Random Exam Questions-Answers (REQA) is compiled by interviewing a lot of Students who have attempted Practical Exams of MS, DNB or DOrth. Senior Examiners and Consultants have also contributed to REQA Bank. We thank all these contributors and also invite other who wish to include their exam questions in this section. The contributors name will be put up in a bracket at the end of the question as shown below. Members who wish to submit a question can send us the question by email to indian.ortho@gmail.com

REQA Editorial Board

DR Satyam Patel M.S Ortho.
Editor for Random Exam Questions and Answers

What is the differential of Bubbly lesion in a bone on radiograph?

The classic mnemonic “fog machines” makes it easy to remember this difficult and long list.

Fibrous dysplasia,
Osteoblastoma,
Giant cell tumor,

Myeloma,
Metastases,
Aneursymal bone cyst,
Chondroblastoma,
Chondromyxoid fibroma,
Hyperparathyroidism (brown tumor),
Infection,
Intraosseous Lipoma
Nonossifying fibroma,
Eosinophilic granuloma,
Enchondroma,
Simple bone cyst

The entities in the  list account for more than 95% of the conditions that produce bubbly lesions of bone  (-Dr Surendra Patil)

Which side do you examine the knee from to comment on the flexion deformity and why?

A. Knee should be examined from lateral side putting the leg in internal rotation with patella facing upwards for examining the flexion deformity of knee. On the medial side there may be a fat pad both below and above the knee joint giving an erroneous feeling of flexion deformity, by contrast the lateral side is devoid of fat collection and the deformity can be better visualized.      (-Dr Rajeev Joshi)

For conservative management of CTEV, if you do not have Dennis Brown Splint ( Working in a remote village where no orthotics are available) ?

A. We can use the normal shoes by putting the right shoes in left feet and Left shoes in right feet   (Dr Ajay Kothari)

What is the recurrence rate of giant cell tumors? 

A. 5-15% [Campbell]  (Dr Pankaj Joshi)

Are Pulmonary Metastasis seen in Giant Cell Tumors? If yes in how many cases?

A. Pulmonary metastasis are seen in 3% cases of GCT  [Campbell]

What is Tom Smith Arthritis?

A.Tom Smith Arthritis is  septic arthritis of the hip joint in infants with affection of the femoral head which is still completely cartilaginous at this age.(Dr Pankaj Joshi )

What important instruction is to be given for patient with above knee cast?

A. Ask the Patient to do static quadriceps to prevent wasting of thigh. Tips – In practical exam go to the patient tell him how to do static quadriceps and then ask him to demonstrate on the other limb which is not in cast. (Dr Amol Waghmare)

 Which is the commonest condition with cold clammy feet? 

A. Polio  (Dr Amol Waghmare)

What are the different types of Orthopaedics Gaits you know of ? 

These could be:

• Trendlenberg
• Waddle
• Antalgic Gait
• Stiff Hip Gait
• Short Leg Gait
• Stiff knee Gait

Neurological Gaits (in polio):

• Flat foot gait
• Hand to knee gait
• Hoghstep gait
• Calcaenus gait

How do you differentiate a limp from a Lurch?

 A limp is any deformity of gait, whereas in a Lurch, there occurs swaying off of Pelvis/Trunk to avoid the weight.

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