Meniscal and cartilage injuries MCQs

By: Prof. Dr. Fazal Rehman Shamil | 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