When we plan to get Mandy up out of bed the first time, we need to have ready
a. Two or three people
b. A hoist or a forearm support frame and one person
c. A hoist and forearm support frame she can use independently
d. Two people and a forearm support frame
e. B or D will be safe. d. Two peop...
ORTHOP AEDIC PHYSIO THERPY QUIZ AND ANS WERS MCQ EXAM e xamp le
Case Study 1
Sarah (age 42) f ell while wa lking the dog, and fractur ed her distal r adius. The br eak was about 1 cm from t he radioca rpal (wrist) joint.
...
1. The region o f the bone she brok e is the
a. Diaphy sis
b. Meta physis
c. Epiphy sis
d. Medullary ca vity.
b. Meta physis
2. This region of the bo ne is more lik ely to break than other r egions because
a. The epiphy seal line is a weakness in w omen over 40 y ears
b. The epiph yseal line is str ong in women ov er 40 year s
c. The cortical bone is thinner ther e
d. The medullary bone is thinner there.
c. The cortical bone is thinner ther e
3. Sara h's wrist fr acture will heal be cause of the action of
a. Ost eoblasts that lie in th e lacunae, and deposit new bone in lamellae
b. Ost eoclasts that lie in the ha versian cana ls and deposit new bone in lamellae
c. Ost eoblasts that lie in the ha versian cana ls and deposit new bone in lamellae
d. Ost eocytes that chang e into os teoblasts under the in fluence of inflamma tory cytokines.
a. Ost eoblasts that lie in th e lacunae, and deposit new bone in lamellae
4. In the firs t day s after Sar ah's fr acture her wris t is very painful. This is S tage 1 - the inflammat ory stag e in which
a. a fibrin network is or ganised and reinf orced b y collag en fibres, and budding capillaries bring in oxy gen and nutrien ts.
b. bleeding tissue stimula tes os teoblasts t o form a fibrocartila ginous matrix (ost eoid)
c. bone bleeding f orms a haemat oma, infiltr ated by leucocytes and macr ophages, which remov e dead tissue, and lea ve a fibrin netw ork as a scaff old f or the new repa ir.
d. bone bleeds and some of the muscle and bone necr oses, to be r emoved b y macrophages, osteo clasts and fibro blasts prior to the ne w repair .
e. bone and muscle bleeding begins a pr ocess of repair b y erythrocytes, os teoclasts a nd macro phages.
c. bone bleeding f orms a haemat oma, infiltr ated by leucocytes and macr ophages, which remov e dead tissue, and lea ve a fibrin netw ork as a scaff old f or the new repa ir.
5. The length o f time it tak es for Sara h's fractur e to unit e will be defined ro ughly by: a. Most bones unit e in 4-6 week s, with lower limbs t aking twice as long and children t aking half as long.
b. Most bones unit e in 6-8 weeks, with lower limbs t aking half as long and children t aking half as long
c. Most bones unit e in 6-8 week s, with lower limbs ta king twice as long and smok ers taking twice as long
d. Most bones unit e in 8 - 10 week s, with lower limbs t aking twice as long and children taking half as long.
a. Most bones unit e in 4-6 week s, with lower limbs t aking twice as long and children t aking half as long.
Figure 1: Sar ah's orthopaedic sur geon decides tha t a volar plat e fixa tion will be the most rapid w ay to assist the fr actur e to heal.
6. These x -rays of Sarah' s wrist ar e the:
a. AP and P A views, respe ctively
b. Medial and Lat eral vie ws, respe ctively
c. Dorsa l and Later al views, r espective ly
d. AP and Later al view s, respectiv ely.
d. AP and Later al view s, respectiv ely.
7. There w ere man y possible options f or trea tment of Sar ah's wrist t hat the surg eon would have been considering. Which tr eatment w as NO T an option?
a. Interna l fixation with a v olar plate and plas ter
b. Inte rnal fixatio n with a K nail
c. External fix ation
d. Conservativ e management with a plaste r of paris to the elbow
e. Conservativ e managemen t with a wrist splint .
b. Inte rnal fixatio n with a K nail
8. The volar surf ace of the wris t, where the pla te is secur ed, is the
a. Medial surf ace
b. Lat eral surf ace
c. Ant erior surface
d. Po sterior surf ace
e. Carpal surf ace
c. Ant erior surface
9. When Sar ah is permitted to comm ence phys iotherapy for her wris t, her problem s are likely to be
a. W eakness
b. Pain
c. Stiffness
d. Loss of con fidence
e. All of the above
e. All of the above
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