2023 Graduate Professional Examination of

2023 Graduate Professional Examination of

 

	Note to candidates: all answers must be answered on the answer sheet and marked with the question number. All answers on the test sheet are invalid; When the paper is handed in, the answer sheet shall be handed in together with the test questions, otherwise it will be counted as no score.

 

 

 

 

 

 

 

一、Single choice questions (2 * 10 = 20 points)

 

1. The best position for traction treatment of upper 1 / 3 fracture of right femoral shaft is:

A. Horizontal traction

B. Hip flexion traction

C. Adduction traction

D. Abduction traction

E. Thigh external rotation abduction and hip flexion traction

 

2. The main reasons for the long-term failure and revision of artificial joint replacement are:

A. Poor position of prosthesis B. Infection C. Aseptic loosening D. Joint dislocation E. Periprosthetic fracture

 

3. A 30-year-old male patient with pelvic fracture, urethral injury and hemorrhagic shock caused by a car accident should be treated in the following order:

A. Traction and fixation of pelvic fracture first, anti shock second, and then urethral injury

B. First, anti shock, then traction and fixation of pelvic fracture, and then urethral injury

C. First, anti shock, then urethral injury, and then traction and fixation of pelvic fracture

D. Urethral injury was treated first, followed by anti shock, and then pelvic fracture traction and fixation

E. Urethral injury was treated first, followed by traction and fixation of pelvic fracture, and then anti shock

 

4. Female, 60 years old, accidentally fell, unable to walk, left hip pain. In an outward rotation position. The left lower limb was slightly shortened, the axis percussion pain was positive, the pauwells angle was 35°, and the best treatment scheme was:

 

A. Tibial tubercle traction B. Closed reduction hip herringbone plaster fixation C. Orthopedic shoe fixation D. Internal fixation after closed reduction E. Skin traction

 

5. The most common sites of spinal flexion injury are:

A. Cervical vertebrae B. Cervical thoracic vertebrae C. Thoracic vertebrae D. Thoracolumbar vertebrae E. Lumbar vertebrae

 

6. Paraplegic patients should be actively treated to prevent complications and bedsore. Which of the following is wrong:

A. Turn over once every 2 hours. The number of times can be appropriately reduced at night to ensure the patient's rest

B. The mattress should be flat and soft, take care of it in time, and keep the skin clean and dry

C. Cushion the carina with cushion or air pillow, scrub with 25% ~ 50% alcohol and massage with talc powder;

D. For the deep bedsore, the necrotic tissue should be cut off in time and treated with 920 ointment and traditional Chinese medicine powder

E. When the inflammation is controlled and the granulation is fresh, the transfer flap is sutured

 

7. Which of the following mistakes in the non-surgical treatment of cervical spondylosis?

A. Self care therapy

B. Neck support and neck circumference to limit cervical hypermobility

C. Physical therapy can accelerate the regression of inflammatory edema and relax muscles

D. Cervical occipital belt traction is suitable for all types of cervical spondylosis

E. Drug treatment, local injection of corticosteroids can be used when there is a fixed small pain point

 

8. The main diagnostic basis of cervical spondylosis of vertebral artery type is:

A. Separation of pain and temperature, muscular atrophy

B. Numbness of limbs and pathological reflex

C. Quadriplegia and spinal cord obstruction

D. Recurrent neck and shoulder pain, radiation pain in the hand, positive traction test

E. When headache, dizziness, neck extension or lateral bending, dizziness is aggravated, or even sudden collapse

 

9. Ulnar nerve injury can occur:

A. Deep flexor palsy of the middle and middle fingers

B. The skin sensation on the dorsal side of the tiger's mouth disappeared

C. Volar and dorsal interosseous muscle atrophy

D. Paralysis of the second vermicular muscle of the hand

E. Ape hand deformity

 

10. The most vulnerable part of ulnar nerve (as shown in the figure) is:

A. upper arm B. middle forearm C. elbow D. wrist E. hand

 

 

二、Explanation of terms (4 * 5 = 20 points)

1、Spinal conus syndrome

2、Nonunion

3、Cubital tunnel syndrome

4、Barton fracture

5、Drawer test

 

三、Short answer questions (8 * 5 = 40 points)

 

1. Classification of acromioclavicular dislocation

2. Briefly describe the definition and specific principles of BO （fracture healing）

3.This paper briefly describes the key points of reduction of double fractures of ulna and radius of forearm

4. Prevention and treatment of complications of spinal cord injury

5. Briefly describe the definition and performance of hand rest position

四、Discussion questions (20 points)

 

Please describe the classification, clinical manifestations, differential diagnosis, surgical indications and common surgical methods of cervical spondylosis