Q1. Following Statements are correct except 1. Pain arising in hip is felt in groin. 2.

Pain at the back of the hip is seldom from the joint. 3. Pain goes down the front of the thigh. 4. Pain usually felt at buttock. Q2. Regarding Limp Following statement is incorrect except 1. Limp may be due to pain 2. Due to Weakness of hip adductors 3. Due to joint instability 4. Due to changing in limb length. Q.3 causes of a positive Trendelenberg sign are except 1. Pain on weight bearing; 2. Strong hip abductors; 3. Shortening of the femoral neck; and 4. Dislocation or subluxation of the hip. Q.4 Following Investigations are available at liaquat university Hospital for hip except 1. Ultrasonography 2. Plain X-Rays 3. Arthrography 4. Magnetic Resonance Imaging Q.5 Regarding DDH following statements are correct except 1. Girls are much more commonly affected than boys. 2. The ratio being about 7:1. 3. The right hip is more often affected than the left. 4. In 1 in 5 cases the condition is bilateral. Q.6 Regarding aetiology of DDH following are correct except 1. Genetic factors 2. Hormonal factors 3. Breech position with extended legs 4. Cephaled position

Q.7 Regarding DDH following is correct 1. Ortolanis test Barlows test are screening test in childrens 2. In neonate x-rays are most helpful for diagnosis 3. X-rays of infants are easy to interpret 4. Ultrasound scanning has replaced radiography for imaging hips in the newborn Q.8 Regarding unilateral DDH following are incorrect 1. With unilateral dislocation the skin creases look symmetrical 2. The leg is slightly longer (Galeazzis sign) 3. Limb externally rotated 4. Thumb in the groin may feel that the femoral head is missing Q.9 DDH can be diagnosed by 1. Clinical 2. Ortolanis test: Hip can be relocated back into the acetabulum on abduction 3. Barlows test: Hip can be dislocated posteriorly out of the acetabulum 4. Ultra sound Q.10 Regarding DDH X-rays following is correct 1. Hilgenreiners line is vertical line 2. Perkins line is horizontal line 3. The acetabular roof angle should not exceed 30. 4. Von Rosens lines: with the hips adducted 45 Q.11 Regarding DDH following is correct except 1. Forced manipulative reduction should not be allowed 2. Traction should be gentle 3. Manipulation should be in the neutral position; 4. Positions of extreme abduction is safe in splint or plaster Q.12 Regarding treatment of DDH following is correct except 1. Infants with subluxation are treated as for dislocation: 2. The hip is splinted in abduction until the acetabular roof looks normal. 3. Patients with secondary OA may need inter trochanteric osteotomy or total hip replacement. 4. Young children (410) are treated with a plaster

Q.13 regarding congenital coxa vara following are incorrect 1. This is a rare developmental disorder of infancy and early childhood 2. It is due to a defect of endochondral ossification in the lateral part of the femoral neck. 3. When the child starts to crawl or stand, the femoral neck bends or develops a stress fracture 4. With continued weight bearing it collapses increasingly into valgus Q.14 Regarding coxa vara following are incorrect 1. The condition is usually diagnosed when the child starts to walk. 2. The leg is long and the thigh may be bowed. 3. X-rays show that the femoral neck is in varus 4. Femur is abnormally long. Q.15 Regarding coxa vara following is incorrect 1. If the epiphyseal angle is more than 40 but less than 60 degrees, the child should be kept under observation 2. If it is more than 60 degrees, or if shortening is progressive, the deformity should be corrected by a subtrochanteric or intertrochanteric varus osteotomy. 3. During childhood, coxa vara is seen in rickets 4. At any age bone softening may result in coxa vara causes include osteomalacia, fibrous dysplasia, and pathological fracture? Q.16 Following are the hip muscles except 1. Rectus femoris 2. Sartorius 3. Abductor longus 4. Adductor Magnus Q.17 Following are the posterior muscles of hip except 1. Semimembranosus 2.Semitendinosus 3.Biceps Brachi 4.Gluteus Maximus

Q.18 Following muscles are originating from medial side of hip except 1. Adductor Brevis 2. Adductor Longus 3. Adductor Magnus 4. Biceps Femoris Q19. Following are the lateral muscles of hip except 1.Gluteus Medius 2.Gluteus Minimus 3.Tensor Fascia Lata 4.Pectineus Q20. Following are the borders of femoral triangle except 1. Superior 2. Lateral &Medial 3. Posterior &Anterior 4. Inferior

Q1. Define coxa vara Q.2 what are the available investigations in different Age group of DDH Q.3 What is clinically difference between unilateral & bilateral DDH Q.4 Name the splints which used for DDH treatment