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Question 441

Topic: Biomechanics & Biomaterials

In designing an intramedullary nail, if the solid cross-sectional radius of the nail is increased by 10%, how is its torsional rigidity affected?

. It increases by 10%
. It increases by 21%
. It increases by 46%
. It increases by 100%
. It remains unchanged

Correct Answer & Explanation

. It increases by 46%


Explanation

The torsional rigidity of a solid cylinder is proportional to the polar moment of inertia, which varies with the radius to the fourth power (r^4). An increase of 10% (1.1) results in a rigidity of 1.1^4 = 1.4641, which is approximately a 46% increase.

Question 442

Topic: Biomechanics & Biomaterials
When selecting an intramedullary nail for a tibial shaft fracture, the surgeon considers the material properties. Which of the following orthopedic biomaterials has a Young's modulus closest to that of cortical bone?
. Cobalt-chromium alloy
. Titanium alloy
. Stainless steel
. Alumina ceramic
. Ultra-high-molecular-weight polyethylene (UHMWPE)

Correct Answer & Explanation

. Titanium alloy


Explanation

Titanium has a Young's modulus of approximately 110 GPa, which is closer to cortical bone (15-30 GPa) compared to stainless steel (200 GPa) or cobalt-chromium (220 GPa). This closer match helps reduce stress shielding.

Question 443

Topic: Biomechanics & Biomaterials
Highly cross-linked ultra-high-molecular-weight polyethylene (UHMWPE) is widely used in total hip arthroplasty to reduce wear. What is the primary trade-off regarding the mechanical properties of UHMWPE when the degree of cross-linking is increased?
. Decreased fatigue resistance and fracture toughness
. Decreased resistance to adhesive wear
. Increased risk of oxidation in vivo
. Increased ultimate tensile strength
. Decreased elastic modulus leading to stress shielding

Correct Answer & Explanation

. Decreased fatigue resistance and fracture toughness


Explanation

Increasing cross-linking in UHMWPE significantly improves its resistance to adhesive and abrasive wear. However, this comes at the expense of decreased fatigue resistance, ductility, and fracture toughness.

Question 444

Topic: Biomechanics & Biomaterials

A ligament graft used for anterior cruciate ligament (ACL) reconstruction elongates over time when subjected to a constant physiological load. This time-dependent biomechanical property is best described as:

. Stress relaxation
. Creep
. Hysteresis
. Fatigue failure
. Anisotropy

Correct Answer & Explanation

. Creep


Explanation

Creep is the progressive deformation of a viscoelastic material over time when subjected to a constant load. Stress relaxation is the decrease in stress over time when a material is held at a constant deformation.

Question 445

Topic: Biomechanics & Biomaterials

A surgeon decides to use a solid intramedullary nail instead of a hollow nail of the same outer diameter. According to the polar moment of inertia, how does increasing the inner diameter (hollowing the nail) affect its torsional rigidity?

. It increases proportionally to the inner radius squared
. It decreases proportionally to the inner radius to the fourth power
. It decreases linearly with the inner radius
. It remains unchanged as it depends only on the outer diameter
. It increases proportionally to the outer radius cubed

Correct Answer & Explanation

. It decreases proportionally to the inner radius to the fourth power


Explanation

The polar moment of inertia for a hollow cylinder is proportional to the difference between the outer radius to the fourth power and the inner radius to the fourth power. Therefore, hollowing a solid nail decreases its torsional rigidity proportionally to the inner radius to the fourth power.

Question 446

Topic: Biomechanics & Biomaterials

A patient requires revision of a femoral shaft fracture nonunion. The original stainless steel plate is left in place, and a titanium screw is used for supplementary fixation. Which of the following processes is most likely to occur at the interface of these two metals?

. Fretting corrosion
. Crevice corrosion
. Galvanic corrosion
. Stress corrosion cracking
. Pitting corrosion

Correct Answer & Explanation

. Galvanic corrosion


Explanation

Galvanic corrosion occurs when two dissimilar metals (e.g., stainless steel and titanium) are placed in contact within an electrolytic medium like body fluid. This leads to accelerated corrosion of the less noble metal.

Question 447

Topic: Biomechanics & Biomaterials

Polymethylmethacrylate (PMMA) is utilized for implant fixation in a cemented total knee arthroplasty. Which of the following statements regarding the properties of PMMA is accurate?

. It acts as an adhesive, chemically bonding the implant to the bone.
. It functions as a grout, relying on mechanical interlock for fixation.
. It has a high modulus of elasticity compared to cortical bone.
. Its setting reaction is highly endothermic.
. The addition of barium sulfate increases its mechanical fatigue strength.

Correct Answer & Explanation

. It functions as a grout, relying on mechanical interlock for fixation.


Explanation

PMMA bone cement provides initial implant fixation by acting as a grout via mechanical interlock with cancellous bone, rather than a true chemical adhesive. Its setting reaction is highly exothermic, and additives like barium sulfate decrease its mechanical strength.

Question 448

Topic: Biomechanics & Biomaterials

Which of the following best describes the mechanical behavior of cortical bone, whereby its strength and stiffness increase as the rate of loading increases?

. Anisotropy
. Viscoelasticity
. Plasticity
. Creep
. Hysteresis

Correct Answer & Explanation

. Viscoelasticity


Explanation

Bone is a viscoelastic material, meaning its biomechanical response depends on the rate of loading. When loaded rapidly, bone becomes stiffer and can absorb more energy before failing.

Question 449

Topic: Biomechanics & Biomaterials

Cortical bone demonstrates different mechanical properties depending on the direction of the applied load. It is stronger in longitudinal compression than in transverse loading. Which biomechanical term best defines this property?

. Isotropism
. Viscoelasticity
. Anisotropy
. Fatigue failure
. Creep

Correct Answer & Explanation

. Anisotropy


Explanation

Anisotropy refers to a material exhibiting different mechanical properties depending on the direction of the applied load. Cortical bone is highly anisotropic, being strongest in longitudinal compression.

Question 450

Topic: Biomechanics & Biomaterials

A surgeon plans to perform a revision fixation using a stainless steel plate adjacent to an existing titanium screw. Which of the following complications is most likely to occur due to the combination of these two different metals in a physiologic environment?

. Fretting corrosion
. Crevice corrosion
. Galvanic corrosion
. Stress shielding
. Fatigue failure

Correct Answer & Explanation

. Galvanic corrosion


Explanation

Galvanic corrosion occurs when two dissimilar metals are placed in physical contact within an electrolytic solution like body fluid. This leads to an electrochemical reaction and accelerated corrosion of the less noble metal.

Question 451

Topic: Biomechanics & Biomaterials

Which of the following non-collagenous bone matrix proteins is vitamin K-dependent and plays a major role in regulating bone mineralization by binding to calcium and hydroxyapatite?

. Osteopontin
. Osteonectin
. Osteocalcin
. Sialoprotein
. Fibronectin

Correct Answer & Explanation

. Osteocalcin


Explanation

Osteocalcin is the most abundant non-collagenous protein in bone. It is vitamin K-dependent (contains gamma-carboxyglutamate residues) and directly binds calcium and hydroxyapatite to regulate mineralization.

Question 452

Topic: Biomechanics & Biomaterials

In a stress-strain curve for a metallic implant, the point at which the material ceases to deform elastically and begins to deform permanently is known as which of the following?

. Ultimate tensile strength
. Proportional limit
. Failure point
. Yield point
. Modulus of elasticity

Correct Answer & Explanation

. Yield point


Explanation

The yield point on a stress-strain curve marks the transition from elastic (reversible) deformation to plastic (irreversible) deformation.

Question 453

Topic: Biomechanics & Biomaterials

Rank the following materials in order of decreasing Young's modulus (stiffness):

. Cortical bone > Titanium > Stainless Steel > PMMA
. Stainless Steel > Titanium > Cortical bone > PMMA
. Titanium > Cortical bone > Stainless Steel > PMMA
. Stainless Steel > Cortical bone > Titanium > PMMA
. PMMA > Cortical bone > Titanium > Stainless Steel

Correct Answer & Explanation

. Stainless Steel > Titanium > Cortical bone > PMMA


Explanation

Young's modulus represents the stiffness of a material. Stainless steel (approx. 200 GPa) is stiffer than titanium (approx. 110 GPa), which is stiffer than cortical bone (approx. 15-20 GPa), which is stiffer than PMMA bone cement (approx. 2-3 GPa).

Question 454

Topic: Biomechanics & Biomaterials

On a standard stress-strain curve for cortical bone, the specific point at which the material ceases to deform elastically and begins to undergo permanent plastic deformation is defined as the:

. Failure point
. Yield point
. Ultimate tensile strength
. Proportional limit
. Endurance limit

Correct Answer & Explanation

. Yield point


Explanation

The yield point marks the end of elastic (reversible) deformation and the beginning of plastic (irreversible) deformation. Loading past the yield point results in permanent shape alteration.

Question 455

Topic: Biomechanics & Biomaterials

A polyethylene component of a total knee prosthesis subjected to a constant physiological load over time undergoes a progressive increase in strain (deformation). This viscoelastic biomechanical phenomenon is known as:

. Stress relaxation
. Creep
. Fatigue failure
. Hysteresis
. Isotropic deformation

Correct Answer & Explanation

. Creep


Explanation

Creep is a property of viscoelastic materials where continuous, constant stress (load) results in progressive, time-dependent strain (deformation). Stress relaxation, conversely, is a decrease in stress under constant strain.

Question 456

Topic: Biomechanics & Biomaterials

Which of the following combinations of orthopedic implant materials is most strongly contraindicated for direct contact due to the high risk of clinically significant galvanic corrosion?

. Titanium and Titanium alloy
. Stainless steel and Cobalt-chromium
. Titanium alloy and Cobalt-chromium
. Stainless steel and Titanium
. Tantalum and Titanium

Correct Answer & Explanation

. Stainless steel and Titanium


Explanation

Stainless steel and titanium have significantly different anodic indices (galvanic potentials). Mixing them in direct physical contact within the electrolytic environment of the body accelerates galvanic corrosion of the stainless steel.

Question 457

Topic: Biomechanics & Biomaterials

An orthopedic implant subjected to cyclic loading below its ultimate tensile strength eventually fractures due to microcrack propagation. What term describes the maximum stress level below which a material can endure an infinite number of cycles without failure?

. Yield point
. Proportional limit
. Endurance limit
. Ultimate strength
. Toughness

Correct Answer & Explanation

. Endurance limit


Explanation

The endurance limit (or fatigue limit) is the stress threshold depicted on an S-N (Stress-Number of cycles) curve. Below this specific stress level, the material will theoretically never undergo fatigue failure, regardless of the number of loading cycles.

Question 458

Topic: Biomechanics & Biomaterials

Which of the following correctly ranks common orthopedic materials from the highest to the lowest Young's modulus (stiffness)?

. Cobalt-chromium > Stainless steel > Titanium > Cortical bone
. Stainless steel > Cobalt-chromium > Titanium > Cortical bone
. Titanium > Cobalt-chromium > Stainless steel > Cortical bone
. Cobalt-chromium > Titanium > Stainless steel > Cortical bone
. Cortical bone > Titanium > Stainless steel > Cobalt-chromium

Correct Answer & Explanation

. Cobalt-chromium > Stainless steel > Titanium > Cortical bone


Explanation

Young's modulus indicates material stiffness. Cobalt-chromium is the stiffest (~220 GPa), followed by Stainless steel (~200 GPa), Titanium (~110 GPa), and Cortical bone (~15-20 GPa). Matching implant stiffness closer to bone reduces stress shielding.

Question 459

Topic: Biomechanics & Biomaterials

Tendons and ligaments exhibit viscoelastic properties. Which of the following terms describes the phenomenon where the load required to maintain a constant deformation decreases over time?

. Creep
. Hysteresis
. Stress relaxation
. Fatigue
. Strain rate dependency

Correct Answer & Explanation

. Stress relaxation


Explanation

Stress relaxation is a viscoelastic property defined as the decrease in applied stress (or load) over time when a material is held at a constant strain (deformation). Creep, conversely, is continued deformation under a constant load.

Question 460

Topic: Biomechanics & Biomaterials

On a stress-strain curve for cortical bone, the area under the entire curve up to the point of failure represents which of the following mechanical properties?

. Toughness
. Stiffness
. Yield strength
. Ductility
. Ultimate tensile strength

Correct Answer & Explanation

. Toughness


Explanation

Toughness is defined as the total amount of energy a material can absorb before it fractures, corresponding to the entire area under the stress-strain curve. Stiffness is represented by the slope of the elastic region.