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Chapter 16 Practice Questions

Terms in this set (11)

1. The screening model used to help identify viscerogenic or systemic
origins of hip, groin, and lower extremity pain and symptoms
is made up of:
a. Past medical history, risk factors, clinical presentation, and
associated signs and symptoms
b. Risk factors, risk reduction, and primary prevention
c. Enteric disease, systemic disease, and neuromusculoskeletal
dysfunction
d. Physical therapy diagnosis, Review of Systems, and physician
referral
a. Past medical history, risk factors, clinical presentation, and
associated signs and symptoms
2. When would you use the iliopsoas, obturator, or Blumberg's
test?
Any time you suspect an infectious or inflammatory cause of hip, groin, or pelvic symptoms. Abdominal or intraperitoneal inflammation leads to irritation and/or abscess formation of the psoas muscle, causing musculoskeletal pain. These tests are especially appropriate for the client who has a history of Crohn's disease, diverticulitis, pelvic inflammatory disease, or Chlamydia with a new onset of hip and/or groin pain. Combined with findings of Blumberg's rebound test and McBurney's point, the information gained can help the clinician to identify signs and symptoms of possible appendicitis.
3. Hip and groin pain can be referred from:
a. Low back
b. Abdomen
c. Retroperitoneum
d. All of the above
d. All of the above
4. Screening for cancer may be necessary in anyone with hip pain
who:
a. Is younger than 20 years of age or older than 50 years
b. Has a past medical history of diabetes mellitus
c. Reports fever and chills
d. Has a total hip arthroplasty (THA)
a. Is younger than 20 years of age or older than 50 years
5. Pain during weight-bearing may be a sign of hip fracture, even
when radiographs are negative. Follow-up clinical tests may
include:
a. McBurney's, Blumberg's, Murphy's test
b. Squat test, hop test, translational/rotational tests
c. Psoas and obturator tests
d. Patrick's or Faber's test
b. Squat test, hop test, translational/rotational tests
6. Abscess of the hip flexor muscles from intraabdominal infection
or inflammation can cause hip and/or groin pain. Clinical
tests to differentiate the cause of hip pain resulting from psoas
abscess include:
a. McBurney's, Blumberg's, or Murphy's test
b. Squat test, hop test, translational/rotational tests
c. Iliopsoas and obturator tests
d. Patrick's or Faber's test
c. Iliopsoas and obturator tests
7. Anyone with hip pain of unknown cause must be asked about:
a. Previous history of cancer or Crohn's disease
b. Recent infection
c. Presence of skin rash
d. All of the above
d. All of the above
8. Vascular diseases that may cause referred hip pain include:
a. Coronary artery disease
b. Intermittent claudication
c. Aortic aneurysm
d. All of the above
c. Aortic aneurysm

Coronary artery disease does not cause referred hip pain (it is a disease of the heart that causes angina with chest, neck, or upper extremity pain or discomfort); intermittent claudication is a symptom, not a disease; aortic aneurysm may cause low back pain that radiates into the buttock and the hip.
9. True hip pain is characterized by:
a. Testicular (male) or labial (female) pain
b. Groin or deep buttock pain with active or passive range of
motion
c. Positive McBurney's test
d. All of the above
b. Groin or deep buttock pain with active or passive range of
motion
10. Hip pain associated with primary or metastasized cancer is
characterized by:
a. Bone pain during weight-bearing; may not be able to stand
on that leg
b. Night pain that is relieved by aspirin
c. Positive heel strike test with palpable local tenderness
d. All of the above
d. All of the above
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