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Hip/Pelvis

Description

Physical Therapy Quiz on Hip/Pelvis, created by Auroarah Johnson on 22/02/2018.
Auroarah Johnson
Quiz by Auroarah Johnson, updated more than 1 year ago
Auroarah Johnson
Created by Auroarah Johnson almost 7 years ago
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Resource summary

Question 1

Question
Who is most at risk for a hip fracture?
Answer
  • Elderly men
  • Elderly women
  • Young children
  • Adolescents

Question 2

Question
How often should falls risks screenings and assessments be completed?
Answer
  • At least yearly, but optimally quarterly.
  • Every 6 months, or at least twice yearly.
  • Once every two years.
  • Every five years.

Question 3

Question
Why do patients not stay on fosamax for long periods of time?
Answer
  • It is not the best medication option.
  • They will form an allergy to the medication.
  • There will be a reverse effect.
  • It stops working.

Question 4

Question
What are the types of fractures?
Answer
  • Extracapsular, trochanteric, femoral neck, subcapital
  • Extracapsular, femoral neck, crush, subcapital
  • Femoral neck, subcapital, bony fracture, osteocytic

Question 5

Question
An appropriate exercise for the maximum protective phase of an ORIF is an active straight leg raise.
Answer
  • True
  • False

Question 6

Question
Pick the following goals of the maximum protective phase of an ORIF.
Answer
  • 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

Question 7

Question
How long are patient's who have undergone a hip ORIF under weight bearing precautions?
Answer
  • 4-6 weeks
  • 8 weeks
  • 2 weeks
  • 3-4 weeks

Question 8

Question
ORIF patients have a quicker recovery period than a total hip replacement.
Answer
  • True
  • False

Question 9

Question
What are the goals of the moderate protective phase of an ORIF?
Answer
  • CKC activities are initiated once patient is FWB
  • Standing abduction, flexion, extension
  • Decreased use of assistive devices
  • PROM
  • Reduction of swelling

Question 10

Question
The minimum protective phase occurs from weeks 6-8.
Answer
  • True
  • False

Question 11

Question
Why is a hemiarthroplasty of the hip done?
Answer
  • Arthritic degeneration of the acetabulum.
  • Avascular necrosis or femoral head fractures.
  • Arthritic degeneration of the the femoral head.
  • Legg-Calve Perthes disease.

Question 12

Question
What is a total hip replacement?
Answer
  • 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.

Question 13

Question
There are no weight bearing restrictions for non-cemented hip replacements.
Answer
  • True
  • False

Question 14

Question
Which of the following is a reason someone would have a non-elective hip replacement?
Answer
  • Pain
  • Declined ambulatory capacity
  • Decreased range of motion
  • Osteonecrosis

Question 15

Question
How long can antalgic gait last with a total hip replacement?
Answer
  • 1-2 years
  • 6 weeks
  • 6 months
  • 8-12 months

Question 16

Question
Complications associated with a THR include antalgic gait for 1-2 years, thromboembolic disease, dislocation.
Answer
  • True
  • False

Question 17

Question
What are the precautions for the posterior or lateral approach for a THR?
Answer
  • Avoid Hip Adduction
  • Avoid Internal Rotation
  • Avoid Hip Flexion greater than 90 degrees.
  • All of the above.

Question 18

Question
What are the precautions for an Anterior approach?
Answer
  • 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.

Question 19

Question
What exercises are appropriate for the max protective phase of a total hip replacement?
Answer
  • 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.

Question 20

Question
When does the moderate protective phase begin?
Answer
  • Good quad control
  • Active knee flexion
  • Decreased pain
  • Independent with bed mobility and transfers
  • All of the above

Question 21

Question
What is the main difference in the max protective phase of a THR and ORIF?
Answer
  • Total hip replacements are WBAT and ORIFs are TDWB
  • THRs are TDWB and ORIFs are WBAT.
  • There are no differences.

Question 22

Question
What does the moderate protective phase focus on?
Answer
  • Open chain strengthening
  • CKC standing hip activities
  • Theraband Activities
  • All of the above.

Question 23

Question
What occurs in the minimum protective phase?
Answer
  • Precautions may be discharged.
  • Normalize gait with/without AD
  • Balance, proprioceptive, and stabilization activities
  • Increased CKC activities
  • All of the above.

Question 24

Question
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.
Answer
  • True
  • False

Question 25

Question
Who is more at risk for Legg-Calve-Perthes Disease?
Answer
  • Children between 2-12 years of age.
  • Children and adolescents between 0-18
  • Geriatric population, 65+
  • Geriatric women, 65+

Question 26

Question
What does the treatment for Legge-Calve-Perthes disease consist of?
Answer
  • Approximation of the femoral head in the acetabulum.
  • Abduction braces and pillows.
  • Abduction, hip extension, and internal rotation strengthening activities.
  • All of the above.

Question 27

Question
Trochanteric bursitis is caused by irritation, compression, and repeated friction as the IT band snaps over the bursar lying superior to the greater trochanter.
Answer
  • True
  • False

Question 28

Question
What special test would be positive with trochanteric bursitis?
Answer
  • RFIL
  • FABER's
  • OBER's
  • REIL

Question 29

Question
Ischial bursitis is caused by direct contusion and extended standing activities.
Answer
  • True
  • False

Question 30

Question
Iliopectineal bursitis exhibits local tenderness over the iliopsoas muscle and tendon as well as diffuse radiating pain into the anterior thigh.
Answer
  • True
  • False

Question 31

Question
A hamstring train is caused by sudden contraction of the hamstrings or deceleration of the lower leg against concentric contraction of the quads.
Answer
  • True
  • False

Question 32

Question
An iliopsoas strain occurs from sudden hip flexion or forced hip extension against resistance.
Answer
  • True
  • False

Question 33

Question
A hip pointer is a contusion of the ischial tuberosity.
Answer
  • True
  • False

Question 34

Question
A stable pelvic fracture can be treated conservatively with rest and protected weight bearing, or an ORIF with fractures of the ischial tuberosities.
Answer
  • True
  • False

Question 35

Question
An unstable fracture of the pelvis/acetabulum is rotationally unstable or rotationally and vertically unstable.
Answer
  • True
  • False
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