Previous
Next

QUESTION 1 OF 3

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 3

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 3

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