Hip Diseases, Injuries And Treatments - Part 2 (Msq Drill 189)
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- 1.
This patient has rheumatoid arthritis. "Which of the following is visible on this x-ray?"
- A.
Narrowing of joint spaces
- B.
Periarticular osteopenia
- C.
Juxtaarticular erosions (non-cartillage portected bone)
- D.
Subluxation and gross deformity
- E.
Perioarticular soft tissue swelling
Correct Answer(s)
A. Narrowing of joint spaces
B. Periarticular osteopenia
C. Juxtaarticular erosions (non-cartillage portected bone)
D. Subluxation and gross deformity
E. Perioarticular soft tissue swelling -
- 2.
Can a patient with rheumatoid arthritis undergo a total hip replacement as a form of treatment?
- A.
Yes
- B.
No
Correct Answer
A. Yes -
- 3.
Which of the following are other inflammatory causes of hip pain?
- A.
Osteomyelitis - infection of the bone
- B.
Septic arthritis - infection of a joint
- C.
Bacteria & viruses
- D.
Mycobacterium and fungi
- E.
Osteoarthritis
Correct Answer(s)
A. Osteomyelitis - infection of the bone
B. Septic arthritis - infection of a joint
C. Bacteria & viruses
D. Mycobacterium and fungiExplanation
osteoarthritis is not an inflammatory process.Rate this question:
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- 4.
Which of the following are ways that you can diagnose other inflammatory causes of hip pain?
- A.
Aspiration
- B.
X-ray
- C.
Bone scan
- D.
MRI
- E.
CT scan
Correct Answer(s)
A. Aspiration
B. X-ray
C. Bone scan
D. MRI -
- 5.
What is higher, the sensitivity or specificity of MRI in the diagnoiss of inflammatory causes of hip pain?
- A.
Higher sensitivity
- B.
Higher specificity
Correct Answer
A. Higher sensitivity -
- 6.
Which of the following are some of the most common bacteria that you may find causing inflammation in the hip joint?
- A.
Staph aureaus
- B.
H influenza
- C.
Neissseria Gonorhea
- D.
C- difficile
- E.
E coli
Correct Answer(s)
A. StapH aureaus
B. H influenza
C. Neissseria Gonorhea
E. E coli -
- 7.
In children ____________________ can cause inflammatory hip pain?
- A.
Pseudomonas aueriginosa
- B.
Clostridium difficile
- C.
H influenza
- D.
Staph aureus
Correct Answer
A. Pseudomonas aueriginosa -
- 8.
Is an osteoid osteoma, a tumor of the hip, malignant or benign?
- A.
Malignant
- B.
Benign
Correct Answer
B. Benign -
- 9.
Which part of the hip is affected by an osteoid osteoma?
- A.
Distal femur
- B.
Fovea
- C.
Proximal femur
- D.
Distal femur
Correct Answer
C. Proximal femur -
- 10.
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?
- A.
Less than 1.5 cm in diameter
- B.
More than 1.5 cm in diameter
Correct Answer
A. Less than 1.5 cm in diameter -
- 11.
Are osteoid osteoma's benign tumors of the proximal femur more common in adults or children?
- A.
Adults
- B.
Children
Correct Answer
B. Children -
- 12.
Is it absolutely necessary to excise an osteoid osteomas?
- A.
Yes, they should always be exscised
- B.
No, they are rarely excised
Correct Answer
B. No, they are rarely excised -
- 13.
Which of the following drugs is very effective for Osteoid osteomas?
- A.
Hydrocodone
- B.
NSAIDS
- C.
Steroids
- D.
Chemotherapy
- E.
Aspirin
Correct Answer
E. Aspirin -
- 14.
- A.
Osteoid osteoma
- B.
Avulsion fx of the proximal femur
- C.
Bennet's fx
- D.
Osteoporotic bone
Correct Answer
A. Osteoid osteoma -
- 15.
Whatis the most common malignant tumor of the skeletal system?
- A.
Metastatic cancer
- B.
Primary bone tumors
- C.
Melanoma
- D.
Lymphoma
Correct Answer
A. Metastatic cancer -
- 16.
Metastatic tumors of the skeletal system are ________ times more common than primary bone tumors
- A.
5
- B.
10
- C.
15
- D.
20
- E.
25
Correct Answer
D. 20 -
- 17.
*********** 85% of metastasis to the bone comes from which areas?
- A.
Breast
- B.
Lung
- C.
Thyroid
- D.
Kidney
- E.
Prostrate
Correct Answer(s)
A. Breast
B. Lung
C. Thyroid
D. Kidney
E. Prostrate -
- 18.
Is referred pain also a common cause of hip pain?
- A.
Yes
- B.
No
Correct Answer
A. Yes -
- 19.
Which of the following are causes of referred pain to the hip?
- A.
Spinal disease
- B.
Knee disease
- C.
Discomfort from a baker's cyst
- D.
Ligamental or bursal pain
- E.
Trochanteric bursitis
Correct Answer(s)
A. Spinal disease
B. Knee disease
C. Discomfort from a baker's cyst
D. Ligamental or bursal pain
E. Trochanteric bursitis -
- 20.
Osteoporosisosteosclerosisosteomalciaosteogenesis imperfectspagetsrickets & renal osteodystrophy are all __________ that can also cause hip pain.
- A.
Inflammatory connective tissue diseases
- B.
Autoimmune bone diseases
- C.
Metabolic bone diseases
Correct Answer
C. Metabolic bone diseases -
- 21.
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?
- A.
Osteosclerosis
- B.
Osteomalacia
- C.
Renal osteodystrophy
- D.
Osteoporosis
Correct Answer
D. Osteoporosis -
- 22.
Which of the following are treatments for osteoporosis?
- A.
Exercise
- B.
Calcium supplementation
- C.
Estrogen
- D.
Biphosphonates
Correct Answer(s)
A. Exercise
B. Calcium supplementation
C. Estrogen
D. BipHospHonates -
- 23.
What is this metabolic bone disease in which elevation of bone density is observed?
- A.
Osteoarthritis
- B.
Osteoporosis
- C.
Osteosclerosis
- D.
Renal osteodystrophy
Correct Answer
C. Osteosclerosis -
- 24.
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.
- A.
Osteomalacia
- B.
Renal osteodystrophy
- C.
Osteopenia
Correct Answer
A. Osteomalacia -
- 25.
What would you prescribe for your patient with newly diagnosed osteomalacia?
- A.
10 000 IU weekly of vitamin D for 4-6 weeks
- B.
500 IU VITAMIN D BID
- C.
1000 Iu vitamin D every month
Correct Answer
A. 10 000 IU weekly of vitamin D for 4-6 weeks -
- 26.
Do you treat the osteomalacia or the cuase of the malabsorption of vitamin D in a patient with osteomalacia?
- A.
You treat the osteomalacia
- B.
You treat the cause of the malabsorption of vitamin D
Correct Answer
B. You treat the cause of the malabsorption of vitamin D -
- 27.
What is this condition known as in children?
- A.
Costochondritis
- B.
Osteomalacia
- C.
Rickets
- D.
Osteosclerosis
Correct Answer
C. Rickets -
- 28.
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?
- A.
Osteoarthritis
- B.
Osteogenesis imperfecta
- C.
Ehler danlos
- D.
Acondroplasia
Correct Answer
B. Osteogenesis imperfecta -
- 29.
Which type of collagen is abnormal in patients with osteogenesis imperfecta?
- A.
Type 1 collagen
- B.
Type II collagen
- C.
Type III collagen
- D.
Type IV collagen
Correct Answer
A. Type 1 collagen -
- 30.
Which of the following is very typical in patients with osteogenesis imperfecta?
- A.
Short stature
- B.
Increased laxicity of the joints with frequent stress ractures
- C.
Accompanying autoimmune mediated connective tissue disease
- D.
Discoloration of sclera causing a blue-gray color (thinner sclera showing the choroidal veins of the retina.)
Correct Answer
D. Discoloration of sclera causing a blue-gray color (thinner sclera showing the choroidal veins of the retina.) -
- 31.
Which of the following are part of the treatment regimen for patients with osteogenesis imperfecta?
- A.
Bisphonophates
- B.
Exercise
- C.
Physical therapy
- D.
Calcium
- E.
Prevention of fractures
Correct Answer(s)
A. BispHonopHates
B. Exercise
C. pHysical therapy
E. Prevention of fractures -
- 32.
What are the two types of osteogenesis imperfecta?
- A.
Congenita
- B.
Acquired
- C.
Tarda
Correct Answer(s)
A. Congenita
C. Tarda -
- 33.
These patients may have what bone disease?
- A.
Osteomalacia
- B.
Osteogeneis imperfecta
- C.
Raynaud's
Correct Answer
B. Osteogeneis imperfecta -
- 34.
What is this condition?
- A.
Leg calf perthe disease
- B.
Osteogenesis imperfecta
- C.
Rickets
Correct Answer
C. Rickets -
- 35.
Which of the following are the broad categories of rickets?
- A.
Nutritional
- B.
Hereditary Vit D dependant
- C.
Familial hypophosphatemic rickets
- D.
Non vitamin D dependant
Correct Answer(s)
A. Nutritional
B. Hereditary Vit D dependant
C. Familial hypopHospHatemic rickets -
- 36.
Of the three broad catergories of rickets which one is the most common?
- A.
Nutritional
- B.
Hereditary vitamin D dependant
- C.
Familial hypophosphatemic rickets
Correct Answer
C. Familial hypopHospHatemic rickets -
- 37.
Rickets causes failure of mineralization. Which of the following changes will be observed in the bones of these patients?
- A.
Wide disoriented physis
- B.
Thinning and bowing of the diaphyseal bone
- C.
Narrowed joint spaces
- D.
Diaphyseal bone thickening
Correct Answer(s)
A. Wide disoriented pHysis
B. Thinning and bowing of the diapHyseal boneExplanation
Comes fro the old english term wriccken to twist.Rate this question:
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- 38.
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?
- A.
Rickets
- B.
Paget's disease
- C.
Osteoarthritis
Correct Answer
B. Paget's disease -
- 39.
Paget's disease is also known as:
- A.
Osteitis deformans
- B.
Osteochondritis dessicans
- C.
Legg calve perthes disease
Correct Answer
A. Osteitis deformans -
- 40.
How do you treat Paget's disease?
- A.
Bisphonates such as fosamax
- B.
Calcium supplementation
- C.
Calcitonin
Correct Answer(s)
A. BispHonates such as fosamax
C. Calcitonin -
- 41.
Is renal osteodystrophy one disease or a spectrum of diseases?
- A.
One bone disease
- B.
A spectrum of diseases
Correct Answer
B. A spectrum of diseases -
- 42.
Renal osteodystrophy is a spectrum of disorders of bone mineral metabolism associated with:
- A.
Acute liver disease
- B.
Acute kidney disease
- C.
Chronic liver disease
- D.
Chronic kidney disease
Correct Answer
D. Chronic kidney disease -
- 43.
What are the two forms of renal osteodystrophy?
- A.
High turnover
- B.
Proliferative
- C.
Non proliferative
- D.
Low turnover
Correct Answer(s)
A. High turnover
D. Low turnover -
- 44.
A damaged kidney causes decreased excretion of phosphate causing:
- A.
Hypoparathyroidism
- B.
Hyperparathyroidism
- C.
Hypothyroidism
- D.
Thypoerthyroidism
Correct Answer
B. Hyperparathyroidism -
- 45.
In which metabolic bone disease do bones appear sclerotic with widened growth plates and varus deformities of the proximal femur?
- A.
Legg clave perthes disease
- B.
Osteocondritis dessicans
- C.
Osteoporosis
- D.
Renal osteodystrophy
Correct Answer
D. Renal osteodystropHy -
- 46.
What is the most common form of arthritis?
- A.
Osteoarthritis
- B.
Osteoporosis
- C.
Rheumatoid arthritis
- D.
Ankylosing spondylitis
Correct Answer
A. Osteoarthritis -
- 47.
X-rays of an osteoarthritic hip will show which of the following?
- A.
Spurring
- B.
Joint space narrowing
- C.
Subchondral sclerosis
- D.
Subchondral cysts
Correct Answer(s)
A. Spurring
B. Joint space narrowing
C. Subchondral sclerosis
D. Subchondral cysts -
- 48.
Physical examination of the patient with osteoarthritis will show:
- A.
Decreased ROM
- B.
Increased ROM
- C.
Crepitus
Correct Answer(s)
A. Decreased ROM
C. Crepitus -
- 49.
Which of the following are used to treat osteoarthritis?
- A.
NSAIDS
- B.
Weight loss
- C.
Assistive devices
- D.
Intrarticualar cortisone injections
- E.
Hip replacement
Correct Answer(s)
A. NSAIDS
B. Weight loss
C. Assistive devices
D. Intrarticualar cortisone injections
E. Hip replacement -
- 50.
What injury ensues after this type of fall?
- A.
Avulsion
- B.
Contusion
- C.
Fracture
Correct Answer
B. Contusion -
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