CMSA Higher Diploma in Orthopaedics Practice Questions - Higher Diploma in Orthopaedics of the College of Orthopaedic Surgeons of South Africa [H Dip Orth(SA)] Exam - CMSA Higher Diploma in Orthopaedics Practice Questions - Higher Diploma in Orthopaedics of the College of Orthopaedic Surgeons of South Africa [H Dip Orth(SA)] Exam

Question 1

A 24-year-old male sustains an open right tibial shaft fracture following a motorcycle collision. Clinical examination reveals a 6 cm anterior skin wound with moderate muscle contusion, minimal periosteal stripping, and intact neurovascular status. According to the Gustilo-Anderson classification, how is this injury graded?

Type I Type II Type IIIA Type IIIB

Correct Answer:

Type II

Question 2

A 30-year-old trauma patient with a closed tibial shaft fracture develops severe leg pain out of proportion to physical findings, exacerbated by passive stretch of the great toe. Diastolic blood pressure is 75 mmHg and intracompartmental pressure of the anterior compartment is measured at 50 mmHg. What is the delta pressure (ΔP) and what action is indicated?

ΔP is 25 mmHg; immediate emergency two-incision four-compartment fasciotomy ΔP is 125 mmHg; non-operative observation with limb elevation ΔP is 25 mmHg; high-dose intravenous steroids and hyperbaric oxygen ΔP is 50 mmHg; immediate closed reduction and tight cast immobilization

Correct Answer:

ΔP is 25 mmHg; immediate emergency two-incision four-compartment fasciotomy

Question 3

A 40-year-old farm worker sustains a severe Gustilo-Anderson Type IIIB open femoral shaft fracture after a tractor rollover, with extensive soil contamination. According to established open fracture antimicrobial guidelines, which intravenous antibiotic regimen should be initiated immediately in the resuscitation bay?

First-generation cephalosporin (Cefazolin) monotherapy only First-generation cephalosporin (Cefazolin) plus an aminoglycoside (Gentamicin) plus Benzylpenicillin Oral Ciprofloxacin monotherapy Intravenous Vancomycin monotherapy

Correct Answer:

First-generation cephalosporin (Cefazolin) plus an aminoglycoside (Gentamicin) plus Benzylpenicillin

Question 4

A 28-year-old polytrauma patient arrives in shock with a core temperature of 33.8°C, arterial pH of 7.15, and an INR of 2.1. Radiographs show a displaced pelvic ring injury and bilateral open femoral shaft fractures. What is the most appropriate initial orthopaedic management strategy?

Immediate bilateral total femur ORIF with long anatomical plates Damage Control Orthopaedics (DCO) with rapid external fixation and pelvic binder application Definitive reamed intramedullary nailing of both femora taking 6 hours Conservative non-operative skeletal traction in the trauma bay

Correct Answer:

Damage Control Orthopaedics (DCO) with rapid external fixation and pelvic binder application

Question 5

During the emergency room management of an Anteroposterior Compression (APC II) 'open-book' pelvic ring disruption, where should a commercial pelvic binder or wrapped sheet be centered anatomical to achieve optimal pelvic volume reduction?

Across the iliac crests Centred directly over the greater trochanters Around the mid-lumbar spine Across the mid-femoral shafts

Correct Answer:

Centred directly over the greater trochanters

Question 1

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Prepare with the CMSA Higher Diploma in Orthopaedics Practice Questions - Higher Diploma in Orthopaedics of the College of Orthopaedic Surgeons of South Africa [H Dip Orth(SA)] Exam practice quiz. This question bank includes 100 questions covering fracture, year-old, bone, femoral, and sustains. Use it to review important concepts, identify knowledge gaps, and build confidence for the related exam, course, or assessment.

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CMSA Higher Diploma in Orthopaedics Practice Questions - Higher Diploma in Orthopaedics of the College of Orthopaedic Surgeons of South Africa [H Dip Orth(SA)] Exam

This practice set contains 100 questions from the matching question bank and focuses on fracture, year-old, bone, femoral, and sustains. 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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CMSA Higher Diploma in Orthopaedics Practice Questions - Higher Diploma in Orthopaedics of the College of Orthopaedic Surgeons of South Africa [H Dip Orth(SA)] Exam

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