Orthopedics

#A patient has healing of the thigh-bone fracture with displacement of
bone fragments to the length of 3 cm with correct longitudinal proportions.

What type of shortening will the patient have?
Projecting.
Relative.
1
Anatomical.
Without contraction.
Total.
#On examination of the patient the following capacity of movements in

knee-joint was defined: extension - 180°, "flexion - 150°.
What type of movements restriction the patient has?
1
Contraction.
Fibrous anchylosis.
Osseous anchylosis.
Rigidity.
Extraarticular anchylosis.
#As a result of inflammatory process and its long-term treatment, the

ac¬tive and passive movements in patient's knee-joint are absent. The
radiologi¬cal findings include significant narrowing of knee-joint space,
sclerosis and injury of articular surfaces.
Establish the clinicoradiological diagnosis.?
Contraction.
Osseous anchylosis.
Rigidity.
1
Fibrous anchylosis.
Extraarticular anchylosis
#During examination of a patient, who had comminuted fracture of

hume¬rus condyle 8 month ago, the following symptoms were
established: the ex¬tremity disposes in elbow joint flexion at angle of 90°
and its active move¬ments are absent. During analysis of passive
movements, negligible mobility (less then 5°) is defined. There is
significant narrowing of elbow joint space without impairment of articular
surfaces congruence on radiograms.
Establish the clinicoradiologicai diagnosis.?
Contraction.
Osseous anchylosis.
Rigidity.
1
Fibrous anchylosis.
#A long-term medical articular immobilization implements on a patient

with open fracture of distal metaepiphysis of shin-bone, was complicated
by purulent arthritis. After the treatment, there is absence of active and
passive movements in ankle-joint. In radiograms: solid comminuted
fracture of shin-bone distal metaepiphysis. The articular space is filled by
osseous substance and almost not defined.
1
Osseous anchylosis.
Rigidity.
Contraction.
Fibrous anchylosis.
#A patient had back dislocation of forearm bones, which was treated by

generally applicable method.
On examination of the patient 6 months after the trauma: upper extrem¬ity
elbow joint is in flexion of 90° angle. There is spindle-shaped deformation
of elbow joint. Active and passive movement are not defined. Distal part
of humerus and superior one third of ulna are joined by osseous mass in
the form of "bridges" on medial and posterior surfaces of elbow joint.
Fibrous anchylosis.
Contraction.
Rigidity.
1
Îsseous anchylosis.
#A patient, who was treated by fixation method because of humerus dia-

physis fracture, has healing of bone fragments with displacement on its
axis (under the angle)
What type of shortening will the patient have?
Relative,
Anatomical.
1
Projecting.
Total
Òhe absence of contraction.
# A 12 years old child suffers from an untreated congenital hip

dislocation. The pathology is characterized by femoral head displacement
(according to lower extremity) upwards regarding to acetabulum.
What type of shortening will the child have?
Projecting.
1
Relative.
Anatomical,
Total.
The absence of contraction
#On examination of the patient, there is the solid fracture of middle one
third of knee-joint diaphysis with bone fragments displacement to length
of 2 cm and limitation of humerus extension by 30°.
What type of contraction will the patient have?
1
Total.
The absence of contraction.
Projecting.
Relative.
Anatomical.
#On examination of the patient with upper extremity trauma, there is the
anatomic axis disorder at the level of elbow joint with open angle to
outwards. What type of anatomic axis disorder does the patient have?
Varus.
1
Valgus.
Recurvation.
Anterecurvation.
#On examination of the patient with lower extremity injury, there was
anato¬mic axis disorder at the level of hip with open angle outwards, was
established.
What type of anatomic axis disorder does the patient have?
Anterecurvation
Valgus
1
Varus
Recurvation
#At examination of the patient with lower extremity trauma, there is the
anatomic axis disorder at the middle one third of tibia with open angle to
for¬wards. 80 What type of anatomic axis disorder does the patient have?
1
Recurvation.
Varus.
Valgus.
Anterecurvation.
# On examination of the patient with upper extremity trauma, there is

the anatomic axis disorder at the middle one third of humerus with open
angle to
backwards.
What type of anatomic axis disorder does the patient have?
0
Valgus.
Varus.
1
Anterecurvation.
Recurvation.
#On radiological examination of the patient, who was treated during 2

months because of oblique shin-bone diahpysis fracture, there is the
forma¬tion of callus in the form of moderate spindle-shaped mass, which
connects
the edges of bone fragments as "coupling".
What is the name of this callus type?
0
Endosteal.
1
Periosteal.
Paraosseous.
Intermediary.
#On radiological examination of the patient, 1.5 month after

osteosynthe¬sis on account of transverse humerus diaphysis fracture, there
are anatomic fragments reduction, osseous mass filling of
interfragmentary space and no changes in medullary cavity at the fracture
level.
1
Intermediary.
Periosteal.
Endosteal.
Paraosseous.
#The control radiograms of a patient, who was treated by osteosynthesis

method by external fixation apparatus, one and half month after simple
transverse shin-bone diaphysis fracture, there are anatomic fragments
reduc¬tion and clearly visualization of interfragmentary space at the area
of cortical layers of bone fragments. There is significant narrowing of
medullary cavity at the fracture level in the form of "sand-glass" due to
osseous tissue forma¬tion.
1
Endosteal.
Intermediary,
Paraosseous.
Periosteal.
#A patient had the open thigh-bone diaphysis fracture, which was

com¬plicated by purulent inflammation of wound soft tissue, during
treatment by constant skeletal traction. Later on, inflammatory process
was liquidated.
On radiograms, 4 months after the trauma, the displaced fragments are
moven to one third of diaphysis, clearly visualization of interfragmentary
space and the fragments edges connection by dense osseous mass in the
form of "bridges".
Endosteal.
Periosteal.
1
Paraosseous.
Intermediary.
#A patient was hospitalized because of simple comminuted middle one
third thigh-bone diaphysis fracture with fragments displacement on length
and axis.
What is the appropriate treatment method?
Fixation,
Operative (metallicosteosynthesis).
1
Extensive.
Functional.
Transosteal osteosynthesis by external fixation apparatus.
#A patient was hospitalized because of simple transverse lower one third

ulna fracture without bone fragments displacement.
0
1
Fixation.
Extensive.
functional.
#A patient was hospitalized on account of simple transverse middle one

third thigh-bone diaphysis fracture with fragments displaced to length of 7
cm.
Fixation.
Extensive.
Functional.
1
#A patient was hospitalized on account of open comminuted middle one
third thigh-bone diaphysis fracture with fragments displacement.
What is the appropriate treatment method (apart from the primary
sur¬gical treatment of wound)?
Fixation.
Extensive.
Functional
1
#A patient complains of pain and mobility restriction in shoulder joint. 10

days ago the patient fell to the ground on extended arm and since then she
has foregoing complains. At the time of visit to doctor, the pain and
mobility-restriction in shoulder joint was significantly reduced.
On patient's examination, there is impacted humerus surgical neck
frac¬ture with satisfactory state of fragments.
Functional. B„ Extensive,
Fixation.
# A patient was treated by constant skeletal traction method on account of

simple spiral fracture of the lower one third shin-bone for 10 days. The
repo¬sition of fragments is not achieved. On examination the bony
crepitus is not defined.
Select the further treatment strategy.?
Plaster bandage fixation.

Treatment by skeletal extension method with load increasing
1
Operative intervention (metallicosteosynthesis).
Functional method.
#A patient complains of pain and movements impossibility in shoulder

joint due to fall on extended and abducted outwards arm.
On examination the patient supports extended and abducted in elbow joint
left arm by opposite hand. The shoulder-girdle at left is lower then at right
and the head flexion to the right. There are falling back of deltoid mus¬cle
and clear outlines of scapula acromion process under the skin. The
anat¬omic axis passes over the external part of scapula. Active
movements are ab¬sent. Passive movements are springy and sharply
painful.
Establish presumptive diagnosis.?
Scapula acromion process fracture.
1
Shoulder dislocation.
Humerus surgical neck fracture.
Humeral head fracture.
Scapula acromial edge fracture.
#A patient fell on hyperextended arm. He feels a sharp pain in elbow joint

and impossibility of active movements.
On examination, the left elbow joint size increased, forearm contraction
relatively to opposed one and flexion at the angle 130° with easy
pronation. The elbow process protrudes out to backwards and to outwards
with falling back over it. The head of radial bone has clear outlines under
the skin and it is easy to palpate. The active movement in elbow joint is
absent and the pas-sive movements are springy and sharply painful. There
is disorder in Coun¬ter's triangle.
Elbow process fracture.
Humerus diaphysis fracture.
Radial head dislocation.
1
Posterior forearm dislocation.
Humerus lower one third fracture
#The patient fell on elbow at flexed forearm. He feels the sharp pain in
elbow joint and impossibility of active movements.
On examination, the right elbow joint size increased, lengthening of
fore¬arm relatively to opposed one and humerus contraction. There is
forearm flex¬ion at the angle of 70°. The head of radial bone and the
coronal process are pal¬pated on front surface of elbow joint under the
skin. The active movements are absent. The passive movements are
springy and sharply painful.
0
Forearm upper one third fracture.
Humerus diaphysis fracture.
1
Front forearm dislocation.
Elbow process fracture.
Back forearm dislocation.
#After the car crash, the patient lost consciousness and doesn't remember
what happened. The patient feels a sharp pain in knee joint and
impossibility of movements.
On examination, there are right leg extension and significant knee joint
size increased. There are bayonet deformations at the level of knee joint
and insignificant contraction of extremity (1-2 cm). The patella regarding
to shin is situated to outwards and backwards. The active movements are
absent. Passive movements are springy and sharply painful.
0
Thigh-bone diaphysis fracture.
1
Shin dislocation.
Patella dislocation.
Shin-bone diaphysis fracture.
Thigh-bone one third fracture.
#After the car crash, the patient complains of sever pain in hip joint and
impossibility of leg movements.
On examination, the right leg is rotated inwards and semiflexed in knee
and hip joints. There is significant contraction of right leg compare to left
one. The greater trochanter is situated higher then Rosen-Helatone line.
The active movements in hip joint are absent. The passive movements are
springy and sharply painful.
0
Thigh bone neck fracture.
Thigh bone trochanter area fracture.
1
Thigh bone back dislocation.
Greater trochanter fracture.
Acetabulum fundus fracture.
#A patient fell from great height on flexed legs. Trie patient complains of
sever pain in the left hip joint and impossibility of movements.
On examination, the left leg is flexed in hip and knee joins, abducted and
rotated to outwards. The greater trochanter is not palpabie. The active
move¬ments in hip joint are absent. The passive movements are springy
and sharply painful.
0
Thigh bone trochanter area fracture.
1
Front thigh dislocation.
Thigh bone neck fracture.
Acetabulum fundus fracture.
#A patient fell from a bicycle. The patient complains of pain in left sup-
rabrachium area and movements restriction in shoulder joint.
On examination, the patient presses the left arm to the chest and supports
it under the elbow by his right hand. The left suprabrachium is rather
con¬tracted comparatively to right one. At infraclavicular fossa the
swelling and deformation are defined. There are palpatory tenderness and
crepitation at the swelling. The active movements in shoulder joint is
restricted and painfull
0
Humerus surgical neck fracture.
Scapula beak-shaped process fracture.
1
Collar bone fracture.
Scapula acromial process fracture.
#A patient came was admitted with complains of pain in right shoulder

joint area, which increase at arm movements. The day before patient fell
on the right shoulder.
On examination, there is swelling and step-like deformation at
acromio¬clavicular joint. There are palpatory tenderness at the swelling
and positive "key" symptom. The crepitation is absent.
0
Scapula acromial edge fracture.
1
Scapula acromial edge dislocation.
#A patient complains of pain in upper part of breast bone. The pain

in¬creases at arm movements in shoulder joint and deep breathing. The
patient got the trauma at wrestling training.
On examination: there are palpatory tenderness swelling and step-like
deformations at the upper part of breast bone. When doctor presses on
collar bone and moves the patient's arm to outwards there is increased in
pain and step-like deformation disappears.
Scapula sternal edge fracture.

Breast bone fracture.
1
Scapula sternal edge dislocation.
Rib fracture.
Soft tissue bruise.
# A patient complains of pain in he right half of back. The pain

increase at shoulder joint during the movements of the right arm. The
trauma had hap¬pened due to falling on back.
On examination: there is palpatory tenderness of triangular form swell¬ing
in right scapula projection. The pain does not increase when the doctor
squeezes the chest in frontal and sagittal planes. Active and passive
move¬ments of extremity are restricted because of pain.
0
Ribs fracture.
1
Scapula body fracture.
Soft tissue bruise.
Scapula neck fracture.
#A patient complains on the pain in the shoulder joint and impossibility of
movements. The patient got trauma by falling on arm, which was flexed in
elbow joint.
On examination: the arm is adducted to the chest and supported by
op¬posed arm. The shoulder joint is increased in size, but its outlines are
not dis¬rupted. There are palpatory tenderness and crepitation in shoulder
joint. The active movements in shoulder joint are impossible. The passive
movements are restricted because of pain and accompanied by crepitation.
1
Humerus proximal part fracture.
Shoulder joint bruise.
#A patient complains of pain and active movements restriction in

shoul¬der joint. Trauma war due to falling on extended arm.
On examination: there is impacted humerus surgical neck fracture with
satisfactory relationship between bone fragments axes.
Extensive.
Functional.
Transosteal osteosynthesis with use the external fixation apparatus.
1
Fixation.
#A patient complains of pain and active movements restriction in

shoul¬der joint. The trauma war due to falling on extended arm.
On examination: there is transverse humerus surgical neck fracrure
without bone fragments displaced.
Extensive.
1
Fixation.
Transosteal osteosynthesis with the use of external fixation appa¬
ratus.
Functional.
#A patient feels pain in the right shoulder joint and inability to do active
movements of extremity due to falling.
Own examination: there is the comminuted humerus surgical neck
frac¬ture with displacement of bone fragments to width, to length and to
axis.
Functional.
Fixation.
1
Extensive.
# A patient was hospitalized to fraumatological ward on account of

simple oblique humerus surgical neck fracture with bone fragments
displaced to width and to length.
On examination: the crepitation symptom is absent. It indicates the
in¬terposition of soft tissue between bone fragments.
Fixation.
1
Extensive.
Transosteal osteosynthesis with the use of external fixation appara¬
tus
Functional.
#A female patient of 82 years old was hospitalized on account of simple

comminuted humerus surgical neck fracture with bone fragments
displaced.
On examination, the next concomitant pathology was established:
diabe¬tes mellitus, coronary artery disease with cardiac decompensation,
cerebral atherosclerosis with dementia manifestations, pneumosclerosis
with signifi¬cant respiratory failure.
Extensive.
1
Functional.
Fixation.
# A female patient compains of moderate pain and movements

restriction in shoulder joint. The patient fell on flexed elbow joint, 12 days
ago. After that, the patient feels pain and restriction of function in the arm.
The patient didn't ask for medical care considering that trauma as an
injury. Later on, the pain decreased and the movements in shoulder joint
had got better.
On examination: there is the impact humerus surgical neck fracture.
Extensive.
Fixation.
1
Functional.
# A child fell from a tree on flexed elbow joint. The child complains of
pain and movements impossibility in elbow joint.
On examination: there is edema at elbow joint area. The Gunter triangle is
not disordered. 'Use Marks line is deviated outwards. There is sharp
palpa¬tory tenderness and crepitation at distal part of shoulder.
Establish the presumptive diagnosis.?
Humeruscondyle fracture.
Ulna process fracture.
Ulna head fracture.
Elbow joint bruise.
1
Humerus supradiaphysis fracture.
#The patient complains on pain and movements impossibility in elbow

joint. The patient fell on flexed elbow 2 hours ago.
On examination: there are edema and increared in size of elbow joint area.
The forearm is deviated outwards. The Gunter's triangle is not
equilat¬eral. There are palpatory tenderness and crepitation in distal part
of upper arm. Active movements in elbow joint are impossible. Passive
movements are painful.
Humerus epicondyle fracture.

Ulna process fracture.
1
Humerus condyle fracture.
Ulna head fracture.
#A patient was hospitalized on account of T-shaped simple humerus

condyle fracture without bone fragments displacement.
Extensive.
1
Fixation.
Functional.
# The patient was hospitalized on account of Y-shaped simple

humerus condyle fracture with bone fragments displaced to length and at
the angle.
Fixation.
1
Extensive.
Functional.
#A patient underwent treatment by skeletal traction method for 10 days on

account of simple comminuted humerus condyle fracture. The satisfactory
reposition of bone fragments is not achieved.
What is the future treatment strategy?
To apply the transosteal osteosynthesis by external fixation apparatus.

To apply the functional treatment method.
1
Operative treatment (metallicosteosynthesis).
To continue treatment by skeletal traction.
To apply the fixation by plaster bandage.
#A patient complains of pain in the shoulder and impaired function of

ex¬tremity. Trauma happened due to falling on shoulder.
On examination: the shoulder is increased in its size due to edema. There
is angular deformation at the lower one third of the upper arm. There are
sharp palpatory tenderness, crepitation and pathological mobility at the
lower one third of upper arm. The hand is in palmar flexion. The tactile
sensitivity in I-II fmgers of hand are absent. The active extension of hand
and abduction
of first finger are impossible.
On radiograms: there is oblique humerus diaphysis fracture at the border
between middle and lower one third of humerus with bone fragments
dis¬placed.
What is the name of this complication?
Injury of brachial artery.

Injury of humeral biceps.
1
Injury of radial nerve.
Injury of ulnar nerve.
Injury of median nerve.
# On examination of a patient: there is the oblique simple humerus

frac¬ture at the border between middle and lower third of diaphysis. The
fracture is complicated by injury of ulnar nerve. What is the appropriate
treatment method?
Fixation.
1
Extensive.
Transosteal osteosyntesis by external fixation apparatus.
Functional.
# A patient complains on pain of shoulder and impaired function of

ex¬tremity. The trauma was due to falling on elbow.
On examination: there is comminuted simple humerus diaphysis lower one
third fracture with bone fragments displaced.
Fixation.
1
Extensive.
Functional.
#A patient complains of pain in shoulder and impaired function of

ex¬tremity. Trauma was due to knock in the shoulder.
On examination: there is simple transverse humerus middle one third
diaphysis fracture without bone fragments displacement.

Extensive.
Functional.
1
Fixation.
# A patient complains of pain and movements impossibility in left

elbow joint. Trauma was due to falling on internal part of elbow joint.
On examination: there is varus deviation of forearm at the level of elbow
joint. The elbow joint is increased in size. There are palpatory tenderness
and crepitation at internal surface of elbow joint. The Gunter's triangle is
not equilateral. Active movements is impossible. Passive movements are
re¬stricted and painful.
Humerusexternal epicondyie fracture.

Radial head fracture.
1
Humerus internal epicondyie fracture..
Ulnar process fracture.
#On the examination of the patient, the simple humerus intercondylar

fracture without bone fragments displacement was established.
Extensive.
1
Fixation.
Functional.
#On examination of a patient, simple Y-shaped humerus intercondylar

fracture with bone fragments displacement to length and width was
estab¬lished.
Functional.
Fixation.
1
Extensive.
#A patient was treated for 10 days by constant skeletal extension method

because of simple humerus external epicondyie fracture with bone
frag¬ments displacement to length and width. Satisfactory reposition was
not achieved.
What is future treatment strategy?
To continue the treatment by skeletal extension with increasing load
by shoulder axis.
To apply fixation method of treatment.
To apply functional method of treatment.
To apply transosteal osteosynthesis by external fixation apparatus.
1
Operative (metallisosteosynthesis).
#On examination of a patient, there is simple T-shaped humerus

inter¬condylar fracture with bone fragments displaced. The fracture is
complicated by brachial artery compression
Extensive.
Functional.
Fixation.
1
#A patient complains of pain and impaired function in elbow joint.

Trauma was due to falling on extended arm with emphasis on palm.
On examination: the patient supports the arm in half-extended position.
The elbow joint is increased in size. There is valgus deviation of forearm.
There is the palpatory tenderness outwards of elbow joint. Active flexion-
extension movements in elbow joint are restricted. The prosupinatory
move¬ments are impossible because of pain.
Humerus interal epicondyle fracture.

Humerus transcondylar fracture.
1
Radial head fracture.
Elbow joint bruise.
#A patient complains of pain in forearm and restricted movements in

el¬bow and wrist joints. Trauma was due to knock in forearm.
On examination: there are the half-flexion of arm in elbow, the forearm
pronation, the drooping down of hand. There are local swelling at the
middle third of posterior-medial surface of forearm. There is palpatory
tenderness and crepitation at that area. Active movements in elbow and
wrist joins are restricted. The patient can not perform hand into a clinched
fist because of pain.
Soft tissue bruise of forearm.
Radial diaphysis fracture.

Forearm both bone fracture.
1
Elbow diaphysis fracture.
Galeazzi tracture.
# A patient complains of pain in forearm and restricted movements in

ex¬tremity joints. Trauma was due to falling on forearm.
On examination: the arm is half-flexion in elbow, the forearm pronation,
drooping down of hand. There is local edema at the middle third posterior-
medial surface of forearm. There is palpatory tenderness and crepitation at
that area. Pathological mobility is absent. Active movements in elbow and
wrist joins are restricted. The patient can not performs clinched fist
because of pain.
Soft tissue bruise of forearm.

1
Forearm both bones fracture.
Monteggia fracture.
#A patient complains of pain in forearm and impaired function of

extrem¬ity. Trauma was due to falling on extended arm with emphasis on
palm.
On examination: the arm is half-flexion in elbow, the forearm pronation,
drooping down of hand. There are significant edema and deformation of
forearm. There are palpatory tenderness, crepitation and pathological
mobil¬ity in the middle on third of forearm. Flexion-extension at the
elbow and supinatory movements in forearm are not possible because of
pain.
Establish the presumptive diagnosis.????
Galeazzi fracture.
1
Forearm both bones fracture.
Monteggia fracture.
#After examination of a patient. Simple transverse middle one third radial

diaphysis fracture without bone fragments displacement was established.
Functional.
1
Fixation.
Extensive.
# After examination of a patient. Simple oblique lower one third elbow
diaphysis fracture with bone fragments displacement to length and width
was established.
1
Functional.
Fixation.
Extensive.
#After car crash, the patient has open comminuted middle one third
fore¬arm fracture. The wound is crushed and badly contaminated by
foreign bod¬ies.
Functional.
Fixation.
Extensive.
1
#A patient addresses to trauma surgery because of pain in wrist joint and

impaired function of hand. The trauma was due to falling on extended arm
with emphasis on palmar surface of hand.
On examination: there are significant edema and fork-shaped
deforma¬tion at wrist joint area. The hand is radial abducted. The hand
fingers are in half-flexed position. There are palpatory tenderness and
crepitation at wrist joint area. The active movements of hand and fingers
are sharply restricted because of pain.
Establish the presumptive diagnosis.???????
Navicular bone fracture.
Radial bone fracture in typical site (Smith's).
Forearm lower on third fracture.
1
Radial bone fracture in typical site (Coiles').
Wrist joint bruise.
#A patient complains on pain in wrist joint and impaired function of hand.

The trauma was due to falling on extended arm with emphasis on back
sur¬face ofhand.
On examination: there are significant edema and bayonet-shaped
deforma¬tion at wrist joint area. The hand is flexed. The hand fingers are
in half-flexed position. There are palpatory tenderness and crepitation at
wrist joint area. The active movements of hand and fingers are sharply
restricted because of pain.
Establish the presumptive diagnosis.?????

1
Forearm lower one third fracture.
Radial bone fracture in typical site (Colics').
Wrist joint braise.
#At examination of the patient, the extensive radial bone fracture in

typi¬cal site (Colles') was established.
What is the right position of hand in plaster bandage must be after bone
fragments reposition?
Palmar flexion.
Moderately physiological.
Dovsal flexion.
Dovsal flexion and ulnar deviatirn.
1
Palmar flexion and ulnar deviatim.
#On examination of the patient, flexion radial bone fracture in typical site
(Smith's) was established.
What is the right position of hand in plaster bandage must be after bone
fragments reposition?
Palmar flexion.
Moderately physiological.
Dovsal flexion.
1
Dovsal flexion and ulnar deviatirn.
Palmar flexion and radial deviatim.
#A patient complains of pain in wrist joint an impaired function of hand.

Trauma was due to falling with emphasis on palmar surface of hand in
ex¬tended position.
On examination: there is moderate edema of wrist joint and palpatory
tenderness at anatomical snuffbox area. There is pain at anatomical
snuffbox area in the presence of load at axes of I-II metacarpal bones.
There is increas¬ing pain on extending and deviation of hand.
Establish the presumptive diagnosis.?????????
1
Lunate bone fracture.
Radial bone fracture in typical site (Colles').
Wrist joint bruise.
#What would be the hand position to treat the navicular bone fracture by
plaster bandage?
Flexion and ulnar deviation.

Extension and ulnar deviation.
Moderate physiological.
Flexion, radial deviation and abduction of first finger.
1
Extension, radial deviation and abduction of first finger.
# A patient complains of pain in neck, restriction and tenderness at

head movement. Trauma was due to diving in water and knocking the
head against the bottom.
On examination: the patient supports his head sloped forwards and to the
left by both hands. There are significant tension of neck muscles and
out¬pouching of spinal process of forth cervical vertebra. The pain
increases on pressing the spinal process of forth cervical vertebra and
paravetebral points. Load on axis also lead to increase of pain in neck.
Establish the presumptive diagnosis.??????????
Spinal column cervical part bruise.

Spinal column cervical part comminuted fracture.
Neck muscles injury.
1
Spinal column cervical part simple fracture.
Roots of spinal cord injury.
#After a car crash, the patient complains of pain in neck, numbness in

body lower then suprabrachium level and was imposide to move the upper
and lower extremities. There was tension in neck muscles and
outpouching of spinal process of sixth cervical vertebra. The pain
increases on pressing and axis load on spinal process of sixth cervical
vertebra. The body sensitivity is absent beginning from the suprabrachium
level. Active movements in upper and lower extremity are impossible.
1
Spinal column cervical part injury, which complicated the
injung of
the spinal cord.
spinal cord injury.
Neck muscles injury.
Spinal column cervical part simple injury.
Spinal column cervical part injury, which complicated the injung of
the roots of spinal cord.
#A patient complains of pain in neck and movements restriction in head.

Trauma was due to car crash.
On examination of the patient. Simple stable compression first stage
fracture of C5 body was established.
Extension by Glisson's loop.

Functional.
1
Fixation.
Operative (spondylosyndesis).
Skeletal extension by skull.
#After the car crash the patient complains of pain in neck and sharply
re¬stricted movements in head.
On examination of the patient, simple comminuted second stage fracture
of C6 body was established.
1
Functional.
Fixation.
Skeletal extension by skull
# A patient complains of pain in neck and head movements

impossibility. Trauma was due to accelerated neck flexion.
On examination of the patient the C7 articular processes fracture with
su¬perincumbent spinal column part displacement forwards. The
neurological disorders are absent.
What is the appropriate treatment method????
Functional.
Fixation.
1
#A patient was hospitalized on account of spinal column cervical part

trauma. Trauma happened 3 hours ago due to diving in the water with
head downwards.
On examination: there is the C5, C6 articular processes fracture-
dislo¬cation. There are tetraplegia and anesthesia at the suprabrachium
level.
What is the appropriative treatment method?

Functional.
Fixation.
1
Operative.
#A patient complains of pain in neck and restricted movements of head.

Trauma was due to knock on back part of neck.
On examination of the patient, the C6 spinal process fracture without
displacement.
Functional.
1
Fixation.
#A 27 years old patient has simple compression first stage fracture of Th7
body.
Single-stage reclination with plaster jacket fixation.

Loop extension by axilla areas.
Gradual reclination with plaster jacket fixation.
1
Functional.
#A patient complains of pain in interscapular region and the pain

increas¬ing at body movements. Trauma was due to sharply flexion at the
moment of falling.
On examination: there are enlarged kyphosis of thoracal part of spinal
column and The, spinal process outpouching. The long muscles of back
are tense. The pain increase during pressing on spinal process and load at
spine axis.
Establish presumptive diagnosis.????????
Back muscles injury.

Th6 spinal process fracture.
Interspinous ligaments fracture.
Th6 body compression fracture.
Transverse processes fracture.
#A patient, 65 years old, was hospitalized because of Thi2 compression

first stage fracture. Concomitant pathology: ischemic heart disease.
Loop extension by axilla areas.
1
Functional.
#A patient got knock by stick into the back. The patient complains of pain
in lumbar region. The pain increase at muscles tension.
On examination: there are edema and hemorrhage in region of II1-IV
lumbar vertebras. There are moderate palpatory tenderness of spinal
proc¬esses and sharp tenderness of internal edge of long back muscles.
The symp¬tom of spine axis load is negative.
Establish the presumptive diagnosis.????????
Compression vertebras bodies fracture.

Spina! processes fracture.
Long back muscles bruise.
1
Transverse processes fracture.
Vertebras arches fracture.
#The patient fell on buttocks from 1 m height. The patient complains of

pain in lumbar region and radiation of pain to thigh and to shin. On
examination of the patient: there are comminuted L5 body fracture with
decreasing of vertebra body height on lA, angle-shaped kyphosis,
disor¬der and impression of vertebra locking plate.
Extension by pelvic girdle.

1
Functional.
# A patient complains of pain in neck and was insable to exterd

because of sharp pain. Trauma was due to increased flexion of cervical
part of spinal column when the fiat movine car was suddenly stopped.
On examination: the head is flexed to the chest. There is edema at the
region of C4 - C5 spinal processes. The neck muscles are tense. There is
the palpatory tenderness in C4 - C5 interspinal spaces. The tip of finger
freely penetrates between them. The load on spinal axis is slightly painfal.
Establish the presumptive diagnosis.??????
Spinal processes fracture.

1
Injury of supraspinal and interspinal ligaments.
Articular processes fracture.
Vertebras bodies fracture.
Injury of back muscles.
# A 50 years old patient has Th2 fracture with total spinal cord injury.
Functional.
1
Prevention of urosepsis, regular bowels evacuation, prevention
of
bedsores and contractions.
Gradual reclination with piaster jacket fixation.
#A patient tried to jump over hole, but was afraid and suddenly stopped.
The pain originated in the left inguinal region. The patient could move
with¬out assistance only by back forwards.
On examination: there are edema and hemorrhage in region of front part of
left iliac bone. There are palpatory tenderness and crepitation in that
region.
Wing of ilium fracture.

Horizontal pubic branch fracture.
Vertical pubic branch fracture
1
Superior pubic spine fracture.
Thigh quadriceps injury.
#A patient has simple superior pubic spine fracture without bone

frag¬ments displacement. The trauma was due to a knock.
Skeletal extension.
Fixation by plaster bandage.
1
Immobilization of extremity by functional splint.
Fixation by pelvic orthesis.
#A patient was knocked by a car. The patient complains of pain in groin

and impossibility of movements.
On examination: the pelvic configuration is not impaired. There is edema
in pubic and left inguinal regions. There is palpatory tenderness in these
regions. Crepitation is absent. There are positive Larey's, Gabay's and
"adhering heel" symptoms.
Ischial bone fracture.

Superior spine of ischial bone fracture.
1
Horizontal branch of pubic bone fracture.
Bottom of acetabulum fracture.
Injury of pubic symphysis.
#A patient has horizontal branch of pubic bone fracture.

Inrrapelvic anesthesia by Selivanov-Shkolnikov.

Fixation by pelvic orthesis.
Skeletal extension.
1
Immobilization in the bed by Volkovich.
#A patient hardly kicked the ball at the time of a football game. The
pa¬tient feels pain in the groin and can move only by back forwards.
After examination, the ilium superior spine fracture was diagnosed.
What is the typical symptom of this injury?
Verneil's symptom.
1
Lozinsky's symptom.
Larey's symptom.
Gorinevsky's symptom.
Gabay's symptom.
#A patient was knocked out by a car. On examination, there is symphysis

rupture.
Skeletal traction of both legs.

Immobilization in bed by Volkovich.
Skeletal traction by one leg.
1
Fixation in Hammock.
Operative method (metallicosteosynthesis).
#A patient was treated for 7 weeks by Hammock because of symphysis

rupture. There was pain in region of symphysis pubis at dosated physical
load. The diastase between the pubis bones are 2.5 cm on control
radio¬grams.
To continue the term of fixation by hammock.

To apply the skeletal traction.
To apply fixation by pelvic jacket.
To apply fixation by core apparatus.
1
#A patient complains of pain in pelvis region and impaired function of

lower extremity. Trauma was due to falling on the buttocks from a height
of 2 m.
On examination: there are the forced position (Volkovich's symptom) and
skewness of pelvis (the anterior-superior spine is higher then left one).
There is edema and palpatory tenderness at right pubic region. The right
leg contraction by to 3 cm and positive "adhering heel" symptom. There
are positive Vernail's and Larey's symptoms.
Establish the presumptive diagnosis.???????????
Right pubic bone fracture.

Right ischial bone fracture.
Vertical right iliac bone fracture.
1
Vertical right Malgen's fracture.
Diagonal Malgen's fracture.
#A patient was hospitalized to traumatology center because of pelvis
trauma.
On examination, there is the vertical left Malgen's fracture with bone
displacement and the traumatic shock II stage. Select the anaesthetic
method.??????????
Epidural anesthesia.
Nonnarcotic analgetics.
1
Anesthesia by Selivanov-Shkolnikov.
Narcotic analgetics.
Suppositories with analgetics.
#A patient was hospitalized to traumatologic center. The trauma was due

to a car crash.
On examination: there is the pubic bone aad ischial bone fracture with¬out
bone displacement.
Skeletal extension by left leg.

1
Skeletal extension by both legs.
Fixation in hammock.
#A patient had the vertical left pelvis Malgen's fracture with displacement
to a length of a 3 cm.
1
Skeletal traction by left leg.
Fixation by pelvis jacket.
Fixation in hammock.
#A patient complains of pain in left hip joint and groin and impaired
func¬tion extremity. The trauma was due to falling on external surface of
thigh.
On examination: there is the leg rotation. The outlines of hip joint are not
changed. There is no shortening of extremity.
There is the positive "adhering heel" symptom. The load on extremity axis
increases the pain in hip joint and in groin. The passive movements in hip
join are restricted and painful.
Femoral neck fracture.

Horizontal branch of pubic bone fracture.
Hip joint bruise.
1
Bottom of acetabulum fracture.
Intertrochanteric fracture of thigh bone.
#A patient was hospitalized to trauniatological center because of bottom

acetabulum fracture without central thigh dislocation. The congruence of
ar¬ticular cavity is retained.
Select the appropriate treatment method.
1
Skeletal traction on extremity axis.
Fixation by pelvic jacket.
Immobilization of extremity by functional splint.
# A 56 years old patient was hospitalized because of medial adducted

frac-trure of femoral neck.
Skeletal traction.
1
Functional method.
Transoslea! osteosynthesis by external fixation apparatus,
#A patient complains of pain in hip joint and in groin and impaired

func¬tion of extremity. Trauma was due to hit of a car on external surface
of thigh.
On examination: the patient lays on the back. The leg is abducted and
ro¬tated to outwards. The leg is flexed in hip and knee joints. The external
out¬line of hip joint is flatten. The greater trochanter is palpated deep in
the soft tissue. Load on extremity axis increases the pain in hip joint and in
groin. Ac¬tive movements are absent. Passive movements are sharply
painful and mod¬erate springy.

1
Bottom acetabulum fracture with central displacement of thigh.
Hip joint bruise.
Bottom acetabulum fracture without central displacement of thigh.
Anterior dislocation.
# A patient complains of pain in hip joint and impaired function of

extrem¬ity. Trauma was due to falling on external surface of thigh.
On examination: the patient lays on the back. The extremity is moderate
adducted, rotated outwards and shortening by 3 cm. The level of greater
tro¬chanter is higher then Rozen-Helaton's line. There are positive
Girgolov's symptom and "adhering heel" symptom. Load on extremity
axis increases the pain in hip joint.
Posterior dislocation.
Bottom acetabulum fracture.
1
Great trochanter fracture.
Anterior dislocation.
#A patient complains of pain in hip joint and impaired function of

extrem¬ity. Trauma wos due to falling on external surface of thigh.
On examination: the patient Says on the back. The extremity is moderate
adducted, rotated to outwards and shorten to 3 cm. There are significant '
edema and braise at the external surface of hip joint. The level of greater
tro¬chanter is higher the Rozen-Helaton's line. The Shoemaker's line is
lower then navel. The "adhering heel" symptom is positive. There are
sharp pain and crepitation in hip joint region at passive movements of
extremity.

1
Acetabular region thigh bone fracture.
Bottom acetabulum fracture.
Postirior dislocation.
#A patient complains of moderate pain in hip joint and in groin. The pain
irradiates to knee joint and increases at extremity load. Trauma was due to
failing of external surface of hip joint.
On examination: the patient lays on the back. The extremity is moderate
rotated to outwards. The contraction of leg is absent. The outlines of hip
joint are not changed. The level of greater trochanter is on Rozen-
Helaton's line. The Girgolov's symptom is positive. The active lifting of
extending leg is re¬stricted because of pain. The load on great trochanter
and on extremity axis increases the pain in hip joint and in groin. Passive
movements in hip joint are not much painful. The joint range of motions is
full.
What is the typical injury may has the patient?

Adducted femoral neck fracture.
1
Abducted femoral neck fracture (impacted fracture).
Interstroehanteric thigh bone fracture.
#A patient was hospitalized on account of impacted (abducted) femora!

neck fracture.
Functional method.
1
Disciplinary traction with load 2-3 kg.
#A 49 years old patient was hospitalized to traumatological center

be¬cause of adducted lateral femora! neck fracture.
1
Extensive method.
Functional method.
Operative method (endoprosthesis).
Fixation method.
#A 79 years old patient was hospitalized because of adducted medial

femoral neck fracture. The severity of patient's general state is conditioned
by significant cardiopulmonary decompensation and demented
manifesta¬tions.
Extensive method.
1
Symptomatic therapy.
Fixation method.
#A patient was hospitalized because of intertrochanteric comminuted thigh

bone fracture with bone fragments displacement. The severity of pa¬tient's
general state is conditioned only by fracture. The concomitant somatic
pathology is absent.
Fixation method.
Functional method.
1
Extensive method.
Operative method.
#A patient was hospitalized because of intertrochanteric thigh bone

frac¬ture without bone fragments displacement. The patient has the
concomitant somatic pathology, which can progress and lead to severe
complications due to hypodynamia.
Extensive method.
Functional method.
Fixation method.
Operative method (endoprosthesis).
1
#A patient has oblique lower one third diaphysis fracture with typical for
this level bone fragments displacement.
What complication may happen in this case?
Peroneal nerve injury.

Thigh muscles injury.
Tibial nerve injury.
1
Popliteal artery injury.
Skin perforation.
#A patient was hospitalized to traurnatological center because of simple

transverse middle one third femoral diaphysis fracture with bone
fragments displacement to length to 6 cm.
Extensive method.
1
Operative method (metallicosieosynthesis).
Fixation method.
Functional method.
#A patient was hospitalized on account of simple comminuted middle one

third femoral diaphysis fracture with bone fragments displacement.
1
Extensive method.
Functional method.
Fixation method.
#A patient was hospitalized because of simple oblique lower one third
femoral diaphysis fracture with typical bone fragments displacement. On
ad¬ditional examination, threat of popliteal artery injury was revealed.
Extensive method.
Fixation method.
1
Functional method.
#A patient was treatedfor 7 days by constant skeletal traction method on

account of simple oblique upper one third femoral diaphysis fracture with
bone fragments displaced. The bone fragments displacement remains in
spite of classic application of treatment method. The crepitation is absent.
To apply skeletal traction with load increasing.

To apply fixation by plaster bandage.
To continue skeletal traction with load decreasing.
1
#A patient was hospitalized because of simple femoral lateral condyle

fracture without displacement.
1
Fixation method.
Extensive method.
Functional method.
#A patient complains of pain, extremity load and movements

impossibil¬ity in knee joint. The trauma is due to falling from height 2 m
with emphasis on extending extreminty.
On examination: there is the valgus deviation of shin. The knee joint is
increased in size. There are sharp palpatory tenderness and crepitation at
the external surface of knee joint (higher then its space). The ballottement
patella symptom is positive. Establish the presumptive diagnosis.???????
Knee joint bruise.

Injury of lateral collateral ligament.
1
Femoral lateral condyle fracture,
Patella fracture.
Injury of lateral! meniscus.
#A patient complains of pain, extremity load arid movements

impossibil¬ity in knee joint. The trauma is due to falling from height 2 m
with emphasis on extending extremity.
On examination: there is valgus deviation of shin. The knee joint is
in¬creased in size. There are sharp palpatory tenderness and crepitation at
the in¬ternal surface of knee joint (femoral condyle region). The
ballottement pa¬tella symptom is positive.
Injury of medial collateral ligament.

Patella fracture.
Injury of medial meniscus.
Knee joint bruise.
1
Femoral medial condyle fracture.
impossibil¬ity in knee joint. The trauma is due to falling to hole with
emphasis on un¬bending extremity.
On examination: the anatomic axis of low extremity is remained. The knee
joint is significantly increased is size.
There are intense palpatory tenderness and crepitation at distal part of
thigh. The fluctuation and ballottement patella symptoms are positive.
There is significant shin side mobility at the level of knee joint.
Collateral ligaments of knee joint injury.

Lateral collateral ligament injury.
1
Femoral condyles fracture.
Cruciform ligaments injury.
Knee joint injury.
# A patient was hospitalized on account of simple Y-shaped femoral

condyles fracture with bone fragments displacement.

Fixation method j.
1
Extensive method.
Functional method.
#A patient was treated by constant skeletal extension method on account

of simple T-shaped femoral condyles fracture. The satisfactory reposition
of bone fragments was not achieved in spite of conventional method
application for 8 days.
To continue the treatment by skeletal traction.
To apply functional treatment method.
1
# A patient complains of pain, extremity load and movements

impossibil¬ity in knee joint. The trauma is due knock on external surface
of knee joint,
On examination: there is the valgus deviation of shin. The knee joint is
increased in size. There are crepitation and sharp palpatory tenderness at
the
external surface of knee joint (lower then its space). The ballottement
patella symptom is positive.

1
Shin bone lateral condyle fracture.
Femoral lateracondyle fracture.

Knee joint bruise.
Injury of latera meniscus.

impossibil¬ity in knee joint. The trauma is due to falling from height with
emphasis on extended extremity.
On examination: there is the varus deviation of shin. The knee joint is
increased in size. There are sharp palpatory tenderness and crepitation at
the medial surface of knee joint (lower then its space). The ballottement
patella symptom is positive.
Establish the presumptive diagnosis.?????
Femoral medial condyle fracture.
Media! collateral ligament injury.
1
Shin bone medial condyle fracture.
Knee joint bruise.

impossibil¬ity in knee joint. The trauma is due to falling from height with
emphasis on extended extremity.
On examination: the anatomic axis of extremity is remained but
short¬ened by 2 cm. The knee joint is increased in size. There are intense
palpatory tenderness and crepitation at proximal part of shin. The
fluctuation and bal¬lottement patella symptoms are positive. There is the
significant side shin mobility at the level of knee joint.
Injur}' of collateral ligaments.

Injury of cruciform ligaments.
Patella fracture.
1
Shin bone condyles fracture.
#A patient was hospitalized because of simple shine bone external

con¬dyle fracture without displacement.

1
Fixation method.
Extensive method,
Transosteal osteosynthesis by external fixation apparatus
Functional method.
#A patient was hospitalized because of Y-shaped shin bone condyles
frac¬ture with bone fragments displacement.
Fixation method.
1
Extensive method.
Functional method.
#A patient was treated by constant skeletal traction method on account of

simple T-shaped shin bone condyles fracture. Satisfactory reposition of
bone fragments was not achieved in spite of conventional method
application for 8
days.
To apply fixation by plaster bandage.

1
To continue treatment by skeletal traction.
To apply functional treatment method.
#A patient complains of pain in knee joint. The pain increases at

extrem¬ity load and active movements in knee joint. Trauma was due to
falling on flexed knee.
On examination: the knee joint is increased in size. There is significant
edema on front surface of knee joint. There are crepitation and sharp
palpa¬tory tenderness at front surface of knee joint. The fluctuation and
ballotte-ment patella symptoms are positive. The active shin flexion is
restricted and moderate painful. The active extension is possible but
sharply painful.
Knee joint bruise.

Injury of meniscus.
1
Patella fracture without injury of femoral quadriceps tendon.
Patella fracture with injury of femoral quadriceps tendon.
#A patient complains of pain in knee joint. The pain increases at

extrem¬ity load and active movements in knee joint. The trauma was due
to falling on flexed knee.
On examination: the knee joint is increased in size. There is significant
edema on front surface of knee joint. There is sharp palpatory tenderness
on front surface of knee joint. There are two bone fragments under the
skin. The fluctuation and "adhering heel" symptoms are positive. The
active shin ex¬tension is impossible.

1
Patella fracture with injury of femoral quadriceps tendon.
Shin bone condyles fracture.
Patella fracture without injury of femoral quadriceps tendon.
Injury of cruciform ligaments.
#A patient was hospitalized because of simple transverse patella fracture

without bone fragments displacement (femoral quadriceps is not injured).
Extensive method.
Operative method.
1
Fixation method.
Functional method.
#A patient was hospitalized because of simple transverse patella fracture

with bone fragments separated 3 mm from each other.
Operative method.
1
Fixation method.
Functional method.
Extensive method.
#A patient was hospitalized on account of simple comminuted patella

fracture with bone fragments separated 2 mm from each other.
Fixation method.
1
Operative method.
Functional method.
Extensive method.
# A patient complains of pain in knee joint and impaired support

ability of extremity. Trauma was due to load on extended leg with shin
sloped to in¬wards.
On examination: the knee joint is increased in size. There are edema and
subcutaneous hemorrhage at lateral surface of knee joint. The ballotte-
ment patella symptom is positive. At passive movements definition: there
is excessive shin deviation inwards, which was accompanied by pain
in¬creased at lateral surface of knee joint. On radiograms: the bone
damages are absent.
Establish the diagnosis.???????
Medial collateral ligament injury.

1
Anterior cruciform ligament injury.
Posterior cruciform ligament injury.
Knee joint bruise.
#A patient was hospitalized on account of simple comminuted middle one

third both shin bones diaphysis fracture with bone fragments displacement
to length.
Fixation method.
1
Extensive method.
Functional method.
Operative method (metailieosteosynthesis).
#A patient complains of pain in knee joint and impaired support ability of

extremity. Trauma was due to load on extended leg with shin sloped to
out¬wards.
On examination: the knee joint is increased in size. There are painful
edema and subcutaneous hemorrhage at interna! surface of knee joint. The
fluctuation and ballottement patella symptoms are positive. At passive
movements definition: there is excessive shin deviation to outwards,
which is accompanied by increasing pain. On radiograms: the bone
damages are ab¬sent.
Establish the diagnosis.????????
Knee joint braise.
1
#A patient complains of pain in knee joint and impaired support ability of

extremity. Trauma was due to knock on back surface of upper one third of
shin.
On examination: the knee joint is increased in size. The fluctuation and
ballottement patella symptoms are positive. Palpatory tenderness is absent.
At passive movements definition: there is shin deviation to forwards till
2.5 cm. On radiograms: the bone damages are absent.
Knee joint braise.

Back cruciform ligament injury.
1
Antirior cruciform ligament injury.
# A patient complains of pain in knee joint and impaired support

ability of extremity. Trauma was due to knock on front upper one third of
shin surface by car bumper.
On examination: the knee joint is increased in size. Fluctuation and bal-
lottement patella symptoms are positive. Palpatory tenderness is absent. At
passive movements definition: there is shin deviation to backwards till 2
cm. On radiograms: the bone damages are absent.

Knee joint bruise.
1
#A patient complains of periodical (during last 4 months) "jamming"

sen¬sation in knee joint, which accompanied by pain. These phenomenon,
as a rale, disappeared after few attempts of passive movements in knee
joint.
The patient got trauma 8 months ago. There was valgus deviation of shin
with rotation. After that, the pain appeared in knee joint. There was also
the movements restriction and impaired support ability of extremity.
The patient undergo ambulatory care: the knee joint was punctured
be¬cause of hemarthrosis, fixation of extremity by back plaster splint for 2
weeks with subsequent physiofunctional treatment.
On examination: there are femoral quadriceps atrophy (Chaklin's
symptom), moderate ballottement patella symptom, positive Baykov's and
Turner's symptoms from medial side of knee joint. On radiograms: the
bone damages are absent, but moderate narrowing of medial joint space is
de¬fined.
Establish the diagnosis.?????

1
Chronical synovitis of knee joint.
#A patient was hospitalized on account of simple transverse lower one

third diaphysis shin bone fracture without bone fragments displacement.

Extensive method.
1
Fixation method.
Operative method.
Functional method.
#A patient was hospitalized to traumatological center on account of open

transverse middle one third both bones shin fracture with bone fragments
displacement. The wound has size - 7x3 cm. The wound is bruised and
un¬tidy by foreign bodies.
Extensive method.
1
Transosteal osteosynthesis by external fixation apparatus
Fixation method.
Functional method.
#A patient was hospitalized on account of simple oblique middle one third

diaphysis both shin bones fracture with bone fragments displaced length to
3 cm. On examination: there is the "navel-shaped" skin retraction at the
frac¬ture place at front shin surface. The crepitation is absent.
1
Operative method (rnetallicosteosynthesis).
Extensive method.
Functional method.
Fixation method.
#A patient was taken to hospital from the place of car crash because of
shin trauma. The first medical care was not provided.
On examination: there is an open lower one third shin bones fracture. The
wound is bruised. There is intense arterial haemorrhage from wound.
What is the primary treatment task?
To close the wound by aseptic dressing.

To apply transport immobilization.
To insert aneasthetics.
To insert antibiotics.
1
To stop haemorrhage.
#A patient complains of pain in ankle joint, which increases at extremity

load. There is movements restriction in ankle joint. On examination: there
is simple injury of deltoid ligament
What is the mechanism of this injury?
Direct.
Load on extremity axis.
Foot eversion.
Load on axis with dorsal flexion of foot.
1
Foot inversion.
#A patient was hospitalized to traumatoiogical center on account of

sim¬ple medial malleolus fracture with displacement (hanging-down of
malleolus to 3 mm).
What must be the reponation position of the foot in plaster bandage?
Dorsal flexion.
At the angle 90°.
1
Inversion..
Plantar flexion.
Eversion.
#A patient complains on pain in ankle joint and impossibility of extremity
load.
On examination: there is fracture of lover end of tibia anterior articular
surface.
What is the mechanism of this injury?
Inversion.
Load on axis with plantar flexion of foot.
Direct.
Eversion.
1
Load on axis with dorsal flexion of foot.
#A patient complains of pain in ankle joint. The pain increases at attempt

of movement in ankle joint and at extremity load.
On examination: there is simple medial malleolus fracture without
dis¬placement.
What is the right position of foot in plaster bandage?
Eversion.
Plantar flexion.
1
At the angle 90°.
Inversion.
Dorsal flexion.
#A patient has simple anterior articular surface shin bone fracture with
displacement (Lauenshteyn's fracture)
What is the reponation position of foot must be in plaster bandage?
At the angle 90°.

Plantar flexion.
Inversion.
Eversion.
1
Dorsal flexion.
#On examination of the patient, there is posterior articular surface shin

bone fracture with displacement (Potta-Desto's fracture)
What is the reponation position of foot must be in plaster bandage?
Inversion.
1
Dorsal flexion.
At the angle 90°.
Eversion.
Plantar flexion.
#The parents of a 2.5 months old child addressed to an orthopaedist. From

the child's mother words, the child has restricted abduction of left leg.
On examination: there are skewness of folds on the thighs and different
amount of folds. There are moderate external rotation of left leg and
moder¬ate restriction of left leg abduction. The left leg is flexed in hip and
knee joints at the angle of 90° compare to opposite leg.
Which pathology characterize these symptoms?
Congenital thigh dislocation.

1
Dysplasia of hip joint.
Thigh subluxation.
Infantile cerebral paralysis.
Contracture of hip joint.
#At examination of newborn baby: there is externa! rotation of right leg

and its contraction to 2 cm. There are skewness of folds on the thighs and
dif¬ferent amount of folds. On gradual opening of legs, there was a click
in right hip joint (Marks-Ortolani's symptom).
Which pathology characterize these symptoms?
Injury of hip joint at the time of delivery.

1
Thigh subluxation.
Congenital extremity shortening.
¹
The parents of a 3.5 months old child addressed to anorthopaedist. From
the child's mother words, the child has restricted movements in left hip
joint.
On examination: there is externa! rotation of extremity and irregularity of
skin folds on the thighs. There is significant restriction of left !eg
abduc¬tion in hip joint. On radiograms: the acetabular index is equal to 45
degree. There is thigh bone displacement upwards by 1 cm. The
ossification core of thigh bone in the left is significantly lower then in
opposed side. The ossifica-tion core is decentered relative to acetabulum
but does not leaves its region.
Establish the diagnosis.????

Dysplasia of hip joint
Contracture of hip joint.
1
Thigh subluxation.
Injury of hip joint at the act of delivery.
#On examination of a 4 months old child with suspected congenital

pa¬thology of left hip joint, a survey radiography of pelvis was performed.
On radiograms: the acetabular index is equal to 45 degree. There is lateral
posi¬tion of thigh bone and its displacement to upwards. There is disorder
of Shen-ton's line. The ossification core of thigh bone is absent.
Establish the diagnosis.?????????????

Aseptic necrosis of femoral head.
1
Thigh subluxation.
Injury of hip joint at the time of delivery.
#A newborn congenital clubfoot of both feet was diagnosed in a newborn

baby after 7 days. All components of deformation are completely removed
by easy redressment.
What is the appropriate treatment method in this period?
Stage-by-stage plaster bandage.

Physiotherapeutic method.
Operative method.
1
Redressment in combination with bandaging by Fink-Ettingen.
Massage in combination with redressment.
# A newborn baby was examined by an orthopaedist because of foot

de¬formation.
On examination: the foot is in eversion position (ecvinus). The foot is
rotated inwards (supination). Its front part is adducted (adduction).
All components of deformation are completely removed by easy redress-
ment.
What pathology does the newborn baby has?
Arthrogryposis.
Injury of foot at the act of deliver}'.
1
Congenital clubfoot.
Spastic (cerebral) paralysis.
Flaccid (spinal) paralysis.
#A 3 years old child was hospitalized to orthopaedic center on account of

both feet congenital clubfoot, which was diagnosed at an age of 2 weeks.
The previous treatment was: the redressment in combination with ban¬
daging by Fink-Ettingen, stage-by-stage plaster bandage, correction
splints,
orthopedic shoes. The feet deformation was liquidated but it recurred and
i
progressed at the of 2.5 years.
On examination: the both feet are deformed (ecvinus, supination,
adduc¬tion). The hand correction allows partly remove components of
deformation.
Select the treatment strategy.?????
Stage-by-stage plaster bandage.

Physiotherapeutic method.
1
Operative intervention on soft tissue.
Orthopedic shoes.
Operative intervention on osseous tissue.
#The mother of a 2 months old child addressed to anorthopaedist. From

the child's mother words, she noted the deviation of child's head to the left
a week before. It is known from anamnesis, that the delivery was
performed by handle aid.
On examination: there is moderate head deviation to the left and face
ro¬tation to opposed side. The left sternocleidomastoid muscle is dense
and contracted. Dense nodules are palpated near the place of muscle
attechment to collar bone.
Establish the diagnosis???
Dysplasia of cervicle part of spinal column.
Spastic paralysis.
1
Myogenic torticollis.
Flaccid (spinal) paralysis.
Subsequences of clavicular fracture during delivery.
#The mother of a 3 years old child addressed to orthopedist. Myogenic

torticollis was diagnosed in the child at the age of 10 months. The
conserva¬tive treatment (massage of sternocleidomastoid muscle,
gymnastic correction, neck fixation by Shan's collar, physiotherapeutic
procedures) was ineffective during 2 years.
On examination: there are significant head deviation to the right and face
rotation to oppose side. There are face skewness and spinal curvature. The
right suprabrachium and scapula are lifted up. The sternocleidomastoid
mus¬cle is dense and contracted. The elimination of head deviation by
handle aid is impossible.
What is the future treatment?
1
Operative.
Fixation of head and neck by plaster jacket
Gymnastic correction.
Intramuscular lidase infusion.
Physiotherapy.
#At the prophylactic examination of a 13 years old child are marked

de¬formation inlying edge of the left shoulder-blade from the pectoral
wall.
Whot kind of illness is for this clinical sign?
The ribs sinostozis

Scoliotic disease.
Shprengel disease
Additional ribs.
1
Winglike shoulder-blade.
# A child of age 1.5 years old diagnosed innate muscular torticolles.

What etiologic factor is main in this disease?
High pozition of shoulder-blade .

Winglike shoulder-blade.
1
Changed m.Stemoclaidomastoideus.
Paralysis of muscles of neck.
Anomaly of neck spine.
# A patient of 16 years, complains a marked pain in the left hip joint

for a year, which arises after the protracted walking and going for sports.
On sur¬vey scan of pelvis there is no changes in the right hip joint. On the
left ~ acetabular index 40 degrees, neck-shaft angle is 140 degrees.
To put a diagnosis.????
Innate dislocation of thigh.

Innate subluxation of thigh.
1
The hip joint displasia.
Deforming arthrosis of hip joint.
Legg-Calve-Perthes disease.
#A girl on 13 years old, treated by orthopaedists from the 9 years

con¬cerning the scoliosis. Scoliosis of toracic spine is marked on the
control ro¬entgenogram, the angle of rejection of axis of spine makes 20
degrees ac¬cording to Cobb.
What must be further medical treatment?
1
Fixing a spine by the C1TO corset with the courses of
physiofunc-
tional medical treatment.
Sanatorium - resort medical treatment.
Gipseous small bed, medical gymnastics.
Efficient medical treatment.
Physiofunctional medical treatment.
#A parents of 7 years old child appealed to an orthopaedist with

com¬plaints about violation to carry, assymetrical location of right
shoulder-blade.
On examination: assymetrical thorax, an axis of spine is declined to the
left side. Roentgenological axemination - the right shoulder-blade is
dimin¬ished in size, and at a level of 4 cm higher then left,
To put a diagnosis.?????
Scoliosis.
Paralysis of thoracal muscles.
Winglike shoulder-blade..
1
Shprengel disease.
Shoyerman - Mau disease.
# A 43 years old patient grumbles about low back pain, which arises
after the physical loading. The last month the irradiating pains appeared on
the right leg around of the I -st toe of the foot.
On examination: is diminished lordozis of lumbar spine, moderate
atro¬phy of muscles of right leg, dysestesia of the I -st toe of the foot,
positive symptoms of pull.
On the roentgenogram of lumbal- spine - nan-owing a space between the
bodies of vertebrae at level LIV - L V.
To put a diagnosis.???????
Tumour of spine.
Stenosis of vertebral canal
1
Hernia of the vertebral disk L JV
Hernia of the vertebral disk L V -
Lumbago.
#A 39 years oid patient grumble about low back pain. On examination:

lumbar hyperlordosis, weakness and paresthesia lower extremities. On the
roentgenogram of lumbar spine -the 1/3 of vertebrae I, IV body dislocation
(spondilolistesis).
To choose a method of medical treatment,?????????
Steroid arrtiinflammetory medical treatment.
1
Physiofunctional medical treatment.
Fixing by corset.
Traction.
#A 50 years old patient grumble about pain in knee-joint, which arises up

after the protracted loading. On examination: idiopatic deforming arthrosis
of right knee-joint..
What medical treatment expediently to appoint to the patient?
1
Non-steroid antiinflammatory drags.
Vitamins of group B.
Steroid antiinflammetory drugs.
Physical therapy.
#A 45 years old patient grumble about pain in knee-joint, which increases

even by insignificant loading, and limitation of motions in joint.
On examination: deforming III degree arthrosis of leftt knee-joint on the
ground of varus deformation of extremity (genu varum).
What medical treatment expediently to appoint by patient?
Non-steroid antiinflamrnetory drugs.

Steroid antiinflammetory drags.
1
Efficient medical treatment (correcting osteotomiya).
The physicaltherapy medical treatment, hondroprotections.
#A 52 years old patient grumbles about pain in the ankle joint, which
in¬creases after the protracted loading. There was a fracture of lover end
of tibia 10 years ago.
On examination: posttraumatic I degree deforming arthrosis of the left
ankle joint on the ground of flat-valgus deformation of foot.
What medical treatment expediently to appoint to the patient above all
things?
Non-steroid antiinflammetory drugs.

Physical therapy.
1
Orthopaedic inset-supinator in shoe.
Steroid antiinflammetory drags.
#A 47 years old patient grumbles about pain in the ankle joint, which
in¬creases even in case of the insignificant loading, and limitation of
motions in joint.
On examination: III degree deforming arthrosis of the ankle joint.
What medical treatment expediently to apply?
Physical therapy medical treatment.

Non-steroid antiinflammatory drugs, hondroprotectori.
Steroid injection.
1
Arthrodesis.
#A 35 years old patient grumbles about pain in upper third of shoulder,
which increases at night.
On examination: moderate edema in upper third of shoulder, moderate
hypertermiya of skins above edema, peinful palpation and limitation of
mo¬tions in the humeral joint.
On the roentgenogram - areas of destruction of humeral bone with the
phenomena of needle-shaped periostitis (spiculi) and change of periosteum
as a «peak».
To put a preliminary diagnosis.?????
Osteoma.
Osteomyelitis.
1
Osteosarcoma.
D.
Chondroma.
Chondroblastoma.
#At a prophylactic examination of a 14 years old girl was found tubular

new formation in lower third of thigh. Anamnesis: the new formation
appeared the 3 years ago and was slowly increasing. Pain is absent, the
common state of girlie is satisfactory, a function of the extremity is not
dis¬turb.
Dense, immobile and painless new formation on bone with the
un¬changed soft tissues determined at palpation.
To put a preliminary diagnosis.
Osteogenous sarcoma.
Chondroma.
Osteomyelitis.
1
Osteoma.
Osteoid-osteoma.
#A 32 years old patient complains of the tumour in lower third of the left
thigh, pain, loss of weight, impossibility to walk without crutches.
On the roentgenograms of lower third of thigh: destruction of methadiaf-
izal part of thigh, a bone structure is not determined, periostal spiculi. On
the roentgenograms of thorax - numerous metastases in lungs.
Diagnosis: osteosarcoma.
To choose medical tactic.?????
Radiotherapy.
Chemotherapy.
Amputation of extremity.
Segmental resection.
1
Symptomatic medical treatment.

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#A patient has healing of the thigh-bone fracture with displacement of

bone fragments to the length of 3 cm with correct longitudinal proportions.

#On examination of the patient the following capacity of movements in

#As a result of inflammatory process and its long-term treatment, the

#During examination of a patient, who had comminuted fracture of

#A long-term medical articular immobilization implements on a patient

#A patient had back dislocation of forearm bones, which was treated by

#A patient, who was treated by fixation method because of humerus dia-

# A 12 years old child suffers from an untreated congenital hip

# On examination of the patient with upper extremity trauma, there is

#On radiological examination of the patient, who was treated during 2

#On radiological examination of the patient, 1.5 month after

#The control radiograms of a patient, who was treated by osteosynthesis

#A patient had the open thigh-bone diaphysis fracture, which was

#A patient was hospitalized because of simple transverse lower one third

#A patient was hospitalized on account of simple transverse middle one

#A patient complains of pain and mobility restriction in shoulder joint. 10

# A patient was treated by constant skeletal traction method on account of

Plaster bandage fixation.

#A patient complains of pain and movements impossibility in shoulder

#A patient fell on hyperextended arm. He feels a sharp pain in elbow joint

#A patient came was admitted with complains of pain in right shoulder

#A patient complains of pain in upper part of breast bone. The pain

Scapula sternal edge fracture.

# A patient complains of pain in he right half of back. The pain

#A patient complains of pain and active movements restriction in

#A patient complains of pain and active movements restriction in

# A patient was hospitalized to fraumatological ward on account of

#A female patient of 82 years old was hospitalized on account of simple

# A female patient compains of moderate pain and movements

#The patient complains on pain and movements impossibility in elbow

Humerus epicondyle fracture.

#A patient was hospitalized on account of T-shaped simple humerus

# The patient was hospitalized on account of Y-shaped simple

#A patient underwent treatment by skeletal traction method for 10 days on

To apply the transosteal osteosynthesis by external fixation apparatus.

#A patient complains of pain in the shoulder and impaired function of

Injury of brachial artery.

# On examination of a patient: there is the oblique simple humerus

# A patient complains on pain of shoulder and impaired function of

#A patient complains of pain in shoulder and impaired function of

Transosteal osteosynthesis by external fixation apparatus.

# A patient complains of pain and movements impossibility in left

Humerusexternal epicondyie fracture.

#On the examination of the patient, the simple humerus intercondylar

#On examination of a patient, simple Y-shaped humerus intercondylar

#A patient was treated for 10 days by constant skeletal extension method

#On examination of a patient, there is simple T-shaped humerus

#A patient complains of pain and impaired function in elbow joint.

Humerus interal epicondyle fracture.

#A patient complains of pain in forearm and restricted movements in

Soft tissue bruise of forearm.

Radial diaphysis fracture.

# A patient complains of pain in forearm and restricted movements in

Soft tissue bruise of forearm.

#A patient complains of pain in forearm and impaired function of

#After examination of a patient. Simple transverse middle one third radial

#A patient addresses to trauma surgery because of pain in wrist joint and

#A patient complains on pain in wrist joint and impaired function of hand.

Navicular bone fracture.

#At examination of the patient, the extensive radial bone fracture in

#A patient complains of pain in wrist joint an impaired function of hand.

Flexion and ulnar deviation.