TILAK MAHARASHTRA VIDYAPEETH, PUNE BACHELOR OF PHYSIOTHERAPY ( B. P. T.) EXAMINATION : APRIL - 2018 FOURTH YEAR Subject: Physiotherapy in Orthopedics (BPT -401) Date: 23/04/2018 Total Marks: 80 Time: 2.00 pm to 5.00 pm Instructions: 1. To answer the Multiple Choice Questions (MCQs) use separate answer sheet provided by the University. 2. For answering the Multiple Choice Questions (MCQs) put the tick mark in the respective column. A. B C D √ 3. Multiple Choice Questions (MCQs) are to be solved within first 20 minutes of the session. 4. Return your answer sheet of Multiple Choice Questions (MCQs) when first 20 minutes’ time is over. SECTION – A Q.1 Select most appropriate option. (20) 1) Children with Club foot are prescribed ……………….. footwear. a) Medial wedge b) Denis Browne c) Lateral wedge d) Heel raise footwear footwear 2) In club feet the ……..points downwards a) Calcaneum b) Cuneiform c) Talus d) Cuboid 3) Flexion abduction and lat rotaion is the most vulnerable position for …………… dislocation of the a) anterior b) posterior c) lateral d) medial 4) Bankarts lesion is an injury to the a) humeral head b) acromion c) capsule d) labrum 5) Nerve damaged after an anterior dislocation of the shoulder a) Acircumflex b) radial c) ulnar d) median 6) is a condition wherein the are bent a) backforwards b) forwards c) medially d) laterally 7) A person with entire lower limb externally rotated is very likely to have a) pes planus b) c) d) none of the above 8) Commonest cause of haematogenous a) streptococcus b) Salmonella c) staph aureus d) H influenza 9) Tuberculosis of the spine is known as a) Potts spine b) Bent spine c) Curved spine d) none of the above 10) Claw is usually seen in a) tuberculosis b) leprosy c) osteomyelitis d) osteoarthritis 11) Triple arthrodesis is a surgery performed in a) club foot b) Potts spine c) RA d) 12) People with leprosy are advised to wear gloves while working because a) they feel cold b) loss of sensation c) loss of blood d) their hands are supply weak 13) A35 year old man presents suddenly with severe pain, swelling and redness of the big toe. Most likely diagnosis Rheumatoid arthritis Osteoarthrits Gouty arthritis Septic arthritis

Physiotherapy in Orthopedics (BPT -401) AGM /I 1/2

14) A young male presents with joint pains and back ache. Xray shows evidence of sacroilitis. Most likely diagnosis would be a) rheumatoid b) Ankylosing c) Juvenils d) Psoriatic arthritis arthritis spondylitis polyarticular arthritis 15) The tendon most usually involved in Tennis is a) ECRL b) ECRB c) extensor digitorum d) Extensor indicis 16) Phalens test is used to diagnose a) ulnar nerve injury b) carpal tunnel c) Deqervains d) radial nerve injury syndrome tenosynivitis 17) In rheumatoin arthritis what is involved a) synovial b) cartilage c) synovial fluid d) subchondral bone membrane 18) Foot drop is seen in a) Tibial nerve injury b) Achilles tendon c) Popliteal nerve d) dcommon peroneal injury injury nerve injury 19) Carrying angle is decreased in a) b) cubitus varus c) genu varum d) 20) Tennis elbow is a) olecranon bursitis b) pain over the c) pain over the d) Myositis ossificans medial epicondyle lateral epicondyle

SECTION – B Q.2 Write short notes on (Any five) (15) 1) Tests you would perform to test the ACL ligament and the menisci of the . 2) ULTT 1 3) Avulsion fracture 4) Factors that affect fracture healing 5) Stages of adhesive capsulitis 6) Test for flexor tightness

Q.3 Write short notes on (Any three) (15) 1) Pes planus-list the causes and briefly describe the physiotherapy management 2) Genu varum 3) Myositis ossificans 4) Maitlands Grades of mobilisation SECTION – C Q.4 Answer in detail. (15) Discuss the causes and the physiotherapy management of Shoulder Impingement.

Q.5 Answer the following (any One) (15) 1) Discuss the causes and the physiotherapy management of Anterior dislocation of the shoulder. OR 2) A 20 year old male football player suffered a Grade 1ACL tear. Briefly state the anatomy of the ligament, describe the mechanism of injury, and the physiotherapy management.

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Physiotherapy in Orthopedics (BPT -401) AGM /I 2/2