SOAL BEDAH ORTHOPEDI

24 Maret 2014
1.

2.

3.

4.

50 years old female fell down with her right forearm in extension position.
She feel pain in her wrist area and with dinner fork deformity. Probable diagnosis
for this patient is?
a. Galleazi fracture
b. Monteggia fracture
c. Smith fracture
d. Colles fracture
e. Dislocation or the wrist joint

Sign of artery rupture are: cold, negative capillary refill, pale, no pulse and
a. Parsthesis
b. Parese
c. Paralysis
d. Vena back flow negative
e. Pain
Female 86 years old came to emergency unit who has a history fall. What
should you be evaluated on the initial step of the physical examination?
A. Shoulder, wrist, and proximal femur
B. Head and cervical spine
C. Femur and tibia diaphysis
D. Ankle and metatarsal
E. Internal bleeding
As an emergency doctor you must be able to assess the patency of the
vascular condition of an extremity distal to the injured level. Which artery
should you checked in a middle shaft humerus fracture?
a.
b.
c.
d.
e.

Radial and ulnar artery

Radial, ulnar and medianus artery
Popliteal artery
Axilary and radial artery
Humeral and axilary artery

5. Other than palpating the pulse of the artery this following simple test is also
useful to assess the patency of the vascular condition of an extremity, distal
to the injured level.
a.
b.
c.
d.
e.

Capitalary refill test < 4 Seconds

Motoric and sensoric examination
Capillary refill test < 2 seconds
MESS score evaluation
None of above

6. Traction apophysitis or inflammation of the bony outgrowth that resulted to

repetitive traction is the main patophysiology for the following diseases
a. Legg-Calve-Perthes and Osgood-Schlatter disease
b. Osgood Schlatter disease and Sinding Johansson Larsens disorder
c. Sinding Johansson Larsens disorder and Legg Calve Perthes
disease
d. Osteochondroma and Legg Calve Perthes disease
e. All of the above are due to traction apophysitis

7. What kind of physical finding might you encounter in Osgood Schlatter

disease?
a.
b.
c.
d.
e.

Tenderness and swelling in the tibial tuberosity

Deformity of the patella
Crepitation and locking of the knee
Genu varum with crepitation
All above are true

8. A 14-year-old girl has adolescent idiopathic scoliosis. Her parents would like
to know what kind of problems she will have compared to her peers who do
not have scoliosis. You should inform them that she will have:
a. difficulty with pregnancy in the future
b. more acute or chronic back pain
c. decreased pulmonary function regardless of the severity of scoliosis
d. limitations in athletic participation
e. increased risk of developing cancer

9. A 32-year-old man sustain an iliac wing fracture and a contralateral femur fracture.
Twelve hours later he has shortness of breath with tachypnea, hypoxia, and confusion.
A chest radiograph is normal. What is the most likely diagnosis?
a.
b.
c.
d.
e.

Fat emboli syndrome

Adult respiratory distress syndrome
Pulmonary embolus
Tension pneumothorax
Sepsis

10.

An elderly patient falls and sustain an extension injury to the neck that results
in upper extremity weakness, spared perianal sensation, and lower extremity
spasticity. These findings best describe what syndrome?
a.
b.
c.
d.
e.

Brown-Sequard
Cauda equine
Anterior cord
Posterior cord
Central cord