Physiotherapy in Orthopedics – MCQs

1. What is the most common site of fracture in osteoporosis?
(A) Femoral neck
(B) Tibia
(C) Radius
(D) Fibula

2. Which type of exercise is most beneficial in early rehabilitation of fractures?
(A) Resistive exercise
(B) Isometric exercise
(C) Plyometric exercise
(D) Aerobic exercise

3. What is the primary goal of physiotherapy in orthopedic rehabilitation?
(A) Pain relief
(B) Preventing deformities
(C) Restoring function and mobility
(D) Increasing bone density

4. In total knee replacement rehabilitation, the most important early exercise is:
(A) Squats
(B) Straight leg raises
(C) Jumping
(D) Stair climbing

5. Which modality is commonly used to reduce post-fracture edema?
(A) Heat therapy
(B) Cryotherapy
(C) Ultrasound
(D) Shortwave diathermy

6. What type of joint movement is most affected in adhesive capsulitis?
(A) Flexion
(B) Extension
(C) Abduction and external rotation
(D) Internal rotation

7. Which gait pattern is commonly seen in hip osteoarthritis?
(A) Waddling gait
(B) Trendelenburg gait
(C) Scissoring gait
(D) High stepping gait

8. The Thomas test is used to assess:
(A) Hamstring tightness
(B) Hip flexion contracture
(C) Knee instability
(D) Ankle mobility

9. Which exercise is best for strengthening quadriceps after knee injury?
(A) Wall squats
(B) Straight leg raises
(C) Calf raises
(D) Hip bridges

10. The most common site for a Colles’ fracture is:
(A) Tibia
(B) Femoral shaft
(C) Distal radius
(D) Ulna

11. What is the initial physiotherapy management for acute low back pain?
(A) Spinal manipulation
(B) Heat therapy
(C) Rest and gentle mobilization
(D) Plyometric training

12. Which type of traction is commonly used for cervical spine injuries?
(A) Skeletal traction
(B) Skin traction
(C) Halo traction
(D) Buck’s traction

13. Which strengthening exercise is contraindicated in acute anterior cruciate ligament (ACL) injury?
(A) Quadriceps setting
(B) Straight leg raises
(C) Open chain knee extension
(D) Isometric exercise

14. Which joint is most commonly affected in rheumatoid arthritis?
(A) Hip
(B) Knee
(C) Wrist and MCP joints
(D) Ankle

15. What is the main purpose of using orthoses in orthopedic rehabilitation?
(A) To increase muscle strength
(B) To improve joint nutrition
(C) To provide support and correct alignment
(D) To increase circulation

16. Which exercise is most effective in preventing osteoporosis?
(A) Swimming
(B) Cycling
(C) Weight-bearing exercise
(D) Yoga

17. Which test is used to diagnose meniscal injury?
(A) Lachman’s test
(B) Apley’s test
(C) Drawer test
(D) McMurray’s test

18. A patient with scoliosis commonly presents with:
(A) Equal shoulder height
(B) Lateral curvature of the spine
(C) Forward bending restriction
(D) Kyphosis

19. Which physiotherapy technique is best for restoring knee range of motion post-surgery?
(A) Ultrasound
(B) Continuous passive motion (CPM) machine
(C) Cryotherapy
(D) Electrical stimulation

20. Which is the most common complication of immobilization after fracture?
(A) Muscle hypertrophy
(B) Joint stiffness and muscle atrophy
(C) Increased circulation
(D) Hyperactivity

21. Which of the following exercises is safe for a patient after hip replacement surgery?
(A) Deep squats
(B) Straight leg raises
(C) Crossing legs while sitting
(D) Jogging

22. The Lachman test is used to assess injury of the:
(A) PCL
(B) ACL
(C) MCL
(D) Meniscus

23. Which of the following is a red flag in orthopedic physiotherapy?
(A) Localized pain
(B) Night pain and unexplained weight loss
(C) Muscle weakness after immobilization
(D) Stiffness after surgery

24. Which muscle group is primarily targeted in rotator cuff rehabilitation?
(A) Biceps
(B) Trapezius
(C) Supraspinatus and infraspinatus
(D) Deltoid

25. What is the main goal of physiotherapy after fracture fixation?
(A) Immobilization
(B) Early mobilization and strengthening
(C) Pain induction
(D) Bone weakening

26. Which of the following is NOT a weight-bearing exercise?
(A) Walking
(B) Swimming
(C) Jogging
(D) Stair climbing

27. Which brace is used in scoliosis management?
(A) Milwaukee brace
(B) Knee brace
(C) Philadelphia collar
(D) Halo vest

28. A patient with tennis elbow (lateral epicondylitis) benefits most from:
(A) Cryotherapy and eccentric strengthening
(B) Immobilization for 6 months
(C) Plyometric training
(D) High-intensity resistance exercises immediately

29. Which joint deformity is commonly seen in rheumatoid arthritis?
(A) Swan neck deformity
(B) Genu valgum
(C) Genu varum
(D) Flat foot

30. Which of the following is the best strengthening program for osteoarthritis of the knee?
(A) Quadriceps strengthening
(B) Hamstring stretching only
(C) Wrist strengthening
(D) Neck isometrics

31. Which test is used to assess shoulder impingement?
(A) McMurray’s test
(B) Neer’s test
(C) Lachman’s test
(D) Trendelenburg test

32. Which muscle is commonly weak in patellofemoral pain syndrome?
(A) Rectus femoris
(B) Vastus lateralis
(C) Vastus medialis oblique (VMO)
(D) Sartorius

33. What is the most common postural deformity seen in osteoporosis?
(A) Lordosis
(B) Kyphosis
(C) Scoliosis
(D) Flat back

34. Which of the following is an indication for joint mobilization?
(A) Acute fracture
(B) Joint stiffness
(C) Malignancy
(D) Acute infection

35. Which gait abnormality is common in patients with foot drop?
(A) High stepping gait
(B) Trendelenburg gait
(C) Waddling gait
(D) Scissoring gait

36. The Drawer test at the ankle is used to diagnose injury of the:
(A) Deltoid ligament
(B) Anterior talofibular ligament
(C) Plantar fascia
(D) Achilles tendon

37. What is the most common complication after total hip replacement?
(A) Hip dislocation
(B) Muscle hypertrophy
(C) Increased bone density
(D) Joint hypermobility

38. Which exercise is contraindicated after anterior hip replacement?
(A) Hip abduction
(B) Hip flexion beyond 90°
(C) Quadriceps setting
(D) Straight leg raising

39. Which of the following is the best initial management of an acute ankle sprain?
(A) Heat therapy
(B) Rest, Ice, Compression, Elevation (RICE)
(C) Deep massage
(D) Plyometric training

40. Which of the following modalities is contraindicated in acute fracture management?
(A) Cryotherapy
(B) Ultrasound over fracture site
(C) Immobilization
(D) Rest

41. Which of the following is NOT a principle of fracture rehabilitation?
(A) Pain relief
(B) Muscle strengthening
(C) Joint immobilization forever
(D) Functional training

42. The Trendelenburg test is used to assess weakness of:
(A) Quadriceps
(B) Gluteus medius
(C) Hamstrings
(D) Iliopsoas

43. Which of the following is a complication of immobilization?
(A) Joint stiffness
(B) Muscle atrophy
(C) Osteoporosis
(D) All of the above

44. Which exercise is recommended for chronic low back pain?
(A) Bed rest only
(B) Core stabilization exercises
(C) Heavy weight lifting
(D) Plyometric training

45. Which joint is most commonly replaced in orthopedic surgery?
(A) Hip
(B) Knee
(C) Shoulder
(D) Ankle

46. Which is the safest strengthening exercise for osteoporotic patients?
(A) High-impact jumping
(B) Heavy squats
(C) Weight-bearing walking and resistance bands
(D) Plyometric drills

47. Which of the following is an early sign of compartment syndrome?
(A) Severe pain disproportionate to injury
(B) Muscle hypertrophy
(C) Increased mobility
(D) Decreased circulation only at night

48. Which orthosis is used for drop foot?
(A) Ankle-foot orthosis (AFO)
(B) Knee brace
(C) Spinal brace
(D) Hand splint

49. Which exercise is avoided immediately after rotator cuff repair surgery?
(A) Pendulum exercise
(B) Active resisted exercises
(C) Passive mobilization
(D) Isometric contractions

50. Which of the following is the long-term goal of orthopedic physiotherapy?
(A) Decrease patient activity
(B) Improve functional independence
(C) Prolong immobilization
(D) Restrict exercises