Past FRACS Orthopaedic Exams
Royal Australasian College of Surgeons
Part 2 Examination for Fellowship
Orthopaedic Surgery
MONDAY, 1 SEPTEMBER, 2003
2 hours
ALL questions must be answered - Question I (50%) & Questions 2 & 3 (25% each)
Question 1 (One Hour)
A 26 year old professional rugby player sustains a severe varus injury to his right knee 2 days previously. The team doctor interprets the injury as a complete rupture of the lateral ligament and posterolateral complex with intact cruciate ligaments and a complete foot drop.
- Write notes on the clinical assessment and investigation of the injury.(30 marks)
- Discuss management of the lateral ligament and posterolateral complex knee instability, and include details of surgery.(40 marks)
- Discuss management of the foot drop.(30 marks)
Question 2 (30 minutes)
An 80 year old man with a 20 year history of severely debilitating chronic rheumatoid arthritis presents with a 6 weeks history of recurrent collapse / weakness of the legs. This is threatening his independence at a special accommodation village.
- Outline your clinical assessment of this gentleman.(30 marks)
- Outline the risks of surgery for rheumatoid arthritic afflictions of the cervical spine.(20 marks)
Question 3 (30 minutes)
A three month old, otherwise normal first born-girl, presents with a previously undiagnosed dislocation of the left hip.
- Outline: Your initial assessment (15 marks)
- Your treatment of this child (15 marks)
- The issues you would discuss with the parents (10 marks)
- Describe:The anatomical pathology involved and its significance (10 marks)
