Question 7241
Topic: 1. General Principles & Basic ScienceDuring skeletal muscle contraction, calcium binds directly to which of the following proteins to initiate the exposure of myosin-binding sites?
Correct Answer & Explanation
. Tropomyosin
Practice Set 363 of 789
This practice set contains high-yield board review questions covering key concepts in 1. General Principles & Basic Science. Each clinical scenario is designed to test your diagnostic and management skills relevant to this subspecialty.
During skeletal muscle contraction, calcium binds directly to which of the following proteins to initiate the exposure of myosin-binding sites?
. Tropomyosin
The radial nerve is formed as the terminal continuation of which cord(s) of the brachial plexus?
. Lateral cord only
Which bone morphogenetic protein (BMP) is an FDA-approved osteoinductive agent commonly utilized in specific spinal fusion surgeries?
. BMP-2
The "toe region" of the load-elongation curve in normal ligament biomechanics primarily represents:
. Rupture of individual collagen fascicles
According to Wolff's Law, bone remodels in response to mechanical stress. The mechanotransduction signal is primarily sensed by which resident cell type?
. Osteoblast
Galvanic corrosion in orthopedic implants is most likely to occur under which of the following conditions?
. A titanium screw used with a titanium plate
According to the Seddon classification, a nerve injury characterized by the disruption of axons and myelin sheaths but preservation of the endoneurium, perineurium, and epineurium is termed:
. Neuropraxia
When utilizing a plate for absolute stability (compression plating) in a transverse midshaft radius fracture, the primary goal is to achieve:
. Secondary bone healing with robust callus formation
Rivaroxaban, an oral anticoagulant commonly prescribed for DVT prophylaxis following total joint arthroplasty, exerts its therapeutic effect by directly inhibiting:
. Factor IIa (Thrombin)
Which of the following cytokines is most strongly associated with the catabolic breakdown of articular cartilage in osteoarthritis?
. Interleukin-4 (IL-4)
The pullout strength of a standard orthopedic cortical screw is directly proportional to which of the following geometric parameters?
. Core diameter
A researcher is studying the molecular mechanisms of bone remodeling. They identify a glycoprotein secreted primarily by osteocytes that negatively regulates bone formation by binding to the LRP5/6 coreceptor on osteoblasts, thereby inhibiting the Wnt/beta-catenin signaling pathway. Which of the following therapeutic agents is specifically designed to target and inhibit this glycoprotein?
. Denosumab
During the ilioinguinal approach to the acetabulum, severe hemorrhage is encountered while dissecting near the superior pubic ramus. Which of the following anatomical structures is most likely injured?
. Internal pudendal artery
When placing screws in the acetabulum during total hip arthroplasty, drilling into the posterior-inferior quadrant places which of the following structures at highest risk?
. Obturator nerve
A 24-year-old male undergoes open reduction and internal fixation of a posterior wall acetabular fracture via a Kocher-Langenbeck approach. Retraction of the sciatic nerve is required. Which portion of the sciatic nerve is at greatest risk of iatrogenic injury, and what clinical deficit would be observed?
. Tibial division; loss of plantar flexion
A patient undergoes an ilioinguinal approach for an anterior column acetabular fracture. The surgeon is working in the middle window of this approach. Which of the following structures dictates the medial boundary of this specific window?
. Iliopectineal fascia
An orthopaedic surgeon is using the anterior (Smith-Petersen) approach to the hip. What is the true internervous plane utilized in the superficial dissection of this approach?
. Between the sartorius (femoral nerve) and the tensor fasciae latae (superior gluteal nerve)
During an anterior intrapelvic (Stoppa) approach to the acetabulum, brisk arterial bleeding is encountered while dissecting over the superior pubic ramus near the symphysis. This is most likely due to an injury to an anastomosis between which two vascular systems (Corona Mortis)?
. Internal iliac and external iliac systems
What is the primary blood supply to the adult femoral head?
. Artery of the ligamentum teres
A 35-year-old female experiences numbness and tingling in the anterolateral aspect of her thigh after prolonged wearing of a tight utility belt. Compression of which nerve is the most likely cause, and where does it typically exit the pelvis?
. Femoral nerve; medial to the psoas muscle