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Question 581

Topic: Biomechanics & Biomaterials

On a load-deformation (stress-strain) curve of a bone specimen, the total area under the entire curve before the point of failure represents which specific mechanical property?

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

Correct Answer & Explanation

. Toughness


Explanation

The area under the entire stress-strain curve represents toughness, which is the total amount of energy a material can absorb before it fractures. Stiffness is the slope of the linear elastic region.

Question 582

Topic: Biomechanics & Biomaterials

A polymeric orthopedic implant subjected to a constant physiological load over a prolonged period exhibits progressive, slow deformation. This viscoelastic behavior is known as:

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

Correct Answer & Explanation

. Creep


Explanation

Creep is the slow, progressive deformation of a material under a constant load over time. Stress relaxation, conversely, is the decrease in stress over time when a material is held at a constant deformation.

Question 583

Topic: Biomechanics & Biomaterials

A surgeon mistakenly utilizes titanium alloy screws to secure a stainless steel dynamic compression plate. This combination of dissimilar metals in an electrolytic fluid environment primarily predisposes the construct to which type of corrosion?

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

Correct Answer & Explanation

. Galvanic corrosion


Explanation

Galvanic corrosion occurs when two electrochemically dissimilar metals are in direct contact within an electrolytic environment (like body fluid). The less noble metal undergoes accelerated anodic corrosion.

Question 584

Topic: Biomechanics & Biomaterials

A 50-year-old woman undergoes total hip arthroplasty with a highly cross-linked polyethylene liner. Which of the following best describes the mechanical consequence of high cross-linking compared to conventional polyethylene?

. Increased yield strength
. Increased ductility
. Decreased wear resistance
. Decreased fatigue resistance
. Decreased elastic modulus

Correct Answer & Explanation

. Decreased fatigue resistance


Explanation

Highly cross-linked polyethylene significantly increases wear resistance by restricting polymer chain mobility. However, this alteration mechanically leads to decreased fatigue resistance, yield strength, and ductility.

Question 585

Topic: Biomechanics & Biomaterials

In the context of bone biomechanics, which of the following terms best describes a material's continuous increase in strain over time when subjected to a constant load?

. Stress relaxation
. Hysteresis
. Creep
. Fatigue
. Yield

Correct Answer & Explanation

. Creep


Explanation

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

Question 586

Topic: Biomechanics & Biomaterials

During the evaluation of a new titanium alloy for use in intramedullary nails, researchers find that it has a lower modulus of elasticity than stainless steel. What is the primary clinical advantage of this property?

. Increased resistance to galvanic corrosion
. Decreased stress shielding of the surrounding bone
. Enhanced osseointegration
. Greater ultimate tensile strength
. Resistance to fretting wear

Correct Answer & Explanation

. Decreased stress shielding of the surrounding bone


Explanation

A lower modulus of elasticity indicates greater flexibility, making the material's stiffness closer to that of cortical bone. This reduces stress shielding, which can prevent secondary osteopenia of the adjacent bone.

Question 587

Topic: Biomechanics & Biomaterials

Which of the following represents the primary difference in mechanical properties between cortical bone and cancellous bone?

. Cortical bone has a higher elastic modulus and is less ductile
. Cancellous bone has a higher ultimate tensile strength
. Cortical bone undergoes greater strain before failure
. Cancellous bone relies exclusively on osteons for strength
. Cortical bone is highly anisotropic whereas cancellous bone is perfectly isotropic

Correct Answer & Explanation

. Cortical bone has a higher elastic modulus and is less ductile


Explanation

Cortical bone is significantly stiffer (higher elastic modulus) and less ductile than cancellous bone. Cancellous bone is highly porous and can undergo considerable strain before failing.

Question 588

Topic: Biomechanics & Biomaterials

When comparing titanium alloy (Ti-6Al-4V) to 316L stainless steel for fracture fixation plates, which of the following statements is true regarding titanium?

. It has a higher modulus of elasticity
. It exhibits lower notch sensitivity
. It has a lower modulus of elasticity, reducing stress shielding
. It relies on a chromium oxide passivation layer for corrosion resistance
. It generates more artifacts on MRI

Correct Answer & Explanation

. It has a lower modulus of elasticity, reducing stress shielding


Explanation

Titanium alloy has a lower modulus of elasticity (closer to that of cortical bone) compared to stainless steel, which decreases stress shielding. It is highly notch sensitive and uses a titanium dioxide passivation layer.

Question 589

Topic: Biomechanics & Biomaterials

During an anterior cruciate ligament reconstruction, the graft is tensioned to 80 Newtons and secured at a fixed length. Over the next several minutes, the tension within the graft progressively decreases. Which viscoelastic property does this describe?

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

Correct Answer & Explanation

. Stress relaxation


Explanation

Stress relaxation is the decrease in stress (or tension) over time when a viscoelastic material is held at a constant strain (constant length). Creep is the increase in strain over time under a constant load.

Question 590

Topic: Biomechanics & Biomaterials

If a surgeon chooses to upsize a solid intramedullary nail by doubling its radius, the torsional rigidity of the new nail increases by a factor of what?

. 2
. 4
. 8
. 16
. 32

Correct Answer & Explanation

. 16


Explanation

The torsional rigidity of a solid cylinder is proportional to its polar moment of inertia, which scales with the radius to the fourth power (r^4). Therefore, doubling the radius increases torsional rigidity by a factor of 16.

Question 591

Topic: Biomechanics & Biomaterials

Which of the following forms of implant corrosion occurs specifically due to microscopic cyclic motion between two closely fitted metal surfaces, leading to disruption of the passive oxide layer?

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

Correct Answer & Explanation

. Fretting corrosion


Explanation

Fretting corrosion is caused by micromotion between two mating components (e.g., screw head and plate hole, or modular hip tapers). The friction mechanically disrupts the protective oxide layer, accelerating local corrosive wear.

Question 592

Topic: Biomechanics & Biomaterials

A patient undergoes a total hip arthroplasty utilizing a heavily porous-coated diaphyseal-engaging cobalt-chromium stem. Over the next two years, radiographs demonstrate significant proximal femoral bone resorption. Which material property of the implant is primarily responsible for this phenomenon?

. High yield strength
. High Young's modulus
. High ultimate tensile strength
. Low ductility
. High fatigue limit

Correct Answer & Explanation

. High yield strength


Explanation

Stress shielding occurs when a rigid implant with a high Young's modulus (high stiffness) bears the majority of the mechanical load instead of the surrounding bone. According to Wolff's law, this reduction in mechanical stress leads to proximal bone resorption.

Question 593

Topic: Biomechanics & Biomaterials

During mechanical testing of a human anterior cruciate ligament allograft, the specimen is stretched to a specific length and held constant over time. The researcher notes that the internal stress within the ligament steadily decreases over this period. This phenomenon describes which viscoelastic property?

. Creep
. Stress relaxation
. Hysteresis
. Anisotropy
. Fatigue

Correct Answer & Explanation

. Creep


Explanation

Stress relaxation is a defining viscoelastic property where the internal stress within a material decreases over time when it is held at a constant strain (length). Conversely, creep describes the gradual increase in strain (deformation) over time when subjected to a constant load.

Question 594

Topic: Biomechanics & Biomaterials

During an internal fixation procedure, a resident accidentally uses a 316L stainless steel screw to secure a commercially pure titanium plate. Weeks later, aggressive corrosion is noted specifically where the screw head contacts the plate. What is the primary mechanism for this localized corrosion?

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

Correct Answer & Explanation

. Crevice corrosion


Explanation

Galvanic corrosion occurs when two dissimilar metals are placed in direct contact within an electrolytic medium (like body fluid). An electrochemical potential difference drives electron transfer, resulting in rapid dissolution of the less noble metal.

Question 595

Topic: Biomechanics & Biomaterials
To significantly reduce abrasive and adhesive wear in total hip arthroplasty, highly cross-linked ultra-high-molecular-weight polyethylene (UHMWPE) is commonly utilized. However, the cross-linking process inherently sacrifices which of the following mechanical properties?
. Young's modulus
. Oxidation resistance
. Fatigue and fracture resistance
. Compressive yield strength
. Corrosion potential

Correct Answer & Explanation

. Fatigue and fracture resistance


Explanation

High degrees of cross-linking vastly improve the wear resistance of UHMWPE. However, this process alters the polymer's internal structure, resulting in a clinically significant decrease in fatigue strength, ultimate tensile strength, and fracture toughness.

Question 596

Topic: Biomechanics & Biomaterials

During tensile testing of a human flexor tendon, an initial non-linear 'toe region' is observed on the stress-strain curve at low strains (less than 2%). Which microscopic structural change directly accounts for this specific region?

. Breaking of enzymatic collagen cross-links
. Microfailure of individual collagen fibrils
. Uncrimping of the naturally wavy collagen fibers
. Plastic deformation of the extracellular matrix
. Sliding of collagen fibrils past one another

Correct Answer & Explanation

. Breaking of enzymatic collagen cross-links


Explanation

The 'toe region' represents the low-strain portion of the stress-strain curve in ligaments and tendons. It corresponds to the uncrimping or straightening of the naturally wavy, relaxed collagen fibers before they enter the linear elastic region.

Question 597

Topic: Biomechanics & Biomaterials

A viscoelastic material, such as articular cartilage, is subjected to a constant applied load over an extended period, resulting in a progressive increase in deformation. This biomechanical phenomenon is best described as:

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

Correct Answer & Explanation

. Creep


Explanation

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

Question 598

Topic: Biomechanics & Biomaterials

During the tensile biomechanical testing of a normal ligament, the initial "toe region" of the load-elongation curve represents which physiological event?

. Microscopic failure of collagen fibers
. Macroscopic rupture of the ligament
. Uncrimping of the naturally wavy collagen fibers
. Plastic deformation of the extracellular matrix
. Fluid extrusion from the ground substance

Correct Answer & Explanation

. Microscopic failure of collagen fibers


Explanation

The toe region of the stress-strain curve for ligaments and tendons corresponds to the uncrimping or straightening of the naturally wavy collagen fibers as tension is initially applied.

Question 599

Topic: Biomechanics & Biomaterials

Stress shielding around a femoral stem can lead to proximal bone resorption. To minimize this, engineers seek materials with a modulus of elasticity closer to cortical bone. Which material has a modulus most similar to cortical bone?

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

Correct Answer & Explanation

. Cobalt-chromium alloy


Explanation

Titanium alloy has a modulus of elasticity (approx. 110 GPa) that is much closer to that of cortical bone (15-20 GPa) compared to cobalt-chromium (approx. 210 GPa) or stainless steel (approx. 200 GPa), thereby reducing stress shielding.

Question 600

Topic: Biomechanics & Biomaterials

Galvanic corrosion of orthopedic implants is most likely to occur under which of the following specific conditions?

. A titanium screw is used in combination with a titanium plate
. A stainless steel screw is used in combination with a cobalt-chromium femoral head
. A stainless steel screw is placed in direct contact with a titanium plate
. Fretting motion occurs between a screw and plate of the identical material
. A ceramic head articulates directly with a cross-linked polyethylene liner

Correct Answer & Explanation

. A titanium screw is used in combination with a titanium plate


Explanation

Galvanic corrosion occurs when two electrochemically dissimilar metals (e.g., stainless steel and titanium) are in direct contact within an electrolytic environment, leading to accelerated corrosion of the less noble metal.