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NURS 621 (Orthopedic) QUESTIONS AND ANSWERS
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NURS 621 (Orthopedic) QUESTIONS AND ANSWERS
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NURS 621 (Orthopedic) QUESTIONS AND ANSWERS.1. At what age is a mature gait pattern By 3 years of age mature gait pat-
established? At what age is an adult ter, by age 7 adult type gait pat-
pattern gait developed? tern.
2. You note a child's joints are hyper mo- Hypermobility is rarely associated
bile. The parent appears concerned by with problems, but there is a slight
this. What would you teach them? increased risk for dislocation or
sprain in the affected joint.
3. How would you describe a gait that is Antalgic gait
characterized by a shortening of the
single limb stance phase, trunk shift-
ing to the opposite side, and shortened
stride length to prevent pain to an af-
fected side?
4. What does a positive Galeazzi maneu- Limb Length discrepancy
ver indicate?
5. Which maneuver is performed by flex- Galeazzi Maneuver
ing 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 equali-
ty?
6. Which maneuver assess the potential Barlow Maneuver
for dislocation of a non-displaced hip in
an infant during the first month of life?
7. What happens when a Barlow exam is The femur slips/drops out of the
positive? acetabulum or can be gently
pushed out of the socket.
8. What is the ortolani maneuver? It is the reverse of the Barlow Ma-
neuver
9. What must occur for an ortolani sign to A palpable clunk as the femoral
be considered positive? head is relocated.
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, NURS 621 (Orthopedic) QUESTIONS AND ANSWERS.
*A high pitch click is normal and
not considered positive sign
10. What should PCPs perform ortolani Only in the first few months of life.
and barlow maneuvers?
11. What does the Klisic test evaluate? an observational sign of hip place-
ment.
12. If child has scoliosis with pain- what Evaluate for neoplasm or inflam-
should differential diagnosis be? matory process
13. What is Tietze syndrome? The presence of pain, swelling,
possibly erythema, and pain on
the costal chondral border. Sign of
costochondritis.
14. Adolescent patient presents with Blounts disease
asymmetric bowing of the legs. What is
your differential?
15. What is the ortolani maneuver for? -It is the reverse of the Barlow Ma-
neuver
-Reduces a dislocated hip and is
performed gently to reduce a re-
cently dislocated hip.
16. How do you know if a hip is dislocated Place the third finger of one hand
using the Klisic test? 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 um-
bilicus and the pubis or below the
umbilicus, the hip is dislocated.
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