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 1641
Topic: Biomechanics & Biomaterials
A surgeon places a titanium screw through a stainless steel plate during fracture fixation. Which of the following modes of corrosion is most likely to occur at the interface of these two implants?
Correct Answer & Explanation
. Galvanic corrosion
Explanation
Galvanic corrosion occurs when two dissimilar metals are placed in physical contact within a conductive fluid like body serum. The less noble metal undergoes accelerated corrosion due to an electrochemical electron transfer.
Question 1642
Topic: Biomechanics & Biomaterials
A resident is tensioning a hamstring autograft for an ACL reconstruction. They apply a constant load to the graft for 5 minutes and observe that the graft gradually lengthens. Which viscoelastic property does this describe?
Correct Answer & Explanation
. Creep
Explanation
Creep is the progressive deformation (lengthening) of a viscoelastic material over time when subjected to a constant load. Stress relaxation, conversely, is the decrease in internal stress over time under a constant strain.
Question 1643
Topic: Biomechanics & Biomaterials
Which characteristic is essential for an antibiotic to be effective and safe when mixed into polymethylmethacrylate (PMMA) bone cement for a joint spacer?
Correct Answer & Explanation
. Broad-spectrum coverage with high thermal stability
Explanation
Antibiotics used in PMMA must have high thermal stability to withstand the highly exothermic polymerization reaction of the cement. They must also be available as a powder and be water-soluble to allow for proper elution into the joint space.
Question 1644
Topic: Biomechanics & Biomaterials
A viscoelastic material subjected to a constant deformation will demonstrate a gradual decrease in the stress required to maintain that deformation. This mechanical phenomenon is known as:
Correct Answer & Explanation
. Stress relaxation
Explanation
Stress relaxation is the decrease in stress over time when a material is held at a constant strain or deformation. In contrast, creep is the progressive deformation over time under a constant load.
Question 1645
Topic: Biomechanics & Biomaterials
Which of the following scenarios describes galvanic corrosion in orthopedic implants?
Correct Answer & Explanation
. Electrochemical breakdown when two dissimilar metals are in contact within an electrolytic environment
Explanation
Galvanic corrosion occurs when two dissimilar metals (e.g., stainless steel and titanium) are placed in direct physical contact within a conductive fluid. The less noble metal undergoes accelerated corrosion acting as the anode.
Question 1646
Topic: Biomechanics & Biomaterials
Highly cross-linked ultra-high molecular weight polyethylene (UHMWPE) is frequently used in total hip arthroplasty to reduce wear. Which of the following mechanical properties is most significantly decreased as a result of the cross-linking process?
Correct Answer & Explanation
. Fatigue resistance
Explanation
While high cross-linking of UHMWPE significantly improves wear resistance, it detrimentally affects its mechanical properties by decreasing fatigue resistance, ultimate tensile strength, and ductility. This is why highly cross-linked polyethylene is less commonly used in high-stress applications without appropriate thickness or metal backing.
Question 1647
Topic: Biomechanics & Biomaterials
Which type of corrosion is primarily mechanically driven and occurs at the microscopic contact points between modular junctions, such as the head-neck taper in a total hip arthroplasty?
Correct Answer & Explanation
. Fretting corrosion
Explanation
Fretting corrosion occurs due to microscopic oscillatory motion between two solid surfaces in contact, causing mechanical disruption of the protective oxide layer. This is classically seen at modular junctions like the head-neck taper of a femoral stem.
Question 1648
Topic: Biomechanics & Biomaterials
On a stress-strain curve for a typical orthopaedic metallic implant, the point at which the material transitions from elastic deformation to plastic deformation is known as the:
Correct Answer & Explanation
. Yield point
Explanation
The yield point is the point on the stress-strain curve at which a material ceases to behave elastically and begins to undergo permanent (plastic) deformation. Young's modulus represents the slope of the elastic region (stiffness). Ultimate tensile strength is the maximum stress a material can withstand before failure.
Question 1649
Topic: Biomechanics & Biomaterials
In the stress-strain curve of a ductile orthopedic implant material, the point at which the material undergoes non-reversible plastic deformation but has not yet fractured is best described by which of the following terms?
Correct Answer & Explanation
. Yield point
Explanation
The yield point marks the end of elastic (reversible) deformation and the beginning of plastic (irreversible) deformation. The ultimate tensile strength is the maximum stress the material can withstand on the curve, and the failure point is where the material fractures.
Question 1650
Topic: Biomechanics & Biomaterials
A surgeon contemplates using a pure titanium plate with 316L stainless steel screws for a fracture fixation. What is the expected electrochemical consequence of mixing these metals?
Correct Answer & Explanation
. Stainless steel acts as the anode and undergoes galvanic corrosion.
Explanation
When titanium and stainless steel are combined in an electrolytic environment (the human body), galvanic corrosion occurs. Titanium is more noble (cathodic), causing the less noble stainless steel to act as the anode and corrode.
Question 1651
Topic: Biomechanics & Biomaterials
During the correction of a severe scoliotic curve, a surgeon applies an initial distractive force across a pedicle screw construct. Over the next hour, while the displacement remains constant, the tension in the rods gradually decreases. This biomechanical phenomenon is known as:
Correct Answer & Explanation
. Stress relaxation
Explanation
Stress relaxation occurs in viscoelastic materials when a constant deformation (strain) is maintained over time, resulting in a gradual decrease in the internal stress (tension). This differs from creep, where continuous deformation occurs under a constant load.
Question 1652
Topic: Biomechanics & Biomaterials
When analyzing the stress-strain curve of a normal human anterior cruciate ligament undergoing tensile testing, what structural event is represented by the initial, non-linear 'toe region'?
Correct Answer & Explanation
. Uncrimping of the resting collagen fibers
Explanation
The toe region reflects the uncrimping (straightening) of the naturally wavy collagen fibers under low loads. Once the fibers are straight, the ligament enters the linear elastic region of the stress-strain curve.
Question 1653
Topic: Biomechanics & Biomaterials
Manufacturers highly cross-link ultra-high-molecular-weight polyethylene (UHMWPE) using irradiation to improve specific implant properties. What is the primary mechanical trade-off associated with this process?
Correct Answer & Explanation
. Increased wear resistance with decreased fatigue strength and fracture toughness
Explanation
Highly cross-linking UHMWPE significantly improves adhesive and abrasive wear resistance. However, it alters the polymer chain mobility, leading to diminished mechanical properties such as fatigue strength, ultimate tensile strength, and fracture toughness.
Question 1654
Topic: Biomechanics & Biomaterials
In orthopedic biomechanics, the pullout strength of a cortical screw is most directly proportional to which of the following design variables?
Correct Answer & Explanation
. Outer diameter
Explanation
Pullout strength is directly proportional to the outer (major) diameter of the screw and the total length of engagement in the bone. It is inversely proportional to the pitch of the screw threads.
Question 1655
Topic: Biomechanics & Biomaterials
Which type of corrosion is most likely to occur at the modular head-neck junction of a total hip arthroplasty system, potentially leading to adverse local tissue reactions (ALTR)?
Correct Answer & Explanation
. Fretting corrosion
Explanation
Fretting corrosion occurs due to micromotion at the modular taper junction, which repeatedly breaks down the metal's protective passivation layer. This mechanically assisted crevice corrosion leads to the release of metal ions and subsequent ALTR.
Question 1656
Topic: Biomechanics & Biomaterials
In the typical stress-strain curve of a normal ligament, the initial non-linear 'toe region' is anatomically represented by which of the following microstructural phenomena?
Correct Answer & Explanation
. Uncrimping of the collagen fibrils
Explanation
The initial non-linear toe region occurs as the resting, wavy (crimped) collagen fibrils straighten out under low loads. Once uncrimped, the ligament enters the linear elastic region where actual stretching of the fibers occurs.
Question 1657
Topic: Biomechanics & Biomaterials
The process of highly cross-linking ultra-high molecular weight polyethylene (UHMWPE) for total joint arthroplasty implants creates which of the following mechanical trade-offs?
Correct Answer & Explanation
. Increases wear resistance but decreases fracture toughness
Explanation
Highly cross-linking UHMWPE with irradiation significantly improves its resistance to adhesive wear. However, this alteration of the polymer chain structure reduces overall mechanical properties, including fracture toughness and fatigue strength.
Question 1658
Topic: Biomechanics & Biomaterials
When selecting materials for a fracture fixation plate, the surgeon must consider the modulus of elasticity to minimize stress shielding. Which of the following implant materials has a modulus of elasticity closest to that of cortical bone?
Correct Answer & Explanation
. Titanium alloy
Explanation
Titanium alloys have a modulus of elasticity roughly half that of stainless steel, making it structurally closer to cortical bone. This reduces the risk of stress shielding and subsequent osteopenia under the rigid implant.
Question 1659
Topic: Biomechanics & Biomaterials
A surgeon removes a fractured stainless steel plate that was previously fixed with titanium screws. There is significant dark discoloration and pitting at the specific screw-hole interfaces. Which type of corrosion is predominantly responsible for this finding?
Correct Answer & Explanation
. Galvanic corrosion
Explanation
Galvanic corrosion occurs when two dissimilar metals are placed in direct contact within an electrolytic medium like human body fluid. The less noble metal acts as an anode and undergoes accelerated dissolution.
Question 1660
Topic: Biomechanics & Biomaterials
A patient undergoes joint aspiration for an acutely painful, swollen ankle. Microscopic analysis of the synovial fluid under polarized light reveals rhomboid-shaped crystals with weakly positive birefringence. What is the composition of these crystals?
Correct Answer & Explanation
. Calcium pyrophosphate dihydrate
Explanation
Calcium pyrophosphate dihydrate (CPPD) crystals, characteristic of pseudogout, are typically rhomboid-shaped and exhibit weakly positive birefringence. In contrast, true gout involves monosodium urate crystals, which are needle-shaped and strongly negatively birefringent.
Test Yourself
Switch to an interactive, timed exam simulation to truly master this topic.