Weakplantarflexiond)Mayoccursecondarytosteroi

7、dinjectione)Treatbycastingfootindorsiflexion6."Orthopedics"comesfromtheGreekwordsmeaningwhat?a)AnatomyandSurgeryb)BoneandJointc)StraightandChildd)HealingandBody7.bonymetastasisisnotseeninwhichcarcinoma?a)testisb)breastc)pelvisd)bronchus8.tuberculosisofthespinefirststartsin?a)vertebr

8、albodyb)nucleoluspu