Arab Board Orthopedic Surgery Clinical Practice Questions - Arab Board of Health Specializations Orthopedic Surgery Final Clinical and Oral Examination Exam - Arab Board Orthopedic Surgery Clinical Practice Questions - Arab Board of Health Specializations Orthopedic Surgery Final Clinical and Oral Examination Exam

Question 1

A 32-year-old male presents after a motorcycle collision with an open Gustilo-Anderson Type IIIB midshaft tibial fracture. The wound measures 12 cm with extensive periosteal stripping and heavy contamination. What is the most appropriate initial management sequence regarding systemic antibiotics and soft tissue coverage?

First-generation cephalosporin alone; delayed soft tissue coverage beyond 3 weeks First-generation cephalosporin plus aminoglycoside immediately; definitive soft tissue coverage within 7 days Oral fluoroquinolone monotherapy; primary wound closure under tension in the emergency department Topical antibiotic irrigation only; delayed primary closure without vascularized soft tissue transfer

Correct Answer:

First-generation cephalosporin plus aminoglycoside immediately; definitive soft tissue coverage within 7 days

Question 2

A 45-year-old male is brought to the trauma bay following a high-speed motor vehicle collision. An anteroposterior pelvic radiograph reveals symphysis pubis diastasis of 4.5 cm with disruption of the anterior sacroiliac ligaments (Young-Burgess APC-II / Open Book). The patient is hemodynamically unstable with a blood pressure of 82/46 mmHg. What is the most critical initial mechanical intervention?

Emergent placement of an open retroperitoneal packing via laparotomy Application of a pelvic binder centered precisely over the greater trochanters Immediate traction pin placement in the distal femur Application of a pelvic binder high around the iliac crests and abdomen

Correct Answer:

Application of a pelvic binder centered precisely over the greater trochanters

Question 3

A 28-year-old male with a closed midshaft tibia fracture treated in a cast develops progressive, unremitting leg pain out of proportion to the injury. On physical examination, passive stretch of the great toe elicits excruciating pain. The anterior compartment pressure is measured at 48 mmHg, and his diastolic blood pressure is 72 mmHg (delta pressure 24 mmHg). What is the definitive treatment?

Elevation of the limb above the heart and administration of intravenous mannitol Immediate two-incision four-compartment fasciotomy of the leg Single lateral incision fasciotomy releasing only the anterior compartment Repeat compartment pressure measurement in 12 hours while maintaining cast immobilization

Correct Answer:

Immediate two-incision four-compartment fasciotomy of the leg

Question 4

A 74-year-old active, cognitively intact female falls at home and sustains a displaced subcapital femoral neck fracture (Garden Stage IV). She ambulated independently prior to the fall. What is the evidence-based management of choice?

Closed reduction and percutaneous fixation with three cannulated screws Total hip arthroplasty (cemented stem) Unipolar hemiarthroplasty with non-cemented press-fit stem Bed rest and derotation boot for 6 weeks

Correct Answer:

Total hip arthroplasty (cemented stem)

Question 5

A 78-year-old male sustains an unstable intertrochanteric femur fracture with reverse obliquity (AO/OTA 31-A3). What is the optimal surgical implant to achieve stable biomechanical fixation?

Standard dynamic hip screw (DHS) with a two-hole side plate Cephalomedullary intramedullary nail with a helical blade or lag screw Dual non-locking reconstruction plates placed anteriorly and laterally Cannulated cancellous screw fixation in an inverted triangle configuration

Correct Answer:

Cephalomedullary intramedullary nail with a helical blade or lag screw

Question 1

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Prepare with the Arab Board Orthopedic Surgery Clinical Practice Questions - Arab Board of Health Specializations Orthopedic Surgery Final Clinical and Oral Examination Exam practice quiz. This question bank includes 100 questions covering year-old, fracture, male, presents, and female. Use it to review important concepts, identify knowledge gaps, and build confidence for the related exam, course, or assessment.

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Arab Board Orthopedic Surgery Clinical Practice Questions - Arab Board of Health Specializations Orthopedic Surgery Final Clinical and Oral Examination Exam

This practice set contains 100 questions from the matching question bank and focuses on year-old, fracture, male, presents, and female. Work through each question carefully, review the provided solutions, and revisit topics that need more study before your next attempt.

This is an independent study resource intended for practice and review; it is not an official examination or an endorsement by any organization named in the title.

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Arab Board Orthopedic Surgery Clinical Practice Questions - Arab Board of Health Specializations Orthopedic Surgery Final Clinical and Oral Examination Exam

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