Auroarah Johnson
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Physical Therapy Quiz on Hip/Pelvis, created by Auroarah Johnson on 22/02/2018.

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Auroarah Johnson
Created by Auroarah Johnson about 6 years ago
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Hip/Pelvis

Question 1 of 35

1

Who is most at risk for a hip fracture?

Select one of the following:

  • Elderly men

  • Elderly women

  • Young children

  • Adolescents

Explanation

Question 2 of 35

1

How often should falls risks screenings and assessments be completed?

Select one of the following:

  • At least yearly, but optimally quarterly.

  • Every 6 months, or at least twice yearly.

  • Once every two years.

  • Every five years.

Explanation

Question 3 of 35

1

Why do patients not stay on fosamax for long periods of time?

Select one of the following:

  • It is not the best medication option.

  • They will form an allergy to the medication.

  • There will be a reverse effect.

  • It stops working.

Explanation

Question 4 of 35

1

What are the types of fractures?

Select one of the following:

  • Extracapsular, trochanteric, femoral neck, subcapital

  • Extracapsular, femoral neck, crush, subcapital

  • Femoral neck, subcapital, bony fracture, osteocytic

Explanation

Question 5 of 35

1

An appropriate exercise for the maximum protective phase of an ORIF is an active straight leg raise.

Select one of the following:

  • True

  • False

Explanation

Question 6 of 35

1

Pick the following goals of the maximum protective phase of an ORIF.

Select one or more of the following:

  • 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

Explanation

Question 7 of 35

1

How long are patient's who have undergone a hip ORIF under weight bearing precautions?

Select one of the following:

  • 4-6 weeks

  • 8 weeks

  • 2 weeks

  • 3-4 weeks

Explanation

Question 8 of 35

1

ORIF patients have a quicker recovery period than a total hip replacement.

Select one of the following:

  • True
  • False

Explanation

Question 9 of 35

1

What are the goals of the moderate protective phase of an ORIF?

Select one or more of the following:

  • CKC activities are initiated once patient is FWB

  • Standing abduction, flexion, extension

  • Decreased use of assistive devices

  • PROM

  • Reduction of swelling

Explanation

Question 10 of 35

1

The minimum protective phase occurs from weeks 6-8.

Select one of the following:

  • True
  • False

Explanation

Question 11 of 35

1

Why is a hemiarthroplasty of the hip done?

Select one of the following:

  • Arthritic degeneration of the acetabulum.

  • Avascular necrosis or femoral head fractures.

  • Arthritic degeneration of the the femoral head.

  • Legg-Calve Perthes disease.

Explanation

Question 12 of 35

1

What is a total hip replacement?

Select one of the following:

  • 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.

Explanation

Question 13 of 35

1

There are no weight bearing restrictions for non-cemented hip replacements.

Select one of the following:

  • True
  • False

Explanation

Question 14 of 35

1

Which of the following is a reason someone would have a non-elective hip replacement?

Select one of the following:

  • Pain

  • Declined ambulatory capacity

  • Decreased range of motion

  • Osteonecrosis

Explanation

Question 15 of 35

1

How long can antalgic gait last with a total hip replacement?

Select one of the following:

  • 1-2 years

  • 6 weeks

  • 6 months

  • 8-12 months

Explanation

Question 16 of 35

1

Complications associated with a THR include antalgic gait for 1-2 years, thromboembolic disease, dislocation.

Select one of the following:

  • True
  • False

Explanation

Question 17 of 35

1

What are the precautions for the posterior or lateral approach for a THR?

Select one of the following:

  • Avoid Hip Adduction

  • Avoid Internal Rotation

  • Avoid Hip Flexion greater than 90 degrees.

  • All of the above.

Explanation

Question 18 of 35

1

What are the precautions for an Anterior approach?

Select one of the following:

  • 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.

Explanation

Question 19 of 35

1

What exercises are appropriate for the max protective phase of a total hip replacement?

Select one or more of the following:

  • 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.

Explanation

Question 20 of 35

1

When does the moderate protective phase begin?

Select one of the following:

  • Good quad control

  • Active knee flexion

  • Decreased pain

  • Independent with bed mobility and transfers

  • All of the above

Explanation

Question 21 of 35

1

What is the main difference in the max protective phase of a THR and ORIF?

Select one of the following:

  • Total hip replacements are WBAT and ORIFs are TDWB

  • THRs are TDWB and ORIFs are WBAT.

  • There are no differences.

Explanation

Question 22 of 35

1

What does the moderate protective phase focus on?

Select one of the following:

  • Open chain strengthening

  • CKC standing hip activities

  • Theraband Activities

  • All of the above.

Explanation

Question 23 of 35

1

What occurs in the minimum protective phase?

Select one of the following:

  • Precautions may be discharged.

  • Normalize gait with/without AD

  • Balance, proprioceptive, and stabilization activities

  • Increased CKC activities

  • All of the above.

Explanation

Question 24 of 35

1

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.

Select one of the following:

  • True
  • False

Explanation

Question 25 of 35

1

Who is more at risk for Legg-Calve-Perthes Disease?

Select one of the following:

  • Children between 2-12 years of age.

  • Children and adolescents between 0-18

  • Geriatric population, 65+

  • Geriatric women, 65+

Explanation

Question 26 of 35

1

What does the treatment for Legge-Calve-Perthes disease consist of?

Select one of the following:

  • Approximation of the femoral head in the acetabulum.

  • Abduction braces and pillows.

  • Abduction, hip extension, and internal rotation strengthening activities.

  • All of the above.

Explanation

Question 27 of 35

1

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

Select one of the following:

  • True
  • False

Explanation

Question 28 of 35

1

What special test would be positive with trochanteric bursitis?

Select one of the following:

  • RFIL

  • FABER's

  • OBER's

  • REIL

Explanation

Question 29 of 35

1

Ischial bursitis is caused by direct contusion and extended standing activities.

Select one of the following:

  • True
  • False

Explanation

Question 30 of 35

1

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

Select one of the following:

  • True
  • False

Explanation

Question 31 of 35

1

A hamstring train is caused by sudden contraction of the hamstrings or deceleration of the lower leg against concentric contraction of the quads.

Select one of the following:

  • True
  • False

Explanation

Question 32 of 35

1

An iliopsoas strain occurs from sudden hip flexion or forced hip extension against resistance.

Select one of the following:

  • True
  • False

Explanation

Question 33 of 35

1

A hip pointer is a contusion of the ischial tuberosity.

Select one of the following:

  • True
  • False

Explanation

Question 34 of 35

1

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

Select one of the following:

  • True
  • False

Explanation

Question 35 of 35

1

An unstable fracture of the pelvis/acetabulum is rotationally unstable or rotationally and vertically unstable.

Select one of the following:

  • True
  • False

Explanation

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