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Question 561

Topic: Biomechanics & Biomaterials

To minimize stress shielding around a femoral stem, the implant's material should have a stiffness (modulus of elasticity) as comparable to cortical bone as possible. Which of the following biomaterials most closely approximates the Young's modulus of cortical bone?

. Cobalt-chromium alloy
. 316L Stainless steel
. Titanium alloy (Ti-6Al-4V)
. Polymethylmethacrylate (PMMA)
. Alumina ceramic

Correct Answer & Explanation

. Titanium alloy (Ti-6Al-4V)


Explanation

Titanium alloy has a Young's modulus closer to that of cortical bone compared to stiffer metals like stainless steel or cobalt-chromium. This lower stiffness helps reduce stress shielding and subsequent bone resorption.

Question 562

Topic: Biomechanics & Biomaterials

You are applying a uniplanar external fixator to a tibia fracture. To maximize the bending stiffness of the construct, altering which parameter of the half-pins will have the most profound mathematical effect?

. Decreasing the distance between the pins and the fracture
. Increasing the pin core diameter
. Using hydroxyapatite-coated pins
. Decreasing the bone-to-rod distance
. Increasing the number of pins from 2 to 3 per segment

Correct Answer & Explanation

. Increasing the pin core diameter


Explanation

The bending stiffness of a pin is proportional to its area moment of inertia, which scales with the radius to the fourth power (r^4). Thus, increasing the core diameter has the most profound exponential effect on stiffness.

Question 563

Topic: Biomechanics & Biomaterials

When a constant force is applied to a ligament over an extended period of time, it undergoes a gradual increase in deformation. What is this biomechanical property called?

. Stress relaxation
. Creep
. Hysteresis
. Fatigue
. Anisotropy

Correct Answer & Explanation

. Creep


Explanation

Creep is the progressive deformation of a viscoelastic material under constant load. Stress relaxation, conversely, is the decrease in internal stress over time under constant deformation.

Question 564

Topic: Biomechanics & Biomaterials

For a hollow cylindrical bone undergoing a bending load, the bending stiffness is directly proportional to which of the following geometric properties?

. Cross-sectional area
. Outer diameter squared
. Polar moment of inertia
. Area moment of inertia
. Distance from the neutral axis

Correct Answer & Explanation

. Area moment of inertia


Explanation

Bending stiffness of a long bone is proportional to its area moment of inertia, which depends on the distribution of mass away from the neutral axis. The polar moment of inertia is the equivalent property for torsional loading.

Question 565

Topic: Biomechanics & Biomaterials
Highly cross-linked ultra-high-molecular-weight polyethylene (UHMWPE) is used in total joint arthroplasty primarily to reduce wear. What is the major mechanical trade-off of the cross-linking process?
. Decreased fatigue strength
. Increased oxidation potential over time
. Decreased modulus of elasticity
. Increased third-body wear
. Increased melting point

Correct Answer & Explanation

. Decreased fatigue strength


Explanation

While cross-linking UHMWPE significantly reduces abrasive and adhesive wear, it simultaneously reduces mechanical properties such as fatigue strength, ultimate tensile strength, and fracture toughness.

Question 566

Topic: Biomechanics & Biomaterials

Which of the following combinations of orthopedic implants is most likely to result in significant galvanic corrosion in vivo?

. Titanium alloy plate with titanium alloy screws
. Cobalt-chromium femoral head with titanium alloy stem
. Stainless steel plate with titanium screws
. Cobalt-chromium head with cobalt-chromium stem
. Ceramic head with titanium alloy stem

Correct Answer & Explanation

. Stainless steel plate with titanium screws


Explanation

Galvanic corrosion occurs when two dissimilar metals with different anodic indices are in contact in an electrolyte solution. The combination of stainless steel and titanium creates a significant galvanic cell and is generally avoided.

Question 567

Topic: Biomechanics & Biomaterials

Cortical bone exhibits different mechanical properties depending on the direction in which the load is applied (e.g., stronger in longitudinal compression than in transverse loading). This characteristic is best termed:

. Viscoelasticity
. Anisotropy
. Isotropism
. Biphasic behavior
. Hysteresis

Correct Answer & Explanation

. Anisotropy


Explanation

Anisotropy refers to a material having different mechanical properties depending on the direction of loading. Bone is highly anisotropic, being significantly stronger when loaded along its longitudinal axis.

Question 568

Topic: Biomechanics & Biomaterials



On a standard stress-strain curve for a ductile material, the point at which the material transitions from elastic deformation to plastic deformation is known as the:

. Ultimate tensile point
. Failure point
. Yield point
. Proportional limit
. Toughness maximum

Correct Answer & Explanation

. Yield point


Explanation

The yield point marks the end of elastic (reversible) deformation and the beginning of plastic (permanent) deformation. Any load applied beyond this point causes permanent structural change.

Question 569

Topic: Biomechanics & Biomaterials

In the load-elongation curve of a healthy tendon, the initial nonlinear "toe region" represents which of the following physiologic phenomena?

. Microfailure of collagen fibrils
. Uncrimping of collagen fibers
. Elastic deformation of the whole tendon
. Plastic deformation
. Complete macroscopic failure

Correct Answer & Explanation

. Uncrimping of collagen fibers


Explanation

The initial "toe region" of a tendon's stress-strain curve represents the straightening out, or "uncrimping," of the naturally wavy collagen fibers under low loads. Linear elastic stretching occurs only after the fibers are fully straightened.

Question 570

Topic: Biomechanics & Biomaterials

Among the following structural metallic biomaterials utilized in orthopedic implants, which possesses a modulus of elasticity (Young's modulus) closest to that of cortical bone?

. Titanium alloy (Ti-6Al-4V)
. 316L Stainless steel
. Cobalt-chromium-molybdenum alloy
. Alumina ceramic
. Zirconia ceramic

Correct Answer & Explanation

. Titanium alloy (Ti-6Al-4V)


Explanation

Titanium alloy has a modulus of elasticity (~110 GPa) that is closer to cortical bone (~15-20 GPa) compared to stainless steel (~200 GPa) and cobalt-chrome (~220 GPa). This lower modulus helps to minimize stress shielding.

Question 571

Topic: Biomechanics & Biomaterials

In biomechanical material testing, an S-N (Stress-Number of cycles) curve is often generated to assess fatigue failure. What does the endurance limit on this curve represent?

. The point of irreversible plastic deformation
. The maximum stress a material can sustain before fracture in a single cycle
. The stress level below which the material can theoretically endure an infinite number of cycles without failing
. The total energy absorbed by the material prior to complete failure
. The intrinsic stiffness of the material in the elastic region

Correct Answer & Explanation

. The stress level below which the material can theoretically endure an infinite number of cycles without failing


Explanation

The endurance limit (or fatigue limit) is the highest stress level that a material can withstand for an infinite number of load cycles without experiencing fatigue failure.

Question 572

Topic: Biomechanics & Biomaterials

A tendon undergoes progressive elongation when subjected to a constant, sustained tensile load over a period of time. This fundamental viscoelastic property is defined as:

. Stress relaxation
. Creep
. Hysteresis
. Fatigue failure
. Strain hardening

Correct Answer & Explanation

. Creep


Explanation

Creep is the time-dependent deformation or elongation of a viscoelastic material when it is subjected to a constant load. In contrast, stress relaxation is the decrease in stress over time when the material is held at a constant length.

Question 573

Topic: Biomechanics & Biomaterials

The torsional stiffness of a solid intramedullary nail is mathematically proportional to its radius raised to which of the following powers?

. First power
. Second power
. Third power
. Fourth power
. Fifth power

Correct Answer & Explanation

. Fourth power


Explanation

The torsional stiffness of a solid cylinder is proportional to its polar moment of inertia. For a solid cylindrical intramedullary nail, the polar moment of inertia is proportional to the radius raised to the fourth power (r^4).

Question 574

Topic: Biomechanics & Biomaterials

During tensile biomechanical testing of a native human ligament, the initial non-linear 'toe region' of the resulting stress-strain curve represents which of the following physiologic phenomena?

. Uncrimping and straightening of naturally undulating collagen fibers
. Microscopic sequential failure of individual collagen bundles
. Irreversible plastic deformation of the ligament substance
. Expulsion of interstitial water from the proteoglycan matrix
. Macroscopic catastrophic failure of the ligament tissue

Correct Answer & Explanation

. Uncrimping and straightening of naturally undulating collagen fibers


Explanation

The initial toe region of a ligament or tendon stress-strain curve occurs at low strain levels and represents the physiological uncrimping or straightening of the naturally wavy collagen fibrils.

Question 575

Topic: Biomechanics & Biomaterials

When analyzing the biomechanical properties of human bone via a stress-strain curve, cortical bone is distinct from cancellous bone in that cortical bone exhibits:

. Lower Young's modulus and lower ultimate strain
. Higher Young's modulus and lower ultimate strain
. Higher Young's modulus and higher ultimate strain
. Lower Young's modulus and higher ultimate strain
. Equal Young's modulus with higher porosity

Correct Answer & Explanation

. Higher Young's modulus and lower ultimate strain


Explanation

Cortical bone is stiffer (has a higher Young's modulus) and fails at a much lower ultimate strain (making it more brittle) compared to cancellous bone. Cancellous bone is more compliant and can undergo significant deformation before failure.

Question 576

Topic: Biomechanics & Biomaterials

A surgeon elects to ream the femoral canal to increase the diameter of an intramedullary nail from 10 mm to 12 mm. Assuming a solid cylinder model, by what factor does the torsional rigidity of the nail increase?

. 1.20
. 1.44
. 1.73
. 2.07
. 2.44

Correct Answer & Explanation

. 2.07


Explanation

Torsional rigidity of a solid cylinder is proportional to the polar moment of inertia, which scales with the radius to the fourth power (r^4). Increasing the radius from 5 mm to 6 mm increases rigidity by a factor of (6/5)^4, equating to 2.07.

Question 577

Topic: Biomechanics & Biomaterials

A patient undergoes revision total hip arthroplasty using a modular implant with a cobalt-chromium femoral head placed on a titanium alloy stem. The use of two dissimilar metals in an electrolytic fluid environment primarily predisposes the construct to which type of corrosion?

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

Correct Answer & Explanation

. Galvanic corrosion


Explanation

Galvanic corrosion occurs when two dissimilar metals with different electronegativities are coupled in an electrolytic solution (like body fluid). This creates an electrochemical cell, leading to electron transfer and accelerated corrosion of the less noble metal.

Question 578

Topic: Biomechanics & Biomaterials

Ligaments and tendons exhibit time-dependent mechanical behaviors due to their viscoelastic nature. The phenomenon where an isolated tissue continues to elongate over time under a constant applied load is termed:

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

Correct Answer & Explanation

. Creep


Explanation

Creep describes the progressive time-dependent deformation of a viscoelastic material subjected to a constant load. In contrast, stress relaxation is the progressive decrease in stress over time when the material is held at a constant length.

Question 579

Topic: Biomechanics & Biomaterials
In total joint arthroplasty, ultra-high-molecular-weight polyethylene (UHMWPE) is often subjected to gamma irradiation and thermal treatment. The primary goal of this cross-linking process is to achieve which of the following?
. Increase ultimate tensile strength
. Decrease adhesive and abrasive volumetric wear
. Increase fracture toughness
. Prevent in vivo oxidation unconditionally
. Enhance fatigue resistance against rim cracking

Correct Answer & Explanation

. Decrease adhesive and abrasive volumetric wear


Explanation

Highly cross-linked polyethylene significantly decreases volumetric adhesive and abrasive wear, improving the longevity of the bearing surface. However, the cross-linking process inherently reduces mechanical properties such as ultimate tensile strength, fracture toughness, and fatigue resistance.

Question 580

Topic: Biomechanics & Biomaterials

A trauma surgeon is comparing different implant materials for a diaphyseal fracture fixation. Which of the following lists correctly orders materials by decreasing Young's modulus (stiffness)?

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

Correct Answer & Explanation

. Stainless Steel > Titanium > Cortical bone


Explanation

Young's modulus measures the stiffness of a material. The correct order from most stiff to least stiff is Cobalt-Chromium (220 GPa) > Stainless Steel (200 GPa) > Titanium (110 GPa) > Cortical bone (15-20 GPa).