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Question 701

Topic: Biomechanics & Biomaterials

The compressive stiffness of articular cartilage is primarily provided by the interaction between which two matrix components?

. Type II collagen and proteoglycans
. Type I collagen and hydroxyapatite
. Elastin and aggrecan
. Fibronectin and integrins
. Type IX collagen and decorin

Correct Answer & Explanation

. Type II collagen and proteoglycans


Explanation

The biomechanical properties of articular cartilage rely on the interaction between the Type II collagen network (tensile strength) and hydrophilic proteoglycans like aggrecan (which swell with water to resist compressive loads).

Question 702

Topic: Biomechanics & Biomaterials

If the inner diameter of a hollow intramedullary nail is kept constant while the outer diameter is doubled, how does the torsional rigidity of the nail change?

. 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 greater than 15 but less than 16

Correct Answer & Explanation

. Increases by a factor of 2


Explanation

Torsional rigidity of a cylinder is proportional to its polar moment of inertia, which relates to the outer radius to the fourth power minus the inner radius to the fourth power. Doubling the outer diameter dramatically increases rigidity by slightly less than 16 due to the hollow core.

Question 703

Topic: Biomechanics & Biomaterials

A viscoelastic material subjected to a constant load exhibits a progressive increase in deformation over time. This phenomenon is known as:

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

Correct Answer & Explanation

. Stress relaxation


Explanation

Creep is the property of a viscoelastic material where it continues to deform progressively over time under a constant applied load. Stress relaxation is the decrease in stress over time under a constant deformation.

Question 704

Topic: Biomechanics & Biomaterials

Which of the following scenarios is most likely to result in galvanic corrosion?

. Implantation of a titanium alloy screw into a titanium alloy plate
. Implantation of a stainless steel screw into a cobalt-chrome plate
. Use of a highly cross-linked polyethylene liner with a cobalt-chrome head
. Fretting of a single titanium plate against an adjacent bone
. A ceramic head articulating with a ceramic liner

Correct Answer & Explanation

. Implantation of a titanium alloy screw into a titanium alloy plate


Explanation

Galvanic corrosion occurs when two dissimilar metals are placed in direct physical contact within a conductive fluid environment. It leads to accelerated degradation of the less noble metal.

Question 705

Topic: Biomechanics & Biomaterials

On a stress-strain curve, the area under the entire curve up to the point of failure represents which mechanical property of the material?

. Stiffness
. Yield strength
. Toughness
. Ductility
. Elastic limit

Correct Answer & Explanation

. Stiffness


Explanation

Toughness is defined as the total amount of energy a material can absorb before failure, represented by the total area under the stress-strain curve. Stiffness is represented by the slope of the linear elastic region.

Question 706

Topic: Biomechanics & Biomaterials

In biomechanics, the S-N curve (stress vs. number of cycles) is used to evaluate a material's susceptibility to:

. Creep
. Galvanic corrosion
. Fatigue failure
. Stress shielding
. Viscoelasticity

Correct Answer & Explanation

. Creep


Explanation

The S-N curve graphically displays the relationship between the magnitude of a cyclic stress (S) and the number of cycles to failure (N). This is used to determine the fatigue endurance limit of a material.

Question 707

Topic: Biomechanics & Biomaterials

Which of the following mechanical properties best describes a material whose mechanical behavior is dependent on the rate at which the load is applied?

. Anisotropy
. Viscoelasticity
. Plasticity
. Isotropy
. Ductility

Correct Answer & Explanation

. Anisotropy


Explanation

Viscoelastic materials exhibit a time- and rate-dependent mechanical response. Cortical bone is viscoelastic; it is stiffer and stronger when loaded rapidly compared to when loaded slowly.

Question 708

Topic: Biomechanics & Biomaterials

On a standard stress-strain curve for cortical bone, the slope of the curve within the linear elastic region represents which of the following mechanical properties?

. Toughness
. Yield strength
. Ultimate tensile strength
. Young's modulus
. Ductility

Correct Answer & Explanation

. Toughness


Explanation

The slope of the linear elastic portion of the stress-strain curve represents Young's modulus (modulus of elasticity), indicating the material's stiffness. Toughness represents the total energy absorbed before failure and is the total area under the stress-strain curve.

Question 709

Topic: Biomechanics & Biomaterials

The torsional rigidity of a solid cylindrical 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

. First power


Explanation

The torsional rigidity of a solid cylinder is determined by its polar moment of inertia, which is proportional to the radius to the fourth power (r^4). Therefore, even small increases in the nail's radius will significantly increase its torsional stiffness.

Question 710

Topic: Biomechanics & Biomaterials

A surgeon utilizes a stainless steel plate and secures it with titanium alloy screws. Which specific type of corrosion is most likely to occur at the plate-screw interface?

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

Correct Answer & Explanation

. Pitting corrosion


Explanation

Galvanic corrosion occurs when two dissimilar metals with different electrochemical potentials are placed in physical contact within an electrolytic medium like body fluid. The less noble metal becomes the anode and undergoes accelerated corrosion, making the mixing of stainless steel and titanium implants contraindicated.

Question 711

Topic: Biomechanics & Biomaterials

Which of the following orthopedic implant materials possesses a Young's modulus (elastic modulus) that is closest to that of human cortical bone?

. Cobalt-chromium alloy
. Stainless steel 316L
. Titanium alloy (Ti-6Al-4V)
. Polyetheretherketone (PEEK)
. Ceramic (Alumina)

Correct Answer & Explanation

. Cobalt-chromium alloy


Explanation

PEEK has an elastic modulus of approximately 3-4 GPa, making it much closer to cortical bone (15-20 GPa) than metallic alloys. This minimizes stress shielding compared to titanium (~110 GPa), stainless steel (~200 GPa), or cobalt-chromium (~240 GPa).

Question 712

Topic: Biomechanics & Biomaterials

In the context of the viscoelastic properties of ligaments and tendons, what is the biomechanical term for the progressive decrease in tension over time when the tissue is held at a constant length?

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

Correct Answer & Explanation

. Creep


Explanation

Stress relaxation is defined as the decrease in stress (tension) over time when a viscoelastic material is held at a constant strain (length). Conversely, creep refers to the progressive increase in strain (deformation) when a material is subjected to a constant stress (load).

Question 713

Topic: Biomechanics & Biomaterials

A patient sustains a ligamentous injury. The viscoelastic property where the ligament lengthens continuously under a constant applied load over time is called:

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

Correct Answer & Explanation

. Stress relaxation


Explanation

Creep is the time-dependent permanent deformation of a viscoelastic material under a constant load. In contrast, stress relaxation is a decrease in stress over time under a constant deformation.

Question 714

Topic: Biomechanics & Biomaterials

The torsional rigidity of a solid cylindrical intramedullary nail is proportional to its radius raised to what power?

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

Correct Answer & Explanation

. First power


Explanation

The torsional rigidity of a solid cylinder is governed by its polar moment of inertia, which is proportional to the radius to the fourth power. Therefore, a small increase in the nail's diameter significantly increases its resistance to torsional deformation.

Question 715

Topic: Biomechanics & Biomaterials

On a standard stress-strain curve for cortical bone, the point at which the material begins to exhibit permanent plastic deformation and will not return to its original shape upon unloading is called the:

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

Correct Answer & Explanation

. Ultimate tensile strength


Explanation

The yield point marks the transition from elastic (reversible) deformation to plastic (irreversible) deformation. Beyond this point, microstructural damage occurs, and the material will not return to its original dimensions when the load is removed.

Question 716

Topic: Biomechanics & Biomaterials

The stiffness of an orthopedic implant is determined by its material properties, specifically the Young modulus. Among the following common implant materials, which possesses a Young modulus most similar to that of cortical bone?

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

Correct Answer & Explanation

. Cobalt-chromium alloy


Explanation

Cortical bone has a Young modulus of approximately 15-20 GPa. Titanium alloy (~110 GPa) is closer to cortical bone than stainless steel (~200 GPa) or cobalt-chromium (~220 GPa), resulting in less stress shielding when implanted.

Question 717

Topic: Biomechanics & Biomaterials

A viscoelastic material, such as a ligament, exhibits time-dependent mechanical behavior. If a constant static tensile load is continuously applied to a ligament over time, the gradual increase in its length is referred to as:

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

Correct Answer & Explanation

. Stress relaxation


Explanation

Creep is the progressive deformation (increase in length) of a viscoelastic material when subjected to a constant load over time. Conversely, stress relaxation is the decrease in stress over time when the material is held at a constant length.

Question 718

Topic: Biomechanics & Biomaterials

When selecting an orthopedic implant to minimize stress shielding of the underlying bone, which of the following materials is most appropriate due to its modulus of elasticity being closest to that of human cortical bone?

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

Correct Answer & Explanation

. Stainless steel


Explanation

Titanium alloy has a modulus of elasticity (approx 100 GPa) that is much closer to cortical bone (15-20 GPa) than stainless steel (200 GPa) or cobalt-chrome (220 GPa). This closer match reduces the phenomenon of stress shielding, potentially minimizing bone resorption around the implant.

Question 719

Topic: Biomechanics & Biomaterials

Which of the following viscoelastic properties describes the progressive deformation of a ligament or tendon when it is subjected to a constant tensile load over an extended period of time?

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

Correct Answer & Explanation

. Stress relaxation


Explanation

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

Question 720

Topic: Biomechanics & Biomaterials

A tendon undergoes continuous deformation over time when subjected to a constant physiological load. This viscoelastic property is termed:

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

Correct Answer & Explanation

. Stress relaxation


Explanation

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