ORTHOPEDIC 2026 EXAMS,
QUESTION AND ANSWERS
Origin of bone is from:
a. Ectoderm.
b. Mesoderm.
c. Endoderm.
d. All of the above. - answerb. Mesoderm
Acute osteomyelitis is commonly caused by:
a. Staph aureus.
b. S. pyogenes.
c. H. influenzae.
d. Salmonella. - answera. Staph aureus
Acute osteomyelitis usually begins at:
a. Epiphysis.
b. Metaphysis.
c. Diaphysis.
d. Any of the above. - answerb. Metaphysis.
What is not True of acute pyogenic osteomyelitis:
a. Trauma is a predisposing factor.
b. Common infecting agent is Staph. Aureus.
c. Infection is usually blood borne.
d. All are true. - answerd. All are true.
What is not True of Brodie's abscess:
a. A form of chronic osteomyelitis.
b. Intermittent pain and swelling.
c. Common to diaphysis.
d. Excision is very often required. - answerc. Common to diaphysis.
Tuberculosis of the spine most likely originates from:
a. Intervertebral disk.
b. Cancellous vertebral body.
c. Ligamentous structures.
d. Paravertebral soft tissue. - answerb. Cancellous vertebral body.
In Pott's spine, the disease starts in the:
a. Intervertebral disk.
b. Anterior vertebral margin.
c. Posterior vertebral margin.
d. Paravertebral soft tissue. - answerb. Anterior vertebral margin.
,Melon seed bodies in joint fluid are characteristic of:
a. Rheumatoid arthritis.
b. Tuberculous arthritis.
c. Septic arthritis.
d. None of the above. - answerb. Tuberculous arthritis.
The earliest sign of TB hip in X-ray is:
a. Narrow joint space.
b. Irregular moth eaten femoral head.
c. Periarticular osteoporosis.
d. Dislocation. - answerc. Periarticular osteoporosis.
Healing of tuberculous arthritis can lead to:
a. Calcification.
b. Fibrous ankylosis.
c. Boney ankylosis.
d. None of the above. - answerb. Fibrous ankylosis.
Osteoid osteoma originates from:
a. Periosteum.
b. Cortex.
c. Medullary cavity.
d. All of the above. - answerb. Cortex.
Sun ray appearance of osteosarcoma is because of:
a. Periosteal reaction.
b. Osteonecrosis.
c. Calcification along vessels.
d. None of the above. - answerc. Calcification along vessels.
Bone metastasis in male commonly arises from
cancer of:
a. Lung.
b. Prostate.
c. Kidney.
d. Thyroid. - answerb. Prostate.
Osteoblastic bone secondaries commonly arise from
cancer of:
a. Breast.
b. Lung.
c. Prostate.
d. Adrenal - answerc. Prostate.
Bone metastasis can be best evaluated by:
,a. X-ray.
b. 99mTC bone scan.
c. 111Indium scan.
d. Calcium-alkaline phosphatase elevation - answerb. 99mTC bone scan.
The synonym for Paget's disease is:
a. Osteitis fibrosa.
b. Osteitis proliferans.
c. Osteitis deformans.
d. None of the above - answerc. Osteitis deformans.
Multiple myeloma tumor cells resemble:
a. Granulocytes.
b. Plasma cells.
c. Lymphocytes.
d. Chondrocytes - answerb. Plasma cells.
An adamantinoma historically contains:
a. Squamous cell rests.
b. Pallisading cells.
c. Cells resembling basilar cells.
d. All of the above. - answerd. All of the above.
Osteomalacia predominantly affects the:
a. Spine.
b. Pelvis.
c. Skull bones.
d. Metatarsals. - answera. Spine.
The enzyme found in osteoclasts but not in osteoblasts
is:
a. Alkaline phosphatase.
b. Acid phosphatase.
c. Elastase.
d. Cytochrome oxidase. - answerb. Acid phosphatase.
A Gigli saw is:
a. An electrically driven circular bone saw.
b. A pneumatically driven bone saw.
c. A short straight bone saw.
d. A long twisted wire bone saw. - answerd. A long twisted wire bone saw.
Osteoclasis can be used to:
a. Correct deformity of the tibia due to rickets.
b. Curette an osteoclastoma.
c. Correct deformity.
, d. Correct a ricketery rosary - answera. Correct deformity of the tibia due to rickets.
In Dupuytren's contracture which one of the
following statements incorrect:
a. It is a contracture of the flexor tendons to the ring and
little fingers.
b. It is a contracture of the palmar fascia.
c. It may occur in the plantar fascia.
d. There is an association with cirrhosis of the liver. - answera. It is a contracture of the
flexor tendons to the ring and
little fingers.
In an adult patient with a fracture of the shaft of the
femur:
a. No blood can be lost without obvious swelling.
b. No blood can be lost without obvious bruising.
c. Two liters of blood can be lost without obvious swelling
or bruising.
d. There is no possibility of death from hemorrhagic
shock. - answerc. Two liters of blood can be lost without obvious swelling
or bruising.
A greenstick fracture:
a. Occurs chiefly in the elderly.
b. Does not occur in children.
c. Is a spiral fracture- of tubular bone.
d. Is a fracture where part of the cortex is intact and part
is crumpled or cracked. - answerd. Is a fracture where part of the cortex is intact and
part
is crumpled or cracked.
Spiral fracture is due to:
a. Blunt trauma.
b. Axial compression.
c. Twist.
d. Direct impact. - answerc. Twist.
The single most important factor in fracture healing
is:
a. Correct bone alignment.
b. Accurate reduction.
c. Immobilization.
d. Organization of clot. - answerc. Immobilization.
Immobilization is not required in fracture involving:
a. Scapula.
QUESTION AND ANSWERS
Origin of bone is from:
a. Ectoderm.
b. Mesoderm.
c. Endoderm.
d. All of the above. - answerb. Mesoderm
Acute osteomyelitis is commonly caused by:
a. Staph aureus.
b. S. pyogenes.
c. H. influenzae.
d. Salmonella. - answera. Staph aureus
Acute osteomyelitis usually begins at:
a. Epiphysis.
b. Metaphysis.
c. Diaphysis.
d. Any of the above. - answerb. Metaphysis.
What is not True of acute pyogenic osteomyelitis:
a. Trauma is a predisposing factor.
b. Common infecting agent is Staph. Aureus.
c. Infection is usually blood borne.
d. All are true. - answerd. All are true.
What is not True of Brodie's abscess:
a. A form of chronic osteomyelitis.
b. Intermittent pain and swelling.
c. Common to diaphysis.
d. Excision is very often required. - answerc. Common to diaphysis.
Tuberculosis of the spine most likely originates from:
a. Intervertebral disk.
b. Cancellous vertebral body.
c. Ligamentous structures.
d. Paravertebral soft tissue. - answerb. Cancellous vertebral body.
In Pott's spine, the disease starts in the:
a. Intervertebral disk.
b. Anterior vertebral margin.
c. Posterior vertebral margin.
d. Paravertebral soft tissue. - answerb. Anterior vertebral margin.
,Melon seed bodies in joint fluid are characteristic of:
a. Rheumatoid arthritis.
b. Tuberculous arthritis.
c. Septic arthritis.
d. None of the above. - answerb. Tuberculous arthritis.
The earliest sign of TB hip in X-ray is:
a. Narrow joint space.
b. Irregular moth eaten femoral head.
c. Periarticular osteoporosis.
d. Dislocation. - answerc. Periarticular osteoporosis.
Healing of tuberculous arthritis can lead to:
a. Calcification.
b. Fibrous ankylosis.
c. Boney ankylosis.
d. None of the above. - answerb. Fibrous ankylosis.
Osteoid osteoma originates from:
a. Periosteum.
b. Cortex.
c. Medullary cavity.
d. All of the above. - answerb. Cortex.
Sun ray appearance of osteosarcoma is because of:
a. Periosteal reaction.
b. Osteonecrosis.
c. Calcification along vessels.
d. None of the above. - answerc. Calcification along vessels.
Bone metastasis in male commonly arises from
cancer of:
a. Lung.
b. Prostate.
c. Kidney.
d. Thyroid. - answerb. Prostate.
Osteoblastic bone secondaries commonly arise from
cancer of:
a. Breast.
b. Lung.
c. Prostate.
d. Adrenal - answerc. Prostate.
Bone metastasis can be best evaluated by:
,a. X-ray.
b. 99mTC bone scan.
c. 111Indium scan.
d. Calcium-alkaline phosphatase elevation - answerb. 99mTC bone scan.
The synonym for Paget's disease is:
a. Osteitis fibrosa.
b. Osteitis proliferans.
c. Osteitis deformans.
d. None of the above - answerc. Osteitis deformans.
Multiple myeloma tumor cells resemble:
a. Granulocytes.
b. Plasma cells.
c. Lymphocytes.
d. Chondrocytes - answerb. Plasma cells.
An adamantinoma historically contains:
a. Squamous cell rests.
b. Pallisading cells.
c. Cells resembling basilar cells.
d. All of the above. - answerd. All of the above.
Osteomalacia predominantly affects the:
a. Spine.
b. Pelvis.
c. Skull bones.
d. Metatarsals. - answera. Spine.
The enzyme found in osteoclasts but not in osteoblasts
is:
a. Alkaline phosphatase.
b. Acid phosphatase.
c. Elastase.
d. Cytochrome oxidase. - answerb. Acid phosphatase.
A Gigli saw is:
a. An electrically driven circular bone saw.
b. A pneumatically driven bone saw.
c. A short straight bone saw.
d. A long twisted wire bone saw. - answerd. A long twisted wire bone saw.
Osteoclasis can be used to:
a. Correct deformity of the tibia due to rickets.
b. Curette an osteoclastoma.
c. Correct deformity.
, d. Correct a ricketery rosary - answera. Correct deformity of the tibia due to rickets.
In Dupuytren's contracture which one of the
following statements incorrect:
a. It is a contracture of the flexor tendons to the ring and
little fingers.
b. It is a contracture of the palmar fascia.
c. It may occur in the plantar fascia.
d. There is an association with cirrhosis of the liver. - answera. It is a contracture of the
flexor tendons to the ring and
little fingers.
In an adult patient with a fracture of the shaft of the
femur:
a. No blood can be lost without obvious swelling.
b. No blood can be lost without obvious bruising.
c. Two liters of blood can be lost without obvious swelling
or bruising.
d. There is no possibility of death from hemorrhagic
shock. - answerc. Two liters of blood can be lost without obvious swelling
or bruising.
A greenstick fracture:
a. Occurs chiefly in the elderly.
b. Does not occur in children.
c. Is a spiral fracture- of tubular bone.
d. Is a fracture where part of the cortex is intact and part
is crumpled or cracked. - answerd. Is a fracture where part of the cortex is intact and
part
is crumpled or cracked.
Spiral fracture is due to:
a. Blunt trauma.
b. Axial compression.
c. Twist.
d. Direct impact. - answerc. Twist.
The single most important factor in fracture healing
is:
a. Correct bone alignment.
b. Accurate reduction.
c. Immobilization.
d. Organization of clot. - answerc. Immobilization.
Immobilization is not required in fracture involving:
a. Scapula.
