Principles of reduction and fixation MCQs

What is the primary goal of fracture reduction? A) To relieve pain B) To restore proper alignment of the bone C) To promote muscle healing D) To enhance circulation Answer: B) To restore proper alignment of the bone Which type of reduction involves surgical intervention? A) Closed reduction B) Open reduction C) Both A and B D) Neither A nor B Answer: B) Open reduction What is a common method used for fixation after fracture reduction? A) Casting B) Splinting C) Surgical plates and screws D) All of the above Answer: D) All of the above What is the term for the process of bringing the bone fragments back into alignment? A) Fixation B) Stabilization C) Reduction D) Rehabilitation Answer: C) Reduction Which type of fixation allows for movement at the fracture site? A) Rigid fixation B) Flexible fixation C) Temporary fixation D) Permanent fixation Answer: B) Flexible fixation What is the primary benefit of closed reduction? A) It requires no anesthesia. B) It minimizes soft tissue damage. C) It guarantees faster healing. D) It is less effective than open reduction. Answer: B) It minimizes soft tissue damage. In which scenario is open reduction typically indicated? A) Simple fractures B) Fractures with significant displacement C) Stress fractures D) Fractures without associated complications Answer: B) Fractures with significant displacement What is the main purpose of using internal fixation devices? A) To allow for better cosmetic results B) To stabilize the fracture internally and allow for early mobility C) To reduce the need for rehabilitation D) To eliminate the need for any follow-up care Answer: B) To stabilize the fracture internally and allow for early mobility Which imaging technique is essential before performing reduction? A) MRI B) X-ray C) CT scan D) Ultrasound Answer: B) X-ray What is the main risk associated with open reduction? A) Faster recovery B) Increased risk of infection C) Reduced healing time D) Lower chances of malunion Answer: B) Increased risk of infection What is the role of external fixation in fracture management? A) To provide rigid support during healing B) To allow for weight-bearing activities C) To eliminate the need for surgery D) To enhance flexibility at the fracture site Answer: A) To provide rigid support during healing Which of the following is NOT a method of fracture fixation? A) Plaster cast B) Intramedullary nailing C) External traction D) Herbal remedies Answer: D) Herbal remedies What is the purpose of traction in fracture management? A) To immobilize the fracture B) To align the bone fragments C) To promote muscle atrophy D) To reduce swelling Answer: B) To align the bone fragments What is the term for the inability of a fracture to heal properly? A) Malunion B) Non-union C) Delayed union D) All of the above Answer: D) All of the above Which type of fracture typically requires internal fixation? A) Simple fracture B) Compound fracture C) Comminuted fracture D) Avulsion fracture Answer: C) Comminuted fracture What is the first step in the process of closed reduction? A) Assessment of the fracture B) Application of a cast C) Surgical intervention D) Patient education Answer: A) Assessment of the fracture Which of the following factors can influence the choice of reduction method? A) Patient’s age B) Fracture location and type C) Patient’s activity level D) All of the above Answer: D) All of the above What is the key advantage of using a cast for fixation? A) It is the most effective method for all fractures. B) It provides excellent immobilization and is non-invasive. C) It allows for easy access to the fracture site. D) It eliminates pain entirely. Answer: B) It provides excellent immobilization and is non-invasive. What is the term for when a fracture heals in an abnormal position? A) Non-union B) Malunion C) Delayed union D) Complicated fracture Answer: B) Malunion Which of the following is a common method for internal fixation? A) External fixators B) Plaster casts C) Screws and plates D) Bandages Answer: C) Screws and plates What is the role of a surgeon during open reduction? A) To align and stabilize the bone fragments surgically B) To observe the procedure without participation C) To provide anesthesia D) To assess the patient’s mental state Answer: A) To align and stabilize the bone fragments surgically What is an essential component of postoperative care following open reduction? A) Immediate weight-bearing activities B) Monitoring for complications C) Eliminating pain management D) Reducing follow-up appointments Answer: B) Monitoring for complications Which type of external fixation device is commonly used for long bone fractures? A) Intramedullary rod B) Circular fixator C) Plaster cast D) Compression bandage Answer: B) Circular fixator What is a potential complication of improper fixation? A) Enhanced mobility B) Chronic pain and instability C) Faster healing D) Increased strength Answer: B) Chronic pain and instability What is the best practice for fracture stabilization before definitive treatment? A) Immediate surgery B) Application of a splint or temporary cast C) Using heat therapy D) Encouraging movement Answer: B) Application of a splint or temporary cast Which principle is crucial for achieving a successful reduction? A) Achieving the quickest possible recovery B) Maintaining proper alignment and stability C) Reducing costs associated with treatment D) Minimizing patient education Answer: B) Maintaining proper alignment and stability What is the purpose of using a compression plate in internal fixation? A) To hold the bone ends together B) To provide flexibility at the fracture site C) To facilitate weight-bearing D) To promote blood circulation Answer: A) To hold the bone ends together What is the typical duration for monitoring a fracture post-fixation? A) 1 week B) 3-4 weeks C) 6-8 weeks D) 12 weeks Answer: C) 6-8 weeks Which of the following describes a dynamic fixation method? A) It allows for micromovement at the fracture site. B) It prevents any movement at the fracture site. C) It is used exclusively for pediatric fractures. D) It is only applicable for stress fractures. Answer: A) It allows for micromovement at the fracture site. What is the importance of follow-up visits after fracture reduction and fixation? A) To ensure healing is progressing as expected B) To reduce healthcare costs C) To decrease the patient’s anxiety D) To eliminate the need for therapy Answer: A) To ensure healing is progressing as expected Which method is preferred for stabilizing complex fractures? A) Rigid internal fixation B) External fixation C) Temporary splinting D) None of the above Answer: A) Rigid internal fixation What is the main advantage of using external fixation in certain fractures? A) It provides better healing than internal fixation. B) It minimizes soft tissue damage and infection risk. C) It requires less follow-up care. D) It is suitable for all fracture types. Answer: B) It minimizes soft tissue damage and infection risk. Which factor is critical for successful fracture healing? A) Age of the patient B) Type of fixation used C) Alignment of the bone D) All of the above Answer: D) All of the above What is the common consequence of delayed reduction? A) Improved bone strength B) Increased risk of complications C) Faster recovery D) None of the above Answer: B) Increased risk of complications Which principle is critical in managing fracture reduction and fixation? A) The quicker the reduction, the better. B) Proper alignment and stability are essential for healing. C) Pain management is the only concern. D) Cost is the primary factor in treatment decisions. Answer: B) Proper alignment and stability are essential for healing.

Principles of reduction and fixation MCQs
By: Prof. Dr. Fazal Rehman | Last updated: September 28, 2024

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