NURS 621 Ortho Exam with verified detailed answers ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
Terms in this set (41) ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
Original
At what age is a mature gait pattern established? At what age is an adult pattern gait
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
developed?
By 3 years of age mature gait patter, by age 7 adult type gait pattern.
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
You note a child's joints are hyper mobile. The parent appears concerned by this. What
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
would you teach them? ||\\|//|| ||\\|//|| ||\\|//||
Hypermobility is rarely associated with problems, but there is a slight increased risk for ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
dislocation or sprain in the affected joint. ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
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?
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
Antalgic gait ||\\|//||
What does a positive Galeazzi maneuver indicate?
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
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? ||\\|//|| ||\\|//||
Galeazzi Maneuver ||\\|//||
Which maneuver assess the potential for dislocation of a non-displaced hip in an infant
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
during the first month of life? ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
Barlow Maneuver ||\\|//||
What happens when a Barlow exam is positive?
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
The femur slips/drops out of the acetabulum or can be gently pushed out of the socket.
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
What is the ortolani maneuver? ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
, It is the reverse of the Barlow Maneuver
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
What must occur for an ortolani sign to be considered positive? ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
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? ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
Only in the first few months of life. ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
What does the Klisic test evaluate? ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
an observational sign of hip placement.
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
If child has scoliosis with pain- what should differential diagnosis be?
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
Evaluate for neoplasm or inflammatory process ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
What is Tietze syndrome? ||\\|//|| ||\\|//|| ||\\|//||
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? ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
Blounts disease ||\\|//||
What is the ortolani maneuver for? ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
-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?
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
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.
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
What does a positive trendelenburg sign indicate? ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
Positive indicates a weak hip abductor muscles on the side that is bearing the weight. ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
In older infants, what is a sign of hip dislocation?
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
Limitation of hip abduction. ||\\|//|| ||\\|//|| ||\\|//||
Terms in this set (41) ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
Original
At what age is a mature gait pattern established? At what age is an adult pattern gait
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
developed?
By 3 years of age mature gait patter, by age 7 adult type gait pattern.
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
You note a child's joints are hyper mobile. The parent appears concerned by this. What
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
would you teach them? ||\\|//|| ||\\|//|| ||\\|//||
Hypermobility is rarely associated with problems, but there is a slight increased risk for ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
dislocation or sprain in the affected joint. ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
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?
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
Antalgic gait ||\\|//||
What does a positive Galeazzi maneuver indicate?
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
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? ||\\|//|| ||\\|//||
Galeazzi Maneuver ||\\|//||
Which maneuver assess the potential for dislocation of a non-displaced hip in an infant
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
during the first month of life? ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
Barlow Maneuver ||\\|//||
What happens when a Barlow exam is positive?
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
The femur slips/drops out of the acetabulum or can be gently pushed out of the socket.
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
What is the ortolani maneuver? ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
, It is the reverse of the Barlow Maneuver
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
What must occur for an ortolani sign to be considered positive? ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
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? ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
Only in the first few months of life. ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
What does the Klisic test evaluate? ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
an observational sign of hip placement.
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
If child has scoliosis with pain- what should differential diagnosis be?
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
Evaluate for neoplasm or inflammatory process ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
What is Tietze syndrome? ||\\|//|| ||\\|//|| ||\\|//||
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? ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
Blounts disease ||\\|//||
What is the ortolani maneuver for? ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
-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?
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
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.
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
What does a positive trendelenburg sign indicate? ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
Positive indicates a weak hip abductor muscles on the side that is bearing the weight. ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
In older infants, what is a sign of hip dislocation?
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||
Limitation of hip abduction. ||\\|//|| ||\\|//|| ||\\|//||
