The written examination is worth 50% of the overall mark. Both sections (exam and project assignment) must be passed at a mark of 60%.
Once you start this exam, the timer will start and it must be completed in a single sitting. You have 70 minutes from the time you press “Start Quiz”.
If you run out of time, the exam will automatically close. Don’t worry – everything has been saved and submitted. If you finish early, you need to navigate to the last question, click on the quiz summary (which will tell you which questions you have answered) and then click on “finish”.
Quiz Summary
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Thank you for completing and submitting your exam. Your results will be emailed to you by the end of April 2021.
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Question 1 of 16
1. Question
State 4 of the bony articulations of the scaphoid (2 marks)
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Question 2 of 16
2. Question
Describe the actions of the volar interossei (2 marks)
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Question 3 of 16
3. Question
Describe 2 exercises that would strengthen the volar interossei (4 marks)
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Question 4 of 16
4. Question
Case 1. Question 1
A 24 year old man presents 3 days after a fall onto his left non-dominant hand with the following fracture:
Describe the pathology you see on the X-ray (2 marks)
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Question 5 of 16
5. Question
Case Study 1. Question 2
A 24 year old man presents at 3 days after a fall on his outstretched left non-dominant hand.
State the most common option for management for this fracture described in the previous question (1 mark)
(X-rays repeated below)
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Question 6 of 16
6. Question
Case Study 1. Question 3.
Describe 2 differences between primary and secondary bone healing (2 marks)
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Question 7 of 16
7. Question
Case Study 1. Question 4
Discuss the impact that primary and secondary healing may have on clinical reasoning for therapy management of fractures (4 marks)
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Question 8 of 16
8. Question
Case Study 1. Question 5
Discuss the common complications following scaphoid fractures (3 marks)
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Question 9 of 16
9. Question
Case study 1. Question 6
A 24 year old man falls on his outstretched left non-dominant hand. He has undergone open reduction internal fixation (ORIF) for the fracture seen in the previous X-rays. He has been in a POP for 4 weeks.
Describe in detail, with justification for your reasoning, how would you manage this patient with this now stable fracture post ORIF in the first therapy session at 4 weeks post op. (6 marks)
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Question 10 of 16
10. Question
Case Study 2. Question 1
A 35 year old man presents with the following fracture after hitting a lift door in anger.
Describe the pathology that you see in the X-rays (2 marks)
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Question 11 of 16
11. Question
Case Study 2. question 2
A 35 year old man presents with the following fracture after hitting a lift door in anger.
List the options for operative and non-operative management for this fracture
(2 marks)
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Question 12 of 16
12. Question
Case Study 2. Question 3
Describe how you would assess for a potential angulation of a metacarpal fracture. (2 marks)
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Question 13 of 16
13. Question
Case 2. Question 4
A 35 year old man presents with the following fracture after hitting a lift door in anger.
Following a decision for non-operative management, PRIORITISE how would you manage this patient in the FIRST therapy session and justify your reasoning for the following modality:
The splint and wearing regime you would choose. Justify your choice
(6 marks)
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Question 14 of 16
14. Question
Case 2. Question 5
A 35 year old man presents with the following fracture after hitting a lift door in anger.
Following a decision for non-operative management, PRIORITISE how would you manage this patient in the FIRST therapy session and justify your reasoning for the following modality:
THREE exercises you would choose for THIS man and THIS stage . Justify your choices (6 marks)
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Question 15 of 16
15. Question
Case Study 3. Question 1
A 56 year old woman presents with a stiff wrist following a distal radius fracture. This was managed with a volar plate and screw 8 weeks ago. (see X-rays below)
She is slow to regain supination. She reports weakness in grips and difficulties with heavy lifting
Choose TWO treatment modalities you would prioritise for THIS patient with STIFFNESS IN SUPINATION at this 8 week stage. Justify your choices.
(4 marks)
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Question 16 of 16
16. Question
Case Study 3. Question 2
A 56 year old woman presents with a stiff wrist following a distal radius fracture. This was managed with a volar plate and screw 8 weeks ago.
She is slow to regain supination. She reports weakness in grips and difficulties with heavy lifting
Choose TWO treatment modalities you would prioritise for THIS patient to INCREASE STRENGTH and FUNCTION at this 8 week stage. Justify your choices.
(4 marks)
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This response will be reviewed and graded after submission.
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