Question 1: A 15-year-old boy presented with painful swelling over the left shoulder. Radiograph of the shoulder showed and osteolytic area with stippled calcification over the proximal humeral epiphysis. Biopsy of the lesion revealed an immature fibrous matrix with scattered giant cells. Which of the following is the most likely diagnosis ?
A) Giant Cell Tumor
B) Chodroblastoma
C) Osteosarcoma
D) Chondromyxoid fibroma
Answer:
B
Question 2: A 46-year-old, known alcoholic, presented with pain in the dorsal spine. On examination there is tenderness at the dorso-lumbar junction. Radiograph shows destruction of the 12th dorsal vertebra with loss of disc space between D12-L1 vertebrae. The most probable diagnosis is ?
A) Metastatic spine disease
B) Pott’s spine
C) Missed trauma
D) Multiple myeloma
Answer:
Question 3: A 50-year-old man sustained posterior dislocation of left hip in an accident. Dislocation was reduced after 3 days. He started complaining of pain in left hip after 6 months. X-rays of the pelvis were normal. The most relevant investigation at this stage will be ?
A) CRP levels in blood
B) Ultrasonography of hip
C) Arthrography of hip
D) MRI of hip
Answer:
D
Question 4: A one and a half year old child holding her father’s hand slipped and fell but did not let go of her father’s hand. After that, she continued to cry and hold the forearm in pronated position and refused to move the affected extremity. Which of the following management at this stage is most appropriate ?
A) Supinate the forearm
B) Examine the child under GA
C) Elevate the limb and observe
D) Investigate for osteomyelitis
Answer:
A
Question 5: A 30 year old man involved in a fisticuff, injured his middle finger and noticed slight flexion of DIP joint. X-rays were normal. The most appropriate management at this stage is ?