Question 1
Question
Osteonecrosis or avascular necrosis can be caused by a few things. What can those be?
Answer
-
Dislocation
-
Steroid use
-
Alcohol Use
-
Fracture
-
Implants
Question 2
Question
This x-ray shows which hip problem?
Answer
-
Osteonecrosis or AVN
-
Osteoarthritis or OA
-
Osteolysis
-
RA
Question 3
Question
What does this photo represent?
Answer
-
Normal Hip angle 120-135°
-
Coxa varus hip angle < 120 °
-
Coxa varus hip angle >120°
-
Normal hip angle 40-45°
Question 4
Question
Which hip deformity is the angle between the shaft of the thighbone (femur) and the top of the thighbone is too great?
Question 5
Question
This x-ray shows what?
Answer
-
Osteoarthritis
-
Normal hip
-
Coxa valga
-
Coxa varus
Question 6
Question
What is being shown in this x-ray?
Answer
-
Coxa Valga
-
Coxa Varus
-
Normal Hip
-
Osteoarthritis
Question 7
Question
What is being shown in this x-ray?
Answer
-
Osteoarthritis
-
Coxa Valga
-
Normal Hip
-
Coxa Varus
Question 8
Question
What is this x-ray showing?
Answer
-
Coxa varus
-
Normal hip
-
Osteoarthritis
-
Coxa Valga
Question 9
Question
The start of the mechanical axis and the center of the femoral head is call the [blank_start]pivot[blank_end] point.
Question 10
Question
What motions are used to ensure hip mobility in a THA?
Answer
-
Adduction
-
Flexion
-
Extension
-
Abduction
Question 11
Question
If the surgeon is using an acetabular cup or the acetabulum implant component then the surgery is a partial hip arthroplasty.
Question 12
Question
What is your medial wall?
Answer
-
Femoral head
-
Acetabulum
-
Pubis
-
Ischium
Question 13
Question
How much of the hip's force is produced by the abductor muscles?
Question 14
Question
How much force is needed by the abductors?
Answer
-
1.5 x the body weight
-
3 x the body weight
-
2.5 x the body weight
-
2 x the body weight
Question 15
Question
More load in bone is best, bone will waste away if there is not enough load. Density increases with increased load is called Wolff's law.
Question 16
Question
This picture is showing what measurement?
Answer
-
Femoral Neck length
-
Femoral offset
-
Femoral leg length
-
Neck resection level
Question 17
Question
What is being measured here?
Answer
-
Femoral offset
-
Femoral Resection level
-
Femoral Neck length
-
Femoral Leg length
Question 18
Question
This photo is measuring what?
Answer
-
Femoral offset
-
Neck Resection level
-
Femoral Neck length
-
Femoral Leg length
Question 19
Question
There are 4 types of bone, under Dorr Classification.
Question 20
Question
This x-ray depicts which type of bone according to Dorr.
Answer
-
Type C
-
Type B
-
Type A
-
Type D
Question 21
Question
This image is showing type B bone according to Dorr.
Question 22
Question
Which bone types are good for press fit implants?
Answer
-
Type A
-
Type C
-
Type B
-
Type D
Question 23
Question
Implants should have good modularity
Question 24
Question
In THA, the components are made of different materials. The standard for the femoral stem is made out of [blank_start]titanium[blank_end], the acetabular cup is made out of [blank_start]titanium[blank_end] and the femoral head is made out of [blank_start]cobalt chrome[blank_end]. The last component is the acetabular cup lining which is made out of [blank_start]cross link polyethylene[blank_end].
Question 25
Question
Which femoral stem is press fit, and is a proximal fit?
Answer
-
Tapered Flat Wedge
-
Chili Pepper
-
AML
-
none
Question 26
Question
Stems have a lot of modularity meaning there are numerous options to fit into the femur.
Question 27
Question
Which stem has a broach only approach?
Answer
-
Chili peper
-
AML
-
Tapered Flat Wedge
-
None
Question 28
Question
Which stem is a metaphyseal only fix and used in the anterior approach?
Answer
-
AML
-
Tapered Flat wedge
-
None
-
Chili Pepper
Question 29
Question
Another word for the neck piece of the stem is called the [blank_start]trunnion[blank_end] where the head bearing attaches.
Question 30
Question
Does this x-ray show a stem with a collar or a stem without a collar
Answer
-
Collar is present
-
No collar present
Question 31
Question
What does this x-ray indicate?
Answer
-
RA
-
Oseteolysis
-
osteoarthritis
-
Osteonecrosis
Question 32
Question
Broaching the femur is the removal of residual cancellous bone by compression and allows for an optimal fit within the canal.
Question 33
Question
What is being determined based on this radiograph?
Answer
-
Hip angle
-
Leg Length
-
Femoral neck length
-
Femoral offset
Question 34
Question
In a THA a surgeon can correct a leg length discrepancy by which of the following ?
Answer
-
Removing more bone
-
Larger Head bearings
-
Longer neck bearings
-
Bigger stem implants
Question 35
Question
Anteversion on the femur is about [blank_start]10-20°[blank_end] and is [blank_start]20-25°[blank_end] on the acetabulum. The total combined degrees is between [blank_start]30-35°[blank_end].
Answer
-
10-20°
-
20-25°
-
30-35°
-
40-45°
-
10-20°
-
20-25°
-
30-35°
-
40-45°
-
10-20°
-
20-25°
-
30-35°
-
40-45°
Question 36
Question
Normal hip motion is ...
Answer
-
Adduction up to 45°
-
Abduction up to 45°
-
Flexion up to 120°
-
Extension up to 20°
-
Extension up to 120°
Question 37
Question
What addition to an implant is plastic, and used at the tip of a thin stem. It's purpose: keeps the tip in the center of the canal for consistent thickness.
Answer
-
Constraining liner
-
AML stem
-
Stem collar
-
Distal centralizer
Question 38
Question
What are the options for head bearings?
Answer
-
Ceramic
-
Polyethylene
-
Cobalt Chrome
-
Oxyinum
Question 39
Question
Which head bearing caused squeaking when a patient walked post surgery?
Answer
-
Polyethylene
-
Ceramic
-
Cobalt Chrome
-
Oxyinum
Question 40
Question
Metal on metal bearings in a THA failed. They caused metallosis which is increased metal ions in the bloodstream.
Question 41
Question
Dual mobility cups reduce dislocation chances in a primary THA. Which company has this feature?
Answer
-
Zimmer Biomet
-
DePuy Synthes
-
Smith & Nephew
-
Stryker
-
All answers apply
Question 42
Question
Label the correct product name for each company
Answer
-
Modular Dual Mobility
-
Anato
-
Trident ii
-
Fitmore
-
G7
-
Pinnacle
-
Polar Cup
-
Continuum
-
ML taper
-
Actis
-
Bi-Mentum
-
R3
-
Trident II
-
Anthology
-
G7
-
Tri Lock
-
5mF
-
Continuum
-
5mF
-
Polar Cup
-
R3
-
Pinnacle
-
Actis
-
G7
-
Fitmore
-
Accolade ii
-
Bi-mentum
-
ML taper
-
Tri Lock
-
Anato
-
R3
-
Trident ii
-
Anthology
-
Tri-Lock
-
Modular Dual Mobility
-
G7
-
Pinnacle
-
Bi-mentum
-
Anato
-
Fitmore
-
Anthology
-
Continuum
-
ML Taper
-
5mF
-
Polar cup
-
Actis
-
Anato
-
Fitmore
Question 43
Question
Ceramic head bearings can have a skirt to add more length
Question 44
Question
A partial hip replacement replaces the "ball" of the hip joint. If the patient needed a total 10 years later what component will make it a Total hip replacement?
Answer
-
Acetabular Cup
-
Femoral Stem
-
Neck bearing
-
Liner
Question 45
Question
Which company has a highly cross-linked Vitamin E acetabular liner?
Answer
-
Stryker
-
DePuy Synthes
-
Zimmer Biomet
-
Smith & Nephew
Question 46
Question
What patient would benefit from a constrained liner component in a THA? A patient who has ...
Answer
-
Aseptic Loosening
-
Chronic Dislocation
-
Peri Prosthetic fracture
-
Coxa Valga
Question 47
Question
What can be used when a patient has a peri prosthetic fracture?
Answer
-
greater trochanteric plate
-
stabilizing greater trochanteric claw
-
Wire
-
A stem that stops before the fracture
Question 48
Question
How much longer does a stem have to be with peri prosthetic fractures?
Answer
-
3-5 cm past fracture
-
1-3 cm past fracture
-
2-3 cm past fracture
-
1-2 inches past fracture
Question 49
Question
When positioning the acetabular cup the angle should be [blank_start]45[blank_end]° abduction and 20-[blank_start]25[blank_end]° of anteversion.
Question 50
Question
Which THA surgical approach is most common?
Answer
-
Posterior
-
Direct Anterior
-
Lateral
-
Direct Superior
Question 51
Question
Different OD head bearings can fit into different ID liners of different companies. You cannot have different head bearings and different companies stem implants.