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