NUR 621 ORTHO QUESTIONS &
DETAILED CORRECT ANSWERS
You note a child's joints are hyper mobile. The parent appears concerned by this. What would
you teach them? - correct answer ✔✔Hypermobility is rarely associated with problems, but
there is a slight increased risk for dislocation or sprain in the affected joint.
At what age is a mature gait pattern established? At what age is an adult pattern gait
developed? - correct answer ✔✔By 3 years of age mature gait patter, by age 7 adult type gait
pattern.
How would you describe a gait that is characterized by a shortening of the single limb stance
phase, trunk shifting to the opposite side, and shortened stride length to prevent pain to an
affected side? - correct answer ✔✔Antalgic gait
What does a positive Galeazzi maneuver indicate? - correct answer ✔✔Limb Length discrepancy
Which maneuver is performed by flexing the hips and knees when the child is laying supine,
placing the soles of the feet at the table near the buttocks then looking at the knee heights for
equality? - correct answer ✔✔Galeazzi Maneuver
Which maneuver assess the potential for dislocation of a non-displaced hip in an infant during
the first month of life? - correct answer ✔✔Barlow Maneuver
What happens when a Barlow exam is positive? - correct answer ✔✔The femur slips/drops out
of the acetabulum or can be gently pushed out of the socket.
What is the ortolani maneuver? - correct answer ✔✔It is the reverse of the Barlow Maneuver
, What must occur for an ortolani sign to be considered positive? - correct answer ✔✔A palpable
clunk as the femoral head is relocated.
*A high pitch click is normal and not considered positive sign
What should PCPs perform ortolani and barlow maneuvers? - correct answer ✔✔Only in the
first few months of life.
What does the Klisic test evaluate? - correct answer ✔✔an observational sign of hip placement.
If child has scoliosis with pain- what should differential diagnosis be? - correct answer
✔✔Evaluate for neoplasm or inflammatory process
What is Tietze syndrome? - correct answer ✔✔The presence of pain, swelling, possibly
erythema, and pain on the costal chondral border. Sign of costochondritis.
Adolescent patient presents with asymmetric bowing of the legs. What is your differential? -
correct answer ✔✔Blounts disease
What is the ortolani maneuver for? - correct answer ✔✔-It is the reverse of the Barlow
Maneuver
-Reduces a dislocated hip and is performed gently to reduce a recently dislocated hip.
How do you know if a hip is dislocated using the Klisic test? - correct answer ✔✔Place the third
finger of one hand over the greater trochanter and the index finger of the same hand on the
anterosuperior iliac spine. An imaginary line is drawn between the index and third finger. If the
trochanter is elevated and the line points half way between the umbilicus and the pubis or
below the umbilicus, the hip is dislocated.
DETAILED CORRECT ANSWERS
You note a child's joints are hyper mobile. The parent appears concerned by this. What would
you teach them? - correct answer ✔✔Hypermobility is rarely associated with problems, but
there is a slight increased risk for dislocation or sprain in the affected joint.
At what age is a mature gait pattern established? At what age is an adult pattern gait
developed? - correct answer ✔✔By 3 years of age mature gait patter, by age 7 adult type gait
pattern.
How would you describe a gait that is characterized by a shortening of the single limb stance
phase, trunk shifting to the opposite side, and shortened stride length to prevent pain to an
affected side? - correct answer ✔✔Antalgic gait
What does a positive Galeazzi maneuver indicate? - correct answer ✔✔Limb Length discrepancy
Which maneuver is performed by flexing the hips and knees when the child is laying supine,
placing the soles of the feet at the table near the buttocks then looking at the knee heights for
equality? - correct answer ✔✔Galeazzi Maneuver
Which maneuver assess the potential for dislocation of a non-displaced hip in an infant during
the first month of life? - correct answer ✔✔Barlow Maneuver
What happens when a Barlow exam is positive? - correct answer ✔✔The femur slips/drops out
of the acetabulum or can be gently pushed out of the socket.
What is the ortolani maneuver? - correct answer ✔✔It is the reverse of the Barlow Maneuver
, What must occur for an ortolani sign to be considered positive? - correct answer ✔✔A palpable
clunk as the femoral head is relocated.
*A high pitch click is normal and not considered positive sign
What should PCPs perform ortolani and barlow maneuvers? - correct answer ✔✔Only in the
first few months of life.
What does the Klisic test evaluate? - correct answer ✔✔an observational sign of hip placement.
If child has scoliosis with pain- what should differential diagnosis be? - correct answer
✔✔Evaluate for neoplasm or inflammatory process
What is Tietze syndrome? - correct answer ✔✔The presence of pain, swelling, possibly
erythema, and pain on the costal chondral border. Sign of costochondritis.
Adolescent patient presents with asymmetric bowing of the legs. What is your differential? -
correct answer ✔✔Blounts disease
What is the ortolani maneuver for? - correct answer ✔✔-It is the reverse of the Barlow
Maneuver
-Reduces a dislocated hip and is performed gently to reduce a recently dislocated hip.
How do you know if a hip is dislocated using the Klisic test? - correct answer ✔✔Place the third
finger of one hand over the greater trochanter and the index finger of the same hand on the
anterosuperior iliac spine. An imaginary line is drawn between the index and third finger. If the
trochanter is elevated and the line points half way between the umbilicus and the pubis or
below the umbilicus, the hip is dislocated.
