Updated MSK final Exam Questions And Answers

Dan Brown was referred to physical therapy with a possible diagnosis of a torn labrum of the right hip. You perform some tests to determine if his hip pain may have an intra-articular origin. Which of the following tests is NOT used to determine the presence of an intra-articular hip disorder: - ANS FADIR Which of the following are extra-articular causes of hip pain? - ANS hip piriformis syndrome and sciatica Dan underwent surgery for his right hip. The surgeon found that he did have a tear of the labrum, but he also had femoral acetabular impingement, or specifically cam impingement. Cam femoral acetabular impingement involves: - ANS an enlarged femoral neck that impinges against the acetabulum Cora Aiken has considerable osteoarthritis of the right hip. In your examination, you test her right hip ROM and find that she has a capsular pattern. There are different descriptions of the hip capsular pattern, but what two movements are most often limited - ANS hip flexion and internal rotation You watch Ms Aiken walk and note that when she puts weight on her right hip, her trunk leans excessively to the right side. This gait deviation known as the "compensated Trendelenburg" indicates which of the following: - ANS weakness of the right hip abductors You further note that when Ms Aiken walks, she takes a shorter stride with the left leg as her left leg is moving forward and her right leg is in extension, her lumbar lordosis increases These observations may indicate that Ms Aiken has - ANS tight right hip flexors Because of persistent and severe right hip pain and problems with activities of daily living, Ms Aiken underwent a right total hip arthroplasty with a posterolateral approach (THA). You see Ms Aiken while she is still under her hip precautions. You review total hip precautions for a total hip arthroplasty with a posterolateral approach. Which of the following is an allowable activity? - ANS Hip abduction ROM past neutral Which of the following exercises would be avoided for Ms Aiken to perform one-week post-op: - ANS single knee chest stretches Bobby Smith is an 8 year old boy who fell from his bike and injured his right knee. He is referred to physical therapy for treatment of a right knee sprain. Bobby complains of pain along the right distal thigh but also in the right groin area. He walks with a slight limp and leans to the right with weight bearing on the right. You begin the examination by checking hip ROM. You find that his hip flexion is 0-90 degrees and his hip internal rotation is 0-20 degrees. What condition could be causing this presentation: - ANS Legg-Calve-Perthes disease Gabrielle Klein is a 19 year old long distance runner who has been complaining of lateral left hip pain during her runs. She complains of a clicking sound and pain over the outside of her hip (lateral greater trochanter area) when she flexes and extends her hip. The clicking is louder when her foot is turned inward. This clicking may be an indication of: - ANS iliotibial band riding over the greater trochanter You decide to test the length of Ms Klein's hip flexors. You perform the Thomas test. After initially positioning Ms Klein in the Thomas test position with her right knee flexed to her chest and her left knee extended, you find the following: BUT then when you extend her knee, you see: These findings are consistent with tightness in which muscles? - ANS left rectus femoris You decide to use the Thomas test again but this time to evaluate Ms. Klein's hip abductor/iliotibial band flexibility. Ms Klein again lies supine and flexes her right knee to her chest. If her iliotibial band were tight, what would you find with the Thomas test: - ANS the left hip would abduct Tightness of the iliotibial band may lead to the most common bursitis found in the vicinity of the hip. This bursitis is: - ANS trochanteric Bob Foster was referred to physical therapy because of anterior hip pain. One cause of anterior hip pain is bursitis in a bursa in the anterior hip, located between the lesser trochanter and the iliopsoas tendon. This bursa is known as the: - ANS iliopectineal bursa Another cause of anterior hip pain is a hip flexor strain. If Mr. Foster had a hip flexor strain, which 2 movements would be painful? - ANS resisted hip flexion and passive hip extension Your patient is referred to you with a diagnosis of hip pain. She complains of a burning pain and numbness over the anterolateral thigh. She has no complaints of weakness. You palpate along the inguinal ligament. Just medial to the ASIS along the inguinal ligament, when you apply pressure, you are able to reproduce her symptoms. Based on the location of her symptoms and this provocation point, what do you think may be her diagnosis? - ANS meralgia paraesthetica Brenda Smith is referred to physical therapy for knee pain. You are concerned that her hip may be affecting her knee and decide to perform Craig's test. Miss Smith lies prone with her knee flexed. You position the greater trochanter in its most lateral position and find the following: You then measure the angle formed between the tibia and the vertical. You find that Miss Smith's tibia is rotated 35 degrees from the vertical. What does this finding indicate with regard to the alignment of Miss Smith's hip? - ANS she has excessive anteversion of her hip