-
8/16/2019 meq=asn
1/6
8. MEQ matrix no.........................
A lady accidently cut her right hand with a knife. There was
transverse cut
along the distal palmer crease and she was unable to ex all !
"ngers. All
the digital nerves and arteries were intact.
a #ame the structures that were in$ured.
%&marks'Answer ( )lexor digitorum super"cialis and or )lexor
digitorum profundus
b *hat is the surgical treatment for this lady+ %,mark'
Answer - )lexor tendon repairtenorrhaphy
c /ow would you immobilise the in$ured hand post operatively and
for how
long+%&marks'
Answer ( 010 dorsal slab and arm sling
)our to six weeks
-
8/16/2019 meq=asn
2/6
2. MEQ matrix no....................
A ,3-year-old boy presented with history of fast growing4
painful lump over
the distal part of his right thigh. The plain radiograph was
suggestive of
malignant primary bone tumour.
a Mention four radiological features of primary malignant bone
tumours.
%&marks'An ill-defined border with a broad zone of
transition is a sign of aggressive growthA periosteal reaction
Cortical destruction is a common finding, and not very useful in
distinguishing between malignant
and benign lesions.
5Moth-eaten5 and permeative patterns are indicative of
destructioninvolving both medullary and cortical bone. They are
seen in highgrademalignant neoplasms and in osteomyelitis.
/e had M67 done as part on the management plan.
b Mention four M67 data needed for treatment planning.
%&marks'
Answer ( soft tissue in"ltration4 skip lesion4 extent of the
wound4
neurovascular involvement
/e was plan for limb salvage surgery.
c #ame two surgical procedures to reconstruct the limb.
%,mark'
Answer ( Total $oint arthroplasty4 6econstruction by bone
andmyocutaneous graft
-
8/16/2019 meq=asn
3/6
,.MEQ matrix no.........................
A young lady4 a known case of 9:E on steroid therapy for the
last ; years
presented with bilateral hip pain. 9he was diagnosed as
bilateral avascular
necrosis of the femoral head %right side )icatasculitis?
autoimmune reaction in connective tissue disease
causes vasculitis in the blod vessels leading to bone
necrosis
b @escribe the radiological changes in A># stage 7>.
%,mark'
Answer - radiolucency area following the collapse of subchondral
bone
%crescent sign' and ringed regions of radiodensity resulting
from
saponi"cation and calci"cation of marrow fat following medullary
infarcts
c *hat is the surgical treatment for her right and left hip+
%&marks'
Answer ( ore decompression on right hip T/A for left
hip
http://en.wikipedia.org/wiki/Subchondral_bonehttp://en.wikipedia.org/wiki/Crescent_signhttp://en.wikipedia.org/wiki/Crescent_signhttp://en.wikipedia.org/wiki/Subchondral_bone
-
8/16/2019 meq=asn
4/6
,,.MEQ matrix no.........................
A young man in$ured his left knee while playing football. /e was
diagnosed
clinically to have anterior cruciate ligament tear.
a Mention two clinical tests to diagnose the above in$ury.
%,mark'Answer ( Anterior drawer test
:achmann test
b Mention two investigations to con"rm the above diagnosis.
%,mark'
Answer ( M67 Arthroscopy
/e was plan for A: reconstruction surgery.
c Mention two grafts that could be used for A:
reconstruction.
%&marks'Answer ( Bone patellar tendon bone graft
/amstring tendonQuadriceps tendon9emitendonosus
tendon----
d /ow long will the patient need to avoid contact sport post
reconstruction+ %,mark'
Answer ( At least 2 months
-
8/16/2019 meq=asn
5/6
,&.MEQ matrix no...........................
A C-year old male was referred to rehabilitation medicine
department withcomplaint of both knees pain for ; years. /e was
diagnosed as havingosteoarthritis.
a. Mention the type of heat therapy he needs and name the heat
therapyyou will prescribe. %,
mark'Answer- @eep heat therapy %.3 mark'Dltrasound 9hortwave
diathermy %.3mark'
b. *rite ! contraindications precautions of heat therapy.
%&
marks'
Answer - Any ! contraindications precautions. .3 mark for
each.
• Acute inamation4 trauma or haemorrhage• Bleeding disorders
• 7schaemia
• 6educed sensation
• Atrophic skin
• 9car tissue
• 7nability to communicate
• Malignancy
• Edema
c. #ame the muscle you need to train for stability of knee
$oints. *hat type
of exercise would you prescribe+
%, mark'
Answer- Quadriceps muscle on both sides %.3mark'9trengthening
exercise %Active resisted exercise' ( uadriceps static
exercise %.3 mark'
d. The patient needs walking aid to reduce weight bearing. The
patient
-
8/16/2019 meq=asn
6/6
Answer- ane
