Trauma & Orthopaedic Surgery Specialist Quiz
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Questions and Answers

What is the term for an abnormal gait resulting from a defective hip abductor mechanism, causing drooping of the pelvis to the contralateral side while walking?

  • Ataxic gait
  • Spastic gait
  • Waddling gait
  • Lurching gait (correct)

In the context of hip abductor mechanism weakness, what does a patient with a unilateral lurching gait tend to do while walking?

  • Lean forward
  • Maintain an upright posture
  • Lean to the affected side (correct)
  • Lean to the contralateral side

What physical sign is commonly observed in patients with hip abductor mechanism weakness and lurching gait?

  • Trendelenburg sign (correct)
  • Rhomberg sign
  • Brudzinski sign
  • Lhermitte's sign

Which muscle weakness is associated with a waddling gait?

<p>Hip adductors (B)</p> Signup and view all the answers

In addition to a defective hip abductor mechanism, what could cause a patient to lean to one side while walking?

<p>Weakness of gluteal muscles (C)</p> Signup and view all the answers

In the Trendelenburg’s Test, what is a positive sign indicating?

<p>Inability of the lower extremity on the involved side to fully extend at the hip (C)</p> Signup and view all the answers

During the Thomas Test, what action flattens out the lumbar lordosis and stabilizes the pelvis?

<p>Holding the uninvolved knee to the chest (C)</p> Signup and view all the answers

What is assessed when a patient is asked to stand on one leg for 30 seconds without leaning to one side?

<p>Balance and pelvic stability (D)</p> Signup and view all the answers

What deformity is primarily indicated by gluteal wasting and a Trendelenburg gait?

<p>Hip dislocation (C)</p> Signup and view all the answers

What is the main purpose of comparing leg lengths from the umbilicus to the medial malleolus?

<p>To identify spinal or pelvic deformity (C)</p> Signup and view all the answers

What is the term used to describe an abnormal gait resulting from a defective hip abductor mechanism?

<p>Lurching gait (B)</p> Signup and view all the answers

When observing a patient's gait, what does weakness of the hip abductor muscles cause the pelvis to do?

<p>Tilt to the contralateral side (C)</p> Signup and view all the answers

In a patient with defective hip abductor muscles, what is the characteristic posture when standing to maintain balance?

<p>Leaning to the affected side (A)</p> Signup and view all the answers

What type of gait is observed when a patient has weakness of their hip abductor muscles?

<p>Trendelenburg gait (A)</p> Signup and view all the answers

What is the key feature of Trendelenburg gait?

<p>Drooping of the pelvis towards the affected side (D)</p> Signup and view all the answers

Which test involves the patient lying supine on the examination table and holding the uninvolved knee to his or her chest, while allowing the involved extremity to lie flat?

<p>Thomas Test (B)</p> Signup and view all the answers

In the Trendelenburg's Test, what does a positive result indicate?

<p>The lower extremity on the involved side will be unable to fully extend at the hip (C)</p> Signup and view all the answers

What is assessed in Faber's Test?

<p>Hip and sacroiliac joint (D)</p> Signup and view all the answers

What does the patient need to do in the Straight Leg Raise test?

<p>Lie supine and raise the unaffected leg straight up while keeping the knee extended (D)</p> Signup and view all the answers

Which special test is similar to gait and assesses for weakness of the hip abductor muscles?

<p>Trendelenburg's Test (D)</p> Signup and view all the answers

What is the purpose of Trendelenburg Gait?

<p>To test the patient's hip abduction strength (A)</p> Signup and view all the answers

What does a lurching gait suggest during observation of the patient's gait?

<p>Hip flexor weakness (A)</p> Signup and view all the answers

When would a waddling gait be observed in a patient?

<p>Due to hip extensor muscle weakness (C)</p> Signup and view all the answers

Which special test can be used to assess hip abduction strength?

<p>Faber test (A)</p> Signup and view all the answers

What does the Trendelenburg sign indicate during a physical examination?

<p>Hip joint pathology or abductor muscle weakness (D)</p> Signup and view all the answers

What is the term for an abnormal gait resulting from a defective hip abductor mechanism?

<p>Trendelenburg gait (B)</p> Signup and view all the answers

Which muscle weakness causes a Trendelenburg gait?

<p>Hip abductor muscles (C)</p> Signup and view all the answers

What type of gait is characterized by lurching due to unilateral weakness of the hip abductor muscles?

<p>Scissors gait (B)</p> Signup and view all the answers

If a patient exhibits waddling while walking, what type of gait is this indicative of?

<p>Pigeon-toed gait (D)</p> Signup and view all the answers

Which gait can result from weakness in the hip abductor muscles and is characterized by leaning to one side to maintain balance?

<p>Trendelenburg gait (B)</p> Signup and view all the answers

What is the term for an abnormal pattern of walking secondary to pain that ultimately causes a limp, whereby the stance phase is shortened relative to the swing phase?

<p>Antalgic gait (D)</p> Signup and view all the answers

In the Thomas Test, what does a positive result indicate?

<p>Inability of the lower extremity to fully extend at the hip (A)</p> Signup and view all the answers

What physical sign is commonly observed in patients with hip abductor mechanism weakness and lurching gait?

<p>Gluteal wasting (B)</p> Signup and view all the answers

What is the term for the inability of the lower extremity on the involved side to fully extend at the hip during the Thomas Test?

<p>Thomas sign (D)</p> Signup and view all the answers

Which test involves asking the patient to stand on one leg for 30 seconds without leaning to one side?

<p>Trendelenburg's Test (A)</p> Signup and view all the answers

What is another term for a defective hip abductor mechanism, causing drooping of the pelvis to the contralateral side while walking?

<p>Trendelenburg gait (A)</p> Signup and view all the answers

What does the Faber's Test assess for?

<p>Hip and sacroiliac joint (SIJ) (D)</p> Signup and view all the answers

What does a positive result in Trendelenburg's Test indicate?

<p>Weakness in hip abductor muscles (D)</p> Signup and view all the answers

What does a patient with a lurching gait tend to do while walking due to hip abductor mechanism weakness?

<p>Lean to the affected side (C)</p> Signup and view all the answers

What is a common observation in patients with hip abductor mechanism weakness and lurching gait?

<p>Gluteal wasting (B)</p> Signup and view all the answers

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