Meniscal and cartilage injuries MCQs

By: Prof. Dr. Fazal Rehman | Last updated: September 28, 2024

Meniscal injuries commonly occur in which part of the knee? a) Medial b) Lateral c) Posterior d) Anterior Answer: a) Medial Which diagnostic test is most reliable for identifying a meniscal tear? a) X-ray b) CT scan c) MRI d) Ultrasound Answer: c) MRI Which meniscus is more prone to injury due to its less mobility? a) Lateral meniscus b) Medial meniscus c) Both are equally prone d) Neither Answer: b) Medial meniscus What type of tear is most common in meniscal injuries? a) Radial tear b) Horizontal tear c) Bucket-handle tear d) Longitudinal tear Answer: d) Longitudinal tear The meniscus plays a role in all of the following EXCEPT: a) Load transmission b) Joint stability c) Shock absorption d) Ligament repair Answer: d) Ligament repair Which type of meniscal tear is most likely to cause a knee locking symptom? a) Bucket-handle tear b) Radial tear c) Flap tear d) Degenerative tear Answer: a) Bucket-handle tear Cartilage in the knee joint is primarily composed of which type of collagen? a) Type I b) Type II c) Type III d) Type IV Answer: b) Type II What is the main function of the meniscus in the knee joint? a) Increase knee flexibility b) Stabilize the joint c) Absorb shock d) Reduce muscle strain Answer: c) Absorb shock A common symptom of meniscal injury is: a) Stiffness b) Swelling c) Pain at rest d) Foot numbness Answer: b) Swelling Which of the following is a common risk factor for meniscal tears? a) Running b) Sedentary lifestyle c) Heavy lifting d) Twisting or pivoting movements Answer: d) Twisting or pivoting movements A conservative treatment for meniscal tears typically includes: a) Surgery b) Physical therapy c) Steroid injections d) Rest and immobilization Answer: b) Physical therapy Which meniscal injury is more common in older adults? a) Traumatic tear b) Degenerative tear c) Radial tear d) Flap tear Answer: b) Degenerative tear What is the purpose of meniscectomy in treating meniscal injuries? a) Repairing the meniscus b) Removing the damaged portion c) Replacing the meniscus d) Stabilizing the meniscus Answer: b) Removing the damaged portion Which condition is often associated with a cartilage injury in the knee? a) Osteoarthritis b) Tendonitis c) Bursitis d) Synovitis Answer: a) Osteoarthritis Articular cartilage damage in the knee joint may result in which symptom? a) Numbness b) Grinding sensation c) Muscle spasm d) Loss of flexibility Answer: b) Grinding sensation What is the role of chondrocytes in cartilage? a) Build collagen b) Break down cartilage c) Maintain cartilage d) Increase joint lubrication Answer: c) Maintain cartilage Cartilage injuries are more likely to occur during which type of activity? a) Walking b) High-impact sports c) Swimming d) Cycling Answer: b) High-impact sports What is the most common symptom of cartilage damage in the knee? a) Loss of range of motion b) Burning sensation c) Inflammation d) Clicking sound Answer: a) Loss of range of motion Which of the following tests is most effective for detecting cartilage injury in the knee? a) Ultrasound b) X-ray c) MRI d) CT scan Answer: c) MRI Which treatment is most suitable for a large, symptomatic cartilage injury? a) Physiotherapy b) Microfracture surgery c) Anti-inflammatory medication d) Rest and ice Answer: b) Microfracture surgery What is the most likely cause of a cartilage injury in younger individuals? a) Degeneration b) Trauma c) Infection d) Autoimmune disease Answer: b) Trauma Meniscal repairs have the best outcomes in which area of the meniscus? a) Inner avascular zone b) Outer vascular zone c) Middle avascular zone d) Apex of the meniscus Answer: b) Outer vascular zone The meniscus gets its blood supply from: a) Articular cartilage b) Synovial fluid c) Peripheral vascular supply d) Ligaments Answer: c) Peripheral vascular supply Which type of cartilage is found in the meniscus? a) Elastic cartilage b) Fibrocartilage c) Hyaline cartilage d) Articular cartilage Answer: b) Fibrocartilage Which part of the meniscus is more prone to healing due to better blood supply? a) Outer third b) Middle third c) Inner third d) No part heals effectively Answer: a) Outer third What is a key characteristic of osteoarthritis related to cartilage injury? a) Cartilage regeneration b) Cartilage degeneration c) Excessive synovial fluid d) Increased joint lubrication Answer: b) Cartilage degeneration The presence of a meniscal tear can be confirmed using which clinical test? a) McMurray’s test b) Lachman test c) Patellar grind test d) Tinel’s test Answer: a) McMurray’s test Which surgical procedure can be used to regenerate cartilage in the knee? a) Arthroscopy b) Osteotomy c) Microfracture surgery d) Meniscectomy Answer: c) Microfracture surgery What is a long-term consequence of untreated meniscal tears? a) Joint stiffness b) Improved stability c) Osteoarthritis d) Increased muscle flexibility Answer: c) Osteoarthritis Which type of cartilage forms the smooth surface of joints? a) Fibrocartilage b) Hyaline cartilage c) Elastic cartilage d) Meniscal cartilage Answer: b) Hyaline cartilage Which factor contributes most to meniscal injury in sports? a) Sudden acceleration b) Deceleration c) Twisting while the foot is planted d) Repeated jumping Answer: c) Twisting while the foot is planted Meniscus injuries are most common in which age group? a) Children b) Adolescents c) Adults d) Elderly Answer: c) Adults Which physical sign is commonly associated with a meniscal tear? a) Swelling b) Crepitus c) Locking of the knee d) Muscle atrophy Answer: c) Locking of the knee Cartilage injuries are best prevented by: a) Stretching b) Strengthening surrounding muscles c) Wearing knee braces d) Avoiding physical activity Answer: b) Strengthening surrounding muscles Meniscal injuries are more common in which population? a) Runners b) Swimmers c) Football players d) Cyclists Answer: c) Football players What is the initial treatment for a meniscal tear? a) Surgery b) RICE method (Rest, Ice, Compression, Elevation) c) Corticosteroid injection d) Knee replacement Answer: b) RICE method A meniscal tear with no symptoms may be managed by: a) Immediate surgery b) Physical therapy and observation c) Joint replacement d) High-intensity exercise Answer: b) Physical therapy and observation Cartilage injuries can be classified as: a) Superficial and deep b) Traumatic and degenerative c) Radial and longitudinal d) Medial and lateral Answer: b) Traumatic and degenerative What is the common cause of cartilage damage in older adults? a) Trauma b) Overuse and wear c) Infections d) Autoimmune diseases Answer: b) Overuse and wear The recovery period for meniscal surgery usually ranges between: a) 2-4 weeks b) 6-8 weeks c) 3-6 months d) 1 year Answer: b) 6-8 weeks A displaced meniscal tear can lead to: a) Increased knee mobility b) Mechanical block c) Faster healing d) Improved stability Answer: b) Mechanical block Which of the following factors increases the risk of meniscal tears in older adults? a) High-impact activities b) Loss of cartilage elasticity c) Reduced bone density d) Lack of synovial fluid Answer: b) Loss of cartilage elasticity Which surgical procedure involves suturing the torn meniscus? a) Meniscectomy b) Meniscal repair c) Arthroplasty d) Osteotomy Answer: b) Meniscal repair The meniscus is critical for maintaining knee stability because it: a) Prevents excessive movement b) Distributes body weight evenly c) Strengthens the ligaments d) Lubricates the joint Answer: b) Distributes body weight evenly Which activity is most likely to lead to cartilage injury? a) Walking on flat surfaces b) Running on uneven terrain c) Cycling d) Weightlifting Answer: b) Running on uneven terrain  

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