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QUESTION 1 OF 6

A 9 years old boy is brought to the paediatric orthopaedics clinic for clinical evaluation of tip toe walking.
Which of the following is NOT part of your assessment.

QUESTION ID: 1248

1. Examination of calf muscles looking for calf pseudo-hypertrophy b) Examination of the feet for polydactyly
2. Examination of hip abduction and rotational range of movement
3. Examining the mobility of the calacneo-navicular joint
4. History regarding brain injury perinatally
5. History regarding developmental milestones and behavioural development

QUESTION 2 OF 6

A young child attends the paediatric clinic complaining of one years history of knee pain. Radiographs are shown below(Figure 1)
Which of the following is correct  

Hussian 1png.png

Figure 1.Anteroposterior(AP) and lateral radiographs tibia

QUESTION ID: 1249

1. If the patient presents with an x ray showing a significant step in the metaphysis with the epiphysis filling the resulting gap then there is no benefit for bracing
2. If this patient is younger than 3 years then a proximal tibial osteotomy is the treatment of choice
3. The aim of corrective osteotomy is to achieve the expected the angle as per the salenius graph
4. The overall period of bracing is between 4 and 6 months
5. This patient is more likely to be a female patient who’s an early walker

QUESTION 3 OF 6

A 1 year old male was brought to hospital with the x ray shown below, which of the following is correct

Hussian 2 png.png

Figure 1.AP radiograph femur 

QUESTION ID: 1287

1. As this is a transverse fracture which is longitudinally stable the recommended treatment is flexible intramedullary nails
2. At this age you can accept a degree of rotational deformity as it will remodel
3. Leg length discrepancy is not uncommon with shortening of the affected side the most likely outcome
4. The fracture morphology suggests that you should look for rib fractures and scapula fractures
5. This child is unlikely to have a genetic mutation affecting COL 1A genes

QUESTION 4 OF 6

78.On clinical examination of this 10-year-old boy what feature is he most likely to have?

Answer B- Increased femoral anteversion.jpg

QUESTION ID: 2236

1. Generalised ligamentous laxity
2. Increased femoral anteversion
3. Increased genu valgum
4. Internal tibial torsion
5. Squinting patellae

QUESTION 5 OF 6

An 11-year-old with GMFCS I cerebral palsy presents with a right stiff knee gait failing to achieve adequate flexion.
Which test manoeuvre is best to assess the relevant muscle group tightness:

QUESTION ID: 2250

1. Patient is prone and the knee is gradually flexed and the elevation of the hemipelvis with knee flexion
2. Patient is prone, the knee is flexed and the hip is hyperextended. The Knee is then gradually extended and the movement of the ipsilateral hemipelvis is monitored.
3. Patient supine and hip flexed to 90 degrees, and knee extended and the angle between a vertical line and the tibia is measur
4. The patient is on the left lateral decubitus with the right side up, the knee is flexed, the hip is flexed to 90 and abducted and extended and then allowed to adduct. The angle between the thigh and the table is measur
5. The patient is supine, the hip is flexed to 45 degrees similar to hip flexion in normal gait, and the knee extended and the angle between a vertical line and the tibia is measured

QUESTION 6 OF 6

107.A child is born with a rocker-bottom deformity of the right foot with a prominent talar head medially.
Which of the following is the most appropriate?

QUESTION ID: 2252

1. An x ray is not useful in the early stages in guiding the treatment as the foot bones are not ossified yet and are difficult to visualise
2. Manipulation and serial casting are usually successful in treating the deformity
3. The patient should be assessed for packaging disorders especially DDH
4. The serial casting aims to achieve plantar flexion and eversion
5. The treatment is a combination of serial casting followed by surgery in the form of soft tissue releases and bony stabilization with K wires and it is imperative to undertake the intervention as early as possible