Menu

Question 81

Topic: Biomechanics & Biomaterials

Cortical bone exhibits viscoelastic properties, meaning its biomechanical behavior changes depending on the rate of loading. During a high-speed motor vehicle collision, a femur is loaded at a very high strain rate. Compared to a low-energy fall, how does the bone behave?

. It becomes less stiff and absorbs less energy before failure.
. It becomes stiffer and absorbs more energy before fracturing.
. Its modulus of elasticity decreases significantly.
. It undergoes plastic deformation exclusively without elastic deformation.
. It exhibits increased ductility and bends further before breaking.

Correct Answer & Explanation

. It becomes stiffer and absorbs more energy before fracturing.


Explanation

Because bone is viscoelastic, it becomes stiffer and stronger at higher strain rates, allowing it to absorb more energy before failure. When it eventually fails, the energy release results in highly comminuted fractures.

Question 82

Topic: Biomechanics & Biomaterials

An orthopaedic implant engineer is comparing the fatigue properties of different orthopaedic biomaterials. Which of the following materials has a Young's Modulus of Elasticity closest to that of human cortical bone, thereby theoretically reducing stress shielding?

. Cobalt-Chromium alloy
. 316L Stainless Steel
. Titanium alloy (Ti-6Al-4V)
. Polymethylmethacrylate (PMMA)
. Zirconia ceramic

Correct Answer & Explanation

. Titanium alloy (Ti-6Al-4V)


Explanation

Titanium alloy has a Young's Modulus (approx. 110 GPa) that is closer to cortical bone (15-20 GPa) than stainless steel (200 GPa) or Cobalt-Chromium (240 GPa). This closer matching reduces stress shielding but makes the implant more susceptible to notch sensitivity.

Question 83

Topic: Biomechanics & Biomaterials

During a revision total hip arthroplasty, the surgeon notices significant corrosion at the modular head-neck junction. The femoral stem is made of a titanium alloy, while the modular head is cobalt-chromium. Which type of corrosion is most directly caused by the pairing of these dissimilar metals?

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

Correct Answer & Explanation

. Galvanic corrosion


Explanation

Galvanic corrosion occurs when two dissimilar metals with different electrochemical potentials are placed in contact within a conductive fluid (like body fluids). It causes accelerated corrosion of the less noble metal.

Question 84

Topic: Biomechanics & Biomaterials

A mechanical test is performed on an anterior cruciate ligament (ACL) graft. The stress-strain curve initially demonstrates a non-linear 'toe region' before becoming linear. What microstructural event is responsible for this toe region?

. Plastic deformation of the collagen fibers
. Microscopic failure of cross-links
. Uncrimping of the resting collagen fibrils
. Water extrusion from the proteoglycan matrix
. Yield point propagation

Correct Answer & Explanation

. Uncrimping of the resting collagen fibrils


Explanation

The non-linear 'toe region' at the beginning of a ligament's stress-strain curve corresponds to the uncrimping (straightening) of the naturally wavy collagen fibrils as initial tension is applied.

Question 85

Topic: Biomechanics & Biomaterials

Nine months following open reduction and internal fixation of a diaphyseal femur fracture, a patient returns with sudden thigh pain. Radiographs reveal a broken plate and persistent nonunion. The plate failure occurred despite no single load exceeding the material's ultimate tensile strength. This failure mechanism is termed:

. Creep
. Stress relaxation
. Ductile failure
. Fatigue failure
. Galvanic failure

Correct Answer & Explanation

. Fatigue failure


Explanation

Fatigue failure occurs when a material breaks under repeated, cyclical loading at stress levels well below its ultimate tensile strength. It is commonly seen in orthopaedic implants when delayed union or nonunion subjects the hardware to prolonged cyclical stress.

Question 86

Topic: Biomechanics & Biomaterials

When preparing polymethylmethacrylate (PMMA) bone cement for fixing a pathological fracture, the surgeon must understand its mechanical limitations. PMMA is strongest under which of the following mechanical forces?

. Tension
. Shear
. Compression
. Torsion
. Bending

Correct Answer & Explanation

. Compression


Explanation

PMMA bone cement performs exceptionally well under compressive loads. However, it is very weak against tensile and shear forces, which is why it is used as a volume filler and grout rather than a structural adhesive.

Question 87

Topic: Biomechanics & Biomaterials

Cortical bone is described as an 'anisotropic' material. Which of the following statements best defines this property in the context of orthopaedic biomechanics?

. Its mechanical properties change depending on the rate of loading.
. Its mechanical properties are directionally dependent.
. It demonstrates constant deformation under a constant load over time.
. It loses stiffness as the number of loading cycles increases.
. It absorbs more energy in tension than in compression.

Correct Answer & Explanation

. Its mechanical properties are directionally dependent.


Explanation

Anisotropy means a material's mechanical properties depend on the direction of loading. For example, cortical bone is much stronger in longitudinal compression than in transverse tension.

Question 88

Topic: Biomechanics & Biomaterials

A researcher is developing a novel polyethylene component for a total knee arthroplasty. They note that under a constant, unchanging compressive load over several years, the material slowly undergoes increasing plastic deformation. This specific time-dependent property is called:

. Stress relaxation
. Fatigue
. Creep
. Anisotropy
. Viscosity

Correct Answer & Explanation

. Creep


Explanation

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

Question 89

Topic: Biomechanics & Biomaterials

To minimize stress shielding around a non-cemented femoral stem, the implant material should ideally have an elastic (Young's) modulus close to that of cortical bone. Among the following orthopedic metals, which has the lowest elastic modulus?

. Stainless steel
. Cobalt-chromium alloy
. Titanium alloy
. Tantalum
. Alumina ceramic

Correct Answer & Explanation

. Titanium alloy


Explanation

Titanium alloy has an elastic modulus (approx. 100-110 GPa) that is closer to cortical bone (15-20 GPa) than stainless steel (200 GPa) or cobalt-chromium (220 GPa). This closer match reduces the stress shielding effect.

Question 90

Topic: Biomechanics & Biomaterials

Cortical bone exhibits viscoelastic properties. When loaded at a very high strain rate, such as during a high-velocity trauma, how do the mechanical properties of the bone change compared to a low strain rate?

. It becomes less brittle and more ductile
. It becomes stiffer and absorbs more energy before failure
. Its elastic modulus decreases significantly
. It exhibits increased stress relaxation
. It absorbs less energy before failure

Correct Answer & Explanation

. It becomes stiffer and absorbs more energy before failure


Explanation

Due to its viscoelastic nature, bone is strain-rate dependent. At higher loading rates, bone becomes stiffer, withstands higher loads, and absorbs more energy before it fails catastrophically.

Question 91

Topic: Biomechanics & Biomaterials

A surgeon accidentally uses a stainless steel screw through a titanium plate during fracture fixation. This mixed-metal construct places the patient at highest risk for which type of corrosion?

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

Correct Answer & Explanation

. Galvanic corrosion


Explanation

Galvanic corrosion occurs when two dissimilar metals are in direct electrical contact within a conductive fluid environment (like body fluids). The less noble metal acts as an anode and corrodes faster.

Question 92

Topic: Biomechanics & Biomaterials

Which of the following statements correctly describes the inherent mechanical properties of polymethylmethacrylate (PMMA) bone cement?

. It is stronger in tension than in compression
. It functions primarily as a true adhesive to the bone surface
. Its fatigue strength increases significantly with the addition of high-dose antibiotics
. It is significantly stronger in compression than in tension
. It has a higher elastic modulus than cortical bone

Correct Answer & Explanation

. It is significantly stronger in compression than in tension


Explanation

PMMA is a brittle material that is highly effective at resisting compressive loads but is weak in tension and shear. It functions as a grout via mechanical interlock, not as an adhesive, and adding large amounts of antibiotics decreases its fatigue strength.

Question 93

Topic: Biomechanics & Biomaterials

On the stress-strain curve for an orthopedic alloy, the exact point at which the material transitions from elastic (recoverable) deformation to plastic (permanent) deformation is known as the:

. Ultimate tensile strength
. Yield point
. Failure point
. Elastic modulus
. Toughness

Correct Answer & Explanation

. Yield point


Explanation

The yield point marks the end of the elastic region on a stress-strain curve. Loading the material beyond this point causes permanent, irreversible plastic deformation.

Question 94

Topic: Biomechanics & Biomaterials

Cortical bone exhibits different mechanical properties (e.g., strength, stiffness) depending on the direction of the applied load. This fundamental biomechanical property is termed:

. Viscoelasticity
. Isotropism
. Anisotropy
. Creep
. Hysteresis

Correct Answer & Explanation

. Anisotropy


Explanation

Anisotropy refers to a material having directionally dependent properties. Cortical bone is highly anisotropic, being much stronger in resisting longitudinal compression than transverse loads or shear.

Question 95

Topic: Biomechanics & Biomaterials
Compared to standard ultra-high-molecular-weight polyethylene (UHMWPE), highly cross-linked polyethylene used in THA offers which of the following mechanical trade-offs?
. Increased wear resistance and increased ductility
. Decreased wear resistance and increased fatigue strength
. Increased wear resistance and decreased fatigue crack propagation resistance
. Decreased wear resistance and decreased oxidation potential
. Increased oxidation potential and increased yield strength

Correct Answer & Explanation

. Increased wear resistance and decreased fatigue crack propagation resistance


Explanation

High-dose irradiation cross-links the polyethylene, significantly reducing adhesive and abrasive wear. However, this process decreases mechanical properties such as ductility, toughness, and fatigue crack propagation resistance.

Question 96

Topic: Biomechanics & Biomaterials

In orthopedic biomechanics, what term describes the phenomenon where a viscoelastic material undergoes increasing deformation over time under a constant applied load?

. Stress relaxation
. Fatigue failure
. Creep
. Hysteresis
. Yield point

Correct Answer & Explanation

. Creep


Explanation

Creep is defined as the progressive deformation of a viscoelastic material when subjected to a constant load over time. This is distinct from stress relaxation, which is the decrease in stress over time under a constant deformation.

Question 97

Topic: Biomechanics & Biomaterials

In orthopedic biomechanics, the gradual and progressive deformation of a viscoelastic material over time when subjected to a constant, sustained load is defined as what?

. Stress relaxation
. Creep
. Hysteresis
. Fatigue failure
. Toughness

Correct Answer & Explanation

. Creep


Explanation

Creep is the time-dependent deformation of a material under a constant applied load or stress. This is distinct from stress relaxation, which is the decrease in stress over time when a material is held at a constant strain or length.

Question 98

Topic: Biomechanics & Biomaterials

A surgeon is choosing an intramedullary nail for a young, active patient with a tibia fracture. They are considering two options: one made of stainless steel and another of titanium alloy. From a biomechanical perspective, which material property is most relevant to minimizing long-term stress shielding of the bone?

. Ultimate tensile strength.
. Hardness.
. Corrosion resistance.
. Young's Modulus.
. Fatigue limit.

Correct Answer & Explanation

. Young's Modulus.


Explanation

Correct Answer: DYoung's Modulus (or modulus of elasticity) is a measure of a material's stiffness or resistance to elastic deformation under stress. Cortical bone has a Young's Modulus of approximately 17-20 GPa. Stainless steel has a Young's Modulus of around 200 GPa, while titanium alloys are closer at approximately 110 GPa. The greater the mismatch in stiffness between the implant and the bone, the more the implant will bear the physiological load, leading to stress shielding of the adjacent bone. Therefore, a lower Young's Modulus (like that of titanium) is biomechanically advantageous for reducing stress shielding, allowing the bone to experience more physiological stress and promoting its natural remodeling and healing processes. Other properties like tensile strength, hardness, corrosion resistance, and fatigue limit are important for implant integrity but are not the primary drivers of stress shielding.

Question 99

Topic: Biomechanics & Biomaterials

A surgeon is fixing a pediatric forearm fracture and wants to minimize the need for future hardware removal. Which screw material would be most appropriate, considering biocompatibility and biomechanics?

. 316L Stainless Steel
. Cobalt-Chrome Alloy
. Commercially Pure Titanium
. Bioabsorbable Polymer (e.g., PLLA)
. Nickel-Titanium Alloy (Nitinol)

Correct Answer & Explanation

. Bioabsorbable Polymer (e.g., PLLA)


Explanation

Correct Answer: DBioabsorbable polymers like Poly-L-lactic acid (PLLA) or polylactide-co-glycolide (PLGA) are specifically designed to degrade over time, eliminating the need for a second surgery for hardware removal. This is particularly advantageous in pediatric fractures where bone remodeling is significant and future growth is a concern. While stainless steel (Option A) and titanium (Option C) are highly biocompatible, they are permanent implants requiring removal if they cause symptoms or interfere with growth. Cobalt-chrome (Option B) is strong but generally used for bearing surfaces in joint replacements. Nitinol (Option E) is a shape-memory alloy used in specific applications like staples or small implants, but less commonly for primary fracture fixation screws meant to absorb.

Question 100

Topic: Biomechanics & Biomaterials

A 42-year-old patient requires internal fixation for a long bone fracture. The surgeon is debating between a 316L stainless steel plate and a Ti-6Al-4V titanium alloy plate. From a long-term biological and biomechanical perspective, what is a distinct advantage of the titanium alloy plate?

. Titanium plates are significantly more radio-opaque, making postoperative imaging easier.
. Titanium plates offer superior fatigue resistance, leading to fewer implant failures.
. Titanium alloys have a lower modulus of elasticity, which can help mitigate stress shielding.
. Stainless steel plates are more prone to corrosion and metal ion release than titanium.
. Titanium plates are generally less expensive and easier to manufacture.

Correct Answer & Explanation

. Titanium alloys have a lower modulus of elasticity, which can help mitigate stress shielding.


Explanation

Correct Answer: CTitanium alloys (e.g., Ti-6Al-4V) have a modulus of elasticity that is closer to that of cortical bone compared to 316L stainless steel. This property makes titanium more 'bone-friendly' as it more closely matches the elastic modulus of bone. This congruence can help reduce the magnitude of stress shielding, a phenomenon where the implant bears too much load, leading to disuse osteopenia in the underlying bone. While both materials are strong, the elastic modulus difference is a key biomechanical advantage for titanium in terms of long-term bone health.Option A is incorrect:Stainless steel is generally more radio-opaque than titanium, making titanium implants sometimes harder to visualize clearly on plain radiographs.Option B is incorrect:While modern titanium alloys have excellent fatigue resistance, 316L stainless steel also has very good fatigue properties. The statement 'superior fatigue resistance' is not a universally distinct advantage of titanium over stainless steel in all forms.Option D is incorrect:This statement is true (stainless steel is more prone to corrosion and ion release), but it describes a disadvantage of stainless steel, not an advantage of titanium. The question asks for a distinct advantage of titanium.Option E is incorrect:Titanium alloys are generally more expensive and more challenging to manufacture than stainless steel, making this statement incorrect.