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

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

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

 

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