HIP STI 2 MCQ Flashcards

1
Q

Patient comes with pain in the butt and back of the thigh, has pins and needles
pain worsens after sitting for a long time or walking what is the condition

A

deep gluteal syndrome

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2
Q
FAIR - Flexion Adduction IR
is a test for 
A. proximal hamstring tendinopathy
B. greater trochanter pain syndrome 
C. Deep gluteal syndrome
D. Ischiofemoral Impingement
A

C. Deep gluteal syndrome

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3
Q
Active Piriformis Stretch test is a test for 
A. Ischiofemoral Impingement
B. Deep gluteal syndrome
C. Proximal hamstring tendinopathy
D. Greater trochanter pain syndrome
A

B. Deep gluteal syndrome

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4
Q
Seated Piriformis Stretch test-practical class is a test for 
A. Greater trochanter pain syndrome
B. Ischiofemoral Impingement
C. Proximal hamstring tendinopathy
D. Deep gluteal syndrome
A

D. Deep gluteal syndrome

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5
Q
Beatty test is a test for 
A. Deep gluteal syndrome
B. Proximal hamstring tendinopathy
C. Ischiofemoral Impingement
D. Greater trochanter pain syndrome
A

A. Deep gluteal syndrome

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6
Q
Freberg sign is test for 
A. Proximal hamstring tendinopathy
B. Deep gluteal syndrome
C. Greater trochanter pain syndrome
D. Ischiofemoral Impingement
A

B. Deep gluteal syndrome

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7
Q

FAIR test causes compression of what nerve

A

sciatic nerve

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8
Q

how is seated piriformis stretch test conducted

A

patient seated in 90 degree hip flexion
examiner extends knee, move hip in adduction w/ IR
Palpate 1cm lateral to ischium and proximally at sciatic notch

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9
Q

How is active piriformis test conducted

A

patient in supine , on side
patient pushes heel down, abducts w/ER against resistance
palpate at level of piriformis

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10
Q

Beatty test

A

lie on unaffected side, knee and hip flexed

Abduct thigh and examiner applies resistance

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11
Q

aetiology of deep gluteal syndrome

A

Piriformis Syndrome-hypertrophy/ increased tone/protective spasm. Trauma e.g. fall onto buttock
Quadratus Femoris and Ischiofemoral impingement (IFI)– narrowing of ischiofemoral space

Hamstring problems: avulsion fracture, muscle strain, contusions over origin

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12
Q
when struggling to diagnosis deep gluteal what diagnostic technique IS NOT used
A. CT
B. MRI
C. EMG
D. X-RAY
E. Ultrasound
A

D. X-RAY

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13
Q
Ischiofemoral impingement means reduction in what movements (can say more than one movement)
A. Extension
B. Flexion
C. Adduction
D. External rotation
E. Internal rotation
A

A. Extension
C. Adduction
D. External rotation

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14
Q
Patient suffering from butt pain in the posterior of the thigh especially during extension when walking in long strides.
Patient is suffering from 
A. Ischiofemoral Impingement
B. Proximal Hamstring tendinopathy
C. Deep gluteal syndrome
D. Greater trochanter pain syndrome
A

A. Ischiofemoral Impingement

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15
Q
proximal hamstring tendinopathy is compression of the tendon during what movements
A. Flexion and abduction
B. Flexion and adduction
C. Extension and adduction
D. Extension and abduction
E. Flexion and internal rotation
A

B. Flexion and adduction

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16
Q
patient experiencing butt pain 
it gets worse in the morning but eases temporarily with a bit of exercise
The patient may suffer from
 A. Greater trochanter pain syndrome
B. Proximal Hamstring tendinopathy
C. Deep gluteal syndrome
D. Ischiofemoral Impingement
A

B. Proximal Hamstring tendinopathy

17
Q
patient suffering from lower back pain and says it is worse in the morning and after running, lunging, deep squat and yoga including downward dog is suffering from 
A. Proximal hamstring tendinopathy
B. Deep gluteal syndrome
C. Greater trochanter pain syndrome
D. Ischiofemoral Impingement
A

A. Proximal hamstring tendinopathy

18
Q
puranen-Ovrava tests for 
A. Ischiofemoral Impingement
B. Deep gluteal syndrome
C. Proximal hamstring tendinopathy
D. Greater trochanter pain syndrome
A

C. Proximal hamstring tendinopathy

19
Q
bent knee test tests for 
A. Deep gluteal syndrome
B. Greater trochanter pain syndrome
C. Ischiofemoral Impingement
D. Proximal hamstring tendinopathy
A

D. Proximal hamstring tendinopathy

20
Q
Pain with stretch’ (tensile load) tests tests for 
A. Ischiofemoral Impingement
B. Proximal Hamstring tendinopathy
C. Deep gluteal syndrome
D. Greater trochanter pain syndrome
A

B. Proximal Hamstring tendinopathy

21
Q
greater trochanter pain syndrome of the thigh relates to the muscles
A.Gluteus medius
B. Tensor fascia lata
C. Bicep femoris
D. Semi tendinous
E.Gluteus minimus
A

A.Gluteus medius
B. Tensor fascia lata
E.Gluteus minimus

22
Q
Patient experiences pain in lateral aspect of thigh, when they sleeping on that side, walking and going on the stairs may be suffering from
A. Ischiofemoral Impingement
B. Deep gluteal syndrome
C. Proximal hamstring tendinopathy
D. Greater trochanter pain syndrome
A

D. Greater trochanter pain syndrome

23
Q
Type of ORIF given for subtrochanteric fracture - 2 answers
A. Nail and long femoral plate
B. Austin Moore 
C. Tension Band wiring
D. Dynamic compression screws
E. IM nailing and locking screws
A

A. Nail and long femoral plate

E. IM nailing and locking screws

24
Q
ORIF management for Grade 3 or 4 Garden fracture for femur neck
A. IM nailing and locking screws
B. Tension Band Wiring
C. Dynamic compression screws
D. Austin Moore pins
A

C. Dynamic compression screws

25
Q
mechanism of injury of avulsion of greater trochanter
A. Sharp twisting injury
B. Violent adduction
C. RTA - direct impact injury
D. Forceful eccentric contraction
A

B. Violent adduction

26
Q

management of posterior dislocation of hip
A. Austin Moore prosthesis and progressive weight bearing
B. Modified weight bearing and bed rest
C. IM nailing and locking screws
D. Reduce + traction and NWB/PWB

A

D. Reduce + traction and NWB/PWB

27
Q

Management of avulsion of greater trochanter
A. IM nailing and locking screws
B. Modified weight bearing and bed rest
C. Bed rest and progressive weight bearing
D. Reduce + traction and NWB/PWB

A

Bed rest and progressive weight bearing