Image Based Questions Orthopaedics IBQ Show session ID Load QuizSave Quiz Solve Orthopedics Image Based Questions Total Questions:55 1. Identify the name of the instrument given below: Bone holding forceps Bone Distractors Bent Hohmann Retractors Bone curretes None 2. A 25-year-old male presented to the emergency department with pain and swelling of the right knee. The radiograph showed the following finding. What is the best treatment for the given condition? Patellectomy Tension band wiring with cancellous screws Tension band wiring with K-wires Cylinder cast None 3. An overweight man (90 kg) presented with complaints of not being able to squat and rest pain in the left hip for 6 months duration. He had a past history of steroid and creatine use. His X-ray revealed destruction of the articular surface of the femoral head with the presence of subchondral cysts and a positive crescent sign. His MRI is suggestive of marrow edema. What is your diagnosis? Osteochondroma of femur Osteonecrosis of femoral head Fracture neck of femur Tuberculosis of hip None 4. An elderly male presented with a history of fall on outstretched hand following which he developed swelling of the wrist. His X-ray is shown below. What is your diagnosis? Fracture capitate Fracture hamate Fracture scaphoid Fracture scaphoid with perilunate dislocation None 5. An elderly patient slipped in the bathroom and sustained injury over the left hip. The radiograph is shown below. His attitude of the leg will be: Shortened and externally rotated Lengthened and internally rotated Flexed, adducted and internally rotated Shortened and abducted None 6. A 5 year old boy fell on outstretched hand, X ray is as shown below. Which of the following vessel is most commonly affected? Cubital vein Brachial artery Ulnar artery Radial artery None 7. Which is the classification system used for the fracture shown in the x-ray given below? Ideberg classification Neer classification Gartland classification Schatzker classification None 8. A 10-year-old came to OPD with the following deformity of his left upper limb, most likely fracture causing it is? Triad of elbow Olecranon Fracture Radial Head fracture Supracondylar Fracture None 9. A 25 year old man involved in a fight, injured his finger and the deformity is shown in the following image. X-ray is normal. The most appropriate management at this stage is: Splint the finger in hyperextension Surgical repair of the flexor tendon Splint the finger in flexion Buddy strapping None 10. Identify the following marked structures. A- Cloacae, B-Sequestrum, C- Involucrum A-Sequestrum, B-Cloacae, C- Involucrumv A-Sequestrum, B- Involucrum, C- Cloacae A-Involucrum, B- Cloacae, C- Sequestrum None 11. What is your diagnosis from the below X-ray images? Osteoblastoma Giant cell tumor Solitary bone cyst Aneurysmal bone cyst None 12. The X-ray image of a patient that presented to the casualty is given below. How will you manage this case? Knee splint Plating Tension band wiring Nailing None 13. A 4-year-old child was brought to the OPD with a painless deformity. A radiograph of the child's legs is shown below. The most common cause of this deformity is. Scurvy Blount disease Skeletal dysplasia Rickets None 14. Identify the instrument given below. Bone holding forceps Bone curette Plate holding forceps Bone nibbler None 15. A 30-year-old man presents with numbness of both hands. He was asked to perform the test demonstrated below. What is this test? Pemberton test Wright test Roos test Adson's test None 16. Identify the following device. Knuckle bender splint Dynamic finger splint Colles' cast Cock-up splint None 17. What is the type of scoliosis shown in the X-ray given below? Congenital scoliosis Degenerative scoliosis Infantile scoliosis Postural scoliosis None 18. The test performed in the following video is Wright test Allen's test Adson's test Roos test None 19. A patient presents to the emergency department after he fell on his outstretched hand. An X-ray was performed and is given below. What is the diagnosis? Galeazzi fracture Rolando's fracture Montegia fracture Colle's fracture None 20. The following X-ray shows a lytic lesion of the upper limb. The biopsy shows fibroblastic proliferation, osteoclast and inflammatory cells. From the given options, the most likely diagnosis that can be inferred from the above clinical picture is Langerhan cell histiocytosis Aneurysmal bone cyst Giant cell tumor Chondroblastoma None 21. The treatment for the condition given below is: Extended curettage with autograft Curettage Bone biopsy Extended curettage with allograft None 22. A fracture of the distal femur is stabilized as shown in the image using: K wire binding Ilizarov fixator Interlocking nail Rail fixator None 23. A 40-year-old man is suffering from increasing difficulty in bending forward with increasing stiffness of the spine and reduced chest movements. A CT was performed and shown below, the likely diagnosis is? Rheumatoid arthritis Ankylosing spondylitis Fluorosis Reiter's syndrome None 24. A 10-year-old boy presents with pain around the left knee joint. On X-ray, there is a lesion at the distal femur extending up to the terminal end. The gross image of the condition is given below. What can be the most probable diagnosis? Osteosarcoma Osteoid osteoma Giant cell tumor Chondroblastoma None 25. The brace shown in the given image is _________ ASHE brace Milwaukee brace Boston brace Taylor brace None 26. A 15-year-old boy was brought to the ER following a motor vehicle collision complaining of pain over the hip. The x-ray is given below. What is the next step of management High weight skeletal traction CT pelvis with 3D reconstruction Open reduction and reconstruction of posterior pillar of acetabulum Closed reduction and assessment of hip stability None 27. Which nerve injury causes the given condition? Median nerve Radial nerve Posterior interosseous nerve Ulnar nerve None 28. A 72-year-old man came with complaints of unilateral knee pain. X-ray examination showed reduced joint space. Pathological findings shown below are of: Tuberculosis of the knee Osteoarthritis Rheumatoid arthritis Lyme disease None 29. A radiograph of the wrist is given below. Identify the true statements regarding this condition. 2 and 4 2 only 1, 2, 3 2 and 3 None 30. You visit a newborn near your house and notice that the baby has CTEV, as shown below. When would you advise the baby's parents for a consultation to put on a cast? In 6 months In 1 month In a few days When the child starts walking None 31. A 14-year-old male presented with a mushroom-like tumor in the distal femur for the past 2 years. Which of the following features will help the clinician to identify a malignant transformation? Initially growth of the tumor was away from the joint, now the growth of tumor is towards the joint. Tumor is in continuation with bone marrow cavity of the normal bone. Tumor does not have malignant transformation potential. Hyaline cap thickness on MRI is 2cms. None 32. A 16-year-old girl presents with multiple swellings and multiple brown rashes. She has increased uptake on bone scans over the femur, skull, and ribs. Biochemical parameters are abnormal. She also has a history of hypothyroidism. An X-ray of her femur is given below. Which of the following is the likely diagnosis? Langerhans cell histiocytosis Neuroma with bone involvement McCune-Albright syndrome Papillary carcinoma of thyroid None 33. A 25-year-old male who sustained a shoulder injury presented with swelling around the shoulder joint. An X-ray of the shoulder joint is shown below. Which is/are the ligament(s) likely to have been injured? Coracoacromial ligament Both acromioclavicular and coracoclavicular ligament. Coracohumeral ligament Acromioclavicular ligament None 34. Identify the carpal bone that is most commonly fractured after fall on an outstretched hand. A B C D None 35. A patient has a history of a road traffic accident 2 years back, and has developed pain and swelling now at the same site. His X-ray image is shown in the image given below. What is the probable diagnosis? Ewing's sarcoma Osteogenic sarcoma Multiple myeloma Chronic osteomyelitis None 36. The following images A and B show: AB Boxer fracture & march fracture Mallet finger & Jersey finger Mallet finger & boxer fracture Jersey finger & baseball finger None 37. A 60 year old woman presents with low backache and on a lumbar CT the following is seen. What is your diagnosis? Osteoporosis Spondylolisthesis Pott's spine Discitis None 38. An 18-year-old boy presents to the orthopedician with complaints of painful swelling below the knee joint. An X-Ray was obtained which is given below. Which of the following is the preferred treatment modality for this patient? Simple curettage and bone grafting Radiofrequency ablation Extended curettage and bone grafting Radical excision None 39. A 12-year-old boy presents with swelling and pain for 6 months over the upper tibia. His radiographic image is shown below. The most likely diagnosis is: Osteoclastoma Osteosarcoma Ewing's sarcoma Brodie's abscess None 40. A 40-year-old patient presents to the emergency department following a road traffic accident. The radiograph of his pelvis is shown below. What is the most likely diagnosis? Fracture shaft of femur Central dislocation of the hip Anterior dislocation of the hip Posterior dislocation of the hip None 41. Which method of measurement of scoliosis has been depicted in the image given below? Baumann's angle Cobb's angle Ferguson angle Bohler's angle None 42. A 55 year old female complains of lower backache. The radiographic image of her lumbosacral spine is given below. What is the probable diagnosis? Ankylosing spondylitis Osteoporosis Renal osteodystrophy Diffuse idiopathic skeletal hyperostosis None 43. A maid is playing with a child by spinning him while holding his hands. A few hours later, the child starts crying, does not use his arm, and does not let anybody touch him. What is the possible diagnosis? Olecranon fracture Pulled elbow Fracture head of radius Elbow dislocation None 44. A 30-year-old woman developed a tumor at the knee joint. Biopsy-image is given below. What is the most likely condition? Osteosarcoma Osteoblastoma Giant cell tumour Ewing's sarcoma None 45. The following test is done to assess Musculocutaneous nerve Posterior interosseous nerve Median nerve Ulnar nerve None 46. A 30-year-old male patient presented with complaints of a gradually progressive swelling around his wrist joint for 3 months. Given below is the image of the swelling and the X-ray film. What is the most likely diagnosis? Osteosarcoma Ewing's sarcoma Osteosarcoma Osteochondroma None 47. A 28-year-old man presented with complaints of backache, morning stiffness, and redness of the eyes. An X-ray image of the spine is given below. Which of the following is the most likely diagnosis? Paget's disease Rheumatoid arthritis Osteopetrosis Ankylosing spondylitis None 48. A 5-year-old child was brought to the pediatrician with complaints of bilateral knee joint pain. His bone mineral density is normal. The x-ray image of the joints is given below. What is the most likely diagnosis? Rickets Scurvy Metaphyseal dysplasia Pycnodysostosis None 49. What is the most common complication of this condition, if left untreated? Non union and cubitus varus Myositis ossificans Malunion and stiffness Cubitus valgus None 50. What could be the diagnosis of a woman with this appearance on x-ray? Multiple exostoses Multiple brown tumors Fibrous dysplasia Multiple enchondromas None 51. Which of the following is true about the type of fixation shown in the image? Fracture tibia, spanning fixator Fracture tibia, Illizarow fixator Periarticular fracture of knee, spanning fixator Fracture femur, spanning fixator None 52. A child with a history of recurrent respiratory infections presented with complaints of pain around the knee and a high fever. X-ray shows lytic and sclerotic bone. His peripheral blood smear is shown in the image below. Aspirate from the joint will most likely show: Escherichia coli Staphylococcus aureus Streptococcus Salmonella None 53. A child is brought to the orthopedics OPD with a deformity in the lower limb and hyperpigmented skin lesions. The x-ray of her thigh is shown below. What is the most likely diagnosis? Paget's disease Fibrous dysplasia Non-ossifying fibroma Osteogenesis imperfecta None 54. A child was brought with bony deformities as shown in the radiograph below. It could be due to the deficiency of which of the following? Vitamin D Vitamin A Vitamin C Vitamin K None 55. A patient presented with chronic knee pain but has no history of trauma. Identify the condition shown in the radiograph below and the appropriate management. Bipartite fracture patella, X-ray of other knee Patellar avulsion fracture, TBW Fracture of upper pole of patella, Cylindrical cast Avulsion fracture, interfragmentary screw fixation. None 1 out of 55 Time's up
