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Question 461

Topic: Biomechanics & Biomaterials

If a stainless steel screw is used in conjunction with a titanium plate in an internal fixation construct, what type of corrosion is most likely to occur?

. Crevice corrosion
. Fretting corrosion
. Pitting corrosion
. Galvanic corrosion
. Intergranular corrosion

Correct Answer & Explanation

. Galvanic corrosion


Explanation

Galvanic corrosion occurs when two dissimilar metals with different electrochemical potentials are placed in contact within a conductive medium, such as body fluids. This leads to accelerated corrosion of the less noble metal.

Question 462

Topic: Biomechanics & Biomaterials

A surgeon plans to ream the medullary canal to accommodate a larger diameter intramedullary nail. The torsional rigidity of a hollow cylindrical nail is proportional to which of the following?

. The outer radius raised to the fourth power minus the inner radius raised to the fourth power
. The outer radius squared minus the inner radius squared
. The outer radius raised to the third power
. The difference between the outer and inner diameters
. The cross-sectional area of the nail

Correct Answer & Explanation

. The outer radius raised to the fourth power minus the inner radius raised to the fourth power


Explanation

The torsional rigidity of a hollow cylinder is determined by its polar moment of inertia, which is proportional to the difference between the outer radius to the fourth power and the inner radius to the fourth power. Increasing nail diameter vastly improves torsional stability.

Question 463

Topic: Biomechanics & Biomaterials

Cortical bone exhibits strain rate dependency. Which of the following best describes the mechanical behavior of bone when subjected to a high rate of loading, such as high-speed trauma?

. It becomes more ductile and fails at a lower ultimate strength
. It becomes less stiff and absorbs less energy
. It becomes stiffer, sustains higher loads before failure, and absorbs more energy
. Its yield point decreases significantly
. It undergoes greater plastic deformation before failure

Correct Answer & Explanation

. It becomes stiffer, sustains higher loads before failure, and absorbs more energy


Explanation

Bone is a viscoelastic material, meaning its properties change based on the speed of loading. At high strain rates, bone becomes stiffer, can withstand a higher ultimate load, and stores more energy before failure, often resulting in comminuted fractures.

Question 464

Topic: Biomechanics & Biomaterials

A biomedical engineer is evaluating a new titanium alloy for intramedullary nails. During mechanical testing, the material undergoes proportional deformation up to a specific limit before permanent deformation occurs. The slope of the load-deformation curve in this linear elastic region represents which of the following mechanical properties?

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

Correct Answer & Explanation

. Stiffness


Explanation

The slope of the linear elastic region on a load-deformation curve represents the stiffness of the material. On a stress-strain curve, this slope represents Young's modulus (modulus of elasticity).

Question 465

Topic: Biomechanics & Biomaterials

A patient undergoes correction of a severe knee flexion contracture using a hinged external fixator. Over several days, the tension in the soft tissues gradually decreases despite the fixator maintaining a constant length. Which viscoelastic property does this phenomenon best describe?

. Creep
. Stress relaxation
. Hysteresis
. Fatigue
. Isotropism

Correct Answer & Explanation

. Stress relaxation


Explanation

Stress relaxation is the decrease in stress (tension) over time when a viscoelastic material is held at a constant strain (length). In contrast, creep is the progressive deformation over time under a constant load.

Question 466

Topic: Biomechanics & Biomaterials

A surgeon revises a failed stainless steel dynamic compression plate for a femur fracture by applying a titanium plate over the existing stainless steel screws. Several months later, rapid localized corrosion is noted at the screw-plate interfaces. Which of the following best explains this phenomenon?

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

Correct Answer & Explanation

. Galvanic corrosion


Explanation

Galvanic corrosion occurs when two dissimilar metals are in contact within a conductive fluid environment like body fluid. The less noble metal undergoes accelerated corrosion due to the electrochemical potential difference.

Question 467

Topic: Biomechanics & Biomaterials

Ligaments and tendons exhibit viscoelastic behavior, meaning their mechanical properties change depending on how quickly a force is applied. If a ligament is subjected to a rapid loading rate (high strain rate), how does its biomechanical response change compared to a slow loading rate?

. It becomes more elastic and less stiff
. It fails at a lower ultimate tensile load
. It exhibits greater stiffness and fails at a higher load
. It undergoes greater elongation before failure
. It displays increased hysteresis

Correct Answer & Explanation

. It exhibits greater stiffness and fails at a higher load


Explanation

Due to the strain-rate dependency of viscoelastic materials, tendons and ligaments become stiffer when subjected to rapid loading. They can withstand a higher ultimate tensile load before failure compared to slow loading scenarios.

Question 468

Topic: Biomechanics & Biomaterials

The mechanical properties of cortical bone vary depending on the direction of the applied load. Cortical bone is strongest in compression along its longitudinal axis and weakest in tension transversally. This biomechanical characteristic is best termed:

. Isotropic
. Anisotropic
. Viscoelastic
. Plasticity
. Ductility

Correct Answer & Explanation

. Anisotropic


Explanation

Anisotropy is the property of a material in which mechanical properties (like strength and stiffness) differ depending on the direction of the applied load. Bone is highly anisotropic, being strongest in longitudinal compression.

Question 469

Topic: Biomechanics & Biomaterials

On a load-elongation (stress-strain) curve of a normal ligament, what structural change is responsible for the initial "toe region"?

. Microfailure of collagen fibrils
. Uncrimping of resting collagen fibers
. Plastic deformation of elastin
. Proteoglycan fluid exudation
. Macroscopic failure of collagen cross-links

Correct Answer & Explanation

. Uncrimping of resting collagen fibers


Explanation

The toe region of the stress-strain curve represents the non-linear elastic phase where resting, crimped collagen fibers straighten out (uncrimp) under initial load.

Question 470

Topic: Biomechanics & Biomaterials

Combining a 316L stainless steel plate with a titanium alloy screw in a fracture construct is most likely to result in which type of corrosion?

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

Correct Answer & Explanation

. Galvanic corrosion


Explanation

Galvanic corrosion occurs when two dissimilar metals with different anodic indices are placed in electrical contact within a conductive fluid environment, leading to accelerated corrosion of the less noble metal.

Question 471

Topic: Biomechanics & Biomaterials

A continuous, constant compressive load is applied to an intervertebral disc over several hours, resulting in progressive deformation over time. This specific viscoelastic property is defined as:

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

Correct Answer & Explanation

. Creep


Explanation

Creep is the progressive deformation of a viscoelastic material when subjected to a constant load over time. Conversely, stress relaxation is the decrease in stress over time under a constant deformation.

Question 472

Topic: Biomechanics & Biomaterials

On the stress-strain curve of a normal tendon, the initial "toe region" represents which of the following structural events?

. Rupture of microscopic cross-links
. Plastic deformation of collagen fibrils
. Uncrimping of type I collagen fibers
. Yield point of the tendon
. Complete macroscopic failure

Correct Answer & Explanation

. Uncrimping of type I collagen fibers


Explanation

The "toe region" of a tendon's stress-strain curve represents the initial elastic stretch. During this phase, the normal wavy, crimped pattern of the resting collagen fibers straightens out.

Question 473

Topic: Biomechanics & Biomaterials

In total hip arthroplasty, the incorporation of highly cross-linked polyethylene primarily improves wear resistance by mitigating which specific mechanism of wear?

. Third-body wear
. Adhesive wear
. Abrasive wear
. Fatigue wear
. Fretting wear

Correct Answer & Explanation

. Adhesive wear


Explanation

Highly cross-linked polyethylene significantly reduces adhesive wear at the bearing surface, which decreases osteolytic particulate debris. However, the cross-linking process may make the material more susceptible to fatigue wear or fracture.

Question 474

Topic: Biomechanics & Biomaterials

Galvanic corrosion occurs when two dissimilar metals are placed in physical contact within a conductive fluid environment. Which of the following metal combinations is most likely to result in significant galvanic corrosion in orthopedic implants?

. Titanium alloy and Cobalt-Chromium
. Stainless steel and Titanium alloy
. Cobalt-Chromium and Trabecular metal (Tantalum)
. Two distinct Titanium alloy components
. Cobalt-Chromium and Zirconium

Correct Answer & Explanation

. Stainless steel and Titanium alloy


Explanation

Mixing stainless steel and titanium alloy implants in the same construct creates a large electrochemical potential difference, leading to severe galvanic corrosion. In contrast, mixing titanium and cobalt-chromium is generally well tolerated.

Question 475

Topic: Biomechanics & Biomaterials

When a constant load is applied to a viscoelastic ligament over an extended period of time, the tissue gradually elongates. This biomechanical phenomenon is known as:

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

Correct Answer & Explanation

. Creep


Explanation

Creep describes the time-dependent elongation of viscoelastic tissues under a constant load. Conversely, stress relaxation is the decrease in internal stress over time when the tissue is held at a constant length.

Question 476

Topic: Biomechanics & Biomaterials

Which of the following combinations of implant alloys placed in direct physical contact poses the highest risk of significant galvanic corrosion?

. Titanium alloy and Commercially pure titanium
. Cobalt-chromium and Titanium alloy
. Stainless steel and Titanium alloy
. Cobalt-chromium and Ceramic
. Tantalum and Titanium alloy

Correct Answer & Explanation

. Stainless steel and Titanium alloy


Explanation

Stainless steel and titanium have widely separated resting potentials on the galvanic series, resulting in a high risk of galvanic corrosion when they are coupled. In contrast, mixing cobalt-chromium and titanium is generally well-tolerated.

Question 477

Topic: Biomechanics & Biomaterials

The unique ability of articular cartilage to withstand massive compressive loads is primarily determined by the biomechanical interaction between:

. Type I collagen and hydroxyapatite
. Aggrecan-associated swelling pressure and the tensile restraint of the Type II collagen network
. Hyaluronic acid viscosity and boundary lubricin
. Chondrocyte hypertrophy and matrix metalloproteinases
. Elastin fibers and synovial fluid glycoproteins

Correct Answer & Explanation

. Aggrecan-associated swelling pressure and the tensile restraint of the Type II collagen network


Explanation

Compressive stiffness in articular cartilage is derived from the Donnan osmotic swelling pressure generated by negatively charged aggrecan molecules attracting water. This swelling is tightly restrained by the strong, tensile Type II collagen network.

Question 478

Topic: Biomechanics & Biomaterials
Which of the following sterilization techniques for ultra-high-molecular-weight polyethylene (UHMWPE) joint components is most strongly associated with generating free radicals, leading to accelerated oxidative degradation?
. Ethylene oxide gas sterilization
. Gamma irradiation in a vacuum
. Gamma irradiation in ambient air
. Gas plasma sterilization
. Autoclaving

Correct Answer & Explanation

. Gamma irradiation in ambient air


Explanation

Gamma irradiation in an oxygen-rich environment (ambient air) generates free radicals that react with oxygen, causing chain scission and severe oxidative degradation of the polyethylene. Modern UHMWPE is cross-linked and sterilized in inert gases to prevent this.

Question 479

Topic: Biomechanics & Biomaterials

Which of the following combinations of orthopaedic implant materials is most susceptible to severe galvanic corrosion when placed in direct physical contact in vivo?

. Titanium alloy and cobalt-chromium alloy
. Stainless steel and titanium alloy
. Cobalt-chromium alloy and trabecular metal
. Stainless steel and cobalt-chromium alloy
. Commercially pure titanium and titanium alloy

Correct Answer & Explanation

. Stainless steel and titanium alloy


Explanation

Mixing stainless steel and titanium alloy creates a strong electrochemical potential difference, making the construct highly susceptible to galvanic corrosion. Cobalt-chromium and titanium alloys are more electrochemically compatible and are frequently used together clinically without significant galvanic issues.

Question 480

Topic: Biomechanics & Biomaterials

During the application of a dynamic splint to a contracted joint, a constant deformation is maintained over time. The observed decrease in peak force required to maintain this constant tissue length is an example of which viscoelastic property?

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

Correct Answer & Explanation

. Stress relaxation


Explanation

Stress relaxation occurs when a viscoelastic material is held at a constant strain (length), resulting in a progressive decrease in the stress (force) required to maintain that deformation. In contrast, creep is the progressive deformation of a material under a constant applied load.