Pediatric Orthopedics MCQs – T4Tutorials.com

What is the most common orthopedic condition in children? A) Fractures B) Scoliosis C) Osteomyelitis D) Developmental dysplasia of the hip Answer: A) Fractures At what age should a child’s hips be routinely screened for developmental dysplasia? A) At birth B) At 6 months C) At 1 year D) At 2 years Answer: A) At birth What is the typical treatment for a child with idiopathic scoliosis measuring 20 degrees? A) Surgery B) Bracing C) Observation D) Physical therapy Answer: C) Observation Which condition is characterized by a bowing of the legs in children? A) Rickets B) Osteogenesis imperfecta C) Blount’s disease D) Osgood-Schlatter disease Answer: C) Blount’s disease What is the primary concern when managing fractures in pediatric patients? A) Risk of infection B) Growth plate involvement C) Pain management D) Long-term disability Answer: B) Growth plate involvement What is the most common type of fracture in children? A) Greenstick fracture B) Comminuted fracture C) Spiral fracture D) Transverse fracture Answer: A) Greenstick fracture Which imaging modality is preferred for evaluating hip dysplasia in infants? A) MRI B) X-ray C) Ultrasound D) CT scan Answer: C) Ultrasound What is the common age range for the onset of Osgood-Schlatter disease? A) 2-4 years B) 5-10 years C) 10-15 years D) 15-18 years Answer: C) 10-15 years Which of the following is a typical sign of congenital clubfoot? A) Flat foot B) Inward turning of the foot C) High arch D) Toe walking Answer: B) Inward turning of the foot What is the treatment of choice for a child with idiopathic clubfoot? A) Surgery B) Casting C) Bracing D) Physical therapy Answer: B) Casting What is the most important factor to consider in the management of pediatric fractures? A) The type of fracture B) The child’s age C) The location of the fracture D) The potential for growth plate involvement Answer: D) The potential for growth plate involvement What is the term for an abnormal lateral curvature of the spine? A) Kyphosis B) Lordosis C) Scoliosis D) Hyperkyphosis Answer: C) Scoliosis What is the primary cause of Perthes disease? A) Genetic factors B) Infection C) Poor blood supply to the femoral head D) Trauma Answer: C) Poor blood supply to the femoral head Which condition is associated with a “positive trendelenburg sign”? A) Legg-Calvé-Perthes disease B) Hip dysplasia C) Scoliosis D) Osgood-Schlatter disease Answer: A) Legg-Calvé-Perthes disease At what age does the majority of children outgrow flat feet? A) 1 year B) 3 years C) 5 years D) 7 years Answer: C) 5 years What is a common symptom of a stress fracture in children? A) Swelling and bruising B) Immediate pain C) Gradual onset of pain D) Deformity Answer: C) Gradual onset of pain Which imaging study is most effective for assessing bone growth and development in children? A) X-ray B) MRI C) Ultrasound D) CT scan Answer: A) X-ray What is the primary goal of treatment for scoliosis in children? A) Improve flexibility B) Prevent progression of curvature C) Eliminate pain D) Correct the curve Answer: B) Prevent progression of curvature What is a key risk factor for developing osteomyelitis in children? A) Poor nutrition B) Recent infection C) Prolonged bed rest D) All of the above Answer: D) All of the above In a child with developmental dysplasia of the hip, what is the preferred initial treatment? A) Surgery B) Observation C) Pavlik harness D) Physical therapy Answer: C) Pavlik harness What is the primary indication for surgical intervention in idiopathic scoliosis? A) Cosmetic reasons B) Curvature greater than 40 degrees C) Associated pain D) Parental request Answer: B) Curvature greater than 40 degrees Which condition involves pain at the tibial tuberosity due to repetitive stress? A) Osgood-Schlatter disease B) Legg-Calvé-Perthes disease C) Patellar tendinopathy D) Sinding-Larsen-Johansson syndrome Answer: A) Osgood-Schlatter disease What is the typical duration of immobilization for a pediatric fracture? A) 2-4 weeks B) 4-6 weeks C) 6-8 weeks D) 8-10 weeks Answer: B) 4-6 weeks Which age group is most commonly affected by Legg-Calvé-Perthes disease? A) Infants B) Toddlers C) Children aged 4-10 D) Adolescents Answer: C) Children aged 4-10 What is the most common location for fractures in young children? A) Femur B) Radius C) Clavicle D) Tibia Answer: C) Clavicle What is a common sign of hip dysplasia in infants? A) Limited hip abduction B) Excessive hip mobility C) Unequal leg lengths D) All of the above Answer: A) Limited hip abduction What is the primary treatment for a child with a slipped capital femoral epiphysis? A) Observation B) Casting C) Surgical fixation D) Physical therapy Answer: C) Surgical fixation Which pediatric orthopedic condition is often managed conservatively with observation and physical therapy? A) Scoliosis less than 20 degrees B) Legg-Calvé-Perthes disease C) Osteomyelitis D) Clubfoot Answer: A) Scoliosis less than 20 degrees What is the recommended follow-up for children treated for idiopathic scoliosis? A) Every 6 months B) Annually C) Every 2 years D) As needed Answer: B) Annually What is a key symptom of scoliosis that parents should monitor? A) Leg length discrepancy B) Shoulder asymmetry C) Knee pain D) Flat feet Answer: B) Shoulder asymmetry What is the typical age of onset for Blount’s disease? A) 0-2 years B) 2-4 years C) 4-10 years D) 10-15 years Answer: B) 2-4 years What is the main objective of physical therapy in pediatric orthopedic conditions? A) Pain management B) Surgical readiness C) Improving strength and function D) Reducing anxiety Answer: C) Improving strength and function What is the most common site for fractures in adolescents? A) Proximal humerus B) Distal radius C) Femoral neck D) Clavicle Answer: D) Clavicle What is the recommended first-line treatment for a pediatric fracture? A) Immediate surgery B) Casting or splinting C) Physical therapy D) Pain medication Answer: B) Casting or splinting In pediatric orthopedics, what is a common outcome measure used to assess function? A) Visual Analog Scale B) Pediatric Outcomes Data Collection Instrument (PODCI) C) Oswestry Disability Index D) Short Form Health Survey (SF-36) Answer: B) Pediatric Outcomes Data Collection Instrument (PODCI) What is a significant concern in managing congenital hip dislocation? A) Risk of avascular necrosis B) Chronic pain C) Muscle weakness D) Nerve damage Answer: A) Risk of avascular necrosis What is the most common cause of acute limb pain in children? A) Fracture B) Sprain C) Osteomyelitis D) Growing pains Answer: A) Fracture Which condition is characterized by hip pain and limping in a child? A) Osgood-Schlatter disease B) Slipped capital femoral epiphysis C) Congenital hip dislocation D) Perthes disease Answer: B) Slipped capital femoral epiphysis What is the importance of early detection in pediatric orthopedic conditions? A) To reduce costs B) To improve treatment outcomes C) To enhance parental satisfaction D) To minimize hospital stays Answer: B) To improve treatment outcomes What is the most common type of hip dislocation in children? A) Posterior dislocation B) Anterior dislocation C) Inferior dislocation D) Superior dislocation Answer: A) Posterior dislocation What is a common complication of untreated scoliosis? A) Respiratory problems B) Neurological deficits C) Chronic pain D) All of the above Answer: D) All of the above Which condition requires careful monitoring due to the potential for growth disturbances? A) Osteosarcoma B) Slipped capital femoral epiphysis C) Fractures D) Osteomyelitis Answer: B) Slipped capital femoral epiphysis What is the goal of bracing in the treatment of scoliosis? A) To provide support B) To correct the curvature C) To halt progression D) To reduce pain Answer: C) To halt progression What is the term for a fracture that occurs due to repetitive stress on a bone? A) Pathologic fracture B) Stress fracture C) Compound fracture D) Complete fracture Answer: B) Stress fracture At what age do most children have a complete ossification of the femoral head? A) 5 years B) 10 years C) 15 years D) 20 years Answer: C) 15 years What is a common finding in children with flat feet? A) Inward knee angle B) High arches C) Achilles tendon tightness D) All of the above Answer: A) Inward knee angle

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

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