Page 111SA Orthop J 2022;21(2)

CPD QUESTIONNAIRE. MAY 2022 VOL 21 NO 2

The impact of the Covid-19 lockdown restrictions on 
orthopaedic trauma admissions in a central academic 
hospital in Johannesburg (Foster M, Du Plessis J, Jansen 
van Vuuren M, Jingo M, Pietrzak JRT)
1. Where was this retrospective review conducted? 
a. Durban A
b. Cape Town B
c. Pretoria C
d. Johannesburg D
e. Stellenbosch E
2. What was the decrease in trauma admissions between 

2019 and 2020?
a. 55% A
b. 10% B
c. 25% C
d. 68% D
e. 5% E
3. What percentage of Covid-19 tests were positive in 

patients once mandatory testing began?
a. 30% A
b. 10% B
c. 2% C
d. 22% D
e. 45% E
Comparing outcomes between enhanced recovery after 
surgery and traditional protocols in total knee  
arthroplasty: a retrospective cohort study (Beukes JE, 
Immelman RJ, Venter JH, Janse van Rensburg C,  
Ngcelwane MV, De Vos JN) 
4. Enhanced recovery after surgery (ERAS) protocols 

contain which of the following interventions:
a. Preoperative A
b. Intraoperative B
c. Postoperative C
d. a and b D
e. a, b and c E
5. The following forms part of the ERAS protocol except:
a. Full diet day 0 postoperative A
b. Mobilisation out of room day 0 B
c. Benzodiazepine sedative C
d. Clear fluids up to 2 hours preoperative D
e. Standard ward postoperative E
6. ERAS is associated with:
a. Increased readmission rate A
b. Increased complication rate B

c. General anaesthesia C
d. Increased reoperation rate D
e. Decreased length of stay E
Splints and immobilisation approaches used for second to 
fifth metacarpal fractures: a systematic review (Keller MM, 
Barnes RY, Brandt C, Hepworth LM) 
7. According to the highest level of evidence sourced in the 

article, fifth metacarpal neck (boxer’s) fractures with  
≤ 70° of angulation and no rotational deformities are best 
immobilised with which of the following?

a. U-shaped gutter splint A
b. Hand-based palmar splint B
c. Plaster of Paris cast C
d. Soft wrap and buddy strapping D
e. Palmar wrist extension splint E
8. Select the complication following prolonged and  

incorrect immobilisation of extra-articular neck or shaft  
of fifth metacarpal fractures:

a. Itchiness A
b. Pressure sores B
c. Pain C
d. Neuropraxia D
e. b and e E
9. Select the outcome measures/assessments most 

frequently used for monitoring management for 
individuals who sustained second to fifth metacarpal 
fractures:

a. Pinch strength A
b. Joint range of motion B
c. DASH/QuickDASH C
d. Sensation D
e. b and c E
Orthopaedic research in Zimbabwe: a seminal bibliometric 
analysis (Sibindi C, Mageza A, Socci A)

10. In this bibliometric analysis of research in Zimbabwe, 
what nature of research collaboration was seen to 
yield the most productivity and is suggested for more 
productivity?

a. Established Zimbabwe-based researcher working with  
HIC researcher A

b. HIC/LIC-based graduate student working with mentor  
in HIC B

c. Established Zimbabwe-based researcher working with  
LIC researcher C

d. External researchers working in Zimbabwe D
e. All of the above E

ORTHOPAEDIC
JOURNAL

S O U T H  A F R I C A N
� � � � � � � � � � � � � � � � � � � � �

� � � � � � � � � � � � � � � � � � � � �

� � � � � � � � � � � � � � � � � � � � � � �

CONTENTS

� � � � � � 
 � � 
 
 
 	 � �

 T
H
E
 
S
O

U
T

H
 
A

F
R
IC

A

N
 O

R T H O PA

E
D
IC

 
A

S
S
O

C
IA

T
IO

N



Page 112 SA Orthop J 2022;21(2)

11. Within Zimbabwean orthopaedic surgery research, what 
is a key distinction in the trend of research foci compared 
to other low- and middle-income countries (LMICs)?

a. Trauma has the highest focus of research A
b. Paediatric clubfoot is a distinguished research focus B
c. All research foci seem to be equally represented C
d. HIV-related orthopaedic pathology dominates as a 

consequence of the HIV/AIDS pandemic D

e. The Zimbabwean trends follow other LMIC trends with  
no distinction

E

12. Looking at this study, what, if any, is an inherent limitation 
of bibliometric analysis methodology?

a. In a bibliography with a limited number of papers, there  
is severe distortion of the output limiting utility A

b. For a bibliography with papers spread over an extended 
time period, there is incoherence of output B

c. No limitation of bibliometric analysis methodology is 
highlighted in this paper C

d. Bibliometric analysis is better carried out on bibliography 
containing publications of a higher level of evidence D

e. All of the above E
Modular prosthetic reconstruction for primary bone  
tumours of the distal tibia in ten patients (Mugla W,  
Bauer HCF, Vogel J, Hosking KV, Campbell N, Hilton TL)

13. Which study has the biggest number of patients who  
had a distal tibial replacement?

a. Shekkeris et al. A
b. Lee et al. B
c. Natarajan et al. C
d. Abudu et al. D
e. This study E
14. What is the functional outcome MSTS of this study?
a. 90% A
b. 80% B
c. 50% C
d. 20% D
e. 63% E
15. What was the amputation rate of this study?
a. 10% A
b. 20% B
c. 30% C
d. 33% D
e. 5% E
Current concepts on the assessment of a patient with  
a traumatic anterior shoulder dislocation (Kauta NJ,  
Du Plessis JP, De Wet JJ, Vrettos B, Roche SJL)

16. Which one of the following statements is true with regard 
to recurrent traumatic anterior shoulder dislocation?

a. A rotator cuff tear is almost always present in patients 
younger than 40 years of age A

b. This is a common challenge in patients older than 30 years 
of age B

c. An off-track Hill–Sachs lesion is associated with  
a recurrence rate of more than 90% in anterior shoulder 
dislocation

C

d. Anteroinferior glenoid bone loss will not predispose  
to recurrent dislocation if the humeral head is intact D

e. Age younger than 30 years at the initial dislocation is the 
single most important predisposing factor to recurrent 
dislocation

E

17. The clinical significance of a positive Walsh sign (or test) 
is best described by:

a. External rotation more than 90° and higher risk of shoulder 
instability A

b. Internal rotation of more than 90° and higher risk of 
shoulder instability B

c. Abduction of more than 90° and higher risk of shoulder 
instability C

d. Forward flexion of more than 90° and higher risk of 
shoulder instability D

e. Internal rotation of more than 90° and lower risk of shoulder 
instability E

18. The currently recommended imaging modality for glenoid 
bone loss measurement is:

a. Axial CT scan A
b. Coronal CT scan B
c. 3D CT scan (en face view) C
d. Axial MRI scan D
e. Coronal MRI scan E
Mega-OATS of the knee without specialised instrumentation: 
a low-cost option for large cartilage defects in a resource-
restrained environment (Le Roux J, Von Bormann R,  
Braun S, Imhoff AB, Held M)

19. Recommended treatment options for a large cartilage 
lesion in the knee in a young patient is:

a. Microfracture A
b. Arthroplasty B
c. Osteochondral autograft transplantation (OATS) C
d. Fresh osteochondral allograft transplantation (OCA) D
e. Intra-articular local anaesthetic and steroid injection E

20. The traditional Mega-OATS technique requires:
a. Donor hamstrings tendon A
b. Donor allograft cartilage B
c. Donor autograft cartilage from the contralateral knee C
d. A specialised workbench D
e. Autologous chondrocyte culture in a laboratory E

Subscribers and other recipients of SAOJ visit our new CPD portal at  
www.mpconsulting.co.za
• Register with your email address as username and MP number with seven 

digits as your password and then click on the icon “Journal CPD”. 
• Scroll down until you get the correct journal. On the right hand side is an  

option “ACCESS”. This will allow you to answer the questions. If you still can 
not access please send your Name and MP number to cpd@medpharm.
co.za in order to gain access to the questions.

• Once you click on this icon, there is an option below the title of the journal: 
Click to read this issue online.  

• Once you have completed the answers, go back to the top of the page 
next to the registration option. There is another icon “Find my CPD certifi-
cate”. (You will have to answer the two questions regarding your internship 
and last CPD audit once you have completed a questionnaire and want to  
retrieve your certificate).

• If you click on that icon it will open your certificate which you can print or 
save on your system. 

• Please call MPC Helpdesk if you have any questions: 0861 111 335.  

Medical Practice Consulting: 
Client Support Center:  

+27121117001 
Office – Switchboard:  

+27121117000 MDB015/137/01/2022