AIIMS Nov. 2017 De-Coded !

AIIMS Nov. 2017 De-Coded !

  1. Ossification Centres of Carpal Bones :
  • Capitate: 1-3 months
  • Hamate:  2-4 months
  • Triquetrum: 2-3 years
  • Lunate: 2-4 years
  • Scaphoid: 4-6 years
  • Trapezium: 4-6 years
  • Trapezoid: 4-6 years
  • Pisiform: 8-12 years
  1. Capitate is the first one and Pisiform is the last one to ossify.

  2. Ball & Socket Joints : (Mnemonic –> THIS) 

  • T –> TaloCalcaneoNavicular Joint
  • H –> Hip Joint  
  • I –> IncudoStapedial Joint
  • S –> Shoulder Joint

 

     3. The following X-Ray is Type III Fracture Proximal Humerus ( Impacted )

Following is the detail of Neer’s Classification of Proximal Humerus Fracture

 

4. All of the following are true about Sprengel’s Deformity except :

  • Associated with Congenital Scoliosis
  • Associated with Diastemetomyelia
  • High incidence with Klippel Fiel Syndrome
  • Associated with Dextrocardia   ( Answer )

 

Sprengel deformity

It is congenital elevation of the scapula, is a complex deformity of the shoulder and is the most common congenital shoulder abnormality.

Sprengel deformity is usually noticed at birth and has both cosmetic and functional implications. The elevated scapula is visually noticeable and there is an associated restriction in the motion of the scapula and glenohumeral joint.

An omovertebral bar (fibrous, cartilaginous and/or osseous connection between the scapula and cervical spine) is often present.

It is also commonly associated with hypoplasia or atrophy of regional muscles, and these associated features can cause further misshaping of the shoulder and limitation of shoulder movement.

Patients with Sprengel deformity often have one or more of the following abnormalities and conditions:

  • Klippel-Feil syndrome
  • Spina bifida & Diastemetomyelia
  • Kyphoscoliosis
  • Torticollis
  • underdevelopment of clavicle or humerus

 

5.  Question –>

A patient with history of RTA present in ED. Attending orthopedician writes Gustilo’s Type IIIB for his both bones fracture in lower limbs injury.  According to Gustilo Anderson Classification what is correct ?

A. B/L limb wound of >10cm with adequate soft tissue coverage inspite of extensive laceration , flaps, avulsion injury & regardless of size of wound

B. B/L limb wound of size <1cm

C. B/L limb wound of size > 10cm with extensive soft tissue damage & periosteal stripping

D. Wound between 1 and 10 cm in length without extensive soft-tissue damage, flaps or avulsions

Answer –> C

 

6.   Question –>

A 10 years old boy with difficulty and pain during walking for the past 10 days. There is no fever currently. On examination right hip is flexed and there is fullness in the the right lumbar region. X ray shows soft tissue shadow in the right side of abdomen. What is the most probable diagnosis?

a. Psoas Abscess

b. Testicular Torsion in an Undescended Testis

c. Pyonephrosis

d. Appendicular Lump in RetroCaecal Appendix

Answer –> a

 


    7.  Posterior Cruciate Ligament : 

 – PCL is the only primary restraint to posterior translation throughout the entire knee range of motion (ROM).

 – PCL is an Extra Synovial Structure approximately twice as strong and twice as thick as the normal ACL (therefore less commonly injured)

Dimesions :
– Size: 13 mm, its length, 38 mm, (approximates that of ACL);
– Origin:
– PCL originates from the antero-lateral aspect of medial femoral condyle in the area of intercondylar notch;
– Its origin is much more anterior than that of ACL
– insertion:
– Tibial attachment is not intra articular, but over back of tibial plateau, it is approximately 1 cm distal to the joint line

 8.   A Patient came with complains of lower limb weakness. Examiner places one hand under the patients heel and patient is then asked to raise his other leg against downward resistance. What is the test being performed ?

a. Hoover’s Test

b. Mc Bride Test

c. Waddell’s Test

d. O’Donoghue’s Test

Answer –> a

 

 

9. Fracture Scpahoid v/s Lunate Dislocation v/s TransScaphoid PeriLunateDislocation

Fracture Scaphoid

Lunate Dislocation

TransScaphoid PeriLunate Dislocation

 

 

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About the author: Dr. Tushar Mehta

An Orthopaedic Surgeon who is a blend of academic excellence and entrepreneurship with interest in all aspects of Bones and Joints. contach him at [email protected]

26 comments to “AIIMS Nov. 2017 De-Coded !”

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  1. ketan joshi - 15/11/2017 at 3:39 am Reply

    Thanks sir

  2. Ramya Reddy - 15/11/2017 at 8:45 am Reply

    Thank you so much sir . It’s very helpful as the topics are also covered.

  3. Pooja S Nair - 15/11/2017 at 8:47 am Reply

    Thank you sir

  4. vaibhav girde - 15/11/2017 at 9:23 am Reply

    Beautifully compiled..

  5. Dr nishant - 15/11/2017 at 9:25 am Reply

    Sir u r a excellent teacher.good motivator.good guider.?

  6. Jina priya - 15/11/2017 at 11:25 am Reply

    One more question was there in aiims Nov 17
    A boy with injury to right arm by FOOS. Cast was applied and 1 week later he developed symptoms of compartment syndrome.the nurse should check first for
    @. Pulse in Radial artery
    2. Look for dressing and any leaking
    3. look for change of colours in fingers
    4.?

  7. Jina priya - 15/11/2017 at 11:26 am Reply

    A boy with injury to right arm by FOOS. Cast was applied and 1 week later he developed symptoms of compartment syndrome.the nurse should check first for
    @. Pulse in Radial artery
    2. Look for dressing and any leaking
    3. look for change of colours in fingers
    4.?

  8. Aamir - 15/11/2017 at 11:53 am Reply

    Sir one question about compartment syndrome ? How will the nurse check the compartment syndrome after plaster ?
    A – check radial pulse if it is feeable
    B- see colour change of fingers ?
    C-
    D-

  9. Ashutosh kumar sharma - 15/11/2017 at 12:19 pm Reply

    I love the way you teach us Sir,Keep it up as always, God bless you Sir

  10. Venugopal Reddy - 15/11/2017 at 12:32 pm Reply

    Sir.
    One question on AVN of hip is there .
    U forgot to post, plz post it sir.

  11. Zeus.⚜️ - 15/11/2017 at 12:38 pm Reply

    As usual , you are unique sir…???

  12. Dr.Jagdish - 15/11/2017 at 12:52 pm Reply

    Thanks sir,have no words to express abt your dedication, you are excellent sir

  13. ANURAG PANDEY - 15/11/2017 at 12:54 pm Reply

    Thanku sir

  14. Megha - 15/11/2017 at 1:04 pm Reply

    Thnku sir

  15. Sara nastaeen - 15/11/2017 at 1:11 pm Reply

    Tqu sir..Sir in psoas abscess fever will not b der????

  16. Namita Saxena - 15/11/2017 at 1:43 pm Reply

    Thank you sir?

  17. Yaswanth - 15/11/2017 at 1:50 pm Reply

    Very effective sir

  18. Cheps - 15/11/2017 at 3:36 pm Reply

    Excellent sir……..

  19. Sushanta bhosagar - 15/11/2017 at 8:46 pm Reply

    Thank u sir

  20. Akansha - 16/11/2017 at 12:09 am Reply

    Thankew so much sir. ??

  21. Sunil Dahiya - 16/11/2017 at 12:52 am Reply

    Excellent job Boss…✌✌

  22. Jasmin Nilima Panda - 16/11/2017 at 1:56 am Reply

    Thank you so much sir!!

  23. Baby pegu - 16/11/2017 at 8:06 pm Reply

    Sir this is awsome… thank you so much for ur dedication to teach us n compiling all the question…

  24. MARAM ANUSHA - 18/11/2017 at 12:29 pm Reply

    Thank you so much sir..

  25. Jyotsna - 18/11/2017 at 7:32 pm Reply

    Thank you sir

  26. Ishika Batra - 18/11/2017 at 8:11 pm Reply

    excellent post sir, u r really a great teacher sir… since i took ur class, i am unable to stop thinking about you… i think i am secretly in love with you… :-*

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