Pediatric Orthopedics MCQs

  • What is the most common cause of limp in a child aged 2-5 years?
    • A) Septic arthritis
    • B) Transient synovitis
    • C) Osteomyelitis
    • D) Perthes disease
      Answer: B) Transient synovitis
  • Which of the following conditions is characterized by a “limp” and is commonly seen in children between 4-8 years old?
    • A) Osteosarcoma
    • B) Ewing’s sarcoma
    • C) Perthes disease
    • D) Slipped capital femoral epiphysis
      Answer: C) Perthes disease
  • What is the primary treatment for a child with a stable, isolated, non-displaced femoral neck fracture?
    • A) Immediate surgery
    • B) Conservative management with bed rest
    • C) Traction
    • D) Casting
      Answer: B) Conservative management with bed rest
  • Which condition involves a “frog-leg” position in the hip joint on X-ray, and is typically seen in infants?
    • A) Developmental dysplasia of the hip (DDH)
    • B) Septic arthritis
    • C) Osteomyelitis
    • D) Juvenile idiopathic arthritis
      Answer: A) Developmental dysplasia of the hip (DDH)
  • At what age is the risk of scoliosis progression highest?
    • A) Infancy
    • B) Early childhood
    • C) Puberty
    • D) Adolescence
      Answer: C) Puberty
  • Which of the following is a common sign of congenital clubfoot?
    • A) Foot in a plantarflexed and inverted position
    • B) Excessive dorsiflexion of the foot
    • C) Hyperextension of the knee
    • D) Limited shoulder abduction
      Answer: A) Foot in a plantarflexed and inverted position
  • What is the recommended initial management for a child with a mild scoliosis curve of less than 20 degrees?
    • A) Surgery
    • B) Bracing
    • C) Observation
    • D) Physical therapy
      Answer: C) Observation
  • In a child with a suspected fracture, what is the most appropriate initial diagnostic tool?
    • A) CT scan
    • B) MRI
    • C) X-ray
    • D) Ultrasound
      Answer: C) X-ray
  • Which condition is characterized by an asymmetric arm length due to an upper limb discrepancy?
    • A) Osteogenesis imperfecta
    • B) Achondroplasia
    • C) Hemihypertrophy
    • D) Marfan syndrome
      Answer: C) Hemihypertrophy
  • What is the typical presentation of a child with a congenital dislocated hip?
    • A) Limited internal rotation of the hip
    • B) Excessive external rotation of the hip
    • C) Painful hip joint
    • D) Positive Galeazzi sign
      Answer: D) Positive Galeazzi sign
  • What is the most common type of fracture in children?
    • A) Greenstick fracture
    • B) Spiral fracture
    • C) Comminuted fracture
    • D) Compound fracture
      Answer: A) Greenstick fracture
  • Which condition is associated with the “potter’s deformity” and involves limb shortening?
    • A) Arthrogryposis
    • B) Spina bifida
    • C) Congenital limb deficiency
    • D) Hip dysplasia
      Answer: A) Arthrogryposis
  • Which imaging modality is most useful for evaluating soft tissue and joint conditions in pediatric orthopedics?
    • A) X-ray
    • B) MRI
    • C) CT scan
    • D) Ultrasound
      Answer: B) MRI
  • What is the primary feature of Osgood-Schlatter disease?
    • A) Knee pain and swelling at the tibial tuberosity
    • B) Hip pain and limited range of motion
    • C) Ankle pain and instability
    • D) Foot pain and deformity
      Answer: A) Knee pain and swelling at the tibial tuberosity
  • Which condition is characterized by a “popliteal cyst” or Baker’s cyst in children?
    • A) Juvenile idiopathic arthritis
    • B) Osteomyelitis
    • C) Meniscal tear
    • D) Rheumatic fever
      Answer: A) Juvenile idiopathic arthritis
  • Which type of scoliosis is often present at birth and involves vertebral anomalies?
    • A) Idiopathic scoliosis
    • B) Congenital scoliosis
    • C) Neuromuscular scoliosis
    • D) Functional scoliosis
      Answer: B) Congenital scoliosis
  • What is the typical age for the onset of septic arthritis in children?
    • A) Newborns
    • B) 1-3 years
    • C) 4-7 years
    • D) Adolescents
      Answer: B) 1-3 years
  • Which condition involves an abnormal lateral curvature of the spine that is not flexible?
    • A) Functional scoliosis
    • B) Structural scoliosis
    • C) Postural scoliosis
    • D) Idiopathic scoliosis
      Answer: B) Structural scoliosis
  • What is the most common type of fracture in a child with osteogenesis imperfecta?
    • A) Compression fracture
    • B) Greenstick fracture
    • C) Spiral fracture
    • D) Comminuted fracture
      Answer: B) Greenstick fracture
  • Which syndrome is characterized by tall stature, long limbs, and hypermobility of joints?
    • A) Marfan syndrome
    • B) Down syndrome
    • C) Turner syndrome
    • D) Noonan syndrome
      Answer: A) Marfan syndrome
  • Which type of fracture is commonly seen in children due to falls or trauma?
    • A) Stress fracture
    • B) Buckle fracture
    • C) Hairline fracture
    • D) Comminuted fracture
      Answer: B) Buckle fracture
  • In the context of pediatric orthopedics, what is the significance of the “Galeazzi sign”?
    • A) Hip dislocation
    • B) Knee instability
    • C) Clubfoot
    • D) Scoliosis
      Answer: A) Hip dislocation
  • What is the most common type of knee injury in adolescents involved in sports?
    • A) Meniscal tear
    • B) ACL tear
    • C) Patellar dislocation
    • D) Patellar tendonitis
      Answer: B) ACL tear
  • Which condition is often associated with a “humpback” deformity and is due to vertebral body wedging?
    • A) Kyphosis
    • B) Lordosis
    • C) Scoliosis
    • D) Osteoporosis
      Answer: A) Kyphosis
  • What is the primary goal of bracing in the management of idiopathic scoliosis?
    • A) To cure scoliosis
    • B) To prevent curve progression
    • C) To relieve pain
    • D) To increase spinal flexibility
      Answer: B) To prevent curve progression
  • What is the hallmark sign of Perthes disease in an X-ray?
    • A) Flattening of the femoral head
    • B) Dislocation of the femoral head
    • C) Swelling of the acetabulum
    • D) Fracture of the femoral neck
      Answer: A) Flattening of the femoral head
  • What is the most common congenital musculoskeletal anomaly?
    • A) Clubfoot
    • B) Developmental dysplasia of the hip
    • C) Cleft palate
    • D) Polydactyly
      Answer: A) Clubfoot
  • What is the initial treatment approach for a child diagnosed with a simple buckle fracture?
    • A) Casting
    • B) Splinting
    • C) Surgery
    • D) Traction
      Answer: B) Splinting
  • In which condition would you expect to find “femoral head avascular necrosis” on imaging?
    • A) Slipped capital femoral epiphysis
    • B) Perthes disease
    • C) Osteomyelitis
    • D) Juvenile idiopathic arthritis
      Answer: B) Perthes disease
  • What is the common presentation of a child with slipped capital femoral epiphysis?
    • A) Hip pain and limited internal rotation
    • B) Knee pain and swelling
    • C) Back pain and stiffness
    • D) Foot pain and deformity
      Answer: A) Hip pain and limited internal rotation
  • Which of the following is a common complication of untreated developmental dysplasia of the hip?
    • A) Osteoarthritis
    • B) Osteomyelitis
    • C) Slipped capital femoral epiphysis
    • D) Perthes disease
      Answer: A) Osteoarthritis
  • What is the primary cause of compartment syndrome in pediatric patients?
    • A) Hemorrhage
    • B) Infection
    • C) Trauma
    • D) Tumor
      Answer: C) Trauma
  • Which condition involves a “genu varum” deformity and is often seen in toddlers?
    • A) Rickets
    • B) Osteogenesis imperfecta
    • C) Blount’s disease
    • D) Hip dysplasia
      Answer: C) Blount’s disease
  • What is the most common cause of hip pain in children between 5 and 10 years old?
    • A) Transient synovitis
    • B) Septic arthritis
    • C) Osteomyelitis
    • D) Perthes disease
      Answer: A) Transient synovitis
  • Which condition is characterized by a “hollow” or “caved-in” appearance of the chest wall?
    • A) Pectus excavatum
    • B) Pectus carinatum
    • C) Kyphosis
    • D) Scoliosis
      Answer: A) Pectus excavatum
  • What is the most effective management for a child with moderate to severe idiopathic scoliosis?
    • A) Observation
    • B) Bracing
    • C) Physical therapy
    • D) Surgical correction
      Answer: D) Surgical correction
  • Which condition is characterized by asymmetry in shoulder height and rib hump?
    • A) Kyphosis
    • B) Scoliosis
    • C) Lordosis
    • D) Spina bifida
      Answer: B) Scoliosis
  • What is the most common method for diagnosing developmental dysplasia of the hip in infants?
    • A) MRI
    • B) X-ray
    • C) Ultrasound
    • D) CT scan
      Answer: C) Ultrasound
  • What is the primary treatment for acute osteomyelitis in children?
    • A) Surgery
    • B) Antimicrobial therapy
    • C) Physical therapy
    • D) Bracing
      Answer: B) Antimicrobial therapy
  • Which condition is most likely to present with a “bump” on the back and limited spinal mobility in a young child?
    • A) Kyphosis
    • B) Lordosis
    • C) Scoliosis
    • D) Osteomyelitis
      Answer: A) Kyphosis
  • What is the common treatment for a child with a suspected ACL injury?
    • A) Bracing
    • B) Rest and rehabilitation
    • C) Surgery
    • D) Splinting
      Answer: B) Rest and rehabilitation
  • Which condition involves a “baker’s cyst” and is often associated with knee joint disorders?
    • A) Rheumatoid arthritis
    • B) Juvenile idiopathic arthritis
    • C) Meniscal tear
    • D) Osteochondritis dissecans
      Answer: B) Juvenile idiopathic arthritis
  • Which pediatric orthopedic condition requires surgical intervention for effective management?
    • A) Clubfoot
    • B) Osgood-Schlatter disease
    • C) Slipped capital femoral epiphysis
    • D) Genu valgum
      Answer: C) Slipped capital femoral epiphysis
  • What is the common clinical feature of osteogenesis imperfecta?
    • A) Bone fragility
    • B) Muscle weakness
    • C) Joint hypermobility
    • D) Growth retardation
      Answer: A) Bone fragility
  • What is the most effective non-surgical treatment for developmental dysplasia of the hip in infants?
    • A) Physical therapy
    • B) Bracing
    • C) Traction
    • D) Casting
      Answer: B) Bracing
  • Which imaging modality is preferred for evaluating bone marrow edema in pediatric orthopedic conditions?
    • A) X-ray
    • B) MRI
    • C) CT scan
    • D) Ultrasound
      Answer: B) MRI
  • Which condition is commonly associated with limb length discrepancy and requires surgical intervention in severe cases?
    • A) Congenital limb deficiency
    • B) Hip dysplasia
    • C) Clubfoot
    • D) Scoliosis
      Answer: A) Congenital limb deficiency
  • What is the typical management approach for a child with a buckle fracture of the distal radius?
    • A) Casting
    • B) Splinting
    • C) Surgery
    • D) Rest and observation
      Answer: B) Splinting
  • Which pediatric orthopedic condition is characterized by a “hump” on the upper back due to vertebral body wedging?
    • A) Kyphosis
    • B) Lordosis
    • C) Scoliosis
    • D) Osteoporosis
      Answer: A) Kyphosis
  • What is the most common type of scoliosis that develops in adolescence?
    • A) Congenital scoliosis
    • B) Idiopathic scoliosis
    • C) Neuromuscular scoliosis
    • D) Functional scoliosis
      Answer: B) Idiopathic scoliosis