Pediatric Orthopedics MCQs

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

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

 

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