Surgical approaches and techniques MCQs(ORIF, external fixation, arthroscopy)

Which surgical technique is primarily used for fixing complex fractures? a) Open Reduction and Internal Fixation (ORIF) b) External fixation c) Arthroscopy d) Laparoscopy Answer: a) Open Reduction and Internal Fixation (ORIF) What is the main advantage of using arthroscopy in orthopedic surgery? a) Minimally invasive with less recovery time b) Requires large incisions c) More painful than open surgery d) Cannot be used for diagnosis Answer: a) Minimally invasive with less recovery time Which type of fixation involves placing pins or screws externally to stabilize a fracture? a) External fixation b) Internal fixation c) ORIF d) Arthroscopy Answer: a) External fixation In which scenario is external fixation most commonly used? a) Open fractures with significant soft tissue injury b) Simple fractures c) Rotator cuff tears d) Spinal fusions Answer: a) Open fractures with significant soft tissue injury What does ORIF stand for in orthopedic surgery? a) Open Reduction and Internal Fixation b) Operative Repair of Internal Fractures c) Orthopedic Rehabilitation and Internal Fusion d) Open Repair of Internal Fractures Answer: a) Open Reduction and Internal Fixation Which of the following is a common complication of ORIF surgery? a) Infection b) Tendon rupture c) Fracture nonunion d) All of the above Answer: d) All of the above What is a primary use of arthroscopy in the knee joint? a) Diagnosing meniscal tears b) Replacing the knee joint c) Fusing bones together d) Stabilizing fractures Answer: a) Diagnosing meniscal tears What is the main goal of open reduction in ORIF? a) To realign the fractured bones b) To apply external fixation c) To perform minimally invasive surgery d) To reduce swelling Answer: a) To realign the fractured bones Which technique involves using a camera to guide the surgical procedure? a) Arthroscopy b) Open surgery c) External fixation d) ORIF Answer: a) Arthroscopy What type of anesthesia is typically used during ORIF procedures? a) General anesthesia b) Local anesthesia c) Regional anesthesia d) Sedation only Answer: a) General anesthesia Which approach is commonly used for arthroscopic knee surgery? a) Anterolateral portal b) Posterior approach c) Anterior midline incision d) Lateral approach Answer: a) Anterolateral portal What is the typical recovery time following an arthroscopic procedure? a) 1-2 weeks b) 4-6 weeks c) 6-12 months d) 2-3 months Answer: b) 4-6 weeks Which condition is NOT typically treated with arthroscopy? a) ACL tears b) Meniscus injuries c) Total knee replacement d) Cartilage repair Answer: c) Total knee replacement What is the primary purpose of using external fixation in orthopedic surgery? a) To stabilize fractures while allowing for soft tissue healing b) To replace a joint c) To fuse bones together d) To perform minimally invasive procedures Answer: a) To stabilize fractures while allowing for soft tissue healing Which of the following best describes the external fixation device? a) It is placed entirely inside the body. b) It consists of pins placed through the skin into the bone. c) It is used only for upper limb fractures. d) It is a permanent solution. Answer: b) It consists of pins placed through the skin into the bone. Which technique allows for real-time visualization of the surgical field? a) Arthroscopy b) ORIF c) External fixation d) Laparoscopy Answer: a) Arthroscopy What is the main disadvantage of external fixation? a) Limited ability to stabilize complex fractures b) Increased risk of infection at pin sites c) Requires more anesthesia d) Cannot be used for long periods Answer: b) Increased risk of infection at pin sites Which of the following injuries is commonly treated with ORIF? a) Complex wrist fractures b) Mild sprains c) Stress fractures d) Tendonitis Answer: a) Complex wrist fractures What is the role of the arthroscope in arthroscopic surgery? a) To visualize the inside of a joint b) To replace damaged tissues c) To stabilize fractures d) To apply sutures Answer: a) To visualize the inside of a joint In which case might external fixation be preferred over ORIF? a) When there is a significant soft tissue injury b) For stable fractures c) For minor ligament injuries d) When the fracture is uncomplicated Answer: a) When there is a significant soft tissue injury What type of joint surgeries is often done arthroscopically? a) Knee and shoulder surgeries b) Open-heart surgeries c) Brain surgeries d) Abdominal surgeries Answer: a) Knee and shoulder surgeries Which structure is commonly repaired using arthroscopy in the shoulder? a) Rotator cuff b) Meniscus c) Patella d) Ligaments of the knee Answer: a) Rotator cuff What is the primary advantage of using ORIF for fracture repair? a) Direct visualization and access to the fracture site b) Minimal incision requirements c) Quick recovery d) Decreased need for physical therapy Answer: a) Direct visualization and access to the fracture site Which of the following is an indication for performing arthroscopy? a) Joint pain with no identifiable cause b) Simple fractures c) Complicated fractures d) Open fractures Answer: a) Joint pain with no identifiable cause Which of the following procedures is most likely to require a longer recovery time? a) External fixation b) Arthroscopy c) ORIF d) Fracture immobilization Answer: c) ORIF What is a common use for pins in external fixation? a) To stabilize fractures b) To replace ligaments c) To drain fluids d) To repair tendons Answer: a) To stabilize fractures In the context of orthopedic surgery, what does the term “reduction” refer to? a) The process of realigning broken bones b) The application of fixation devices c) The removal of tissue d) The lengthening of bones Answer: a) The process of realigning broken bones Which is a common complication associated with arthroscopic surgery? a) Infection b) Severe bleeding c) Permanent disability d) Bone nonunion Answer: a) Infection What is a common reason for using an external fixation device? a) To provide stability for open fractures b) To correct deformities c) To perform soft tissue repairs d) To replace joints Answer: a) To provide stability for open fractures Which of the following is true about arthroscopy? a) It requires large incisions. b) It is used only for diagnostic purposes. c) It allows for both diagnosis and treatment of joint issues. d) It cannot be used in outpatient settings. Answer: c) It allows for both diagnosis and treatment of joint issues. What type of fracture is least likely to be treated with external fixation? a) Stable fractures b) Open fractures c) Complex fractures d) Fractures with significant soft tissue injury Answer: a) Stable fractures What is the main purpose of using a tourniquet during ORIF surgery? a) To control bleeding at the surgical site b) To increase the visibility of tissues c) To stabilize the bone d) To facilitate joint movement Answer: a) To control bleeding at the surgical site Which condition would most likely be treated with an arthroscopic procedure? a) Chronic knee pain due to degenerative changes b) Severe fractures c) Tendon ruptures d) Ligament tears Answer: a) Chronic knee pain due to degenerative changes What is the expected outcome of an ORIF procedure? a) Improved alignment and stability of the fracture b) Increased pain c) More complex rehabilitation d) Higher chance of complications Answer: a) Improved alignment and stability of the fracture Which of the following is a contraindication for arthroscopic surgery? a) Active infection in the joint b) Previous joint surgery c) Mild arthritis d) Ligament injuries Answer: a) Active infection in the joint What is the common post-operative care following ORIF? a) Regular follow-ups and physical therapy b) Complete immobilization without any movement c) Immediate return to full activity d) No follow-ups needed Answer: a) Regular follow-ups and physical therapy

Surgical approaches and techniques MCQs(ORIF, external fixation, arthroscopy)
By: Prof. Dr. Fazal Rehman | Last updated: September 28, 2024

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