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