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.
Question 661
Topic: Biomechanics & Biomaterials
On a stress-strain curve for a given orthopedic alloy, the specific point at which the material transitions from elastic deformation to permanent plastic deformation is defined as the:
Correct Answer & Explanation
. Ultimate tensile strength
Explanation
The yield point marks the end of elastic (reversible) deformation and the beginning of plastic (irreversible) deformation. The elastic modulus represents the slope of the curve strictly within the elastic region.
Question 662
Topic: Biomechanics & Biomaterials
A surgeon inadvertently uses a stainless steel screw with a titanium alloy plate in a saline-rich physiologic environment, increasing the risk of galvanic corrosion. Which of the following statements is correct regarding this couple?
Correct Answer & Explanation
. The titanium component acts as the anode and preferentially corrodes.
Explanation
In a galvanic couple, the less noble (more anodic) metal will preferentially corrode. Stainless steel is less noble than titanium, so it acts as the anode and undergoes galvanic corrosion.
Question 663
Topic: Biomechanics & Biomaterials
When a constant compressive load is applied to articular cartilage, the fluid is slowly extruded from the extracellular matrix, resulting in a time-dependent increase in deformation. This viscoelastic property is known as:
Correct Answer & Explanation
. Stress relaxation
Explanation
Creep is the time-dependent deformation (increase in strain) of a viscoelastic material under a constant load (stress). Stress relaxation, conversely, is the decrease in stress over time under a constant strain.
Question 664
Topic: Biomechanics & Biomaterials
Which of the following orthopedic materials has a modulus of elasticity (Young's modulus) closest to that of cortical bone?
Correct Answer & Explanation
. Stainless steel
Explanation
Titanium alloy has a modulus of elasticity closest to cortical bone compared to other metallic implants. This reduces the effect of stress shielding and allows more physiologic load sharing.
Question 665
Topic: Biomechanics & Biomaterials
When a constant force is applied to a ligament over time, the ligament will slowly elongate. What is this viscoelastic property called?
Correct Answer & Explanation
. Stress relaxation
Explanation
Creep is the time-dependent deformation (elongation) of a viscoelastic material under a constant load. Stress relaxation, in contrast, is the decrease in stress over time when the material is held at a constant length.
Question 666
Topic: Biomechanics & Biomaterials
Which of the following pairs of orthopaedic implant materials is most likely to undergo severe galvanic corrosion if placed in direct physical contact within the body?
Correct Answer & Explanation
. Titanium and Titanium alloy
Explanation
Galvanic corrosion occurs when two dissimilar metals with different anodic indices are in contact in an electrolytic environment. Stainless steel and titanium have significantly different electrochemical potentials and should generally not be mixed.
Question 667
Topic: Biomechanics & Biomaterials
In the biomechanical evaluation of orthopedic implant materials, the total area under the stress-strain curve represents which of the following material properties?
Correct Answer & Explanation
. Stiffness
Explanation
The total area under the stress-strain curve represents the toughness of a material, which is the total amount of energy it can absorb before mechanical failure. Stiffness, in contrast, is represented by the slope of the linear elastic region.
Question 668
Topic: Biomechanics & Biomaterials
During surgical lengthening of a contracted Achilles tendon, the surgeon applies a constant tension to the tendon over several minutes, noting that it progressively stretches. This viscoelastic property is best defined as:
Correct Answer & Explanation
. Hysteresis
Explanation
Creep is a viscoelastic property where a tissue progressively deforms (stretches) under a constant load over time. In contrast, stress relaxation occurs when the force required to maintain a constant deformation decreases over time.
Question 669
Topic: Biomechanics & Biomaterials
A surgeon considers using a titanium alloy screw to secure a stainless steel plate for a fracture. This combination is generally avoided due to the risk of accelerated degradation of the stainless steel. What is the primary mechanism of this degradation?
Correct Answer & Explanation
. Fretting corrosion
Explanation
Galvanic corrosion occurs when two dissimilar metals are placed in physical contact within a conductive fluid environment. The less noble metal (stainless steel) acts as an anode and undergoes accelerated electrochemical corrosion when paired with titanium.
Question 670
Topic: Biomechanics & Biomaterials
When a constant deformation is applied to a viscoelastic material such as a ligament, the force required to maintain that deformation decreases over time. This phenomenon is known as:
Correct Answer & Explanation
. Creep
Explanation
Stress relaxation is the decrease in stress over time when a viscoelastic material is held at a constant strain. Creep is the progressive deformation over time under a constant load.
Question 671
Topic: Biomechanics & Biomaterials
Which of the following points on a stress-strain curve represents the maximum stress a material can withstand before failing?
Correct Answer & Explanation
. Yield point
Explanation
Ultimate tensile strength is the maximum stress plotted on the stress-strain curve before the material fails. The yield point marks the transition from elastic to plastic deformation.
Question 672
Topic: Biomechanics & Biomaterials
A patient undergoes revision total hip arthroplasty. The retrieved femoral component shows a localized form of corrosion at the modular head-neck junction. This phenomenon is primarily driven by small relative motions between the components and is known as:
Correct Answer & Explanation
. Galvanic corrosion
Explanation
Fretting corrosion occurs at contact sites between materials under load, such as modular junctions in arthroplasty, due to micromotion that disrupts the protective passive oxide layer. Galvanic corrosion requires dissimilar metals in an electrolyte.
Question 673
Topic: Biomechanics & Biomaterials
In total joint arthroplasty, the phenomenon where microscopic asperities of a harder material cut through a softer material is known as:
Correct Answer & Explanation
. Adhesive wear
Explanation
Abrasive wear occurs when a harder surface roughens or cuts into a softer surface (e.g., a scratched metal femoral head articulating against UHMWPE). Adhesive wear involves material transfer between two articulating surfaces.
Question 674
Topic: Biomechanics & Biomaterials
During cyclical loading and unloading of a viscoelastic structure such as a tendon, the energy lost as heat is represented by the area between the loading and unloading curves. This phenomenon is termed:
Correct Answer & Explanation
. Creep
Explanation
Hysteresis is the loss of energy (usually as heat) during the loading and unloading cycle of a viscoelastic material. It explains why the unloading curve does not exactly follow the loading curve on a stress-strain diagram.
Question 675
Topic: Biomechanics & Biomaterials
In the biomechanical behavior of ligaments, the phenomenon where a constant displacement results in a progressive decrease in the load over time is known as:
Correct Answer & Explanation
. Creep
Explanation
Stress relaxation is a viscoelastic property where the stress (load) decreases over time when a tissue is held at a constant strain (displacement). Creep is increasing deformation under a constant load.
Question 676
Topic: Biomechanics & Biomaterials
How does the torsional strength of a solid cylindrical bone change if its radius is doubled?
Correct Answer & Explanation
. Increases by a factor of 2
Explanation
The polar moment of inertia, which determines resistance to torsion for a cylinder, is proportional to the radius to the fourth power (r^4). Therefore, doubling the radius increases the torsional strength by a factor of 16 (2^4).
Question 677
Topic: Biomechanics & Biomaterials
On a stress-strain curve, the point at which a material begins to undergo permanent deformation and no longer returns to its original shape when unloaded is defined as the:
Correct Answer & Explanation
. Ultimate failure point
Explanation
The yield point marks the transition from the elastic region to the plastic region on a stress-strain curve. Loading beyond this point causes permanent (plastic) deformation.
Question 678
Topic: Biomechanics & Biomaterials
A stainless steel screw is inadvertently used with a titanium plate for fracture fixation. Which type of corrosion is most likely to occur?
Correct Answer & Explanation
. Fretting corrosion
Explanation
Galvanic corrosion occurs when two dissimilar metals are in contact within a conductive fluid (like body fluids). The metal with the lower electrochemical potential (anodic) will corrode more rapidly.
Question 679
Topic: Biomechanics & Biomaterials
Cortical bone exhibits different mechanical properties depending on the direction of the applied load. This material property is termed:
Correct Answer & Explanation
. Viscoelasticity
Explanation
Anisotropy refers to a material having directionally dependent mechanical properties. Cortical bone is highly anisotropic, meaning it is stronger and stiffer when loaded longitudinally (along the osteons) compared to transverse loading.
Question 680
Topic: Biomechanics & Biomaterials
A viscoelastic material subjected to a constant strain will demonstrate a gradual decrease in stress over time. This phenomenon is known as:
Correct Answer & Explanation
. Creep
Explanation
Stress relaxation is the property of viscoelastic materials where the internal stress decreases over time under a constant strain. In contrast, creep is the progressive deformation over time under a constant stress.
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