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Orthopaedic Pathology

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Welcome to your Orthopedic Pathology Quiz. This quiz has 34 multiple choice questions. Make sure to mark an answer for every question! Good luck!
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Rheumatoid arthritis is a form of:
- Auto-immune arthritis
- Pyogenic arthritis
- Osteo-arthritis
- Septic arthritis
Osteomyelitis in a long bone cannot reach the adjacent joint except in:
- Tibia to ankle joint
- Tibia to knee joint
- Radius to wrist joint
- Humerus to elbow joint
A meniscus lesion can be shown by:
- X-ray
- CT scan
- Angiography
- Arthrography
Acquired bony deformity may not derive from:
- Muscle imbalance
- Arthritis
- Congenital malformation
- Prolonged abnormal pressure
On suspicion of a soft tissue tumor the diagnostic method of choice is:
- X-ray
- CT scan
- MRI
- Total body scan

One out of the next 4 notations 1 is not correct (according the AAOS standards):
- Rigid ankle in 20° equinus: dorso-/plantar flexion 0/20/20°
- Normal dorso-/plantar flexion ankle: 20/0/50°
- Full pro-/supination of the hand: 30/0/90°
- Full flexion/extension PIP joint index: 100/0/0
Non-complicated full fracture healing takes:
- 6 weeks
- 12 weeks
- 6 months
- 12 months
What makes an compound fracture more risky then a closed fracture
- cannot be operated
- fracture hematoma is lost
- possible pin tract infection
- external fixation not so rigid
Ewing’s sarcoma metastasizes at an early stage to the:
- brain
- liver
- lungs
- other bones
Immovable joints are called:
- amphiarthroses
- synarthroses
- diarthroses
- synovial joints

Rickets results from:
- excessive bone resorption by osteoclasts
- a deficit of Vitamin D and phosphates
- replacement of bone by fibrous tissue
- hyperparathyroidism
Paget’s disease often leads to:
- multiple pathologic fractures
- increased intracranial pressure
- both a and b
- neither a nor b
Therapeutic measures for osteoporosis include:
- non–weight-bearing exercises
- dietary supplements of calcium and vitamin D
- transplants of osteoblasts
- avoidance of all hormones
Where does inflammation usually begin in an individual with ankylosing spondylitis?
- costovertebral joints and progression down the spine
- cervical and thoracic vertebrae, causing kyphosis
- sacroiliac joints and progression up the spine
- peripheral joints and then proceeds to the vertebrae
What limits joint movement in osteoarthritis most?
- the osteophytes and irregular cartilage surface
- the wider joint space
- decreased amount of synovial fluid in the cavity
- fibrosis involving the joint capsule and ligaments

The inflammation surrounding a fracture site during the first few days may complicate healing by causing:
- excessive bone movement
- severe ischemia and tissue necrosis
- malunion or nonunion
- fat emboli to form
In case of a ‘frozen shoulder’
- The shoulder is not moving at all
- The shoulder is never painful
- The shoulder can still move in almost all directions
- The shoulder anatomy has changed
Stability of the real shoulder joint is caused by
- Glenoid ligament (labrum)
- Joint capsule
- Muscles around the shoulder
- a,b, and c
Frozen Shoulder is a pathological condition of the:
- Gleno-humeral joint
- Sterno-clavicular joint
- Acromio-clavicular joint
- All of the above
A frozen shoulder
- Will never change any more
- Can be prevented by (often painful) exercises
- Makes a patient fully helpless and dependant
- Can likely occur on the opposite side as well

A patient complains of pain over the shoulder without having had a trauma; what could NOT be the cause?
- Arthritis of the shoulder joint
- Musculus supraspinatus tendinosis
- Cervical disc prolapse
- Tear of the musculus sterno-cleido-mastoideus
In case of a serious osteo-arthritis of the shoulder one option is unlikely
- The shoulder ROM is limited
- The shoulder is often painful at exercises
- An artificial shoulder joint will restore good function
- Acceptance is a good option
In case of a first traumatic shoulder dislocation
- An anterior dislocation is less likely than a posterior dislocation
- The shoulder capsule is not ruptured
- Acute reposition is rather easy
- X-Ray is advisable before reposition is tried
Thoracic outlet syndrome is NOT caused by
- Cervical disc prolaps
- Cervical 1st rib
- Scalenus syndrome
- Thoraco-clavicular compression syndrome
One of the statements below is NOT correct
- A fibroma is an inflammation of connective tissue
- A myosarcoma is a malignant tumor of a muscle
- Myositis is an inflammation of the muscle
- Fibro-myalgia are pains of unknown origin

Swelling of a muscle after trauma is most likely
- A benign tumor
- A malignant tumor
- A hematoma
- An inflammation
Swelling, redness, pain and impaired function are signs and symptoms (S+S) of:
- An infection
- Septic inflammation
- Non-septic inflammation
- a, b, and c
A knee joint can be painfully locked by (mark the option that is NOT correct)
- A torn meniscus
- Osteo-chondritis dissecans
- Anterior cruciate tear
- Loose body
Signs and symptoms (S+S) of an arthritic knee are (mark the option that is NOT correct)
- Limited painful ROM
- Crepitations
- Lipping at the joint space
- Gross instability
A "Trendelenburg Sign" can indicate
- A weak iliopsoas
- Weak hip abductors
- MCL tear
- Low back pain

Patients with lateral elbow epicondalgia
- have trouble gripping objects
- describe a painful spot at the lateral humeral epicondyle
- have high pain scores
- all of the above
The unhappy triad refers to injury of the
- Talofibular ligament, talocalcaneal ligament, and syndesmosis
- ACL, MCL and meniscus
- Labrum, femoral shaft, and piriformis
- it doesn't exist
The most common cause for cervical radiculopathy are
- Herniated discs & degenerative disc disease
- Fractures and ligament hypertrophy
- Tumors & infections
- A & B
Fractures after ankle inversion trauma occur in
- 5% of cases
- 10% of cases
- 15% of cases
- 20% of cases

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