Musculoskeletal

Question 1

Barlow’s test

Answer 1

hip is flexed and thigh is adducted, which causes displacement of femoral head from acetabulum with a palpable “clunk”

Silbert-Flagg, JoAnne; Sloand, Elizabeth D.. Pediatric Nurse Practitioner Certification Review Guide (p. 36). Jones & Bartlett Learning. Kindle Edition.

Question 2

Ortolani’s test

Answer 2

hip is flexed at 90-degree angle and abducted with examiner’s finger over the greater trochanter, which reduces dislocated hip; a “clunk” is heard and felt

Silbert-Flagg, JoAnne; Sloand, Elizabeth D.. Pediatric Nurse Practitioner Certification Review Guide (p. 36). Jones & Bartlett Learning. Kindle Edition.

Question 3

In toeing or turned in foot
Fermoral anteverison age?
Tibial torsion age?

Answer 3

Femoral anteversion—most common between 3 and 8 years; 99% resolve by 8 years of age

Tibial torsion—most common between 1 and 3 years of age; growth alone will correct 99% of cases

Silbert-Flagg, JoAnne; Sloand, Elizabeth D.. Pediatric Nurse Practitioner Certification Review Guide (p. 37). Jones & Bartlett Learning. Kindle Edition.