image based Q. 50 - Injury to growth plates

Q- Regions of physis not interfered in below injury are all except?




a. Endochondral ossification
b. Germinal Zone
c. Proliferative Zone
d. Articular surface
e.Hypertrophic Zone

Answer -
a and e

The metaphyseal fragment in the given image (Arrow) suggeste type 2 Salter -Harris physal injury. The fragment is called Thurston- Holland sign/fragment. 
All except a and e are not involved thus the prognosis is better in these fractures while managed by simple closed reduction and splinting.

image based Q. 49- drug reaction

Q. The in-patient in Ortho ward undergoing treatment for chronic infection noticed erythema, flushing, rashes over face and upper torso. Which of these agent/drug might be responsible for the adverse reaction ?


a. Linezolid
b. Aztreonam
c. Daptomycin
d. Vancomycin

Answer -
d.

The rapid infusion of Vancomycin is reported to cause above symptoms alongside hypotension and shock-like state, also referred to as "red neck syndrome".

image based Q.48- Elbow ligaments

Q. Which of these is not a part of lateral elbow ligaments depicted in below pic?



a. Radial collateral ligament
b. Lateral ulnar collateral ligament
c. Cooper's ligament
d. Accessory ligament

Answer -
C
The lateral ligament complex of elbow consists of four ligaments - LUCL( lateral ulnar collateral ligament), Accessory ligament, Radial collateral ligament, and Annular ligament. - mnemonic LARA.

Medial ligaments, on other side, are three in number - Anteromedial collateral ligament, Posteromedial collateral ligament and transverse or Cooper's ligament.

Image based Q. 47- Absent bone

Q. Which of the basic blood investigation is deranged in one syndrome associated with absent bone in below patient (i.e. radius)?



1. Red blood cells
2. Monocytes
3. Eosinophils
4. Platelets

Answer -
D

TAR syndrome that is Thromocytopenia and Absent Radius is a peculiar congenital disorder associated with variable absence of radius bone and thrombocytopenia presenting as heammorhagic complications.