In Klippel-Feil syndrome

Question 1: In Klippel-Feil syndrome, the patient has all of the
following clinical features except ?
A) Low hair line
B) Bilateral Neck webbing
C) Bilateral shortness of sterno mastoid muscles
D) Gross limitations of neck movements
Answer: C) Bilateral shortness of sterno mastoid muscles

Question 2: The most common sequelae of tuberculous
spondylitis in an adolescent is ?
A) Fibrous Ankylosis
B) Bony-Ankylosis
C) Pathological dislocation
D) Chronic osteomyelitis
Answer: B) Bony-Ankylosis

Question 3: In Radionuclide imaging the most useful radiopharmaceutical
for skeletal imaging is ?
A) Gallium 67 (67Ga)
B) Technetium-sulphur-colloid (99mTc-Sc)
C) Technetium-99m (99m Tc)
D) Technetium-99m linked to Methylene disphosphonate (99m Tc-MDP)
Answer: D) Technetium-99m linked to Methylene disphosphonate (99m Tc-MDP)

Question 4: Heberden’s arthropathy affects ?
A) Lumbar spine
B) Symmetrically large joints
C) Sacroiliac joints
D) Distal interphalangeal joints
Answer: D) Distal interphalangeal joints

Question 5: Subtrochanteric fractures of femur can be treated by all of
the following methods except ?
A) Skeletal traction on Thomas’ splint
B) Smith Petersen Nail
C) Condylar blade plate
D) Ender’s nail
Answer: B) Smith Petersen Nail

Question 6: All of the following are true about fracture of the atlas
vertebra, except ?
A) Jefferson fracture is the most common type
B) Quadriplegia is seen in 80% cases
C) Atlantooccipital fusion may sometimes be needed
D) CT Scans should be done for diagnosis
Answer: B) Quadriplegia is seen in 80% cases

Question 7: A 30 year old man had road traffic accident and sustained
fracture of femur. Two days later he developed sudden breathlessness. The
most probable cause can be ?
A) Pneumonia
B) Congestive heart failure
C) Bronchial asthma
D) Fat Embolism
Answer: D) Fat Embolism

Question 8: A 45 year old was given steroids after renal transplant.
After 2 years he had difficulty in walking and pain in both hips. Which one
of the following is most likely cause ?
A) Primary Osteoarthritis
B) Avascular necrosis
C) Tuberculosis
D) Aluminium Toxicity
Answer: B) Avascular necrosis

Question 9: The gold standard for the diagnosis of osteoporosis is ?
A) Dual energy X-ray absorptiometry
B) Single energy X-ray absorptiometry
C) Ultrasound
D) Quantitative computed tomography
Answer: A) Dual energy X-ray absorptiometry

Question 10: Which one of the following is the investigation of choice for
evaluation of suspected Perthes’ disease ?
A) Plain X-Ray
B) Ultrasonography (US)
C) Computed Tomography (CT)
D) Magnetic Resonance Imaging (MRI)
Answer: D) Magnetic Resonance Imaging (MRI)

Question 11: All of the following areas are commonly involved sites in
pelvic fracture except ?
A) Pubic rami
B) Alae of ileum
C) Acetabula
D) Ischial tuberosities
Answer: D) Ischial tuberosities

Question 12: Osteoclasts are inhibited by ?
A) Parathyroid hormone
B) Calcitonin
C) 1,25-dihydroxycholecalciferol
D) Tumor necrosis factor
Answer: B) Calcitonin

Question 13: A young woman met with an accident and had mild
quadriparesis. Her lateral X-ray cervical spine revealed C5-C6 fracture
dislocation. Which of the following is the best line of management ?
A) Immediate anterior decompression
B) Cervical traction followed by instrument fixation
C) Hard cervical collar and bed rest
D) Cervical Laminectomy
Answer: B) Cervical traction followed by instrument fixation

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