Image based Q.40- Around a joint

Q. Which of these condition is not related to the below anatomical region ?




1. Osgood- Schlatter disease
2. Osteochondritis Dessicans
3. Sinding-Larsen-Johnson disease
4. Presier disease

Answer -4



The osteochondritis of tibial tuberosity and distal pole patella are termed Osgood-Schlatter disease and Sinding-Larsen-Johnson diseas respectively.

The Osteochondritis dessicans also affects knee , especially medial femoral condyle.

The Presier disease is osteochondritis of Scaphoid bone.

image based Q.39 - A score that never sleeps

Q.  Which among these condition has a grading/classification named  after an international world city depicted below ?



1. Rheumatoid arthritis
2. Ankylosing Spondylitis
3. Osteoarthritis
4. Spine tumor

Answer -


 The picture is of New York City showing Manhattan skyline.

The New York criteria is used in diagnosing Ankylosing spondylitis.

This is largely based on radiological assessment of Sacroiliac joint involvement, which is initial features in pathology of the disease, along with pain feature.

image based Q.38 - Foot orthosis

Q- The distal single hole near heel portion in the below orthosis is given for ?




1. Ventilation of foot
2. To avoid pressure sores
3. Inspection of heel
4. Local medicine application

Answer - 3


The picture depicts an Ankle Foot Orthosis (AFO) that is an essential element of clubfoot treatment. There are various AFOs used in clubfoot treatment to check relapse of the corrected deformity like Dennis Brown splint, Mitchell splint etc.
The picture here is of Steenbeek brace, after Michael Steenbeek, a brace used from local material and very inexpensive.
The proper fitting of the heel is checked to ensure correct brace placement and therefore the hole is provided.

image based Q. 37- Swollen , tense limb 2

Q.  Increased risk of acute compartment syndrome in children  is not seen with –

1. Adolescent age

2. Male sex

3. Multiple fracture

4. Close fracture

Answer -  4

The risk factors noted in acute compartment syndrome are following

Boy> Girls,

 Adolescent > Younger age

Open fracture> Closed fracture

Other factors are –

Multiple fracture in same extremity

Multiple attempt of reduction

Multiple attempts in intramedullary nailing

Longer operation time

image based Q.36- Swollen, tense limb

Q. Which of these is not an easy and practical way to predict acute compartment syndrome in paediatric age?

1. Agitation

2. Anxiety

3. Apprehension

4. Analgesia need

Answer –

 Early suspicion of compartment syndrome in paediatric age can be done by ‘’Three As’’ described by Bae et al^*  and includes anxiety, agitation and increased need for analgesia.