Deck 16: Screening the Lower Quadrant: Buttock, Hip, Groin, Thigh, and Leg

Question 1

What muscles are involved in a sports or athletic hernia?

A) Hip abductor musculature
B) Gluteal musculature
C) Rectus femoris
D) Hip adductor musculature

Answer 1

D
A sports or athletic hernia is a tear in the muscles of the inner thigh, the lower abdomen, and/or the fascia.

Question 2

Back and thigh pain, a positive reversed straight leg raise test, and depressed knee reflex are all signs and symptoms of lumbar disk herniation. Which of the following levels is most likely involved when all three of these components are positive during an examination?

A) L2-L2
B) L3-L4
C) L4-L5
D) L5-S1

Answer 2

B
Back pain, a positive reversed straight leg raise test, and depressed knee reflex are described more often in clients with disk herniation at the L3-L4 level than in clients with L4-L5 and L5-S1 level dysfunction.

Question 3

What is the most common sign of cancer metastasis to the foot?

A) First metatarsal
B) Navicular
C) Talus
D) Calcaneus

Answer 3

D
The calcaneus is the most common site of metastasis to the foot.

Question 4

What is the most common site for avascular osteonecrosis?

A) Humeral head
B) Femoral head
C) Tibial plateau
D) Talus

Question 5

What gait patterns are common with intraarticular hip pain?

A) Lean away from the affected hip and shorten the swing phase of the affected hip
B) Lean toward the affected hip and shorten the swing phase of the affected hip
C) Lean away from the affected hip and lengthen the swing phase of the affected hip
D) Lean toward the affected hip and lengthen the swing phase of the affected hip

Question 6

Hip pain referred from the upper lumbar vertebrae will usually be felt where?

A) Lateral thigh
B) Buttocks
C) Anterior aspect of the thigh
D) Groin

Question 7

Meralgia paresthetica involves compression of what nerve?

A) Femoral nerve
B) Popliteal nerve
C) Common peroneal nerve
D) Lateral femoral cutaneous nerve

Question 8

What muscle is commonly involved if there is an infection in the groin?

A) Rectus abdominis
B) Internal/external obliques
C) Rectus femoris
D) Psoas

Question 9

Why will patients with lumbar stenosis complain of more pain in standing and walking?

A) Weight bearing through the lumbar spine increases pain.
B) The lumbar spine assumes a more lordotic position in standing and walking.
C) Standing causes posterior disk protrusions.
D) The ligamentum flavum stretches, increasing complaints of pain.

Question 10

Articular hip pain is usually not felt where?

A) Posteriorly deep within the buttock
B) Anteriorly in the groin
C) Radiating down the anterior thigh
D) Lateral aspect of the hip

Question 11

Of the choices provided where does ureteral pain usually occur?

A) Lateral hip
B) Buttocks
C) Costovertebral angle
D) Thoracic spine

Question 12

The physical therapist begins an examination of a patient with complaints of hip pain. During the examination the therapist finds a noncapsular pattern of restricted hip range of motion. What information does this convey to the physical therapist?

A) The patient most likely has an internal hip derangement.
B) The patient could have osteoarthritis.
C) The patient should be screened for underlying medical conditions.
D) The patient should ambulate non-weight bearing until pain subsides.

Question 13

What symptom of sciatica would lead the therapist to believe that disk herniation is the cause of the pain?

A) Pain down the leg to the ankle
B) Pain down the leg to the knee
C) Hip pain
D) Pain that is relieved by walking

Question 14

A combination of which of the following motions is considered a positive impingement sign of the hip?

A) Pain reproduced with hip extension, adduction, internal rotation
B) Pain reproduced with hip flexion, abduction, external rotation
C) Pain reproduced with hip flexion, adduction, internal rotation
D) Pain reproduced with hip extension, abduction, external rotation

Question 15

The absence of a cremasteric reflex is an indication of dysfunction at what spinal level?

A) T12-L1
B) L1-L2
C) L2-L3
D) L3-L4

Question 16

What disease arises in the lymph glands and is most commonly found on the single side of a neck or groin?

A) Systemic lupus erythematosus
B) Scleroderma
C) Paget's disease
D) Hodgkin's disease