Q: In contrast to closed reduction, open reduction of a fracture

(a) :  Produces a shorter healing time b. Decreases trauma to the fracture site
(b) :  Produces a higher incidence of nonunion
(c) :  Reduces the risk of infection
(d) :  Requires longer periods of immobilization
(e) :  none of above
Answer:  Produces a higher incidence of nonunion

Q: A 65-year-old patient presents to you in general practice with a painful right lower leg. On questioning, he tells you that the pain has been present for a few months but he has not sought any medical advice for it. His past medical history is significant only for type 2 diabetes, for which he is on insulin. On examination he appears systemically well. Examination of the right lower limb shows a curvature of the tibia with overlying erythema, and palpation reveals it to be much warmer than the left leg. Which ONE of the following conditions is the patient suffering from?

(a) :  Osteomyelitis
(b) :   Paget’s disease
(c) :  Sarcoma
(d) :  Skeletal metastasis
(e) :  Charcot’s joint 
Answer:  Paget’s disease

Q: Most common tumour associated with Neurofibromatosis I in children is?

(a) :  AML
(b) :  CML
(c) :  ALL
(d) :  JMML (Juvenile myelomonocytic leukemia)
(e) :  None of the above
Answer:  JMML (Juvenile myelomonocytic leukemia)

Q: A 27-year-old right-handed male goes over the handlebars while mountain biking. On examination, there is swelling and deformity over the anterior aspect of his right shoulder. There is no "tenting" of the skin. There is pain and palpable crepitus on passive motion of the shoulder joint. Active shoulder elevation is limited by pain. Distal pulses are intact. There is no motor or sensory deficit over the right upper limb. Breath sounds are symmetrical. Xray shown below. What is the most likely diagnosis?

(a) :  Anterior shoulder dislocation
(b) :  Posterior shoulder dislocation
(c) :  Clavicular fracture
(d) :  First rib fracture
(e) :  Tension pneumothorax
Answer:  Clavicular fracture

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