Surgical MCQs

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Which of the following is CONTRAINDICATED for the operative leg following hip replacement surgery?

  • A. Adduction
  • B. Abduction
  • C. Hip flexion 90
  • D. External rotation
  • Correct Answer: Option D

The patient tells the surgeon that he would like the minimally invasive procedure for his total hip replacement. The surgeon explains that he is not a candidate because:

  • A. His BMI is 25
  • B. He has a fixed flexion contracture of 15 degrees*
  • C. The etiology of his hip disease is osteonecrosis
  • D. He is physically active
  • Correct Answer: Option C

The patient had decreased ROM after his first total hip arthoplasty because of heterotrophic ossification in the hip flexor muscles. Following the revision total hip arthroplasty the patient should:

  • A. Begin physical therapy with aggressive ROM
  • B. Disregard THR restrictions completely
  • C. Undergo postoperative radiation
  • D. Take aspirin prophylactically for two weeks
  • Correct Answer: Option C

The patient requires revision of the total hip replacement he had implanted 12 years ago. Prior to insertion of the revision components it is most important to:

  • A. Assess ROM
  • B. Rule out infection
  • C. Keep the patient immobilized
  • D. Advise the patient not to flex the hip > 90 degrees.
  • Correct Answer: Option B

Which statement is true regarding pelvic fractures?

  • A. Pelvic fractures are always unstable.
  • B. Additional abdominal trauma is unlikely with severe fractures.
  • C. There are no major blood vessels of concern in the pelvic area.
  • D. Pelvic fractures can result in high-volume blood loss.
  • Correct Answer: Option D

A 30-year-old female presents to the emergency room after a motor vehicle crash with the following symptoms: severe pain to the right lower extremity and inability to move it; bruising, swelling, and deformity mid-thigh with an open wound; and leg length discrepancy. Which of the following is a likely diagnosis?

  • A. Closed femur fracture.
  • B. Extracapsular hip fracture.
  • C. Dislocated hip.
  • D. Open femur fracture.
  • Correct Answer: Option D

Which of the following is a true statement regarding a femoral osteotomy?

  • A. Late-stage arthritis present with joint congruency.
  • B. Procedure realigns the acetabulum with the femur.
  • C. Used for a mid-age adult as an alternative to an immediate total hip arthroplasty.
  • D. It is a permanent, long-term treatment option for most patients.
  • Correct Answer: Option C

When transferring a post arthoplasty patient back to bed the patient complains of acute groin and hip pain and says they felt something “pop.” What should the nurse anticipate?

  • A. Subluxation.
  • B. Dislocation
  • C. Infection
  • D. Fracture
  • Correct Answer: Option B

In teaching the patient about hip precautions, which of the following is not appropriate?

  • A. Don't sit in a low chair.
  • B. Don't sit with legs crossed
  • C. Don't flex the hip more than 90 degrees
  • D. Don't keep the extremity in neutral alignment or slightly abducted
  • Correct Answer: Option D

Which finding from the patient history and physical examination would most likely be the indication leading to arthroplasty surgery?

  • A. Anterior thigh pain radiating toward the knee, increasing overtime.
  • B. Decreased range of motion in the joint and increased pain.
  • C. Shortening of the affected extremity.
  • D. The patient needs to take ASA after his daily walks.
  • Correct Answer: Option B