Hip Diseases, Injuries And Treatments - Part 2 (Msq Drill 189)

• Osteoid osteoma

• Avulsion fx of the proximal femur

• Bennet's fx

• Osteoporotic bone

Is referred pain also a common cause of hip pain?

• Yes

• No

Which of the following are causes of referred pain to the hip?

• Spinal disease

• Knee disease

• Discomfort from a baker's cyst

• Ligamental or bursal pain

• Trochanteric bursitis

Which of the following metabolic bone disease is age related, and leads to a decrease in bone mass. It is responsible for over a million fractures per year and is usually associated with low estrogen in post menopausal women?

• Osteosclerosis

• Osteomalacia

• Renal osteodystrophy

• Osteoporosis

What is this metabolic bone disease in which elevation of bone density is observed?

• Osteoarthritis

• Osteoporosis

• Osteosclerosis

• Renal osteodystrophy

Do you treat the osteomalacia or the cuase of the malabsorption of vitamin D in a patient with osteomalacia?

• You treat the osteomalacia

• You treat the cause of the malabsorption of vitamin D

What metabolic bone disease is caused by abnormal collagen synthesis. It causes fragility, short stature, scoliosis, tooth defects, hearing loss and ligamentous laxity. It is also a frequent cause of fractures with little trauma. It is an autosomal dominant genetic disorder?

• Osteoarthritis

• Osteogenesis imperfecta

• Ehler danlos

• Acondroplasia

These patients may have what bone disease?

• Osteomalacia

• Osteogeneis imperfecta

• Raynaud's

What disease occurs as a result of abnormal bone remodeling? The bone is enlarged, less dense , brittle and prone to fractures. Its cause is unknown?

• Rickets

• Paget's disease

• Osteoarthritis

Is renal osteodystrophy one disease or a spectrum of diseases?

• One bone disease

• A spectrum of diseases

Renal osteodystrophy is a spectrum of disorders of bone mineral metabolism associated with:

• Acute liver disease

• Acute kidney disease

• Chronic liver disease

• Chronic kidney disease

X-rays of an osteoarthritic hip will show which of the following?

• Spurring

• Joint space narrowing

• Subchondral sclerosis

• Subchondral cysts

Physical examination of the patient with osteoarthritis will show:

• Decreased ROM

• Increased ROM

• Crepitus

Can leg length problems also cause back pain?

• Yes

• No

Do hip fractures occur more commonly in men or in women?

• Men

• Women

Is this a hip fracture or dislocation?

• Fracture

• Dislocation

If patients fall on the ___________ contusions are very common.

• Sacrum

• Ischial tuberosity

• Iliac crest

Avulsion injuries can occur at any point where muscles attach to the pelvis region. True or false?

• True

• False

Can patients with legg calve perthe disease also present with c/o knee pain?

• Yes

• No

Developmental dysplasia was formerly called congenital hip dislocation. True or false?

• True

• False

What are the two tests that are used to test for developmental dysplasia in which a patient has a dislocated hip?

• Ortolani's test

• Routing test

• Barlows test

Can a patient with rheumatoid arthritis undergo a total hip replacement as a form of treatment?

• Yes

• No

What is higher, the sensitivity or specificity of MRI in the diagnoiss of inflammatory causes of hip pain?

• Higher sensitivity

• Higher specificity

Is an osteoid osteoma, a tumor of the hip, malignant or benign?

• Malignant

• Benign

Which part of the hip is affected by an osteoid osteoma?

• Distal femur

• Fovea

• Proximal femur

• Distal femur

You observe a small radiolucent nidus witha white dense reactive zone on x-ray and diagnose an osteoid osteoma. Is this usually less than 1.5cm in diameter or more than 1.5 cm in diameter?

• Less than 1.5 cm in diameter

• More than 1.5 cm in diameter

Whatis the most common malignant tumor of the skeletal system?

• Metastatic cancer

• Primary bone tumors

• Melanoma

• Lymphoma

*********** 85% of metastasis to the bone comes from which areas?

• Breast

• Lung

• Thyroid

• Kidney

• Prostrate

Osteoporosisosteosclerosisosteomalciaosteogenesis imperfectspagetsrickets & renal osteodystrophy are all __________ that can also cause hip pain.

• Inflammatory connective tissue diseases

• Autoimmune bone diseases

• Metabolic bone diseases

Which of the following are treatments for osteoporosis?

• Exercise

• Calcium supplementation

• Estrogen

• Biphosphonates

What metabolic bone disease is caused by a decreased intake of Vitamin D leading to a deficiency in the mineralization of the protein structures of the bone. It causes softening of the bone and in children it is called Rickets.

• Osteomalacia

• Renal osteodystrophy

• Osteopenia

What is this condition?

• Leg calf perthe disease

• Osteogenesis imperfecta

• Rickets

What injury ensues after this type of fall?

• Avulsion

• Contusion

• Fracture

Heterotopic ossification of muscleTrauma relatedConservative treatmentWhat is the diagnosis?

• Avulsion fracture of the proximal femur

• Myositis ossificans

• Avulsion fracture of the less trochanter

• Renal osteodystrophy

Inflammation of the pubic symphisis is known as :

• Osteitis pubis

• Avulsion fracture of the pubes

• Pubic symphysis inflammation

Crepitus is the hallmark of arthritis. True or false?

• True

• False

An athletic patient pesents with groin pain and a cliking, locking or catcing sound in the hip. You are able to diagnose this using either an MRI or Arthroscopy. What is the diagnosis?

• Osteocondritis dessicans

• Humeral condylar teat

• Medial meniscal tear

• Acetabular labrum tear

Surgery is ALWAYS indicated for a slipped capital epiphysis. True or false?

• True

• False

Avascular necrosis of the proximal femoral head epiphysis is known as:

• Legg-calve-perthes disease

• Osteochondritis dessicans

• Transient synovitis

Between Ortolani and Barlow's which one is a reductive test?

• Ortolani

• Barlow

Will you be able to see DDH on x-ray?

• Yes, they have ossified femoral head

• No, their femoral head is not yet ossified, ultrasound is better

Osteonecrosis usually occurs in adults or children?

• Adults

• Children

Which of the following can lead to osteonecrosis and a possible crumbled femoral head?

• Alcohol abuse

• Chronic steroid use

• Trauma

• Metastatic disease

• Preganancy

This patient has rheumatoid arthritis. "Which of the following is visible on this x-ray?"

• Narrowing of joint spaces

• Periarticular osteopenia

• Juxtaarticular erosions (non-cartillage portected bone)

• Subluxation and gross deformity

• Perioarticular soft tissue swelling

In children ____________________ can cause inflammatory hip pain?

• Pseudomonas aueriginosa

• Clostridium difficile

• H influenza

• Staph aureus

Are osteoid osteoma's benign tumors of the proximal femur more common in adults or children?

• Adults

• Children

What is this condition known as in children?

• Costochondritis

• Osteomalacia

• Rickets

• Osteosclerosis

Which type of collagen is abnormal in patients with osteogenesis imperfecta?

• Type 1 collagen

• Type II collagen

• Type III collagen

• Type IV collagen