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Congenital Hip Dislocation (Luxația Congenitală de Șold)

Total questions: 81

Worksheet time: 41mins

Name
Class
Date
1.

What is the definition of congenital hip dislocation (luxația congenitală de șold)? Fill in the blank: Congenital hip dislocation is the loss of the right of residence of the femoral head, gradually, due to _______ of the acetabulum and femoral head.

a)

dysplasia

b)

fracture

c)

infection

d)

inflammation

2.

Which of the following is a consequence of dysplasia and can occur earlier or later after birth due to a dysplastic acetabulum?

a)

Fracture

b)

Congenital hip dislocation

c)

Arthritis

d)

Sprain

3.

Fill in the blank: One of the causes of congenital hip dislocation is the maintenance of the _______ in adduction.

a)

thighs

b)

arms

c)

feet

d)

hands

4.

Placing the body's weight on the _______ can lead to congenital hip dislocation.

a)

femoral head

b)

acetabulum

c)

ischial tuberosity

d)

pubic symphysis

5.

From birth to 7-8 months, what is a characteristic of congenital hip dislocation?

a)

The femoral neck is anteverted and the femoral heads are not contained in the acetabular cavities, being placed in front of them.

b)

The femoral neck is retroverted and the femoral heads are deeply contained in the acetabular cavities.

c)

The femoral neck is fractured.

d)

The femoral heads are fused.

6.

Refer to the diagram of the hip anatomy. Which of the following is labeled as the muscle lever arm in the normal hip?

a)

Abductor muscles

b)

Socket

c)

Muscle lever arm

d)

Upper margin of socket

7.

Based on the diagram, which type of hip shows the upper margin of the socket above the rest of the socket?

a)

Normal Hip

b)

Dysplastic Hip

c)

Dislocated Hip

d)

All of the above

8.

Fill in the blank: In the normal hip diagram, the ________ are shown above the socket and muscle lever arm.

a)

abductor muscles

b)

adductor muscles

c)

ligaments

d)

tendons

9.

Which hip condition is depicted when the socket is not aligned with the femoral head, as shown in the diagram?

a)

Normal Hip

b)

Dysplastic Hip

c)

Dislocated Hip

d)

None of the above

10.

Observe the X-ray image provided. Which side of the hip joint is labeled as 'normal'?

a)

Left side

b)

Right side

11.

In the X-ray image, what does the annotation 'out' on the right side of the hip joint likely indicate?

a)

It likely indicates that the hip joint is dislocated or not in its normal position.

b)

It likely indicates that the hip joint is fractured.

c)

It likely indicates that the hip joint is inflamed.

d)

It likely indicates that the hip joint is perfectly normal.

12.

Based on the X-ray image, which side of the hip joint appears abnormal?

a)

Left side

b)

Right side

13.

Fill in the blank: Congenital hip dislocation has a clear ______ character.

a)

familial

b)

infectious

c)

traumatic

d)

metabolic

14.

Fill in the blank: The hereditary transmission of congenital hip dislocation does not exceed ______%.

a)

10

b)

25

c)

50

d)

70

15.

Fill in the blank: Congenital hip dislocation appears ______.

a)

sporadically

b)

frequently

c)

rarely

d)

universally

16.

Fill in the blank: Congenital hip dislocation predominates in the ______ sex (7/1).

a)

female

b)

male

c)

neutral

d)

intersex

17.

Which of the following is NOT a theory for the cause of congenital hip dislocation?

a)

Traumatic

b)

Inflammatory

c)

Muscular

d)

Genetic

e)

Anthropological

18.

Fill in the blank: One theory for the cause of congenital hip dislocation is the ______ theory, which suggests injury as a cause.

a)

traumatic

b)

genetic

c)

hormonal

d)

mechanical

19.

Fill in the blank: The ______ theory suggests that inflammation may cause congenital hip dislocation.

a)

inflammatory

b)

genetic

c)

mechanical

d)

vascular

20.

Fill in the blank: The ______ theory suggests that muscle issues may cause congenital hip dislocation.

a)

muscular

b)

genetic

c)

vascular

d)

neural

21.

Fill in the blank: The theory of ______ in the development of the hip joint is one explanation for congenital hip dislocation.

a)

arrest in development

b)

overgrowth

c)

calcification

d)

ossification

22.

What is the condition of the acetabulum in congenital hip dislocation? Fill in the blank: The acetabulum is ________, does not have depth, its opening plane appears normal, but its antero-superior and postero-superior edges are rounded and ________.

a)

aplastic, aplastic

b)

deep, sclerotic

c)

normal, hypertrophic

d)

shallow, thickened

23.

What is the orientation of the femoral neck in congenital hip dislocation? Fill in the blank: The femoral neck is ________ and faces forward at an angle of ________ degrees.

a)

anteverted, 60

b)

retroverted, 30

c)

neutral, 45

d)

anteverted, 30

24.

Which clinical sign is described as 'ORTOLANI sign' and is present up to 3 months in congenital hip dislocation?

a)

ORTOLANI sign (semnul resortului)

b)

Barlow sign

c)

Trendelenburg sign

d)

Galeazzi sign

25.

What clinical sign in congenital hip dislocation refers to the limitation of abduction of the thighs?

a)

Limitation of abduction of the thighs (semnul limitării abducției coapselor)

b)

Ortolani sign (semnul Ortolani)

c)

Galeazzi sign (semnul Galeazzi)

d)

Trendelenburg sign (semnul Trendelenburg)

26.

In congenital hip dislocation, exaggeration of rotational movements (Gourdon's sign) can reach up to 180 degrees, while normally it is 90 degrees.

a)

True

b)

False

27.

What is the name of the clinical sign involving the ischiopubic branch in congenital hip dislocation?

a)

Ischiopubic branch sign (semnul ramurii ischiopubiene)

b)

Trendelenburg sign

c)

Galeazzi sign

d)

Ortolani sign

28.

Which clinical sign in congenital hip dislocation involves asymmetry of skin folds on the inner thigh and subgluteal region?

a)

Asymmetry of skin folds (asimetria pliurilor tegumentare de pe fața internă a coapselor și din regiunea subfesieră)

b)

Galeazzi sign (semnul Galeazzi)

c)

Ortolani sign (semnul Ortolani)

d)

Limited abduction of the hip (limitarea abducției șoldului)

29.

Congenital hip dislocation is frequently associated with congenital valgus foot, especially in girls.

a)

True

b)

False

30.

What clinical sign is observed after the child has started walking and the hip dislocation has occurred, involving shortening of the lower limb?

a)

Shortening of the luxated lower limb (scurtarea membrului inferior luxat)

b)

Swelling of the knee joint

c)

Redness of the ankle

d)

Pain in the upper limb

31.

After hip dislocation in a walking child, which direction does the vulvar slit deviate?

a)

Towards the luxated side (spre partea luxată)

b)

Away from the luxated side (spre partea opusă luxației)

c)

No deviation

d)

Upwards

32.

What clinical sign is described as 'ascension of the trochanter' in congenital hip dislocation after the child has started walking?

a)

Ascension of the trochanter (semne de ascensiune trohanteriene)

b)

Galeazzi sign

c)

Ortolani sign

d)

Barlow sign

33.

Look at the diagram showing the hip joint. Which bone is dislocated in the image?

a)

A) Femur (thighbone)

b)

B) Tibia

c)

C) Fibula

d)

D) Humerus

34.

Fill in the blank: The socket part of the hip joint is called the _________.

a)

Acetabulum (hip socket)

b)

Femoral head

c)

Glenoid cavity

d)

Patella

35.

Based on the photograph of the child's legs, what condition is likely being shown?

a)

Hip dislocation

b)

Fracture

c)

Sprain

d)

Bruising

36.

In an infant, which of the following is a sign of Developmental Dysplasia of the Hip (DDH)?

a)

Limitation of abduction

b)

Increased abduction

c)

Swelling of the knee

d)

Redness of the skin

37.

In an infant, Galeazzi's sign is used to detect which condition?

a)

Developmental Dysplasia of the Hip (DDH)

b)

Clubfoot

c)

Scoliosis

d)

Fracture

38.

In an infant, the signs of DDH depend on whether the hip is reducible or non reducible.

a)

True

b)

False

39.

In an infant, what should be looked for in the number of thigh folds when assessing for DDH?

a)

Asymmetry or increased number of thigh folds may indicate DDH.

b)

Symmetrical and decreased number of thigh folds always indicate DDH.

c)

No change in thigh folds is relevant to DDH assessment.

d)

Increased number of thigh folds always rules out DDH.

40.

What is one paraclinical investigation for congenital hip dislocation?

a)

ECHO articular

b)

ECG

c)

Chest X-ray

d)

Blood glucose test

41.

At what age is Rx-grafie usually performed to establish a certain diagnosis for congenital hip dislocation?

a)

3-4 months

b)

6-8 months

c)

1-2 months

d)

12 months

42.

Which anatomical feature is present in a normal hip but broken in a dislocated hip?

a)

Acetabular Index

b)

Hilgenreiner Line

c)

Shenton Line

d)

Perkin Line

43.

Fill in the blank: The ________ is intact in a normal hip and broken in a dislocated hip.

a)

Shenton Line

b)

Hilgenreiner Line

c)

Pectineal Line

d)

Intertrochanteric Line

44.

Which line is used to assess the position of the femoral head in the hip joint according to the diagram?

a)

Hilgenreiner Line

b)

Perkin Line

c)

Shenton Line

d)

Acetabular Index

45.

The Acetabular Index is labeled on the side of the normal hip in the diagram.

a)

True

b)

False

46.

Refer to the X-ray image comparing a Normal Hip and a Dislocated Hip. Which side of the image shows the dislocated hip?

a)

Left

b)

Right

c)

Both

d)

Neither

47.

In the X-ray image, what does the label 'P' most likely represent in the context of hip anatomy?

a)

Pelvis

b)

Pubis

c)

Patella

d)

Phalanx

48.

Fill in the blank: In the X-ray image, the hip on the left side is labeled as _________.

a)

Normal Hip

b)

Fractured Hip

c)

Dislocated Hip

d)

Arthritic Hip

49.

Refer to the diagram showing three hip joint conditions. Which part is labeled as the 'Acetabulum (socket)'?

a)

The ball-shaped end of the femur

b)

The socket in the pelvis

c)

The shaft of the femur

d)

The cartilage around the joint

50.

Based on the diagram, what is the difference between 'Normal', 'Subluxation', and 'Dislocation' of the hip joint? Fill in the blank: In 'Dislocation', the head of femur is ________ the acetabulum.

a)

completely out of

b)

partially inside

c)

touching the edge of

d)

within

51.

Observe the two X-ray images of the pelvic region. What abnormality is highlighted by the red box in the right image?

a)

Fracture

b)

Dislocation

c)

Normal bone structure

d)

Infection

52.

Compare the left and right X-ray images. Which image shows a normal hip joint alignment?

a)

The left image shows a normal hip joint alignment.

b)

The right image shows a normal hip joint alignment.

c)

Both images show a normal hip joint alignment.

d)

Neither image shows a normal hip joint alignment.

53.

What is the purpose of the red box in the right X-ray image?

a)

To highlight the area of abnormality or concern, specifically the dislocated hip joint.

b)

To indicate the location of a fracture in the spine.

c)

To show the region of normal bone structure.

d)

To mark the area for a future surgical incision.

54.

Fill in the blank: The alpha angle measured in the ultrasound image is approximately ____ degrees.

a)

45

b)

30

c)

60

d)

75

55.

Fill in the blank: In the coronal view, the ultrasound transducer is placed parallel to the ______ aspect of the infant's hip.

a)

lateral

b)

medial

c)

anterior

d)

posterior

56.

Identify the anatomical structure labeled as 'Labrum' in the diagram.

a)

Labrum

b)

Mandible

c)

Maxilla

d)

Palp

57.

Which of the following is NOT labeled in the hip joint diagram?

a)

Labrum

b)

Femoral Head

c)

Acetabulum

d)

Greater Trochanter

58.

What is required for a positive diagnosis of congenital hip dislocation? Fill in the blank: Corroboration of several clinical signs with at least one ______ sign.

a)

radiologic

b)

clinical

c)

neurological

d)

vascular

59.

Which of the following is a differential diagnosis for congenital hip dislocation?

a)

Coxa vara congenitală

b)

Diabetes mellitus

c)

Asthma

d)

Hypertension

60.

Which of the following is a differential diagnosis for congenital hip dislocation?

a)

Luxația traumatică de șold

b)

Pneumonia

c)

Epilepsy

d)

Migraine

61.

Which of the following is a differential diagnosis for congenital hip dislocation?

a)

Luxațiile patologice ale șoldului (TBC, osteomielită, poliomielită)

b)

Fracture of the humerus

c)

Appendicitis

d)

Otitis media

62.

Which of the following is a differential diagnosis for congenital hip dislocation?

a)

Fracturi de col femural (sechele)

b)

Fracture of the tibia

c)

Bronchitis

d)

Gastritis

63.

Which of the following is a differential diagnosis for congenital hip dislocation?

a)

Epifizioliza capului femural (sechele)

b)

Fracture of the radius

c)

Sinusitis

d)

Dermatitis

64.

What is the correct position for a child with luxating hip dysplasia during treatment?

a)

With the thigh in abduction and internal rotation

b)

With the thigh in adduction and external rotation

c)

With the thigh in flexion and extension

d)

With the thigh in neutral position

65.

What procedure is performed on the adductors during the treatment of luxating hip dysplasia?

a)

Tenotomy

b)

Suturing

c)

Injection

d)

Massage

66.

How long does the treatment for luxating hip dysplasia last? Fill in the blank: The duration of treatment is ________, with X-ray every 30 days.

a)

3-4 months

b)

1-2 weeks

c)

6-8 months

d)

2-3 days

67.

When does the treatment for luxating hip dysplasia stop? Treatment stops ONLY when ________ disappear.

a)

Rx-graphic signs

b)

Clinical symptoms

c)

Pain

d)

Swelling

68.

Which of the following is a treatment method for congenital hip dislocation?

a)

Orthopedic

b)

Surgical

c)

Physiokinetotherapy

d)

All of the above

69.

Is orthopedic treatment a method for congenital hip dislocation?

a)

True

b)

False

70.

Is physiokinetotherapy a method for congenital hip dislocation?

a)

True

b)

False

71.

Look at the image of the child wearing an orthopedic device for congenital hip dislocation. What is the name of this device?

a)

Pavlik harness

b)

Spica cast

c)

Frejka pillow

d)

Denis Browne splint

72.

Look at the image of the orthopedic device used for congenital hip dislocation. What is the name of this device?

a)

Pavlik harness

b)

Spica cast

c)

Frejka pillow

d)

Denis Browne splint

73.

Look at the image of the orthopedic device used for congenital hip dislocation. What is the name of this device?

a)

Pavlik harness

b)

Spica cast

c)

Frejka pillow

d)

Denis Browne splint

74.

What is the name of the medical device shown in the image that is used for treating hip dysplasia in infants?

a)

Pavlik harness

b)

Spica cast

c)

Hip abduction brace

d)

Clubfoot brace

75.

What is the name of the strap labeled at the top of the Pavlik harness diagram?

a)

Shoulder Strap

b)

Waist Strap

c)

Leg Strap

d)

Chest Strap

76.

Which strap is located across the chest in the Pavlik harness diagram?

a)

Chest Strap

b)

Shoulder Strap

c)

Leg Strap

d)

Waist Strap

77.

What is the name of the strap that is attached to the legs in the Pavlik harness diagram?

a)

Leg Strap

b)

Shoulder Strap

c)

Waist Strap

d)

Chest Strap

78.

Which strap is responsible for abduction in the Pavlik harness diagram?

a)

Abduction Strap

b)

Flexion Strap

c)

Extension Strap

d)

Rotation Strap

79.

Treatments for hip dysplasia include:

a)

Pavlik harness

b)

Short leg hip spica cast

c)

Both A and B

80.

Which treatment for hip dysplasia is shown on the left side of the treatments diagram?

a)

Pavlik harness

b)

Hip spica cast

c)

Physical therapy

d)

Surgical intervention

81.

Which treatment for hip dysplasia is shown on the right side of the treatments diagram?

a)

Short leg hip spica cast

b)

Pavlik harness

c)

Open reduction surgery

d)

Physical therapy