Principles of reduction and fixation MCQs

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

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.

 

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