匀夀䰀䰀䄀䈀唀匀

䐀爀
⸀ 
䄀瀀甀爀
瘀 䴀攀栀爀
愀
QuesID: -1
Which Bone does not form the Wrist joint
1. Radius
2. Triquetrum
3. Scaphoid
4. Ulna

QuesID: -2
Sunray appearance in osteosarcoma is due to:
1. Bone destruction
2. Periosteal reaction
3. Vascular calcification
4. Bone hypertrophy

QuesID: -3
Most sensitive investigation for early bone infections is: (NEET DEC 2016)
1. X-ray
2. CT scan
3. Bone scan
4. USG
QuesID: -4
Stress fractures are diagnosed by:(JIPMER May 2016, AIIMS May 2015, AI
2004)
1. X-ray
2. CT
3. MRI
4. Bone scan

QuesID: -5
Identify the marked structure: (AI 2016)

1. Trapezium
2. Lunate
3. Trapezoid
4. Capitate
QuesID: -6
Synovial Tenosynovitis of flexor tendon. What is the correct option?
1. The affected finger is extended at all joints
2. It has to be conservatively managed
3. Little finger infection can spread to thumb but not to index finger
4. Patient present with minimal pain

QuesID: -7
12 years male came with swelling of lower end tibia which is surrounded by
rim of reactive bone. What is most likely diagnosis?
1. GCT
2. Brodie’s Abscess
3. Hyper PTH
4. Osteomyelitis

QuesID: -8
Which amongst the following occurs in immunocompetent host ?
1. GCT
2. Brodie’s Abscess
3. Hyper PTH
4. Osteomyelitis
\
QuesID: -9
A child presents with fever and discharging pus from right thigh x 3 months.
Following is the xray. Identify the labelled structured:

1. Sequestrum
2. Cloacae
3. Involucrum
4. Worsen Bone

QuesID: -10
Tom smith septic arthritis affects?
1. Neck of infants
2. Hip joint of infants
3. Elbow joint of children
4. Shoulder joint in children
QuesID: -11
Most common site of osteomyelitis in children?
1. Diaphysis
2. Metaphysis
3. Epiphysis
4. Growth plate
QuesID: -12
A patient has history of RTA 2 years back; at the same sight he developed
pain and swelling. X – ray shows the following features. What will be the
diagnosis?

1. Osteogenic sarcoma
2. Ewing’s sarcoma
3. Chronic osteomyelitis
4. Multiple myeloma

QuesID: -13
Chronic recurrent multifocal osteomyelitis is seen in:
1. Werner’s syndrome
2. Wartenberg’s syndrome
3. SAPHO syndrome
4. All of the above
QuesID: -14
Negative pressure wound therapy false is: (DNB JUNE 2017)
1. Necrotic tissue with eschar in wound is a contraindication to its use
2. Pressure is 30 mmHg
3. Gives good granulation tissue
4. Used intermittently or continuously

QuesID: -15
Which of the following statement about tubercular osteomyelitis is not true?
1. It is a type of secondary osteomyelitis
2. Sequestrum is uncommon
3. Periosteal reaction is characteristic
4. Inflammation is minimal

QuesID: -16
Spina ventosa is seen in:
1. Carpals
2. Phalanges
3. Dorsal spine
4. Shoulder joint
QuesID: -17
Most common type of lesion in Pott’s spine:
1. Central
2. Anterior
3. Paradiscal
4. Appendiceal

QuesID: -18
Caries sicca is seen in: (DNB, June 2017, NEET Pattern 2013; 2012)
(Rohtak 96)
1. Hip
2. Shoulder
3. Knee
4. None of the above

QuesID: -19
What causes both destruction of bone and reduction of joint space? (NEET
Dec 2016, AIIMS Nov 2013)
1. Tuberculosis
2. Metastasis
3. Multiple myeloma
4. Lymphoma
QuesID: -20
Which of the following is not true about the management of Pott’s
paraplegia? (NEET Dec 2016)
1. Chemotherapy is the mainstay of conservative management
2. Paraplegia not improving with conservative treatment even after 3–6
weeks is an indication for operative intervention
3. Decompression via anterolateral approach is most preferred
4. Posterior decompression and instrumentation can be used to correct
the deformity

QuesID: -21
A patient with GCT which of the following is false:

1. Epiphyseo – metaphyseal location

2. Eccentric
3. Defined margins
4. Chemotherapy is the mainstay of treatment
QuesID: -22
A 70 yrs male patient has single well defined lytic lesion of skull. The
patient had no other complaint and urine examination had no abnormality.
What is the most likely diagnosis?
1. L.C.H.
2. Localized myeloproliferative disorder
3. Generalized myeloproliferative disorder
4. Tumor of Osteoblasts

QuesID: -23
The most likely diagnosis for the tumor at upper end of tibia is:

1. GCT
2. UBC
3. ABC
4. CB
QuesID: -24
Which metabolic condition has phosphaturia and osteomalacia?
1. Fibrosarcoma
2. Osteosarcoma
3. Undifferentiated sarcoma
4. Malignant peripheral nerve sheath tumor

QuesID: -25
Ankle x- ray of an adolescent boy is shown. Probable diagnosis:

1. Chondromyxoid fibroma
2. Osteosarcoma
3. Bone cyst with fracture
4. Osteitis Fibrosis cystica
QuesID: -26
Fallen fragment sign:
1. Simple bone cyst
2. Osteosarcoma
3. Adamantinoma
4. Aneurysmal bone cyst

QuesID: -27
Which of the following is not a type of geographic lesion of bone? (DNB
June 2017)
1. Fibrous dysplasia
2. Brodie’s abscess
3. Giant cell tumor
4. Ewing’s sarcoma

QuesID: -28
Most radio-resistant tumor: (JIPMER MAY 2017)
1. Osteosarcoma
2. Malignant fibrous histiocytoma
3. Ewing’s sarcoma
4. Multiple myeloma
QuesID: -29
Maffucci syndrome: (DNB June 2017, NEET Pattern 2012)
1. Multiple enchondromatosis with hemangiomas
2. Multiple osteochondromatosis with hemangiomas
3. Multiple osteochondromas
4. Multiple Giant cell tumor

QuesID: -30
Most common site of metastases in case of osteosarcoma is: (DNB June
2017)
1. Brain
2. Lungs
3. Liver
4. Bladder

QuesID: -31
Identify the nerve supply of the marked muscle:

1. Radial Nerve
2. Median Nerve
3. Ulnar Nerve
4. Anterior Interosseous Nerve
QuesID: -32
Foot drop is caused due to injury to?
1. Common Peroneal Nerve
2. Tibial Nerve
3. Femoral Nerve
4. Obturator Nerve

QuesID: -33
Image of dorsum of hand, which nerve gives sensory supply to this region:

1. PIN
2. Radial
3. Median
4. Ulnar
QuesID: -34
Identify the given Xray abnormality

1. Costo Chondritis
2. Cervical Rib
3. Rib Fracture 2nd / 3rd
4. C5/C6 Spondylolisthesis

QuesID: -35
Which of the following is not true about Klumpke’s paralysis? (DNB June
2017)
1. Involves lower trunk of brachial plexus
2. Intrinsic muscles of hand are paralysed
3. Claw hand is a feature
4. Horner’s syndrome can never be associated
QuesID: -36
Erb’s palsy involves injury to. (DNB June 2017)
1. C5,6 roots
2. C6 7 roots
3. C7, 8 roots
4. C8,T1 roots

QuesID: -37
Brachial plexus injury with Horner’s syndrome, nerve root level involved is.
(DNB June 2017)
1. C5
2. C6
3. C7
4. T1

QuesID: -38
Axillary nerve injury likely to be seen in: (AI 2016)
1. Shoulder dislocation
2. Coracoid process fracture
3. Hummers shaft fracture
4. Brachial plexus injury
QuesID: -39
A patient with history of RTA present in ED. Attending orthopedician writes
Gustilo’s type IIIB for his both bones fracture in lower limbs injury.
According to Gustilo andreson Classification what is correct?
1. B/L limb wound of > 10 cm with adequate soft tissue coverage of
extensive laceration, flaps, avulsion injury & regardless of size of wound
2. B/L limb wound of size <1cm
3. B/L limb wound of size> 10 cm with extensive soft tissue damage &
periosteal damage
4. Wound between 1 an d10 cm in length without between soft --- tissue
damage, flaps or avulsions.

QuesID: -40
Proximal tibial epiphysis fuses at. (NEET DEC 2016)
1. 12-14 years
2. 14-16 years
3. 16-18 years
4. 18-20 years

QuesID: -41
Hypertrophic non-union following a fracture, most appropriate treatment
would be: (AI 2016)
1. Stabilisation
2. Bone grafting
3. Stabilisation and bone grafting
4. None of the above
QuesID: -42
Scaphoid fracture which area has maximum chances of AVN/ Non-union/
Malunion
1. Proximal 1/3
2. Middle 1/3
3. Distal 1/3
4. Scaphoid Tubercle Fracture

QuesID: -43
Earliest sign of compartment syndrome of leg is:
1. Tingling or numbness
2. Skin mottling
3. Pulselessness
4. Pain on Passive stretch

QuesID: -44
A patient of supracondylar humerus fracture is unable to flex
interphalangeal joint of the thumb. Which nerve is most likely injured?
1. Median nerve
2. Superficial branch of ulnar nerve
3. AIN
4. Pin
QuesID: -45
Which fracture results in the given deformity?

1. Supracondylar fracture of humerus

2. Lateral condylar fracture
3. Olecranon fracture
4. Radial head fracture

QuesID: -46
X-ray of a 10 year old child is shown. Which of the following is incorrect?

1. Anterior pad of fat sign can be seen

2. Fracture of radius head is seen
3. Radius head articulation is seen
4. Supracondylar fracture humerus can cause fat pad sign
QuesID: -47
Triangular relation of elbow is maintained in:
1. Fracture ulna
2. Anterior dislocation of elbow
3. Posterior dislocation of elbow
4. Supracondylar fracture of humerus

QuesID: -48
Identify the bone numbered in the Xray below that most commonly fracture
when a person falls on outstretched hands?

1. 1
2. 2
3. 3
4. 4
QuesID: -49
You are posted as an intern in causality. Which among the followings with
fractures will be your 1st priority to call ortho PG and inform?
1. Patient’s finger is blackening
2. Patient cannot extend his arm
3. A 10 cm abrasion
4. Intra articular fracture of elbow joint

QuesID: -50
What is meant by perilunate dislocations?
1. Lower radius, scaphoid and lunate and capitates all in same plane
2. Lower radius, scaphoid and capitates in alignment, lunate alone out
of plane
3. Lower radius, scaphoid and lunate in alignment, capitates alone is out
of plane
4. Both lunate and capitates are out of plane
QuesID: -51
A 20 year old man fell on an outstretched hand and later had pain in the
anatomic snuff box area of hand. What is the deformity in this person. The
xray after the fall is given below:

1. Scaphoid – lunate fracture

2. Distal radius fracture
3. Ulnar fracture
4. Scaphoid fracture
QuesID: -52
Which classification is used to measure the degree of the deformity in the
given image?

1. Neer’s classification
2. Garden classification
3. Gartland classification
4. Heer fort classification

QuesID: -53
A patient received and electric shock and fell down. He cannot do external
rotation of shoulder and cannot move arm. What is the diagnosis:
1. Anterior dislocation
2. Posterior dislocation
3. Clavicle fracture
4. Luxation erecta
QuesID: -54
The posterolateral lesion in the head of humerus in cases of recurrent
anterior shoulder dislocation is: (DNB July 2017, JIPMER 2014)
1. Bankart's lesion
2. Hill-Sachs lesion
3. Reverse Hill-Sachs lesion
4. Greater tuberosity avulsion fracture

QuesID: -55
Deformity with decreased carrying angle is: (DNB JUNE 2017)
1. Cubitus varus
2. Mannus varus
3. Cubitus valgus
4. Mannus valgus

QuesID: -56
Cubitus valgus develops as complication of: (NEET DEC 2016)
1. Jupiter fracture
2. Smiths fracture
3. Malgaigne fracture
4. Staddle fracture
QuesID: -57
A patient reported with a history of fall on an outstretched hand, complains
of pain in the anatomical snuffbox and clinically no deformities visible. The
diagnosis is: (DNB June 2017, Andhra 99, NIMS 98) (AI 92, AIIMS 90)
1. Colles' fracture
2. Lunate dislocation
3. Barton's fracture
4. Scaphoid fracture

QuesID: -58
Left-Right movement of skull occurs at?
1. Atlento occipital joint
2. Atlanto-axial joint
3. C2 – C3
4. C6 – C7

QuesID: -59
1st reflex to recover after spinal shock:
1. Bulbocavernosus Reflex
2. Abdominal Reflex
3. Plantar Reflex
4. Ankle Reflex
QuesID: -60
A patient presents with normal babinsky reflex with ankle areflexia with
presence of saddle anesthesia and difficulty in micturition. What is the most
probable diagnosis? (DNB JUNE 2017)
1. Cauda equina syndrome
2. Brown Sequard syndrome
3. Leriche syndrome
4. Williams syndrome

QuesID: -61
Which of the following is not true about Jefferson’s fracture? (NEET DEC
2016)
1. It is a burst fractures of the ring of atlas vertebra
2. It is the most common type of atlas fracture
3. Fracture definition is particularly clear on CT scan image
4. It is associated with injury elsewhere in spine in 25% of the cases

QuesID: -62
Most dangerous type of odontoid fracture as per Anderson and D’ Alonzo
classification and its respective management is: (NEET DEC 2016)
1. Type I- immobilization in rigid collar
2. Type II- screw fixation
3. Type III- halo vest immobilization
4. Type IV- open reduction internal fixation
QuesID: -63
A 55 year old female came with hip flexor contracture. What is the most
likely test to be done in this case?
1. Allis test
2. Thomas test
3. Ober test
4. Trendlenberg test

QuesID: -64
Bryant’s triangle is useful in diagnosis of following except:
1. Supratrochanteric shortening
2. Infratrochanteric shortening
3. Anterior dislocation hip
4. Posterior dislocation hip

QuesID: -65
Which of the following is not true about intracapsular fracture of femur
neck? (NEET DEC 2016)
1. Displacement is less common than extracapsular fractures
2. Malunion is common complication
3. Contour of greater trochanter is normal
4. Tenderness is mainly present over the anterior joint line
QuesID: -66
Most common type of hip dislocation is: (NEET DEC 2016)
1. Anterior
2. Posterior
3. Central
4. Inferior

QuesID: -67
Lauge – Hansen classification belongs to:
1. Femur fracture
2. Elbow fracture
3. Ankle fracture
4. Shoulder fracture

QuesID: -68
MC complication of fracture talus is: (DNB July 2016, AIIMS May 1995)
1. Avascular necrosis
2. Non-union
3. Osteoarthritis of ankle joint
4. Osteoarthritis of subtalar joint
QuesID: -69
Jones fracture is: (NEET 2016, TN 2015)
1. Fracture of base of 5th metatarsal
2. Fracture of base of 2nd metatarsal
3. Fracture of base of 1st metacarpal
4. Fracture of head of 5th metacarpal

QuesID: -70
What is the treatment modality for the following fracture?

1. Tension band wiring

2. External fixation
3. Plating
4. ORIF
QuesID: -71
Dunlop traction is type of traction used in management of: (NEET Dec
2016)
1. Fracture humerus
2. Fracture radius
3. Fracture femur
4. Fracture tibia

QuesID: -72
Unna boot is used for treatment of: (DNB June 2017)
1. Diabetic foot ulcer
2. Varicose ulcers
3. Ankle instability
4. Calcaneum fracture

QuesID: -73
Brace is used in scoliosis is? (AI Dec 2016, 2015)
1. Milwaukee Brace
2. LS Belt
3. Taylors Brace
4. Four post collar
QuesID: -74
14 years old child with Naive Rheumatoid Arthritis patient (image of both
hands give) what is treatment?

1. Dmards after initial 3 months of NSAIDs

2. Only NSAID
3. Dmards with short course of steroids
4. Monotherapy with TNF drugs

QuesID: -75
Patellar Clunk Syndrome scar is present at superior pole of patella and
impinging on:
1. Femoral component during flexion
2. Femoral component during extension
3. Inferior pole during flexion
4. Superior pole during extension
QuesID: -76
10 year old present with ankle pain. X- ray has Lytic Lesion with sclerotic
rim at calcaneum. Following HPE findings were seen. What is your
diagnosis:

1. Eumycosis
2. PVNS
3. Ochronosis
4. Hemophilic Pseudotumar

QuesID: -77
A 40-year-old female previous case history of fever, weight loss
polyarthralgia.Morning stiffness and bilateral hand pain The radiological
finding is given below, what may be your diagnosis?
1. Osteoarthritis
2. Rheumatoid arthritis
3. Gout
4. Psoriatic Arthritis
QuesID: -78
Examine knee x ray carefully. Diagnosis:

1. TB
2. Gout
3. Charcot
4. RA

QuesID: -79
True statement regarding Mseleni joint disease is:
1. Should, elbow wrist involvement is characteristic
2. Elderly males are commonly involved
3. Height is unaffected
4. Endemic to northern Kwazulu Natal area in South Africa

QuesID: -80
Herberden’s arthropathy affects:
1. Lumbar spine
2. Sacroiliac joint
3. Distal interphalangeal joint
4. Knee joint
QuesID: -81
Following X-ray changes are seen in: (AI 2016)

1. OA
2. RA
3. Psoriasis
4. Pseudogout

QuesID: -82
Which of the following is difference between Rheumatoid arthritis and
osteoarthritis? (DNB July 2016)
1. Osteophytes are seen in osteoarthritis
2. Systemic symptoms are seen in osteoarthritis
3. Rheumatoid arthritis is uncommon in hands and feet
4. Osteoarthritis is an autoimmune disease
QuesID: -83
75 yrs female has chronic backache. X- ray spine is shown. What is the
most likely diagnosis:

1. Pott’s spine
2. Osteoporosis
3. Spondylolisthesis
4. Spondylodiscitis

QuesID: -84
Which drug increases the bone formation in osteoporosis?
1. Teriparatide
2. Risedronate
3. Calcitonin
4. Denosumab
QuesID: -85
In hand surgery which area is called no man’s land: (DNB June 2017,
AIIMS Nov 2000)
1. Proximal phalanx
2. Distal phalanx
3. Between distal palmar crease and flexor crease of PIP
4. Wrist

QuesID: -86
Identify the deformity:

1. Swan Neck deformity

2. Boutonniere deformity
3. Jersey Finger
4. Mallet Finger

QuesID: -87
All are true about PCL except?
1. It’s a extra synovial structure
2. Primary restrain for post dislocation of knee joint
3. Primary restrain for internal rotation around knee joint
4. Attached to medial femoral condyle
QuesID: -88
A patient sustained a hyperextension injury to his knee. Which of the
following ligament prevents excess movement of femur on tibia? (JIPMER
MAY 2016)
1. Anterior cruciate ligament
2. Posterior cruciate ligament
3. Medial collateral ligament
4. Lateral collateral ligament

QuesID: -89
Painful arc syndrome which movement is painful?
1. Initial abduction
2. Terminal abduction
3. Mid abduction
4. Full range of abduction

QuesID: -90
A 55 year old male presents with severe backache for 10 days and urinary
incontinence with a H/o intervert ebral lumbar disc prolapsed. There is no
H/o fever or weight loss. What is the likely diagnosis?
1. Potts spine
2. Multiple myeloma
3. Cauda equina syndrome
4. Bone metastasis
QuesID: -91
Muscles affected in de Quervain’s tenosynovitis:
1. Abductor pollicis longus and extensor pollicis brevis
2. Adductor pollicis longus and extensor pollicis brevis
3. Abductor pollicis longus and flexor pollicis brevis
4. Adductor pollicis longus and flexor pollicis brevis

QuesID: -92
Bakers cyst is a type of: (DNB JUNE 2017)
1. Pulsion diverticulum of knee joint
2. Retention cyst
3. Bursitis
4. Benign tumor

QuesID: -93
Bunion is commonly seen at: (NEET Pattern 2016, 2013)
1. Great toe MTP joint
2. Medial malleolus
3. Lateral malleolus
4. Shin of tibia
QuesID: -94
Meyer pedicle graft is used for?
1. Fracture through neck of the talus
2. Non-union fracture neck of femur
3. Fracture through the waist of the scaphoid
4. Inter-trochanteric fracture femur

QuesID: -95
A body builder taking steroids presented with hip pain and is unable to
squat. On MRI, femoral articular surface is disrupted and there is cresent
sign seen on radiograph.What is the diagnosis?
1. AVN
2. Osteochondroma
3. TB hip
4. Fracture neck of femur

QuesID: -96
Kohler’s disease is due to osteonecrosis of:
1. Calcaneum
2. Tarsal bone
3. Talus
4. Humerus – Capitulum
QuesID: -97
What is the likely diagnosis of the image shown below:

1. Coxa magna
2. Coxa valga
3. Coxa vara
4. Coxa sultans

QuesID: -98
All of the following are true about Sprengel’s deformity except:
1. Associated with Congenital scoliosis
2. Associated with Diastemetomyelia
3. High incidence with Klippel Fiel syndrome
4. Associated with Dextrocardia
QuesID: -99
The triad of triple arthrodesis includes all except:
1. Calcaneocuboid joint
2. Talonavicular joint
3. Tibiotalar joint
4. Subtalar joint

QuesID: -100
Fairbanks Δ is seen in: (NEET Pattern 2016, 2012)
1. CTEV
2. DDH
3. SCFE
4. Coxa Vara