Correct Answer - B
Answer- B. Joint aspiration
Quickest and best method of diagnosis of septic arthritis is aspiration
of joint.
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Correct Answer - B
Answer- B. Brachial

Injury to brachial artery may cause nerve and muscle ischemia
(Volkmann's ischemia of flexor compartment) or may result in
postischemic swelling due to edema or hemorrhage, thereby
causing compartment syndrome, which can cause, if not treated
immediatealy, Volkmann's ischaemic contracture later on.

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Correct Answer - C
Answer- C. Hip Spica

Cast syndrome (Superior mesentric artery syndrome) is gastric
dilatation with partial or complete obstruction of the duodenum.
It is most frequently seen in orthopaedics patients who have had spinal surgery or who are in hip spica or body casts.

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Correct Answer - C
Answer C) Common Peroneal Nerve

Foot drop, sometimes called drop foot, is a general term for
difficulty lifting the front part of the foot.

Causes
Foot drop is caused by weakness or paralysis of the muscles
involved in lifting the front part of the foot.

Causes of foot drop might include:
1. Nerve injury. The most common cause of foot drop is compression
of a nerve in your leg that controls the muscles involved in lifting the
foot (peroneal nerve). This nerve can also be injured during hip or
knee replacement surgery, which may cause foot drop.

2. A nerve root injury — "pinched nerve" — in the spine can also
cause foot drop. People who have diabetes are more susceptible to
nerve disorders, which are associated with foot drop.

3. Muscle or nerve disorders. Various forms of muscular dystrophy, an inherited disease that causes progressive muscle weakness, can contribute to foot drop. So can other disorders, such as polio or Charcot-Marie-Tooth disease.

4. Brain and spinal cord disorders. Disorders that affect the spinal
cord or brain — such as amyotrophic lateral sclerosis (ALS), multiple sclerosis or stroke — may cause foot drop.

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Correct Answer - A
Ans. A. Simple bone cyst
The fallen fragment sign refers to the presence of a bone fracture
fragment resting dependently in a cystic bone lesion. This finding is
said to be pathognomonic for a simple (unicameral) bone cyst
following a pathological fracture.
Although it has occasionally been reported with other cystic lesions,
e.g. eosinophilic granuloma

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Correct Answer - A
Ans. A. Patient's finger is blackening
Blackening of finger after Fracture is an indication of cut of of blood
supply that may lead to severe complication like gangrene. So this
should be the first Priority to treat among all the above options

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Correct Answer - C
Ans. C. Synovial joint

The sixth, seventh, eighth, ninth and tenth costal cartilages are
jointed with each other along the borders by synovial joints.
Costochondral joint means the joint between the rib and its costal
cartilage.

The first costal cartilage of both sides attach to the manubrium
sterni. At this joint, no movement is possible.

The second costal cartilage articulates with the body of sternum and the manubrium sterni by a synovial joint where movement is possible.

The third to seventh costal cartilages articulate with lateral border of the body of sternum at mobile synovial joints.

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Correct Answer - A
Ans. is 'a' i.e., Dorsolumbar spine

Osteoporosis is an asymptomatic disorder unless complications
(predominantly fractures) occur.

Most common symptom of osteoporosis is back pain secondary to
vertebral compression fracture.
Dorso-lumbar spine is the most frequent site.

Other common sites of fracture are lower end radius (Colle's
fracture) and fracture neck femur.

Osteoporotic fracture (fragile fractures) are : (i) Fracture vertebrae (most common), (ii) Colle's fracture, (iii) Fracture neck femur.

Serum calcium, phosphate and alkaline phosphatase are normal in
osteoporosis.

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Correct Answer - A
Ans. is 'a' i.e., Colchicine

Treatment of Gout
1) Acute gout
NSAIDs are the drugs of choice
Colchicine is the fastest acting drug. However it is reserved for the patients in which NSAIDs are contraindicated, because colchicine can cause gastrointestinal disturbances.

If neither NSAIDs nor colchicin are tolerated, oral prednisolone is
used.

Allopurinol and uricosuric drugs (sulfinpyrazone, probenacid) are not effective in acute gout because they will not relieve symptoms as
they don't have anti-inflammatory property.

2) Chronic gout
Allopurinal is the drug of choice.
Other drugs are sulfinpyrazone and probenacid.


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Correct Answer - A
Ans. is 'a' i.e., Fracture supracondylar humerus
Compartment syndrome is most commonly caused by
extremity fractures :-

i. Supracondylar fracture of humerus is the most common cause is children.
ii. Crush injuries to forearm are the most common cause in adults.
iii. Other injuries are fracture both bones forearm, elbow dislocation.

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