HIP Exam Flashcards

(19 cards)

1
Q

Which of the following measures is the MOST consistent risk factor for groin pain?

A

Less than 85 degrees of total hip rotation at 90 degrees of flexion

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2
Q

How can an excessively recruited iliopsoas and Illiocapsularis contribute to impingement?

A

Pulls the labrum away from the acetabulum

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3
Q

Which of the following structures is MOST likely displaying structural changes with Femoral Acetabular and Illiopsoas Impingement conditions?

A

Fibrocartilage

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4
Q

Using the compression stress test at the hip, which of the following structures is MOST likely to demonstrate pain if inflamed or injured?

A

Subchondral Bone

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5
Q

Which of the following tests should a physical therapist perform if a painless and firm end feel is noted with limited motion during hip internal rotation at 90 degrees of flexion?

A

Inferior glide accessory of motion testing.

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6
Q

How can impaired lower extremity control with excessive hip adduction contribute to the development of Gluteal Tendinopathies?

A

Increases the lengthening and compressive loads of the hip abductors

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7
Q

Which of the following amounts of hip internal rotation at 90 degrees of flexion should make us begin to consider the presence of hip hypermobility?

A

Greater than 30 degrees

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8
Q

How can the excessive recruiting of the Psoas further add to the anterior shearing, MOST likely occurring during lumbar hypermobility/instability?

A

It creates more of a lordotic force on the spine while standing

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9
Q

A patient presents with suspected Hamstring Tendinopathy. Which of the following resited tests should produce the MOST buttock symptoms?

A

Hip extension and knee flexion in a lengthened position

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10
Q

Which intervention is MOST likely helping the cartilage integrity that has changed with Age-Related Joint Changes?

A

Medical Exercise Therapy

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11
Q

A patient presents with antalgic and asymmetrical gait due to a right-sided hip condition. Which of the following directions should be provided for the use of a cane?

A

A cane should be placed on the left hand and mirror the right lower extremity motion

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12
Q

A female adolescent dancer with a normal thoracolumbar scan presents with a gradual and unknown onset of groin pain. During the examination, you note groin pain with empty end feels with 100 degrees of flexion and 45 degrees of internal rotation at 90 degrees of flexion, especially combined. Accessory motion testing was inclusive. Although, demonstrated impaired lower extremity control during a single leg squat. Which of the following conditions is MOST likely indicated from these findings?

A

Impingement due to hip hypermobility

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13
Q

A patient underwent a total hip arthroplasty. Which of the following should a physical therapist be aware of for BEST treatment?

A

Faster progress and no more dislocations in the absence of precautions

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14
Q

During the exam, you notice a limitation with a passive external rotation and the associated accessory motion direction, both with a firm end feel. Which of the following directions should joint mobilizations be performed?

A

Anterior

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15
Q

A patient presents with weight-bearing restrictions of no more than partial weight bearing following a right Total Hip Arthroplasty. Which of the following exercises should be considered partial weight bearing?

A

Lunging onto the right lower extremity

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16
Q

Inefficient gait is common in many patients. If the storing and releasing of potential energy is less than optimal at the hip with limited hyperextension, which of the following is MOST likely to be under greater stress?

A

Lower lumbar region

17
Q

Following a total hip arthoplasty, a patient demonstrates a shorter step length with the right lower extremity compared to the left. If the asymmetrical gait is solely due to limited motion, which hip(s) is/are not fully hyperextending?

18
Q

Which of the following should be considered when considering the possibility of a sacroiliac dysfunction?

A

The fibrous capsule is blended with multi-directional ligaments

19
Q

Which of the following should be the third phase during Medical Exercise Therapy for Gluteal and Hamstring Tendinopathies?

A

Isotonic loading with compression from lengthening