These are real published questions used in MedQgulf practice sessions. Sign up for the full bank to access every orthopedics mcqs.
Sample 1·Orthopedics
First-line acute gout management (no CI) is:
- ✓NSAID (or colchicine if NSAID contraindicated)
- BAllopurinol immediately
- CSteroids only
- DRasburicase
Explanation
Acute gout: NSAIDs first-line; colchicine or steroids if NSAID contraindicated. Do NOT start allopurinol during an acute flare (may prolong).
Sample 2·Orthopedics
A 25-year-old footballer twisted knee with an audible 'pop', immediate effusion, positive Lachman test. Injury?

- ✓Anterior cruciate ligament rupture
- BMedial meniscus tear
- CPosterior cruciate ligament
- DMCL
Explanation
ACL tear: pop, haemarthrosis within 2 h, positive Lachman/pivot shift. MCL and meniscal tears usually lack immediate haemarthrosis.
Sample 3·Orthopedics
A 60-year-old has bilateral knee pain, morning stiffness <30 min, worse with activity, X-ray shows joint space narrowing, osteophytes and subchondral sclerosis. Diagnosis?

- ✓Osteoarthritis
- BRheumatoid arthritis
- CGout
- DSeptic arthritis
Explanation
OA: activity-related pain, brief morning stiffness, X-ray shows LOSS (Loss of joint space, Osteophytes, Subchondral cysts/sclerosis). RA has prolonged morning stiffness and erosions.
Sample 4·Orthopedics
A 65-year-old with back pain and unilateral radicular leg pain, straight-leg raise positive at 40°. Most likely diagnosis?
- ✓Lumbar disc prolapse (L5/S1)
- BAnkylosing spondylitis
- CVertebral fracture
- DCauda equina syndrome
Explanation
Radicular pain with positive SLR = disc prolapse; usually L5/S1 or L4/L5.
Sample 5·Orthopedics
A pale, pulseless, painful lower leg after tibial fracture with pain on passive stretch of the toes. Diagnosis?
- ✓Compartment syndrome
- BDVT
- CFat embolism
- DPeripheral arterial disease
Explanation
Pain out of proportion, pain on passive stretch, tense compartment = compartment syndrome. Urgent fasciotomy required.