MSK I Midterm Practice Questions
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129 Terms
Which ligament provides the strongest passive restraint to end-range hip extension and external rotation?
C. Iliofemoral
3 multiple choice options
What is the angle of inclination in a normal adult femur?
B. 120-125°
3 multiple choice options
A femoral torsion angle greater than 35° would most likely result in:
B. Toe-in gait
3 multiple choice options
Which hip motion involves a posterior roll and anterior glide of the femoral head?
B. ER
3 multiple choice options
What is the normal end feel for hip internal rotation?
C. Firm/stretch
3 multiple choice options
Which of the following movements demonstrates a spin motion at the hip?
A. Flexion
3 multiple choice options
A positive FABER test with posterior pain suggests:
B. SIJ dysfunction
3 multiple choice options
Which position is considered the close-packed position of the hip?
C. 20° extension, slight IR, slight abduction
3 multiple choice options
The labrum deepens the acetabular socket by approximately:
C. 30%
3 multiple choice options
Which structure inserts into the fovea of the femoral head?
A. Ligamentum teres
3 multiple choice options
A 14-year-old male with groin pain and limited IR/abduction/flexion likely has:
B. SCFE
3 multiple choice options
Which test is most sensitive for femoroacetabular impingement?
B. FADIR
3 multiple choice options
Which hip pathology is associated with an insidious onset and locking/popping sensations?
B. Labral tear
3 multiple choice options
Trochanteric bursitis most commonly presents with:
B. Sharp lateral hip pain
3 multiple choice options
Myositis ossificans typically results from:
C. Aggressive rehab post-contusion
3 multiple choice options
Which nerve is often affected in meralgia paresthetica?
C. Lateral femoral cutaneous
3 multiple choice options
Which condition is best screened using the Patellar-Pubic Percussion Test?
D. Femoral neck fracture
3 multiple choice options
What is a hallmark of Legg-Calvé-Perthes disease?
A. Painful abduction and IR
3 multiple choice options
What muscle imbalance contributes to hamstring strain?
B. Weak gluteus maximus
3 multiple choice options
A patient with anterior hip pain and positive FADIR/FABER should be assessed for:
C. FAI/labral pathology
3 multiple choice options
A hip IR range <24° and pain with IR in a patient >50 y/o supports:
B. Hip OA
3 multiple choice options
Which test differentiates between femoral shaft stress fracture vs. hip OA?
B. Fulcrum test
3 multiple choice options
A positive Ely test indicates tightness in which muscle?
C. Rectus femoris
3 multiple choice options
Normal end range for hip abduction is:
C. 40-50°
3 multiple choice options
The Craig's test assesses:
B. Femoral torsion
3 multiple choice options
Which movement is associated with a force couple between glute max and hamstrings?
B. Posterior pelvic tilt
3 multiple choice options
In which special test is a reflex hammer used over the patella while auscultating at the pubic symphysis?
B. Patellar-pubic percussion
3 multiple choice options
The 90/90 hamstring test is considered normal if:
B. < 20° knee flexion
3 multiple choice options
Positive Ober's test suggests:
A. TFL tightness
3 multiple choice options
What outcome measure is best for evaluating hip-related QoL in athletes?
D. HOS
3 multiple choice options
Which of the following is a precaution after a posterior approach THA?
D. All of the above
3 multiple choice options
A positive Galeazzi sign in infants suggests:
B. Hip dislocation or dysplasia
3 multiple choice options
What is the most common pediatric hip condition in males aged 5-8 years?
B. Legg-Calvé-Perthes
3 multiple choice options
An adolescent with groin pain and limited IR likely has:
B. SCFE
3 multiple choice options
Which test is appropriate to rule out SI joint pain?
C. Thigh thrust and sacral thrust
3 multiple choice options
What is the primary function of the pelvic ring?
B. Force dissipation and organ support
3 multiple choice options
Pain that worsens with prolonged standing and stair climbing during pregnancy is most likely:
C. Pelvic girdle pain
3 multiple choice options
A patient has difficulty with active straight leg raise and improves with pelvic compression. What is the likely diagnosis?
B. SIJ load transfer dysfunction
3 multiple choice options
What muscle is primarily responsible for increasing intra-abdominal pressure with pelvic floor contraction?
C. Transversus abdominis
3 multiple choice options
What does a "squeeze and lift" verbal cue help activate?
C. Pelvic floor muscles
3 multiple choice options
Which pelvic floor muscle fiber type ratio is most typical for supportive/postural function?
C. 70% slow / 30% fast
3 multiple choice options
Which nerve innervates the levator ani?
D. Nerve to levator ani (S2-S4)
3 multiple choice options
Which hip movement lengthens and tensions the pelvic floor?
B. Hip IR
3 multiple choice options
Which is not a common pelvic floor dysfunction?
B. Hip labral tear
3 multiple choice options
A 25-year-old runner with leakage when jumping likely has:
C. Stress urinary incontinence
3 multiple choice options
What screening tool helps identify pelvic floor dysfunction?
C. PFD-20
3 multiple choice options
Conscious elongation of the pelvic floor occurs during:
C. Bearing down
3 multiple choice options
What is the most appropriate cue for improving pelvic floor coordination in exercise?
C. Exhale through the effort
3 multiple choice options
During open-chain hip abduction, which direction does the femoral head glide?
B. Inferior
3 multiple choice options
Which movement combination best describes the close-packed position of the hip joint?
B. Extension, IR, abduction
3 multiple choice options
Which hip ligament is taut during abduction and extension?
C. Pubofemoral
3 multiple choice options
Coxa valga results in a femoral neck-shaft angle:
C. > 130°
3 multiple choice options
The acetabular labrum primarily contributes to:
C. Joint stability and negative pressure seal
3 multiple choice options
The center-edge angle measures:
C. Coverage of femoral head by acetabulum
3 multiple choice options
In Craig’s test, what is considered normal femoral anteversion in adults?
C. 15-20°
3 multiple choice options
Which two muscles work as a force couple to produce anterior pelvic tilt?
B. Iliopsoas and erector spinae
3 multiple choice options
Which patient profile is most associated with a pincer-type FAI?
B. Middle-aged active female
3 multiple choice options
A key clinical feature of snapping hip syndrome is:
C. Internal snapping of iliopsoas tendon
2 multiple choice options
Which hip condition is most associated with the female athlete triad?
C. Stress fracture
3 multiple choice options
A "toe-out" gait is commonly associated with:
C. Retroversion
3 multiple choice options
Which condition is most common in newborns?
B. Congenital hip dislocation
3 multiple choice options
What is the primary role of the gluteus medius during gait?
C. Stabilize the pelvis in frontal plane
3 multiple choice options
What’s the most likely cause of hip pain in a 6-year-old boy with a limp and no trauma?
C. Legg-Calvé-Perthes
3 multiple choice options
Painful passive hip IR in a 60-year-old with morning stiffness suggests:
B. Osteoarthritis
3 multiple choice options
A sharp lateral hip pain aggravated by lying on the side suggests:
C. Trochanteric bursitis
3 multiple choice options
The FABER test is positive when:
B. The test leg remains elevated above the opposite side
3 multiple choice options
Which test is most specific for a femoral shaft stress fracture?
A. Fulcrum test
3 multiple choice options
Which movement would MOST stretch the piriformis?
B. IR at > 90° hip flexion
2 multiple choice options
Which intervention is best for capsular tightness of the hip?
B. Belted lateral glide in open-pack
3 multiple choice options
Which manual therapy technique would benefit a tight posterior hip capsule?
C. Posterior glide
3 multiple choice options
Which exercise best targets gluteus medius in a side-lying position?
A. Clamshell
3 multiple choice options
A patient with difficulty ascending stairs after THA should focus on:
B. Glute max and med strengthening
3 multiple choice options
Which movement should be avoided immediately after a direct anterior THA?
D. Hip extension
3 multiple choice options
Which ligament resists nutation of the sacrum?
B. Sacrotuberous
3 multiple choice options
Nutation is defined as:
B. Anterior tilt of the sacral base
3 multiple choice options
What defines "form closure" of the SI joint?
B. Bony congruence and shape
3 multiple choice options
Force closure of the SIJ during walking is supported by which muscles?
B. Transversus abdominis and multifidus
3 multiple choice options
What activity commonly worsens PP-PGP?
C. Rolling in bed
3 multiple choice options
In postpartum PGP, what should not be performed in early recovery?
B. Gaenslen's test
3 multiple choice options
A pelvic belt provides:
B. Temporary force closure
3 multiple choice options
Which outcome measure is specific to pelvic girdle dysfunction?
C. Pelvic Girdle Questionnaire
3 multiple choice options
A postpartum patient with incontinence and diastasis recti should be referred to:
C. Pelvic floor specialist
3 multiple choice options
Which of the following is not part of the inner core unit?
B. Rectus abdominis
3 multiple choice options
What breathing phase is associated with pelvic floor elevation?
B. Exhalation
3 multiple choice options
The levator ani is composed of:
B. 30% fast / 70% slow twitch
3 multiple choice options
Hip internal rotation during squatting will:
B. Stretch and tension the pelvic floor
3 multiple choice options
What lifestyle habit is most related to fecal incontinence?
B. Constipation
What outcome measure assesses hip-specific function for younger active patients?
B. HOS
3 multiple choice options
A hip with retrotorsion will demonstrate:
B. Decreased IR and toe-out gait
3 multiple choice options
The iliofemoral ligament becomes taut during:
C. Hip extension and ER
3 multiple choice options
Which plane is the acetabular anteversion angle measured in?
C. Transverse (horizontal)
3 multiple choice options
An angle of inclination of <120° is called:
B. Coxa vara
3 multiple choice options
What age group is most commonly affected by hip OA?
C. Adults 45-60+
3 multiple choice options
The Fitzgerald test is used to evaluate:
C. Labral tear
3 multiple choice options
The Ely test is positive when:
B. The hip rises from the table during passive knee flexion
3 multiple choice options
Which pathology is described as progressive necrosis of the femoral head in children?
C. Legg-Calvé-Perthes
3 multiple choice options
A (+) Scour test suggests:
B. Hip joint pathology (intra-articular)
3 multiple choice options
What is the initial management for a suspected femoral neck stress fracture?
B. Radiographs and WB restrictions
3 multiple choice options
Urge incontinence is most associated with:
B. Strong sudden need to void (key-in-door)
3 multiple choice options
What is the function of the sump pump pelvic floor system?
C. Facilitate lymph and blood flow
3 multiple choice options