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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:

. Ultimate tensile strength
. Elastic modulus
. Yield point
. Failure point
. Endurance limit

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?

. The titanium component acts as the anode and preferentially corrodes.
. The stainless steel component acts as the anode and preferentially corrodes.
. The titanium component acts as the cathode and preferentially corrodes.
. The stainless steel component acts as the cathode and preferentially corrodes.
. Both metals corrode equally due to crevice corrosion.

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:

. Stress relaxation
. Creep
. Hysteresis
. Fatigue failure
. Isotropy

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?

. Stainless steel
. Cobalt-chromium alloy
. Titanium alloy
. Polymethylmethacrylate (PMMA)
. Ultra-high molecular weight polyethylene (UHMWPE)

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?

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

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?

. Titanium and Titanium alloy
. Stainless steel and Cobalt-chromium
. Stainless steel and Titanium
. Cobalt-chromium and Ultra-high molecular weight polyethylene
. Titanium and Ceramic

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?

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

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:

. Hysteresis
. Creep
. Stress relaxation
. Fatigue
. Anisotropy

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?

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

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:

. Creep
. Stress relaxation
. Hysteresis
. Fatigue failure
. Isotropy

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?

. Yield point
. Proportional limit
. Ultimate tensile strength
. Failure point
. Elastic limit

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:

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

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:

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

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:

. Creep
. Stress relaxation
. Hysteresis
. Fatigue
. Anisotropy

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:

. Creep
. Stress relaxation
. Hysteresis
. Fatigue
. Anisotropy

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?

. Increases by a factor of 2
. Increases by a factor of 4
. Increases by a factor of 8
. Increases by a factor of 16
. Increases by a factor of 32

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:

. Ultimate failure point
. Yield point
. Proportional limit
. Modulus of elasticity
. Toughness

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?

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

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:

. Viscoelasticity
. Isomerism
. Anisotropy
. Ductility
. Hysteresis

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:

. Creep
. Stress relaxation
. Hysteresis
. Fatigue
. Anisotropy

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.