Last 5-Year PYQs in Orthopaedics for INI-CET

Orthopaedics is a high-yield and scoring subject in INI-CET, with a strong focus on trauma, fractures, and clinical correlations. While the terminologies, classifications, and case-based questions can seem intimidating, your preparation doesn’t have to be.

The smartest way to streamline your prep is by focusing on Previous Years’ Questions. These help you recognize examiner patterns, master frequently tested topics, and sharpen your clinical reasoning.

To save your time and energy, we’ve curated a list of high-yield Orthopaedics PYQs from the last five years to help you revise efficiently and confidently.

Q1. Which nerve is most likely to be damaged in cases of anterior shoulder dislocation?

1. Axillary nerve
2. Median nerve
3. Radial nerve
4. Suprascapular nerve

Answer: 1) Axillary nerve

Q2. A 60-year-old patient presents with a limping gait and left hip pain. What is the likely diagnosis?

1. Tuberculosis of the hip
2. Rheumatoid arthritis
3. Ankylosing spondylitis
4. Avascular necrosis

 Answer: 4) Avascular necrosis

Q3. A 72-year-old man came with complaints of unilateral knee pain. X-ray examination showed reduced joint space. Histopathological examination of the affected joint is shown below. What is the likely diagnosis?

1. Osteoarthritis
2. Tuberculosis of the knee
3. Rheumatoid arthritis
4. Lyme disease

 Answer: 1) Osteoarthritis

Q4. Which of the following statements are true about open fractures? 

1. Tibia and phalanges are most commonly involved
2. Usually no co-existing injuries
3. Compartment syndrome does not occur in open fractures
4. Early debridement should be done

1.  1 and 2
2.  1 and 4
3.  2 and 4
4. 2 and 3

Answer 2:  1 and 4

Q5. Match the following fractures with their respective sites.

A. Jones fracture B. Bennett's fracture C. March fracture D. Boxer fracture

1. 5th metatarsal 2. 2nd metatarsal 3. 1st metacarpal 4. 5th metacarpal

1. A-1, B-3, C-2, D-4
2. A-2, B-3, C-1, D-4
3. A-4, B-2, C-4, D-3
4. A-2, B-4, C-1, D-3

Answer: 1 ) A-1, B-3, C-2, D-4

Q6. Arrange the following in the correct sequence for the Thomas test:

1. Squaring of pelvis
2. Flexion of the hip
3. Look for exaggerated lumbar lordosis
4. Measure actual flexion deformity
5. Make sure that the ischial tuberosity makes contact with the ground.
6. Overcorrection of the normal side

1. 1, 2, 3, 4, 5
2. 3, 2, 1, 4, 6
3.  3, 2, 6, 5, 4
4. 3, 6, 2, 5, 4

Answer 3:  3, 2, 6, 5, 4

Q7. What treatment would you provide to a 60-year-old female patient who had a Colles' fracture 8 months ago, has a T score of -2.5, attained menopause at 52 years, and is currently not experiencing any symptoms, when she visits the orthopedics outpatient department?

1. Hormone replacement therapy
2. Alendronate
3. Calcium and vitamin D
4. Repeat DEXA scan after 3 months

Answer: 2)  Alendronate

Q8. A 45-year-old patient with a cast, due to tibia fracture, presented to the emergency department with complaints of intense pain. The cast was removed and on physical examination, passive extension of leg was painful. The dorsalis pedis and posterior tibial pulses were present and there was a loss of sensation over the first web space. What is the next step?

1. Duplex imaging
2. Re-apply cast
3. Measure the anterior compartment pressure
4. Analgesics

Answer: 3) Measure the anterior compartment pressure

Q9. Match the following with their most appropriate mode of management:

1. Osteosarcoma 2. Simple bone cyst 3. Giant cell tumor 4. Osteoid osteoma

A. Wide excision B. Curettage C. Radiofrequency ablation D. Intralesional steroid

1. 1-d, 2-c, 3-b, 4-a
2. 1-c, 2-a, 3-d, 4-b
3.  1-a, 2-d, 3-b, 4-c
4.  1-d, 2-a, 3-b, 4-c

Answer 3:  1-a, 2-d, 3-b, 4-c

Q10. What condition is caused by nerve injury?

1. Ulnar nerve
2. Radial nerve
3. Median nerve
4. Posterior interosseous nerve

Answer 1: Ulnar nerve

Q11. A 75-year-old man presents with a fracture of the intracapsular neck of the femur. What is the standard management done in this patient?

1.  Hemiarthroplasty
2.  Boot and bar cast
3.  Intramedullary nails
4.  Russels traction

 Answer: 1) Hemiarthroplasty

Q12. Which of the following layers is affected in a Salter-Harris type 1 fracture ?

1. Calcific zone of the growth plate
2.  Hypertrophic zone of the growth plate
3.  The resting zone of the growth plate
4.  Through the whole of the epiphysis

Answer:  2- Hypertrophic or calcific layer

Q13. A 26-year-old male presented with a proximal 1/3rd fracture of the shaft of femur. What is the treatment of choice in this patient?

1. Interlocking nail
2. Hip spica
3. Above knee slab
4. Above knee cast

Answer:  1 - Interlocking nail

Q14. Which of the following is the most common site of an osteoporotic fracture?

1. Vertebrae fracture
2. Subtrochanteric fracture
3. Glenoid fracture
4. Midshaft of humerus fracture

Answer:  A – Vertebrae

Q15. A 23 year old male reports severe pain, swelling, and an inability to extend his knee after a fall. What is the diagnosis?

1. Patellar fracture
2. Rheumatoid arthritis
3. Hemarthrosis of knee
4. Tibial condylar fracture

 Answer  A - Patellar fracture

Q16. Identify the zone of calcification in the image given below.

1. A
2. B
3. C
4. D

Answer:  1) A

Q17. A 22-year-old male presents with thigh pain. A CT scan was done as given below. Identify the condition.?

1. Osteomalacia
2. Osteosarcoma 
3. Ewings sarcoma
4. Chronic Osteomyelitis

 Answer  D - Chronic Osteomyelitis

Q18. A 10-year-old boy is experiencing pain in the area surrounding his knee joint. The following lesion visible on the X-ray is seen extending from the distal femur to the terminal end. What is the most likely diagnosis?

1. Giant cell tumour
2. Chondroblastoma
3. Osteoid osteoma
4. Osteosarcoma

Answer: D) Osteosarcoma

Q19. What could be the potential diagnosis for a 22-year-old male patient presenting with a history of accident, exhibiting leg abduction and external rotation?

1. Anterior dislocation of the hip
2. Posterior dislocation of the hip
3. Intertrochanteric fracture
4. Fracture neck of femur

 Answer: A) Anterior dislocation of the hip

Q20. What is the most specific test used to diagnose carpal tunnel syndrome?

1. Durkan's test
2. Phalen test
3. Tinel test
4.  Two point discrimination

Answer: A) Durkan's test

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