image based Q. 119 - ATT your service

Q.   Least sensitive to primary antitubercular drugs like isoniazid is ?

a. M. chelonae
b. M. kansasii
c. M. fortuitum
d. M. ulcernas
e. M. malmoense
f. M. marinum

Answer -

f

The question asks about least sensitive or in other words resistant to isoniazid drug amongst given non -tubercular mycovacteria.

M. marinum is almost always resistant to isoniazid and streptomycin.

image based Q. 118 - Arthritic triad

Q.  Arthritic triad of shoulder consists of all except ?

a. Glenoid retroversion
b. Displaced humeral head posteriorly
c. Glenoid bicobcavity
d. Acromial- glenoid impingement

Answer -

d

Arthritic triad which is found in about 40% of glenoid osteoarthritic shoulders consists of first three features in the option.

Presence of this makes patient vulnerable to early implant failure like glenoid component failure following total shoulder arthroplasty.

image based Q. 117 - Calf out loud

Q.   Squeezing the calf can help clinicians diagnose all except?

a. Ankle Syndesmotic injury
b. Achilles tendon injury
c. Plantar response
d. Stress fracture fibula

Answer -
d

Squeezing the calf while patient is prone and comparing with normal side for decreased ankle plantar flexion in case of Achilles tendon rupture is called 'Thompson sign'.

Squeezing midcalf and increase in symptoms like pain at ankle may suggest syndesmosis injury. It is also referred as  'squeeze test'.

Calf squeeze is alternative method for assessing plantar or Babinski response. Thus method is one  among many alternative methods to assess the reflex for neurological evaluation.

image based Q. 116 - Butterfly effect

Q.    The word Butterfly is associated with all in Orthopaedics except ?

a. Hand surgery
b. Fracture pattern
c. Vertebrae deformity
d. Plaster

Answer -

d

Butterfly flap is one of the many methods used to treat hand disorders like rheumatoid hand, syndactyly surgeries etc.

Butterfly vertebra is congenital deformity of vertebral shape and may be confused with wedge fracture of the vertebra.

Butterfly fragment is broken comminuted piece of fracture of long bones. Usually short oblique pattern of fracture is associated with it ( figure below)

image based Q. 115 - Crossing the limit

Q.   ' Crossover ' has been associated with all except ?

a. Radiological sign
b. Study
c. Plastic surgery procedure
d. Sutures
e. Foot deformity

Answer -
d

Crossover sign is a radiological sign found in femoroacetabular impingement. The retroversion of Acetabulam in some of those cases presents as crossover of Anterior and posterior acetabular lines in abnormal pattern.

Crossover study is type of longitudinal study in which cases receive different treatment during the course of study.

Crossover flap is one of many plastic surgery procedure for managing extremity soft tissue defects.

Crossover toes are severe toe deformities involving one or more toes overlapping another thus resulting in cosmetic and functional deformity.


Crossover sutures are not bonafide entity however criss-cross sutures are known pattern.

image based Q. 114 - Smith Petersen

Q.   All of below surgical procedure related terms are associated with name Smith-Petersen except?

a. Osteotomy
b. Approach
c. Implant
d. Arthroplasty
e. Arthrodesis

Answer -
e

Maurice Nygaard Smith-Petersen was Norwegian borne American Orthopaedics surgeon known for various aspects of hip disorders and surgeries.

Smith-Petersen Osteotomy is done for various spinal deformities like lesser degree thoracolumbar kyphosis, Scgeurmann kyphosis etc.

Smith-Petersen approach (anterior) is widely used for hip surgeries.

Smith-Petersen nail (SP nail) was used for fixing hip fractures before Advent of newer implants in use today.

Mould arthroplasty is also associated with him as early development for surgeries for hip arthritis.