Question 621
Topic: Biomechanics & BiomaterialsWhich structural property is the primary determinant of torsional rigidity in a solid intramedullary nail?
Correct Answer & Explanation
. Nail length
Practice Set 32 of 88
This practice set contains high-yield board review questions covering key concepts in Biomechanics & Biomaterials. Each clinical scenario is designed to test your diagnostic and management skills relevant to this subspecialty.
Which structural property is the primary determinant of torsional rigidity in a solid intramedullary nail?
. Nail length
A dynamic splint is applied to a patient's contracted elbow, delivering a constant force. Over several days, the joint progressively gains extension. Which biomechanical property of viscoelastic materials does this best describe?
. Stress relaxation
To minimize stress shielding in total joint arthroplasty, engineers seek materials that match the mechanical properties of bone. Which of the following implant materials has a modulus of elasticity closest to that of human cortical bone?
. Stainless steel
When a tendon is tested in tension, the initial region of its stress-strain curve demonstrates low stiffness before becoming linear. What is responsible for this initial 'toe region'?
. Microfailure of individual collagen fibers
During cyclic loading of a tendon, a steady increase in deformation over time while the applied load remains strictly constant is best described by which viscoelastic property?
. Stress relaxation
Which of the following best describes the inherent mechanical behavior of cortical bone?
. Stronger in tension than in compression
Which of the following physical properties accurately describes polymethylmethacrylate (PMMA) bone cement when utilized in arthroplasty?
. It acts as a biologic adhesive binding directly to hydroxyapatite
On a classic stress-strain curve for a typical metallic implant, the exact point at which the material ceases to deform elastically and begins to deform permanently is known as the:
. Ultimate tensile strength
Regarding the modulus of elasticity (Young's modulus), which of the following sequences correctly orders common orthopedic materials from most stiff to least stiff?
. Cobalt-chromium > Stainless steel > Titanium > Cortical bone
Galvanic corrosion in orthopedic implants is most highly accelerated and likely to occur under which of the following specific conditions?
. A single titanium implant placed in a highly oxygenated tissue environment
On a standard stress-strain curve for an orthopedic biomaterial, the slope of the curve strictly within its linear elastic region represents which of the following material properties?
. Yield strength
. Decreases ductility
A patient undergoes an ACL reconstruction. When the graft is tensioned and secured at a constant fixed length, the tension within the graft is observed to gradually decrease over time. What is this specific viscoelastic property called?
. Creep
Trunnionosis in total hip arthroplasty, characterized by wear and localized failure at the modular head-neck junction, is primarily initiated by which specific type of corrosion?
. Galvanic corrosion
During a biomechanical evaluation of a normal human patellar tendon, the initial non-linear "toe region" of the stress-strain curve is observed. What physiological structural property is responsible for this phenomenon?
. Microfailure of collagen fibrils
A viscoelastic material, such as a ligament, is subjected to a constant tensile load over an extended period, resulting in a gradual increase in length over time. This biomechanical property is defined as:
. Stress relaxation
A surgeon implants a stainless steel screw through a titanium plate. What type of corrosion is most likely to occur due to the mixing of these dissimilar metals in the body?
. Crevice corrosion
A 60-year-old man presents with a swollen, painful knee. Arthrocentesis yields a synovial fluid with a white blood cell count of 45,000 cells/mcL with 85% polymorphonuclear leukocytes. Under polarized light microscopy, weakly positively birefringent rhomboid crystals are seen. What is the principal composition of these crystals?
. Monosodium urate
Polymethylmethacrylate (PMMA) bone cement is frequently used in arthroplasty. Which of the following statements best describes the mechanical properties and function of PMMA?
. It acts as an adhesive to bond the implant to the bone chemically
Which of the following orthopedic biomaterials has a modulus of elasticity that is closest to that of human cortical bone?
. Stainless steel