12432302
Descripción
Test por Auroarah Johnson, actualizado hace más de 1 año
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Creado por Auroarah Johnson
hace más de 6 años
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Pregunta 1
Pregunta
Who is most at risk for a hip fracture?
Respuesta
-
Elderly men
-
Elderly women
-
Young children
-
Adolescents
Pregunta 2
Pregunta
How often should falls risks screenings and assessments be completed?
Respuesta
-
At least yearly, but optimally quarterly.
-
Every 6 months, or at least twice yearly.
-
Once every two years.
-
Every five years.
Pregunta 3
Pregunta
Why do patients not stay on fosamax for long periods of time?
Respuesta
-
It is not the best medication option.
-
They will form an allergy to the medication.
-
There will be a reverse effect.
-
It stops working.
Pregunta 4
Pregunta
What are the types of fractures?
Respuesta
-
Extracapsular, trochanteric, femoral neck, subcapital
-
Extracapsular, femoral neck, crush, subcapital
-
Femoral neck, subcapital, bony fracture, osteocytic
Pregunta 5
Pregunta
An appropriate exercise for the maximum protective phase of an ORIF is an active straight leg raise.
Respuesta
-
True
-
False
Pregunta 6
Pregunta
Pick the following goals of the maximum protective phase of an ORIF.
Respuesta
-
Decrease pain and swelling
-
Ability to WBAT.
-
Isometric exercises of the hip and knee
-
Gentle, protected ROM
-
Heel slides
-
Supine hip abduction/adduction
-
Upper extremity strengthening
-
Prone knee flexion
-
Weight shifting
-
Prone hip extension
Pregunta 7
Pregunta
How long are patient's who have undergone a hip ORIF under weight bearing precautions?
Respuesta
-
4-6 weeks
-
8 weeks
-
2 weeks
-
3-4 weeks
Pregunta 8
Pregunta
ORIF patients have a quicker recovery period than a total hip replacement.
Respuesta
- True
- False
Pregunta 9
Pregunta
What are the goals of the moderate protective phase of an ORIF?
Respuesta
-
CKC activities are initiated once patient is FWB
-
Standing abduction, flexion, extension
-
Decreased use of assistive devices
-
PROM
-
Reduction of swelling
Pregunta 10
Pregunta
The minimum protective phase occurs from weeks 6-8.
Respuesta
- True
- False
Pregunta 11
Pregunta
Why is a hemiarthroplasty of the hip done?
Respuesta
-
Arthritic degeneration of the acetabulum.
-
Avascular necrosis or femoral head fractures.
-
Arthritic degeneration of the the femoral head.
-
Legg-Calve Perthes disease.
Pregunta 12
Pregunta
What is a total hip replacement?
Respuesta
-
Both the femoral head and the acetabulum are replaced.
-
A pin is placed in the joint for stabilization.
-
The femoral head is replaced
-
The acetabulum is replaced.
Pregunta 13
Pregunta
There are no weight bearing restrictions for non-cemented hip replacements.
Respuesta
- True
- False
Pregunta 14
Pregunta
Which of the following is a reason someone would have a non-elective hip replacement?
Respuesta
-
Pain
-
Declined ambulatory capacity
-
Decreased range of motion
-
Osteonecrosis
Pregunta 15
Pregunta
How long can antalgic gait last with a total hip replacement?
Respuesta
-
1-2 years
-
6 weeks
-
6 months
-
8-12 months
Pregunta 16
Pregunta
Complications associated with a THR include antalgic gait for 1-2 years, thromboembolic disease, dislocation.
Respuesta
- True
- False
Pregunta 17
Pregunta
What are the precautions for the posterior or lateral approach for a THR?
Respuesta
-
Avoid Hip Adduction
-
Avoid Internal Rotation
-
Avoid Hip Flexion greater than 90 degrees.
-
All of the above.
Pregunta 18
Pregunta
What are the precautions for an Anterior approach?
Respuesta
-
Avoid combined hip extension and external rotation.
-
Avoid combined hip flexion and internal rotation.
-
Avoid Abduction and external rotation.
-
Avoid Adduction past neutral and internal rotation.
Pregunta 19
Pregunta
What exercises are appropriate for the max protective phase of a total hip replacement?
Respuesta
-
Ankle pumps
-
Isometrics
-
Active knee flexion
-
Abduction against gravity
-
Patient education of precautions
-
Use of crutches/Walker for ambulation
-
Bed mobility - Rolling to affected side.
Pregunta 20
Pregunta
When does the moderate protective phase begin?
Respuesta
-
Good quad control
-
Active knee flexion
-
Decreased pain
-
Independent with bed mobility and transfers
-
All of the above
Pregunta 21
Pregunta
What is the main difference in the max protective phase of a THR and ORIF?
Respuesta
-
Total hip replacements are WBAT and ORIFs are TDWB
-
THRs are TDWB and ORIFs are WBAT.
-
There are no differences.
Pregunta 22
Pregunta
What does the moderate protective phase focus on?
Respuesta
-
Open chain strengthening
-
CKC standing hip activities
-
Theraband Activities
-
All of the above.
Pregunta 23
Pregunta
What occurs in the minimum protective phase?
Respuesta
-
Precautions may be discharged.
-
Normalize gait with/without AD
-
Balance, proprioceptive, and stabilization activities
-
Increased CKC activities
-
All of the above.
Pregunta 24
Pregunta
The new anterior approach does not cut the muscle, but it moves the musculature out of the way to assist in strength return at a much quicker pace.
Respuesta
- True
- False
Pregunta 25
Pregunta
Who is more at risk for Legg-Calve-Perthes Disease?
Respuesta
-
Children between 2-12 years of age.
-
Children and adolescents between 0-18
-
Geriatric population, 65+
-
Geriatric women, 65+
Pregunta 26
Pregunta
What does the treatment for Legge-Calve-Perthes disease consist of?
Respuesta
-
Approximation of the femoral head in the acetabulum.
-
Abduction braces and pillows.
-
Abduction, hip extension, and internal rotation strengthening activities.
-
All of the above.
Pregunta 27
Pregunta
Trochanteric bursitis is caused by irritation, compression, and repeated friction as the IT band snaps over the bursar lying superior to the greater trochanter.
Respuesta
- True
- False
Pregunta 28
Pregunta
What special test would be positive with trochanteric bursitis?
Respuesta
-
RFIL
-
FABER's
-
OBER's
-
REIL
Pregunta 29
Pregunta
Ischial bursitis is caused by direct contusion and extended standing activities.
Respuesta
- True
- False
Pregunta 30
Pregunta
Iliopectineal bursitis exhibits local tenderness over the iliopsoas muscle and tendon as well as diffuse radiating pain into the anterior thigh.
Respuesta
- True
- False
Pregunta 31
Pregunta
A hamstring train is caused by sudden contraction of the hamstrings or deceleration of the lower leg against concentric contraction of the quads.
Respuesta
- True
- False
Pregunta 32
Pregunta
An iliopsoas strain occurs from sudden hip flexion or forced hip extension against resistance.
Respuesta
- True
- False
Pregunta 33
Pregunta
A hip pointer is a contusion of the ischial tuberosity.
Respuesta
- True
- False
Pregunta 34
Pregunta
A stable pelvic fracture can be treated conservatively with rest and protected weight bearing, or an ORIF with fractures of the ischial tuberosities.
Respuesta
- True
- False
Pregunta 35
Pregunta
An unstable fracture of the pelvis/acetabulum is rotationally unstable or rotationally and vertically unstable.
Respuesta
- True
- False
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