hip and scolio quiz Flashcards
Which of the following is seen in scoliosis?
Lateral curvature in the frontal plane
Vertebral rotation at transverse plane
Kyphosis at sagittal plane
All of these
All of these
The following can be expected upon clinical evaluation of a patient with acute idiopathic scoliosis
Prominent scapula on one side
Short-leg gait on severe LLD
Presence of a hairy patch the lower spine
Reduced chest expansion on severe scoliosis
Prominent scapula on one side
The most common pattern of scoliosis
Dextrothoracic scoliosis
A congenital anomalies of the spine such as wedge vertebra, hemivertebra, or failure of vertebral segmentation will result to
Structural scoliosis
The following is/are seen in a severe structural scoliosis
Vertebral Rotation on the concave side
Rib compression on the convex side
Spinous process is deviated on convex side
Widening of thoracic cage on concave side
Widening of thoracic cage on concave side
Disappearance of any rib asymmetry posteriorly or deformity upon forward bending indicates
Functional Scoliosis
T or F: .A sociometer of less than 5 degrees likely does not require follow-up
True
Which of the following is used to detect vertebral rotation on radiograph?
Nash-Moe grading
Which of the following is associated with higher incidence of curve progression based on Risser staging?
20 degree dextrothoracic scoliois with Risser stage 1
15 degree levolumbar scoliosis with Risser stage 2
27 degree dextrothoracolumbar scoliois with Risser stage 3
20 degree levothoracic scoliois with Risser stage 4
20 degree dextrothoracic scoliois with Risser stage 1
A cobb’s measurement of 35 degrees with apex at T7 is considered as
Moderate Severity
The following is/are true of curve progression prognosticating factors of AIS
Younger age at diagnosis
Progression is more common in girls
Progression is least common after menarche
Double Curve is less likely to progress
Double Curve is less likely to progress
Which of the following treatment & referral approach is indicated for an AIS patient with 25 degree curve and a Risser grade 1?
Observation with radiography every 6 months
No referral
Strict bracing
Consider Surgery
Strict bracing
Which of the following can be managed with observation approach?
AIS with Cobb’s of >20 degrees
Skeletally mature patient with 45 degrees Cobb
Both
NeitheR
NeitheR
The gold standard for bracing management in AIS?
Milwaukee
Which of the following is nocturnal brace?
Boston
Wilmington
Charleston Bending
Milwaukee
Charleston Bending
Which of the following is/are component of a Scoliosis-specific approach?
Postural re-education
Stabilization exercises
All of these
ADL Training
aOT
Gold standard surgical approach for very severe scoliosis:
Posterior Spinal Fusion
Which of the following exercise approach uses mainly crawling on all fours to correct body posture by reducing pressure on the spine and optimizing use of back extensors?
Klapp’s Exercise
A condition referring to lateral curvature of the cervical spine due to congenital fibrosis of SCM muscle
TORTICOLLIS
T OR F:
A 10 degree lateral curvature of the spine is considered as normal/physiologic scoliosis.
FALSE
.A patient came to your clinic and you noticed in-toeing. You wanted to assess the patient’s anteversion of the hip, so you performed the Craig’s Test. What landmark will you palpate?
Greater trochanter
You are performing the Hip Scour test. What is the initial position of the patient?
supine
.The following are pediatric tests for hip pathology, except
Barlow’s Test
Galleazi Sign
Weber-Barstow
Ortolani’s Sign
Weber-Barstow
.A patient came to your clinic with a diagnosis of Iliotibial Band Friction Syndrome. What special test would you perform to confirm this diagnosis?
Noble Compression Test
You are doing passive range of motion towards hip internal rotation. What should be the patient’s end feel?
Firm
You are testing the muscle strength of a patient’s hip flexors. Upon MMT, where
should you place the resistance?
Distal thigh
You are assessing the L2 myotome. What movement should the patient perform?
Hip Flexion
This is the ligamentous closed packed position of the coxofemoral joint
Extension, medial rotation, abduction
these muscles externally rotate the hip, except
Obturator internus
Piriformis
Tensor fascia latae
Gemellus superior
Tensor fascia latae
When measuring hip abduction ROM, the proximal arm should be placed at
the:
Imaginary line connecting both ASIS
