WorksheetsFemur, Pelvis
Total questions: 38
Worksheet time: 19mins
What is the primary reason the femur must be rotated internally for an AP hip radiograph?
To reduce patient discomfort
To place the femoral neck parallel to the IR due to the 15-20 degree anterior angle
To visualize the lesser trochanter
To prevent overlapping of bony structures
The greater trochanter is described as:
A small prominence located medially and posteriorly
A large prominence located superiorly and laterally to the femoral shaft
Located at the center of the femoral head
The connection point between the neck and shaft
In hip localization method #2, from the ASIS you should go:
Lateral 1-2", then superior 3-4"
Medial 1-2", then inferior 3-4"
Medial 3-4", then inferior 1-2"
Lateral 3-4", then superior 1-2"
In the anatomical position, which of the following is NOT visible?
True AP of the knee
True AP of the leg
True AP of the hip
True AP of the ankle
The pelvic girdle consists of:
Two hip bones only
Two hip bones and the sacrum
Four bones: two hip bones, sacrum, and coccyx
The sacrum and coccyx only
The three divisions of the hip bone fuse together during:
Childhood
The teenage years
Early adulthood
Middle age
Which structure forms the anterior border of the false pelvis?
The ala or wings
The abdominal muscles
The sacrum
The ischium
The SI joints are characterized as:
Cartilaginous joints
Fibrous joints
Amphiarthrodial joints
The symphysis pubis is held together by:
Synovial fluid only
A fibrocartilaginous disk and ligaments
Bone fusion
Muscle attachments
Which characteristic is typical of a female pelvis?
Narrower and deeper shape
Less flared ilia
Oval or heart-shaped inlet
Wider and more shallow with more flared ilia
The male pubic arch angle is typically:
Greater than 90 degrees
Less than 90 degrees
Exactly 90 degrees
Variable and unpredictable
The outlet of the true pelvis is triangular and made up of:
The two ASIS and the symphysis pubis
The two ischial tuberosities and the tip of the coccyx
The sacrum and the two ilia
The acetabulum and the obturator foramen
What imaging modality is now used instead of cephalopelvimetry for evaluating birth canal dimensions?
CT scan
MRI
Ultrasound
Nuclear medicine
Avulsion fractures of the pelvis are:
Common in elderly patients
Almost exclusive to adolescent athletes
Always require surgical repair
Painless injuries
Chondrosarcomas are characterized by:
Bone destruction without calcifications
Bone destruction with calcifications in the cartilaginous tumor
Only soft tissue involvement
Rapid, painless growth
The older term for Developmental Dysplasia of the Hip (DDH) was:
Congenital hip fracture
Congenital dislocation of the hip (CDH)
Infant hip syndrome
Pediatric hip dysplasia
The first indicator of Legg-Calve-Perthes Disease is typically:
Severe pain
Visible deformity
A limp
Fever
The radiographic appearance of Legg-Calve-Perthes Disease shows:
Enlarged femoral head
Flattened or fragmented femoral head
Displaced femoral neck
Thickened joint space
Metastatic carcinoma most commonly affects bones containing:
Yellow bone marrow
Red bone marrow
Cortical bone only
Trabecular bone only
The bones most commonly affected by metastatic carcinoma include:
Hands and feet
Skull, spine, ribs, femurs, and pelvis
Radius and ulna
Tibia and fibula
The radiographic appearance of metastatic carcinoma typically shows:
Single large lesion
Numerous small lytic lesions
Bone sclerosis only
Joint space narrowing
Osteoarthritis is also known as:
Inflammatory joint disease
Degenerative joint disease (DJD)
Infectious arthritis
Autoimmune arthritis
The radiographic appearance of osteoarthritis includes:
Widened joint spaces
Narrowed, irregular joint spaces with sclerotic surfaces and spurs
Bone destruction
Soft tissue swelling only
Pelvic ring fractures may require which special projection when the AP is inconclusive?
Lateral projection
Oblique projection
Inlet projection
Outlet projection
Proximal femur fractures are most commonly found in:
Young athletes
Middle-aged adults
Older adults
Adolescents
Slipped Capital Femoral Epiphysis (SCFE) diagnosis is made using:
AP pelvis only
Lateral hip only
AP pelvis and bilateral frog-leg
CT scan
When performing frog-leg views for SCFE, what precaution should be taken?
Use higher kVp
Perform with caution as abduction may increase slippage
Always use a grid
Ensure patient is sedated
The epiphyseal plate in SCFE appears:
Narrower than normal
Wider than normal
Completely closed
Fragmented
Which imaging modality is used to assess hip joint stability during movement in newborns?
CT
MRI
Sonography
Nuclear medicine
Nuclear medicine is particularly useful for:
Detecting fractures
Measuring bone density
Detecting early signs of bone infection
Evaluating joint spaces
CT and MRI generally:
Replace conventional radiography
Are used as primary imaging
Add information to what was already obtained by x-ray
Which of the following is NOT commonly used as a positioning landmark in practice?
Iliac crest
ASIS
Symphysis pubis
Greater trochanter
The ischial tuberosity is:
Always used for positioning
Technically a bony landmark but not commonly used in practice
Located on the ilium
The same as the ischial spine
The iliac crest extends from:
ASIS to AIIS
ASIS to PSIS
PSIS to PIIS
AIIS to PIIS
The greater sciatic notch is located on the:
Ischium
Pubis
Ilium
Sacrum
The lesser sciatic notch is located:
Superior to the ischial spine
Inferior and anterior to the ischial spine
On the ilium
On the pubis
The symphysis pubis is classified as a:
Synovial joint
Fibrous joint
Cartilaginous joint
Compound joint
The symphysis pubis has limited movement during:
Normal walking
Pelvic trauma and labor/delivery
Deep breathing
Arm movements
