Deck 12: Pelvis and Thigh Pathologies

Question 1

Which external hip rotator is often involved in the compression of the sciatic nerve?

A) Gluteus minimus
B) Piriformis
C) Gemullus inferior
D) Obturator externus

Answer 1

B

Question 2

During what type of muscle contractions do muscle strains most frequently occur,secondary to a dynamic overload?

A) Concentric
B) Eccentric
C) Isometric
D) Isokinetic

Answer 2

B

Question 3

From where do the femoral head and neck receive blood supply?

A) Femoral arteries
B) Femoral circumflex arteries
C) Obturator arteries
D) Internal iliac arteries

Answer 3

B

Question 4

What is the Y-shaped ligament of the hip that originates from the anterior inferior iliac spine (AIIS)?

A) Ischiofemoral
B) Pubofemoral
C) Ligamentum teres
D) Iliofemoral

Question 5

Legg-Calvé-Perthes disease tends to develop in patients in which of the following age ranges?

A) 1 to 3 years
B) 2 to 14 years
C) 13 to 20 years
D) 17 to 24 years

Question 6

Which statement is true of the femoral triangle?

A) The lymph nodes are located within the triangle.
B) The sartorius is the medial border.
C) The femoral artery, vein, and nerve are not within the triangle.
D) The inguinal ligament is the inferior border.

Question 7

A decrease in the angle of inclination may lead to observation of what pathology in the knee?

A) Patella alta
B) Patella baja
C) Squinting patella
D) Genu varum

Question 8

Which of the following describes the hips having an angle of torsion greater than 20°?

A) Retroverted
B) Coxa valgus
C) Coxa varus
D) Anteverted

Question 9

Which structure is responsible for stabilizing the pelvic girdle?

A) Ischium
B) Pubis
C) Ilium
D) Sacrum

Question 10

Which of the following statements is false regarding the hip articulation?

A) It is the most stable of all body joints.
B) Range of motion is sacrificed due to joint structure.
C) The femoral head articulates with the iliac portion of the pelvis.
D) It affords three degrees of freedom of movement.

Question 11

The relationship between the femoral head and the femoral shaft in the transverse plane is known as which of the following?

A) Angle of convergence
B) Angle of torsion
C) Angle of Treitz
D) Angle of inclination

Question 12

Which bursa in the hip is the largest bursa in the human body?

A) Ischial bursa
B) Gluteofemoral bursa
C) Iliopsoas bursa
D) Trochanteric bursa

Question 13

The pelvis is formed by pairs of three fused bones and joined anteriorly by which of the following?

A) Ischial tuberosity
B) Pubic symphysis
C) Sacroiliac (SI) joint
D) Anterior superior iliac spine (ASIS)

Question 14

Which of these statements is false regarding the ligaments of the hip?

A) The main function of the ligamentum teres is to serve as a conduit for the medial and lateral circumflex arteries.
B) The iliofemoral ligamentous fiber arrangement allows one to stand with a minimal amount of muscle activity.
C) Abduction and hyperextension are limited by the pubofemoral ligament.
D) The spiraling nature of the ischiofemoral ligament restricts flexion of the hip.

Question 15

What neuropathy is indicated by meralgia paresthetica?

A) Obturator
B) Sciatic
C) Femoral
D) Lateral femoral cutaneous

Question 16

What is the ligament that originates off of the ASIS and inserts at the pubic symphysis?

A) Ligamentum teres
B) Inguinal ligament
C) Iliofemoral ligament
D) Pubofemoral ligament

Question 17

What is the bursa that separates the gluteus maximus from the origin of the vastus lateralis?

A) Ischial bursa
B) Gluteofemoral bursa
C) Iliopsoas bursa
D) Trochanteric bursa

Question 18

Which muscle is the primary hip flexor with the knee extended?

A) Iliopsoas
B) Sartorius
C) Rectus femoris
D) Biceps femoris

Question 19

Weight-bearing activity is restricted following a quadriceps contusion until control of the quadriceps muscle is regained and the patient has how many degrees of pain-free range of motion (ROM)?

A) 30°
B) 60°
C) 90°
D) 120°

Question 20

Which of the following statements is true?

A) Coxa valga is seen when there is a decrease in the angle of inclination.
B) The normal angle of inclination is 125°.
C) Women have a slightly increased angle of inclination.
D) The innominate bone is made up of the sacrum, ischium, and ilium.

Question 21

What combination of movements is used during the anterior impingement test?

A) Flexion, internal rotation, and adduction of the hip
B) Extension, internal rotation, and adduction of the hip
C) Flexion, external rotation, and adduction of the hip
D) Extension, external rotation, and adduction of the hip

Question 22

To conduct a thorough evaluation of the pelvis and thigh,which of the following may need to be included?

A) Posture and the spine
B) The lower extremity and posture
C) The spine and the lower extremity
D) Posture, the lower extremity, and the spine

Question 23

Pain associated with an iliopsoas strain typically results in decreased active and passive hip flexion.

Question 24

The anterior fibers of the iliofemoral ligament function to limit hyperextension of the hip.

Question 25

When measuring hip abduction and adduction,the distal arm is placed parallel to the midline of the body.

Question 26

Which of the following describes the position of the lower leg following a posterior hip dislocation?

A) Abduction and external rotation
B) Hip flexion and external rotation
C) Adduction and internal rotation
D) Hip extension and internal rotation

Question 27

Which of the following may increase symptoms of piriformis syndrome?

A) Straight-leg-raise test
B) Passive external rotation
C) Resisted internal rotation
D) Resisted hip adduction

Question 28

What is the primary complaint of a person in the early stages of degeneration of the hip?

A) Pain only during non-weight-bearing activities
B) Pain only during weight-bearing activities
C) Decreased ROM
D) Decreased strength

Question 29

Which of the following are symptoms of a femur fracture?

A) Deformity without loss of function
B) Pain and deformity
C) Immediate loss of function without pain
D) Deformity, pain, and loss in function

Question 30

Which represents the modified Ober test?

A) The knee of the involved leg is placed in an extended position.
B) The knee of the involved leg is placed in 45° of knee flexion.
C) The knee of the involved leg is placed in 90° of knee flexion.
D) The knee of the involved leg is placed in full knee flexion.

Question 31

Which of the following can be used to test the tightness of the rectus femoris?

A) Thomas test
B) Ober test
C) Thompson test
D) Both the Thomas test and Ober test

Question 32

In what position is the hip when in Bonnet's position?

A) Extension, adduction, and internal rotation
B) Extension, abduction, and internal rotation
C) Flexion, abduction, and external rotation
D) Flexion, adduction, and external rotation

Question 33

When measuring the angle of torsion,which represents retroversion?

A) An angle less than 15°
B) An angle greater than 20°
C) An angle less than 20°
D) An angle greater than 15°

Question 34

Which of the following is not an internal rotator of the hip?

A) Gluteus medius
B) Gluteus maximus
C) Adductor brevis
D) Gluteus minimus

Question 35

What position should be used when wanting to manual muscle test the gluteus maximus but not the hamstrings?

A) Knee and hip extension
B) Hip extension and 30° of dorsiflexion
C) Hip extension and 90° of knee flexion
D) Hip extension and 45° of ankle plantar flexion

Question 36

Which of the following represents a mechanism for acute labral tear?

A) Hip dislocation
B) Repeated subtle subluxations
C) Impingement of the anterior capsule
D) Repeated hyperabduction

Question 37

What would a positive hip scouring test indicate?

A) Osteochondral defect of the femur
B) Tight rectus femoris
C) Femoral acetabular impingement
D) Tightness of the iliotibial band

Question 38

The angle of torsion changes as an individual grows.

Question 39

Which pain characteristic is associated with an unstable slipped capital femoral epiphysis?

A) Pain that prevents walking
B) Pain in the adductor group that increases with walking
C) Pain referred to the buttocks
D) Pain in the hip that increases with walking

Question 40

Which of the following statements is false?

A) Legg-Calvé-Perthes disease commonly occurs in children ages 2 to 14.
B) Slipped capital femoral epiphysis can lead to excess internal rotation or painful external rotation.
C) Coxa valga may be seen with genu varum.
D) Anteversion is an increased angle of torsion and can lead to squinting patella or a toe-in gait.