Sample Orthopedic Questions

Q1 A 78-year-old woman fell from her bed this evening while she was trying to go to the bathroom at her home; she had pain in her lower extremity & was unable to walk on her left lower limb. She was brought to the emergency department where her left lower extremity was short, externally rotated & was painful to movement upon rolling her legs, distal neurovascular status was intact. She had an AP & lateral X-Ray of her hip & pelvis, which showed a left femoral neck fracture, Garden Class 3, which of the following is the best method of treatment? A.Open Reduction & Internal Fixation with Plates & screws B.Open Reduction & Internal Fixation with a Cephalo-medullary nail C.Closed reduction & Percutaneous Pinning D.Hemi-Arthroplasty

Q2 A 38-year-old man riding his motorcycle sustained a motor vehicle collision at 30 km/hour; he was found at the scene conscious & was transported via ambulance to the nearest hospital. A trauma survey was conducted & the only finding was severe bruising of his right lower leg but no open wounds are present, distal neurovascular status was intact. X-rays of the right lower leg show a comminuted fracture of the tibial shaft. Which of the following conditions is of most concern? A.Femoral Nerve Palsy B.Deep Vein Thrombosis C.Compartment Syndrome D.Osteomyelitis

Q3 Ischemia of which of the following leg compartments results in claw toe deformity? A.Anterior Compartment B.Lateral Compartment C.Superficial Posterior Compartment D.Deep Posterior Compartment

Answer Key Q1: D – Hemiarthroplasty Q2: C – Compartment Syndrome Q3: D – Deep Posterior Compartment