骨科选择题(英语)

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1、Orthopedics-11.A35yearoldmalemanuallabourersustainedadisplacedsubcapitalhipfractureafterfallingatwork.Thefracturewasreducedandfixedwith3cannulatedscrews.Fivemonthsaftertheoperation,hepresentstoyourclinicwithworseninghippain.Whatisthemostlikelydiagnosis?a)Nonunio

2、nb)Osteonecrosisc)Looseningofthecannulatedscrewsd)Malunione)Osteomyelitis2.A25yearoldprofessionalbasketballplayerlandsonhisrightfootwhileitisinapronatedandexternallyrotatedposition.Hehearsa“snap”andisunabletoweightbearonhisrightfoot.AnankleX-rayrevealssignifican

3、ttalarshiftwithoutavisiblefibularfracture.Themostappropriatenextstepis:a)Closedreductionoftheanklemortisefollowedbyapplicationofacastb)Bedrestfor4weeksfollowedbyintensephysiotherapyc)X-raytherightkneetoruleoutaMaisonneuvefractured)Openreductionwithinternalfixati

4、onoftherightanklee)Splintankleandencourageweightbearing3.A75yearoldladyslipsonathrowruginherlivingroomandfalls.AnX-rayrevealsadisplacedsubcapitalhipfracture.Priortoherfall,thepatientlivedalone,performedallADLsindependentlyandenjoyedgolfing.Themostappropriatemana

5、gementofthisfractureis:a)Moore’sunipolarhemiarthroplastyb)Bedrestfor6weeksc)Reductionwithinternalfixationusing3cannulatedscrewsd)Bipolarhemiarthroplastye)Totalhipreplacement4.A21yearoldpresentstoyourofficeafterinjuringherkneeinasoccergame.Shestatesthatthekneecli

6、ckswhenshewalksandhas“locked”onseveraloccasions.Onexamthereisaneffusionandthekneeisgrosslystable.Themostlikelydiagnosisis:a)Anteriorcruciateligamenttearb)Meniscaltearc)Osteoarthritisd)Bursitise)Medialcollateralligamenttear5.AllofthefollowingregardingAchillestend

7、onrupturearetrue,EXCEPT:a)PositiveThompson’stestb)PalpablegapoverAchillestendonc)Weakplantarflexiond)Mayoccursecondarytosteroidinjectione)Treatbycastingfootindorsiflexion6."Orthopedics"comesfromtheGreekwordsmeaningwhat?a)AnatomyandSurgeryb)BoneandJointc)Straight

8、andChildd)HealingandBody7.bonymetastasisisnotseeninwhichcarcinoma?a)testisb)breastc)pelvisd)bronchus8.tuberculosisofthespinefirststartsin?a)vertebralbodyb)nucleoluspu