TEOT Ortopedia Practice Questions - TEOT - Título de Especialista em Ortopedia e Traumatologia (Sociedade Brasileira de Ortopedia e Traumatologia AMB) Exam - TEOT Ortopedia Practice Questions - TEOT - Título de Especialista em Ortopedia e Traumatologia (Sociedade Brasileira de Ortopedia e Traumatologia AMB) Exam

Question 1

A 28-year-old motorcyclist sustains high-energy trauma to the right lower leg. Physical examination reveals an 11-cm laceration over the anterior tibia with extensive periosteal stripping, severe muscle crushing, and visible bone exposed without adequate local soft-tissue coverage, though distal dorsalis pedis and posterior tibial pulses are palpably intact. According to the Gustilo-Anderson classification for open fractures, how is this injury classified?

Gustilo-Anderson Type II Gustilo-Anderson Type IIIA Gustilo-Anderson Type IIIB Gustilo-Anderson Type IIIC

Correct Answer:

Gustilo-Anderson Type IIIB

Question 2

A 34-year-old man who underwent closed reduction and cast immobilization for a closed comminuted tibial shaft fracture 12 hours ago reports unremitting, escalating pain in his calf that is completely refractory to intravenous morphine. Physical examination demonstrates a tense, non-compressible calf and severe exacerbation of pain upon passive dorsiflexion of the great toe. His blood pressure is 115/75 mmHg and intracompartmental catheter measurement of the deep posterior compartment records a pressure of 48 mmHg. What is the definitive management?

Immediate bivalving of the cast and elevation of the lower extremity above the level of the heart. Immediate emergent two-incision, four-compartment fasciotomy of the leg. Urgent CT angiography of the lower extremity to rule out popliteal artery pseudoaneurysm before surgical intervention. Administration of intravenous mannitol and high-dose dexamethasone with compartment pressure re-evaluation in 4 hours.

Correct Answer:

Immediate emergent two-incision, four-compartment fasciotomy of the leg.

Question 3

A 24-year-old male polytrauma patient is brought to the trauma center following a high-speed collision. He presents with severe bilateral pulmonary contusions, an open Gustilo IIIA femoral shaft fracture, and a closed pelvic ring injury. In the operating room, his core temperature is 34.2°C, arterial blood gas shows pH 7.20 and base deficit -8.5 mEq/L, and platelet count is 65,000/uL with active microvascular oozing. In accordance with Damage Control Orthopedics (DCO) principles, what is the most appropriate initial skeletal management?

Definitive reamed antegrade intramedullary nailing of the femur and open reduction and internal plating of the pelvic ring. Rapid application of a temporary spanning external fixator to the femur and pelvic binder/external fixation, followed by transfer to the ICU for physiological resuscitation. Immediate skeletal traction with a distal femoral traction pin and delayed surgery after 72 hours in the general ward. Primary unreamed femoral intramedullary nailing under local hematoma block and intravenous sedation.

Correct Answer:

Rapid application of a temporary spanning external fixator to the femur and pelvic binder/external fixation, followed by transfer to the ICU for physiological resuscitation.

Question 4

A 45-year-old woman sustains a displaced intra-articular distal radius fracture after falling on an outstretched hand. Radiographs demonstrate a comminuted fracture involving both the radiocarpal and distal radioulnar joints with 4 mm of intra-articular step-off, 25° of dorsal tilt, and 5 mm of radial shortening (AO/OTA 23-C3). Which anatomical structure serves as the primary landmark for placing a volar locking plate distal to the watershed line to prevent flexor pollicis longus (FPL) tendon rupture?

The pronator quadratus ridge and the volar rim watershed line, ensuring the plate remains proximal to the transverse volar prominence. The Lister tubercle on the volar cortex of the distal radius. The insertions of the superficial and deep heads of the pronator teres muscle. The dorsal tubercle of the distal radioulnar joint capsule.

Correct Answer:

The pronator quadratus ridge and the volar rim watershed line, ensuring the plate remains proximal to the transverse volar prominence.

Question 5

A healthy 38-year-old construction worker falls from a scaffolding and sustains an isolated, displaced intracapsular femoral neck fracture. Pelvic radiographs show complete displacement with disruption of the trabecular pattern and femoral head tilting (Garden IV / AO/OTA 31-B3). What is the primary arterial blood supply to the femoral head threatened by this injury, and what is the optimal surgical strategy?

Artery of ligamentum teres; treated definitively with total hip arthroplasty. Ascending branches of the lateral femoral circumflex artery; treated with non-operative touch-down weight-bearing. Lateral epiphyseal branches of the medial femoral circumflex artery; treated with urgent anatomical reduction and rigid internal fixation. Inferior gluteal artery; treated with closed reduction and a single 4.5 mm cortical screw.

Correct Answer:

Lateral epiphyseal branches of the medial femoral circumflex artery; treated with urgent anatomical reduction and rigid internal fixation.

Question 1

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Prepare with the TEOT Ortopedia Practice Questions - TEOT - Título de Especialista em Ortopedia e Traumatologia (Sociedade Brasileira de Ortopedia e Traumatologia AMB) Exam practice quiz. This question bank includes 100 questions covering fracture, year-old, femoral, radiographs, and classification. Use it to review important concepts, identify knowledge gaps, and build confidence for the related exam, course, or assessment.

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TEOT Ortopedia Practice Questions - TEOT - Título de Especialista em Ortopedia e Traumatologia (Sociedade Brasileira de Ortopedia e Traumatologia AMB) Exam

This practice set contains 100 questions from the matching question bank and focuses on fracture, year-old, femoral, radiographs, and classification. 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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TEOT Ortopedia Practice Questions - TEOT - Título de Especialista em Ortopedia e Traumatologia (Sociedade Brasileira de Ortopedia e Traumatologia AMB) Exam

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