FC Orth(SA) Final Practice Questions - Fellowship of the College of Orthopaedic Surgeons of South Africa Final Examination FC Orth(SA) Final Exam - FC Orth(SA) Final Practice Questions - Fellowship of the College of Orthopaedic Surgeons of South Africa Final Examination FC Orth(SA) Final Exam

Question 1

A 28-year-old male motor vehicle accident victim presents with a Gustilo-Anderson Grade IIIB open tibial shaft fracture with a 6 cm anterior skin defect and periosteal stripping. Following emergency surgical debridement and joint-spanning external fixation within 6 hours of injury, what is the optimal timeframe for definitive soft tissue coverage to minimize post-operative infection rates?

Within 72 hours of injury At 14 to 21 days after initial granulation formation Within 48 to 72 hours of injury Delayed until 6 weeks post-injury after fracture callus formation

Correct Answer:

Within 48 to 72 hours of injury

Question 2

A 35-year-old female sustains a high-energy pelvic ring injury after a fall from height. AP pelvic radiography reveals a Lateral Compression Type 1 (LC-1) fracture with complete sacral fracture displacement and persistent hemodynamic instability despite pelvic binder placement and fluid resuscitation. What is the most appropriate next step in acute resuscitation?

Immediate pelvic angiography and transcatheter arterial embolization Urgent open reduction and internal fixation of the anterior pelvic ring Immediate placement of a distal femoral traction pin Bilateral internal iliac artery surgical ligation

Correct Answer:

Immediate pelvic angiography and transcatheter arterial embolization

Question 3

A 32-year-old male polytrauma patient sustains a displaced femoral neck fracture (Pauwels Type III, Garden Grade IV). He is hemodynamically stable. What is the definitive operative management of choice to minimize femoral head osteonecrosis?

Emergency open reduction and anatomical internal fixation with a sliding hip screw and anti-rotation screw within 6 hours Primary cemented bipolar hemiarthroplasty Primary uncemented total hip arthroplasty Closed reduction and percutaneous fixation with 3 cannulated screws in 48 hours

Correct Answer:

Emergency open reduction and anatomical internal fixation with a sliding hip screw and anti-rotation screw within 6 hours

Question 4

A 45-year-old male sustains a Schatzker Grade VI comminuted bicondylar tibial plateau fracture with severe soft tissue compromise and skin blistering. What is the safest surgical strategy?

Immediate open reduction and internal fixation with dual locking plates Joint-spanning knee external fixation and delayed definitive ORIF once soft tissue wrinkling occurs Primary total knee arthroplasty with long modular stems Non-operative treatment in a above-knee plaster cast for 8 weeks

Correct Answer:

Joint-spanning knee external fixation and delayed definitive ORIF once soft tissue wrinkling occurs

Question 5

A 40-year-old woman presents with a displaced volar Barton fracture-dislocation of the distal radius. What is the definitive surgical treatment of choice?

Closed reduction and sugar-tong splint immobilization Open reduction and internal fixation via a Henry approach using a volar locking plate Dorsal bridge plating spanning the radiocarpal joint Percutaneous K-wire fixation and cast immobilization

Correct Answer:

Open reduction and internal fixation via a Henry approach using a volar locking plate

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Prepare with the FC Orth(SA) Final Practice Questions - Fellowship of the College of Orthopaedic Surgeons of South Africa Final Examination FC Orth(SA) Final Exam practice quiz. This question bank includes 100 questions covering year-old, fracture, male, presents, 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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FC Orth(SA) Final Practice Questions - Fellowship of the College of Orthopaedic Surgeons of South Africa Final Examination FC Orth(SA) Final Exam

This practice set contains 100 questions from the matching question bank and focuses on year-old, fracture, male, presents, 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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FC Orth(SA) Final Practice Questions - Fellowship of the College of Orthopaedic Surgeons of South Africa Final Examination FC Orth(SA) Final Exam

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