Postgraduate Orthopaedics: MCQs and EMQs for the FRCS (Tr & Orth) Postgraduate Orthopaedics: MCQs and EMQs for the FRCS (Tr & Orth) Edited by Kesavan Sri-Ram, BSc, MRCS (Eng), FRCS (Tr & Orth) SeniorArthroplastyFellow,RoyalNationalOrthopaedicHospitalandWycombeHospital,UK CAMBRIDGE UNIVERSITY PRESS Cambridge,NewYork,Melbourne,Madrid,CapeTown, Singapore,SãoPaulo,Delhi,Tokyo,MexicoCity CambridgeUniversityPress TheEdinburghBuilding,CambridgeCB28RU,UK PublishedintheUnitedStatesofAmericaby CambridgeUniversityPress,NewYork www.cambridge.org Informationonthistitle:www.cambridge.org/9780521184717 #CambridgeUniversityPress2012 Thispublicationisincopyright.Subjecttostatutoryexception andtotheprovisionsofrelevantcollectivelicensingagreements, noreproductionofanypartmaytakeplacewithout thewrittenpermissionofCambridgeUniversityPress. Firstpublished2012 PrintedintheUnitedKingdomattheUniversityPress,Cambridge AcataloguerecordforthispublicationisavailablefromtheBritishLibrary LibraryofCongressCataloging-in-PublicationData Postgraduateorthopaedics:MCQSandEMQSfortheFRCS(Tr&Orth)/ editedbyKesavanSri-Ram. p. ; cm. Includesbibliographicalreferencesandindex. ISBN978-0-521-18471-7(Paperback) I. Sri-Ram,Kesavan. [DNLM: 1. OrthopedicProcedures–ExaminationQuestions. WE18.2] LCclassificationnotassigned 6170.9076–dc23 2011029387 ISBN978-0-521-18471-7Paperback CambridgeUniversityPresshasnoresponsibilityforthepersistenceor accuracyofURLsforexternalorthird-partyinternetwebsitesreferredto inthispublication,anddoesnotguaranteethatanycontentonsuch websitesis,orwillremain,accurateorappropriate. Everyefforthasbeenmadeinpreparingthisbooktoprovideaccurateand up-to-dateinformationwhichisinaccordwithacceptedstandardsand practiceatthetimeofpublication.Althoughcasehistoriesaredrawnfrom actualcases,everyefforthasbeenmadetodisguisetheidentitiesofthe individualsinvolved.Nevertheless,theauthors,editorsandpublisherscan makenowarrantiesthattheinformationcontainedhereinistotallyfree fromerror,notleastbecauseclinicalstandardsareconstantlychanging throughresearchandregulation.Theauthors,editorsandpublishers thereforedisclaimallliabilityfordirectorconsequentialdamages resultingfromtheuseofmaterialcontainedinthisbook.Readersare stronglyadvisedtopaycarefulattentiontoinformationprovidedbythe manufacturerofanydrugsorequipmentthattheyplantouse. For Sharmili Contents List of contributors page viii ForewordMr Barry Ferris x Preface xi Acknowledgements xii 1 Introduction 1 7 Foot and ankle 119 Kesavan Sri-Ram Kesavan Sri-Ram and Andrew Robinson 2 Hand andwrist 4 Questions 119 Maxim Horwitzand Elliot Answers 132 Sorene Questions 4 8 Pathology 144 Answers 17 DanyalH.NawabiandTimW.R.Briggs Questions 144 3 Shoulder andelbow 25 Answers 158 DeborahS.Higgs and Simon Lambert 9 Paediatric orthopaedics 172 Questions 25 Russell Hawkins and Deborah M. Answers 38 Eastwood Questions 172 4 Spine 47 Answers 184 Zaher Dannawi and Rajiv A. Bajekal Questions 47 10 Trauma 198 Answers 60 Paul Whittingham-Jones, Kesavan Sri-Ramand DennisEdwards 5 Hip and pelvis 71 Questions 198 Nashat Siddiqui and Phil Kerr Answers 211 Questions 71 Answers 83 11 Basic science 223 Ben Rudge and John A. Skinner 6 Knee 93 Questions 223 Kesavan Sri-Ram and Answers 235 Howard Ware Questions 93 Answers 106 Index 246 vii Contributors Mr Rajiv A. Bajekal, MS (Orth), ChM Mr Simon Lambert, BSc, FRCS, FRCS Ed (Orth),FRCS (Orth) (Orth) Consultant Orthopaedic Surgeon, Barnet Consultant Shoulder and Elbow Surgeon, Hospital, London Royal National Orthopaedic Hospital, Stanmore Professor Tim W.R. Briggs, MD (Res), MCh (Orth), FRCS Mr Danyal H. Nawabi, BM, MA, MRCS Professor of Orthopaedic Surgery and (Eng), FRCS (Tr & Orth) Orthopaedic Oncology, Royal National Specialist Registrar in Trauma and Ortho- Orthopaedic Hospital, Stanmore paedicSurgery,RoyalNationalOrthopaedic Hospital,Stanmore Mr Zaher Dannawi,FRCS (Tr & Orth) Spinal Fellow, Royal National Orthopaedic Mr Andrew ‘Fred’ Robinson, BSc, FRCS Hospital, Stanmore (Orth) ConsultantFootandAnkleSurgeon,Cam- Miss Deborah M. Eastwood FRCS bridge University NHS Trust, Cambridge Consultant Orthopaedic Surgeon, Royal National Orthopaedic Hospital, Stanmore Mr Ben Rudge, FRCS (Tr &Orth) Specialist Registrar in Trauma and Ortho- Mr Dennis Edwards, FRCS (Orth) paedic Surgery, Whittington Hospital, ConsultantOrthopaedicSurgeon,Cambridge London University NHS Trust, Cambridge Mr Nashat Ahmad Siddiqui, FRCS (Tr & Mr RussellHawkins, FRCS (Tr & Orth) Orth) Specialist Registrar in Trauma and Ortho- Specialist Registrar in Trauma and Ortho- paedicSurgery,RoyalNationalOrthopaedic paedicSurgery,RoyalFreeHospital,London Hospital, Stanmore Mr John A. Skinner, FRCS (Orth) MissDeborahS.Higgs,MBBS,FRCS(Tr& Consultant Orthopaedic Surgeon, Royal Orth) National Orthopaedic Hospital, Stanmore Consultant Shoulder and Elbow Surgeon, Royal National Orthopaedic Hospital, MrElliotSorene,MBBS,FRCS(Tr&Orth), Stanmore EDHS Consultant Orthopaedic and Hand Sur- Mr Maxim Horwitz, FRCS (Tr & Orth) geon, University College London Hospital, Locum Consultant Orthopaedic and Hand London Surgeon, St Mary’s Hospital, Imperial College Healthcare NHS Trust, London Mr Kesavan Sri-Ram, BSc, MRCS (Eng), FRCS (Tr &Orth) Mr Phil Kerr, FRCS Senior Arthroplasty Fellow, Wycombe Consultant Orthopaedic Surgeon, Lister Hospital, Wycombe and Royal National Hospital, Stevenage Orthopaedic Hospital, Stanmore viii
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