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Question 1481

Topic: Biomechanics & Biomaterials

If the diameter of a solid circular intramedullary nail is doubled, its torsional rigidity increases by a factor of:

. 2
. 4
. 8
. 16
. 32

Correct Answer & Explanation

. 16


Explanation

The torsional rigidity of a solid cylinder is proportional to its polar moment of inertia, which scales with the radius (or diameter) to the fourth power (r^4). Therefore, doubling the diameter increases torsional rigidity by 2^4, or 16 times.

Question 1482

Topic: Biomechanics & Biomaterials

Which type of corrosion is most likely to occur at the modular junction of a titanium femoral stem and a cobalt-chrome femoral head in a total hip arthroplasty?

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

Correct Answer & Explanation

. Fretting corrosion


Explanation

Fretting corrosion is the primary and most common corrosive process at modular interfaces (tapers) of total joint implants. It involves mechanically induced micromotion that repeatedly disrupts the oxide passivation layer, accelerating corrosion.

Question 1483

Topic: Biomechanics & Biomaterials

A surgeon plans to use a plate and screw construct to stabilize a peri-prosthetic femur fracture around a well-fixed cobalt-chromium total hip stem. To minimize the risk of severe galvanic corrosion, which of the following combinations of metals should be strictly avoided in direct contact?

. 316L Stainless Steel and Titanium alloy
. Titanium alloy and Cobalt-Chromium alloy
. Tantalum and Titanium alloy
. Titanium plate with Titanium screws
. Cobalt-Chromium stem and Cobalt-Chromium cable

Correct Answer & Explanation

. 316L Stainless Steel and Titanium alloy


Explanation

Galvanic corrosion occurs when two dissimilar metals with significantly different electrochemical potentials are placed in contact within a conducting medium (e.g., bodily fluids). Stainless steel and titanium have highly disparate potentials and should not be mixed in vivo. Titanium and Cobalt-Chromium have similar passivation layers and electrochemical potentials, making their combination (e.g., in total joint arthroplasty) relatively safe.

Question 1484

Topic: Biomechanics & Biomaterials

A 40-year-old male receives a dynamic compression plate for a forearm fracture. Postoperatively, one of the cortical screws is left untightened, allowing microscopic motion between the screw head and the plate during repetitive loading. This condition primarily predisposes the implant to which mechanism of failure?

. Galvanic corrosion
. Creep
. Fatigue failure
. Brittle fracture
. Stress shielding

Correct Answer & Explanation

. Fatigue failure


Explanation

A loose screw in a plate construct will undergo repetitive cyclic loading and micro-motion. This repetitive stress, even below the ultimate tensile strength of the material, leads to crack initiation and propagation, ultimately resulting in fatigue failure. Fretting wear also occurs, but macroscopic fracture of the screw or plate in this scenario is due to fatigue.

Question 1485

Topic: Biomechanics & Biomaterials

A patient with a stainless steel plate undergoes revision fixation where a titanium screw is placed in direct contact with the plate. What type of corrosion is most likely to occur at the screw-plate interface?

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

Correct Answer & Explanation

. Galvanic corrosion


Explanation

Galvanic corrosion occurs when two dissimilar metals are placed in an electrolytic solution, such as the human body. The less noble metal acts as an anode and undergoes accelerated dissolution.

Question 1486

Topic: Biomechanics & Biomaterials
Sterilization of Ultra-High Molecular Weight Polyethylene (UHMWPE) via gamma irradiation in an oxygen-rich environment leads to which of the following material changes?
. Increased cross-linking and improved wear
. Decreased elastic modulus with increased ductility
. Increased crystallinity and enhanced fatigue life
. Resistance to third-body wear
. Chain scission and oxidative degradation

Correct Answer & Explanation

. Chain scission and oxidative degradation


Explanation

Gamma irradiation of UHMWPE in the presence of oxygen causes chain scission and subsurface oxidation, significantly decreasing wear resistance. Modern UHMWPE is sterilized in an inert environment (e.g., vacuum or argon) and highly cross-linked to improve wear.

Question 1487

Topic: Biomechanics & Biomaterials

When testing the viscoelastic properties of a tendon construct, a constant submaximal load is applied over time, resulting in progressive deformation. This phenomenon is termed:

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

Correct Answer & Explanation

. Creep


Explanation

Creep is the time-dependent deformation of a viscoelastic material under a constant load. Stress relaxation, in contrast, is the decrease in internal stress over time when a material is held at a constant length or deformation.

Question 1488

Topic: Biomechanics & Biomaterials

A viscoelastic material undergoes continuous deformation when subjected to a constant load over a prolonged period. Which of the following terms best describes this biomechanical property?

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

Correct Answer & Explanation

. Creep


Explanation

Creep is defined as the progressive deformation of a viscoelastic material under a constant load over time. Stress relaxation, conversely, is the decrease in stress over time when the material is held at a constant deformation.

Question 1489

Topic: Biomechanics & Biomaterials

When incorporating antibiotics into polymethylmethacrylate (PMMA) bone cement, which of the following antibiotic properties is most critical to ensure effective local elution without compromising cement curing?

. High protein binding
. Bacteriostatic mechanism of action
. Thermostability
. Hydrophobicity
. High molecular weight

Correct Answer & Explanation

. Thermostability


Explanation

Antibiotics mixed into PMMA must be thermostable because the exothermic polymerization reaction of bone cement generates significant heat. Tobramycin and vancomycin are commonly used because they are heat-stable and available in powder form.

Question 1490

Topic: Biomechanics & Biomaterials

A surgeon uses a stainless steel screw to fix a titanium plate in a fracture construct. Over time, localized corrosion occurs. What type of corrosion is caused by the electrochemical potential difference between these two dissimilar metals?

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

Correct Answer & Explanation

. Galvanic corrosion


Explanation

Galvanic corrosion occurs when two dissimilar metals are placed in physical contact within a conductive fluid. The less noble metal becomes the anode and corrodes, while the more noble metal acts as the cathode.

Question 1491

Topic: Biomechanics & Biomaterials

A surgeon plans to use a stainless steel screw to secure a titanium plate during an open reduction and internal fixation. What type of corrosion is most likely to occur at the interface of these two metals?

. Crevice corrosion
. Galvanic corrosion
. Fretting corrosion
. Pitting corrosion
. Fatigue corrosion

Correct Answer & Explanation

. Galvanic corrosion


Explanation

Galvanic corrosion occurs when two dissimilar metals are placed in an electrolytic solution, such as body fluid. The less noble metal (stainless steel) acts as the anode and corrodes, while the titanium acts as the cathode.

Question 1492

Topic: Biomechanics & Biomaterials

On a stress-strain curve for an orthopedic biomaterial, the total area under the curve up to the point of structural failure represents which of the following mechanical properties?

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

Correct Answer & Explanation

. Toughness


Explanation

The area under the entire stress-strain curve up to the point of failure represents the material's 'toughness,' which is the total amount of energy a material can absorb before it breaks. 'Stiffness' (Young's modulus) is the slope of the linear elastic portion. 'Yield strength' is the point where plastic deformation begins. 'Ductility' is the amount of plastic strain a material can sustain before failure.

Question 1493

Topic: Biomechanics & Biomaterials

During fracture fixation, combining a 316L stainless steel plate with titanium screws in an electrolytic physiological environment can lead to implant failure. Which biomechanical phenomenon best describes this process?

. Fretting corrosion
. Crevice corrosion
. Galvanic corrosion
. Stress shielding
. Fatigue failure

Correct Answer & Explanation

. Galvanic corrosion


Explanation

Galvanic corrosion occurs when two dissimilar metals with different anodic indices (electronegativities) are placed in direct physical contact within an electrically conductive fluid (such as blood or interstitial body fluid). In the case of stainless steel and titanium, the less noble metal (stainless steel) acts as the anode and undergoes accelerated corrosion, while the titanium acts as the cathode. Fretting corrosion is caused by micromotion between components, while crevice corrosion occurs in shielded areas with oxygen depletion.

Question 1494

Topic: Biomechanics & Biomaterials

In the biomechanical evaluation of tendons and ligaments, which of the following best defines the viscoelastic phenomenon of "creep"?

. A decrease in stress over time when subjected to a constant deformation
. An increase in deformation over time when subjected to a constant load
. The difference between the loading and unloading curves on a stress-strain graph
. Increased stiffness observed at higher loading rates
. Failure of a material at a stress level below its ultimate tensile strength due to cyclic loading

Correct Answer & Explanation

. An increase in deformation over time when subjected to a constant load


Explanation

Creep is a viscoelastic property defined as the progressive increase in strain (deformation) over time when a material is subjected to a constant stress (load). Option A describes stress relaxation. Option C describes hysteresis. Option D describes strain-rate dependency. Option E describes fatigue failure.

Question 1495

Topic: Biomechanics & Biomaterials

A viscoelastic material is subjected to a constant load over a prolonged period, resulting in a progressive increase in deformation. Which biomechanical property does this describe?

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

Correct Answer & Explanation

. Creep


Explanation

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

Question 1496

Topic: Biomechanics & Biomaterials
In total joint arthroplasty, which sterilization method for ultra-high-molecular-weight polyethylene (UHMWPE) is most closely associated with in vivo oxidation and accelerated wear due to the creation of free radicals?
. Ethylene oxide gas
. Gas plasma
. Gamma irradiation in air
. Gamma irradiation in an inert vacuum
. Electron beam irradiation

Correct Answer & Explanation

. Gamma irradiation in air


Explanation

Gamma irradiation in air causes chain scission and the formation of free radicals that react with oxygen over time, leading to oxidation, embrittlement, and accelerated wear. Modern cross-linking processes mitigate this issue by melting or annealing.

Question 1497

Topic: Biomechanics & Biomaterials

When a titanium alloy femoral stem is coupled with a cobalt-chromium modular femoral head in total hip arthroplasty, what type of corrosion is most likely to occur at the trunnion interface due to the difference in electrochemical potential?

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

Correct Answer & Explanation

. Galvanic corrosion


Explanation

Galvanic corrosion occurs when two dissimilar metals are in physical contact within an electrolytic solution like body fluid. The less noble metal acts as an anode and corrodes, often compounded by mechanical fretting at the trunnion.

Question 1498

Topic: Biomechanics & Biomaterials

When comparing titanium alloys (Ti-6Al-4V) to 316L stainless steel for orthopedic implants, which of the following is a primary biomechanical advantage of the titanium alloy?

. Higher modulus of elasticity
. Lower modulus of elasticity closer to cortical bone
. Increased rate of galvanic corrosion
. Higher ductility and ability to be plastically deformed
. Greater resistance to fatigue failure during plastic deformation

Correct Answer & Explanation

. Lower modulus of elasticity closer to cortical bone


Explanation

Titanium alloys have a lower modulus of elasticity than stainless steel, making them biomechanically closer to cortical bone. This reduces stress shielding and subsequent bone resorption around the implant.

Question 1499

Topic: Biomechanics & Biomaterials

When preparing antibiotic-loaded polymethylmethacrylate (PMMA) bone cement for the treatment of a periprosthetic joint infection, which of the following pharmacological characteristics is absolutely essential for the selected antibiotic?

. Heat lability
. High protein binding affinity
. A purely bacteriostatic mechanism of action
. Thermostability
. High lipophilicity

Correct Answer & Explanation

. Thermostability


Explanation

The polymerization of PMMA is a highly exothermic reaction, often reaching temperatures in excess of 80°C to 100°C in vivo. Therefore, any antibiotic mixed into the cement must be thermostable to retain its bactericidal properties. Common examples include Vancomycin, Tobramycin, and Gentamicin.

Question 1500

Topic: Biomechanics & Biomaterials

A resident is performing serial casting for an infant with clubfoot. When stretching the foot into dorsiflexion, the resident holds the cast in a constant deformed position and notes that the force required to maintain this position decreases over time. Which biomechanical property of ligaments and tendons does this describe?

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

Correct Answer & Explanation

. Stress relaxation


Explanation

Stress relaxation is the decrease in stress (force) over time when a viscoelastic material is held at a constant strain (deformation). Creep, in contrast, is the gradual increase in deformation when a constant force is applied.