Online Quiz: The Hip

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Created on August 19, 2022 By

Prof Kehinde Oluwadiya

Hip

Hip Quiz

The Hip Quiz

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Category: Hip

1. Which is NOT true about fractured neck of femurs?

1. the leg is shortened and externally rotated in most fractured neck of femurs

2. the main source of blood to the femoral head is via the vessels running within cancellous bone from the diaphysis

3. a subcapital fracture cuts off all the blood to the head of the femur resulting in avascular necrosis

4. the blood supply to the head is increased by vessels in the capsular retinacula and it is this which prevents avascular necrosis of the head after an intertrochanteric fracture

5. the ligamentum teres attaches to the central fovea???? on the femoral head and originates from the

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Category: Hip

2. Of the hip joint ligaments and capsule:

1. capsule attaches circumferentially to neck of anterior trochanteric line

2. retinacular fibres of capsule bind down nutrient from cruciate anastomosis

3. iliofemoral ligament becomes taut on medial rotation and extension

4. all three ligaments attach to capsule and completely enclose joint

5. Psoas major tendon separates capsule from femoral nerve

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Category: Hip

3. The muscle which provides the most control of hip joint

1. Iliacus

2. Semitendonosis

3. Semimembranosis

4. Gluteus maximus

5. Gluteus minimis

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Category: Hip

4. Regarding movements of the hip joint

1. Stability is reduced by the presence of the long femoral neck

2. Medial rotation is achieved by obturator externus

3. Sartorius is a lateral rotator

4. Medial rotation is resisted by the iliotibial tract

5. Abduction is not usually required in normal walking

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Category: Hip

5. Which of the following are correctly paired?

1. Adductor brevis – femoral nerve

2. Adductor longus – sciatic nerve

3. Adductor magnus – saphenous nerve

4. Adductor longus – obturator nerve

5. Adductor magnus – femoral nerve

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Category: Hip

7. The most powerful extensor of the hip is:

1. Gluteus maximus

2. psoas major

3. iliacus

4. obturator externus

5. piriformis

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Category: Hip

8. Regarding the hip joint all of the following statements are true EXCEPT:

1. the anterior fibres of the gluteus medius and minimus act as medial rotator of the hip joint

2. the gluteus maximus is the most powerful lateral rotator of the hip joint

3. gluteus medius and minimus are supplied by the inferior gluteal nerve (L5, S1, S2)

4. the superior gluteal nerve (L4, L5, S1) emerges from the greater sciatic notch

5. the iliofemoral ligament limits extension at the hip joint

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Category: Hip

9. The skin crease of the hip:

1. is where the inguinal ligament is attached to the fascia lata

2. is where the external oblique aponeurosis is joined to Scarpa’s fascia

3. is where Scarpa’s fascia is attached to the fascia lata

4. is mainly supplied by the femoral nerve

5. none of the above

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Category: Hip

10. The hip joint

1. Is directed slightly forward along the axis of the femoral neck

2. Is supplied by the femoral and obturator nerves only

3. Has an articular surface which does not reach the rim of the acetabulum

4. Bears weight mainly through the ischial bone

5. Has a capsule which is strengthened anteriorly by the ischiofemoral ligament

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Category: Hip

11. Trendelenburg’s test is negative if:

1. the hip adductors are paralysed (eg in poliomyelitis)

2. there is an old unreduced or congenital dislocation of the hip

3. there is an ununited fracture of the neck of femur

4. the patient walks with a dipping gait

5. gluteus minimus and medius and tensor fascia latae are weakened severely

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Category: Hip

12. The muscle which provides the most control of hip joint movement during the act of sitting is:

1. iliacus

2. semitendinosis

3. semimembranosis

4. gluteus maximus

5. gluteus medius

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Category: Hip

14. Which of the following is correctly paired?

1. adductor brevis – femoral nerve

2. adductor longus – sciatic nerve

3. adductor magnus – saphenous nerve

4. adductor longus – obturator nerve

5. adductor magnus – femoral nerve

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Category: Hip

15. Avascular necrosis of femoral head following fracture neck is most likely due to injury to

1. arteries from trochanteric anastomosis in the retinacula

2. artery of the ligament of the head from the obturator artery

3. branches from the profunda femoris artery

4. branches from the pudendal artery

5. branches from the inferior gluteal artery

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Category: Hip

16. The obturator nerve is derived from the anterior rami of:

1. T12, L1 and L2

2. L1, L2 and L3

3. L2, L3 and L4

4. L3, L4 and S1

5. none of the above

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Category: Hip

17. With regard to the head of the femur

1. The arterial supply comes mainly from the inferior gluteal artery

2. The artery to the head assumes importance after age of 7 years

3. Psoas lies posterior to the hip joint

4. The anterior division of the obturator nerve gives partial supply to the hip joint

5. None of the above

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Category: Hip

18. Piriformis:

1. is an abductor of the hip in hip flexion

2. passes through the lesser sciatic foramen

3. is the preferred site of intramuscular gluteal injection

4. passes anterior to the femoral neck

5. lies deep to the sciatic nerve

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Category: Hip

19. Regarding the bony pelvis

1. The obturator groove is in the ischial bone

2. The greater sciatic foramen transmits the obturator internus

3. The pectineal line lies superior to the acetabulum

4. The inguinal ligament inserts medially into the iliopubic eminence

5. None of the above

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Category: Hip

20. With respect to the hip joint

1. Ischiofemoral ligament is the strongest ligament

2. The fibrous capsule is strengthened by 2 ligaments

3. Anteriorly the psoas major tendon separates the capsule from the femoral vein

4. It is least stable when flexed and adducted

5. Ligament of Bigelow is the weakest ligament

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Category: Hip

21. At the hip:

1. the ligament of the head of the femur is attached to the acetabular notch

2. the pubofemoral ligament is the weakest ligament at the hip

3. flexion tightens the ligaments

4. the obturator nerve via its anterior division, innervates the capsule and retinacular fibres

5. the normal range of flexion is 160°

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Category: Hip

22. The hip joint

1. Derives its stability largely from the shape of its articular surfaces

2. Has the ischiofemoral as its strongest ligament

3. Is only supplied by the obturator and sciatic nerves

4. Is limited in full extension by the pubofemoral ligament

5. Is flexed largely by sartorius and rectus femoris

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Category: Hip

23. Regarding the popliteal fossa, which of the following statements is true?

1. the common peroneal nerve slopes downwards lateral to the biceps tendon

2. the sural nerve is a cutaneous branch of the common peroneal nerve

3. the middle genicular artery of the popliteal artery supply the cruciate ligaments

4. the popliteus muscle is supplied by a branch of the common peroneal nerve

5. the recurrent genicular nerve is a branch of the tibial nerve

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