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 1661
Topic: Biomechanics & Biomaterials
During biomechanical testing of a human anterior cruciate ligament (ACL) graft, the tissue is subjected to a constant deformation (length is held constant) over a period of time. The researchers note that the load required to maintain this constant deformation gradually decreases. Which viscoelastic property is being demonstrated?
Correct Answer & Explanation
. Stress relaxation
Explanation
Stress relaxation is the property where less force (stress) is required over time to maintain a tissue at a constant length (strain). Creep is the opposite: continued deformation (increasing length/strain) over time when subjected to a constant load (stress). Hysteresis represents the energy lost (as heat) during the loading and unloading cycle of a viscoelastic material. Ligaments exhibit both creep and stress relaxation due to their viscoelastic nature.
Question 1662
Topic: Biomechanics & Biomaterials
An orthopedic surgeon utilizes a stainless steel screw to secure a titanium plate during open reduction internal fixation of a diaphyseal fracture. Postoperatively, the patient develops localized failure and rapid degradation at the screw-plate interface. This failure is primarily due to which phenomenon?
Correct Answer & Explanation
. Galvanic corrosion
Explanation
Galvanic corrosion occurs when two dissimilar metals with different anodic/cathodic indices (e.g., stainless steel and titanium) are placed in direct physical contact within a conductive fluid environment like the human body. This accelerates the electrochemical breakdown of the less noble metal.
Question 1663
Topic: Biomechanics & Biomaterials
A 65-year-old male undergoes a total hip arthroplasty using a highly cross-linked polyethylene liner. Which of the following best describes the primary mechanism by which highly cross-linked polyethylene reduces wear compared to conventional polyethylene?
Correct Answer & Explanation
. Decreased abrasive and adhesive wear due to restricted polymer chain mobility
Explanation
Highly cross-linked polyethylene reduces wear by restricting polymer chain mobility, which minimizes plastic deformation and alignment under stress. This significantly decreases both adhesive and abrasive wear, though it also reduces fatigue strength.
Question 1664
Topic: Biomechanics & Biomaterials
A patient presents with pain and a sterile effusion 5 years after receiving a modular total hip arthroplasty with a cobalt-chromium head and a titanium femoral stem. Aspirate reveals dark fluid and metal debris. What type of corrosion is most likely occurring at the head-neck junction?
Correct Answer & Explanation
. Fretting corrosion
Explanation
Fretting corrosion occurs at modular junctions like the head-neck taper due to micromotion disrupting the protective oxide layer. This is often combined with crevice corrosion in a process termed mechanically assisted crevice corrosion (MACC).
Question 1665
Topic: Biomechanics & Biomaterials
A surgeon plans to use a stainless steel plate with titanium screws for fracture fixation. Which of the following types of corrosion is most likely to occur at the screw-plate interface?
Correct Answer & Explanation
. Galvanic corrosion
Explanation
Galvanic corrosion occurs when two dissimilar metals, such as stainless steel and titanium, are placed in contact within an electrolytic solution (body fluid). The less noble metal (stainless steel) acts as an anode and preferentially corrodes.
Question 1666
Topic: Biomechanics & Biomaterials
A 55-year-old female undergoes a revision total hip arthroplasty. During the procedure, the surgeon utilizes a stainless steel cerclage wire around a titanium femoral stem. Which type of corrosion is most likely to occur at the interface of these two different metals?
Correct Answer & Explanation
. Galvanic corrosion
Explanation
Galvanic corrosion occurs when two dissimilar metals are in direct contact within a conductive fluid environment, leading to an electrochemical gradient. The less noble metal (stainless steel) acts as the anode and corrodes preferentially.
Question 1667
Topic: Biomechanics & Biomaterials
Which of the following common orthopedic implant metals has a modulus of elasticity that most closely approximates that of cortical bone?
Correct Answer & Explanation
. Titanium alloy
Explanation
Cortical bone has a modulus of elasticity (Young's modulus) of approximately 15-30 GPa. Titanium alloy (Ti-6Al-4V) has a modulus of ~110 GPa, which is lower and closer to cortical bone compared to Stainless Steel (~200 GPa) and Cobalt-Chromium (~220 GPa). This closer match helps in reducing stress shielding around the implant.
Question 1668
Topic: Biomechanics & Biomaterials
Galvanic corrosion in orthopedic implants is most likely to occur under which of the following circumstances?
Correct Answer & Explanation
. When a stainless steel screw is used with a titanium plate
Explanation
Galvanic corrosion occurs when two dissimilar metals (e.g., stainless steel and titanium) are placed in direct physical contact within a conductive fluid environment (like body fluids). This creates an electrochemical battery effect, causing the more anodic metal to corrode at an accelerated rate.
Question 1669
Topic: Biomechanics & Biomaterials
Which of the following statements best describes the primary biomechanical advantage of utilizing a titanium alloy (Ti-6Al-4V) instead of a cobalt-chromium (Co-Cr) alloy for a femoral intramedullary nail?
Correct Answer & Explanation
. Titanium has a lower modulus of elasticity, which more closely approximates cortical bone and reduces stress shielding
Explanation
Titanium alloys have a modulus of elasticity (stiffness) that is roughly half that of Co-Cr alloys and stainless steel, bringing it closer to the modulus of cortical bone. This allows more physiological load transfer across a fracture site, promoting secondary bone healing and reducing long-term stress shielding.
Question 1670
Topic: Biomechanics & Biomaterials
Galvanic corrosion represents a significant mechanism of implant degradation and failure in orthopedic surgery. This phenomenon is most likely to occur under which of the following clinical scenarios?
Correct Answer & Explanation
. The coupling of two dissimilar metals with significantly different anodic potentials in a conductive fluid environment
Explanation
Galvanic corrosion is an electrochemical process in which one metal corrodes preferentially when it is in electrical contact with a dissimilar metal in the presence of an electrolyte (like body fluid). The metal with the lower (more active) electrode potential becomes the anode and undergoes accelerated corrosion. This is why mixing dissimilar metals (e.g., a stainless steel screw in a titanium plate) is generally avoided.
Question 1671
Topic: Biomechanics & Biomaterials
In total hip arthroplasty, the use of highly cross-linked polyethylene has significantly reduced wear rates. However, compared to conventional ultra-high molecular weight polyethylene (UHMWPE), highly cross-linked polyethylene demonstrates a significant decrease in which of the following mechanical properties?
Correct Answer & Explanation
. Fatigue strength
Explanation
Cross-linking of polyethylene significantly improves its wear characteristics by reducing adhesive and abrasive wear. However, the process of cross-linking and subsequent thermal treatments (like remelting to eliminate free radicals) decreases several mechanical properties, most notably fatigue strength, yield strength, and ultimate tensile strength.
Question 1672
Topic: Biomechanics & Biomaterials
A surgeon plans to revise a failed internal fixation using a combination of existing 316L stainless steel hardware and new titanium alloy implants. Which of the following mechanisms of material failure is most likely to be accelerated by placing these two dissimilar metals in direct contact in vivo?
Correct Answer & Explanation
. Galvanic corrosion
Explanation
Galvanic corrosion occurs when two dissimilar metals are placed in direct contact within an electrolytic environment (such as body fluid). The less noble metal acts as an anode and undergoes accelerated oxidative corrosion.
Question 1673
Topic: Biomechanics & Biomaterials
When analyzing the mechanical properties of an orthopedic implant on a stress-strain curve, which of the following points indicates the transition from reversible elastic deformation to irreversible plastic deformation?
Correct Answer & Explanation
. Yield point
Explanation
The yield point on a stress-strain curve marks the end of the elastic region and the beginning of the plastic region. Loading a material beyond this point results in permanent (irreversible) deformation.
Question 1674
Topic: Biomechanics & Biomaterials
Articular cartilage exhibits complex biomechanical behavior under load. Which of the following statements provides the best definition of the viscoelastic property known as 'stress relaxation'?
Correct Answer & Explanation
. Decreasing internal stress required to maintain a constant tissue deformation
Explanation
Stress relaxation is the time-dependent decrease in the internal stress of a viscoelastic material when it is held at a constant strain (deformation). Creep, by contrast, is increasing deformation under a constant load.
Question 1675
Topic: Biomechanics & Biomaterials
Viscoelastic materials exhibit time-dependent deformation. A surgeon applies a dynamic splint to a contracted joint, keeping the force constant while the tissue slowly lengthens. What viscoelastic property does this demonstrate?
Correct Answer & Explanation
. Creep
Explanation
Creep is the progressive deformation of a material under a constant load over time. Stress relaxation, in contrast, is the decrease in stress over time when the material is held at a constant strain (deformation).
Question 1676
Topic: Biomechanics & Biomaterials
Mixing dissimilar metals in an orthopedic implant construct, such as utilizing a stainless steel screw through a titanium plate, primarily increases the risk of which type of corrosion?
Correct Answer & Explanation
. Galvanic corrosion
Explanation
Galvanic corrosion occurs when two dissimilar metals with different electrochemical potentials are placed in contact within an electrolytic medium (like body fluid), leading to accelerated corrosion of the less noble metal.
Question 1677
Topic: Biomechanics & Biomaterials
Increasing the radiation dose to highly cross-link ultra-high molecular weight polyethylene (UHMWPE) in total joint arthroplasty primarily improves wear resistance at the expense of which of the following mechanical properties?
Correct Answer & Explanation
. Fatigue crack propagation resistance
Explanation
Highly cross-linking UHMWPE significantly reduces abrasive wear but diminishes its mechanical properties, particularly fatigue crack propagation resistance and fracture toughness. This increases the risk of component fracture, especially in thin liners.
Question 1678
Topic: Biomechanics & Biomaterials
In the stress-strain curve of a given orthopaedic implant material, what term describes the specific point where plastic deformation begins and the material will no longer return to its original shape upon load removal?
Correct Answer & Explanation
. Yield point
Explanation
The yield point marks the transition from the elastic region to the plastic region on a stress-strain curve. Beyond this point, the material sustains permanent, irreversible deformation.
Question 1679
Topic: Biomechanics & Biomaterials
When comparing Titanium alloy (Ti-6Al-4V) to Stainless Steel (316L) for use in orthopedic fracture fixation plates, Titanium is characterized by which of the following mechanical properties?
Correct Answer & Explanation
. Lower modulus of elasticity
Explanation
Titanium alloy has a lower modulus of elasticity compared to stainless steel or cobalt-chrome, making it mechanically closer to the elasticity of cortical bone. This property decreases stress shielding and promotes a more physiologic load transfer.
Question 1680
Topic: Biomechanics & Biomaterials
In biomechanics, which of the following terms describes the phenomenon where a viscoelastic material experiences a decrease in stress over time when held at a constant strain?
Correct Answer & Explanation
. Stress relaxation
Explanation
Stress relaxation is the decrease in stress over time when a material is held at a constant strain. Creep is the progressive deformation (strain) over time under a constant load (stress).
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