Legg-Calvé-Perthes disease MCQs

By: Prof. Dr. Fazal Rehman Shamil | Last updated: September 28, 2024

What is Legg-Calvé-Perthes disease?
A) A condition affecting the hip joint
B) A type of fracture
C) A degenerative joint disease
D) An infection of the bone
Answer: A) A condition affecting the hip joint

At what age is Legg-Calvé-Perthes disease most commonly diagnosed?
A) 2 to 4 years
B) 5 to 10 years
C) 11 to 15 years
D) 16 to 18 years
Answer: B) 5 to 10 years

Which gender is more frequently affected by Legg-Calvé-Perthes disease?
A) Males
B) Females
C) Both genders equally
D) It varies by age
Answer: A) Males

What is the primary cause of Legg-Calvé-Perthes disease?
A) Genetic factors
B) Vascular insufficiency
C) Trauma
D) Infection
Answer: B) Vascular insufficiency

What are common symptoms of Legg-Calvé-Perthes disease?
A) Hip pain and limping
B) Fever and swelling
C) Numbness and tingling
D) Knee pain only
Answer: A) Hip pain and limping

Which diagnostic tool is primarily used to confirm Legg-Calvé-Perthes disease?
A) X-ray
B) MRI
C) Ultrasound
D) CT scan
Answer: A) X-ray

What does the term “avascular necrosis” refer to in Legg-Calvé-Perthes disease?
A) Bone infection
B) Bone death due to loss of blood supply
C) Bone growth
D) Bone regeneration
Answer: B) Bone death due to loss of blood supply

What is a common initial treatment approach for Legg-Calvé-Perthes disease?
A) Surgery
B) Physical therapy
C) Observation and activity modification
D) Corticosteroids
Answer: C) Observation and activity modification

What is the typical duration for treatment of Legg-Calvé-Perthes disease?
A) 3 to 6 months
B) 6 months to 2 years
C) 2 to 5 years
D) Treatment is not necessary
Answer: B) 6 months to 2 years

What is a potential long-term complication of untreated Legg-Calvé-Perthes disease?
A) Osteoarthritis
B) Fractures
C) Increased flexibility
D) Decreased blood flow
Answer: A) Osteoarthritis

What is the role of physical therapy in managing Legg-Calvé-Perthes disease?
A) To increase mobility and strength
B) To prevent surgery
C) To eliminate pain completely
D) To promote bone healing
Answer: A) To increase mobility and strength

What is a common sign observed in children with Legg-Calvé-Perthes disease?
A) Unequal leg lengths
B) Decreased range of motion in the hip
C) Excessive joint swelling
D) Bruising around the hip
Answer: B) Decreased range of motion in the hip

Which treatment may be necessary in severe cases of Legg-Calvé-Perthes disease?
A) Joint replacement surgery
B) Hip resurfacing
C) Osteotomy
D) Amputation
Answer: C) Osteotomy

Which of the following is NOT a risk factor for Legg-Calvé-Perthes disease?
A) Family history of hip problems
B) Male gender
C) Obesity
D) Being a twin
Answer: D) Being a twin

What is the typical prognosis for children with Legg-Calvé-Perthes disease?
A) Poor
B) Variable; depends on the severity and timing of treatment
C) Excellent with treatment
D) It leads to lifelong disability
Answer: B) Variable; depends on the severity and timing of treatment

How is the severity of Legg-Calvé-Perthes disease classified?
A) By the age of onset
B) By the stage of avascular necrosis
C) By the presence of symptoms
D) By the level of activity restriction
Answer: B) By the stage of avascular necrosis

What is the primary aim of treatment for Legg-Calvé-Perthes disease?
A) To cure the disease
B) To maintain the shape of the femoral head
C) To prevent any symptoms
D) To increase bone density
Answer: B) To maintain the shape of the femoral head

What are common physical therapy exercises recommended for Legg-Calvé-Perthes disease?
A) Strengthening and flexibility exercises
B) High-impact aerobic exercises
C) Weightlifting
D) Running
Answer: A) Strengthening and flexibility exercises

What is the importance of early diagnosis in Legg-Calvé-Perthes disease?
A) It reduces the risk of complications
B) It eliminates the need for any treatment
C) It helps in making accurate predictions
D) It has no significant impact
Answer: A) It reduces the risk of complications

In what position should a child with Legg-Calvé-Perthes disease avoid placing their hip during treatment?
A) Extended position
B) Flexed position
C) Abducted position
D) Adducted position
Answer: D) Adducted position

What is the term used for the reshaping of the femoral head during Legg-Calvé-Perthes disease treatment?
A) Remodeling
B) Reconstruction
C) Osteotomy
D) Resurfacing
Answer: A) Remodeling

What is a typical age range for complete recovery from Legg-Calvé-Perthes disease?
A) By age 6
B) By age 10
C) By age 15
D) By age 18
Answer: B) By age 10

What is a common imaging finding in the X-rays of a child with Legg-Calvé-Perthes disease?
A) Widening of the joint space
B) Flattening of the femoral head
C) Increased bone density
D) Fractures
Answer: B) Flattening of the femoral head

Which treatment option is considered when the disease progresses despite conservative measures?
A) Observation
B) Surgical intervention
C) Bracing only
D) Change in diet
Answer: B) Surgical intervention

How does Legg-Calvé-Perthes disease typically present in its early stages?
A) Sudden onset of hip pain
B) Gradual onset of hip pain and limp
C) No symptoms at all
D) Swelling and redness
Answer: B) Gradual onset of hip pain and limp

What is a common misconception about Legg-Calvé-Perthes disease?
A) It only affects boys
B) It is a lifelong condition
C) It can occur bilaterally
D) It only affects young children
Answer: B) It is a lifelong condition

What is the purpose of using a brace in the treatment of Legg-Calvé-Perthes disease?
A) To immobilize the hip
B) To provide support and maintain proper alignment
C) To reduce weight on the hip joint
D) To enhance blood flow
Answer: B) To provide support and maintain proper alignment

What is the role of parent education in managing Legg-Calvé-Perthes disease?
A) To ensure compliance with treatment
B) To minimize stress at home
C) To encourage risky activities
D) To eliminate the need for follow-ups
Answer: A) To ensure compliance with treatment

What happens to the blood supply to the femoral head in Legg-Calvé-Perthes disease?
A) It increases significantly
B) It remains unchanged
C) It decreases, leading to bone death
D) It becomes redundant
Answer: C) It decreases, leading to bone death

What might a child with Legg-Calvé-Perthes disease avoid during their treatment?
A) Swimming
B) High-impact sports
C) Walking
D) Stretching exercises
Answer: B) High-impact sports

Which statement is true regarding Legg-Calvé-Perthes disease?
A) It can be completely cured with medication
B) Most children will have a full recovery with proper treatment
C) It affects only the right hip
D) It is caused by viral infections
Answer: B) Most children will have a full recovery with proper treatment

What is the significance of early intervention in Legg-Calvé-Perthes disease?
A) It may prevent the need for surgery
B) It ensures lifelong immunity
C) It guarantees complete recovery
D) It has no impact on treatment outcomes
Answer: A) It may prevent the need for surgery

What is the key characteristic of the femoral head in Legg-Calvé-Perthes disease?
A) It is excessively round
B) It becomes flattened
C) It grows larger
D) It becomes brittle
Answer: B) It becomes flattened

Which of the following is a common non-surgical treatment for Legg-Calvé-Perthes disease?
A) Bed rest
B) Anticoagulants
C) Analgesics and physical therapy
D) Bone grafting
Answer: C) Analgesics and physical therapy

What is the primary goal of surgery in severe cases of Legg-Calvé-Perthes disease?
A) To remove the affected bone
B) To improve joint stability and alignment
C) To lengthen the limb
D) To enhance mobility without surgery
Answer: B) To improve joint stability and alignment

What symptom might suggest that a child with Legg-Calvé-Perthes disease is experiencing complications?
A) Increased range of motion
B) Persistent hip pain despite treatment
C) Decreased activity levels
D) Improvement in symptoms
Answer: B) Persistent hip pain despite treatment

What lifestyle changes may be recommended for children with Legg-Calvé-Perthes disease?
A) Increased physical activity
B) Avoidance of high-impact activities
C) Dietary restrictions
D) Complete bed rest
Answer: B) Avoidance of high-impact activities

What is the typical follow-up schedule for a child recovering from Legg-Calvé-Perthes disease?
A) Every month
B) Every 6 months
C) Annually
D) Follow-ups are not necessary
Answer: B) Every 6 months

What is a characteristic feature of the limp seen in Legg-Calvé-Perthes disease?
A) It is often painless
B) It only occurs during exercise
C) It is accompanied by a visible deformity
D) It is only seen in older children
Answer: A) It is often painless

What imaging technique is useful for monitoring the progression of Legg-Calvé-Perthes disease?
A) MRI
B) X-ray
C) CT scan
D) Bone scan
Answer: B) X-ray

What is the purpose of a brace in the management of Legg-Calvé-Perthes disease?
A) To completely immobilize the hip
B) To hold the femoral head in place
C) To strengthen the hip joint
D) To prevent further injury
Answer: B) To hold the femoral head in place

In Legg-Calvé-Perthes disease, what is the expected outcome with appropriate treatment?
A) Complete resolution of symptoms
B) Permanent loss of hip function
C) Chronic pain
D) Early onset of arthritis
Answer: A) Complete resolution of symptoms

What is the primary focus of physical therapy for children with Legg-Calvé-Perthes disease?
A) Reducing pain through medication
B) Improving mobility and strength
C) Speeding up recovery with intense workouts
D) Focusing solely on rest
Answer: B) Improving mobility and strength

Which of the following is true regarding the recurrence of Legg-Calvé-Perthes disease?
A) It can recur in the same hip
B) It never recurs once treated
C) It only affects the opposite hip
D) It is always more severe on recurrence
Answer: A) It can recur in the same hip

What is a key element in the management of Legg-Calvé-Perthes disease?
A) Parental involvement and education
B) Isolation from peers
C) Avoidance of all activities
D) Sole reliance on medication
Answer: A) Parental involvement and education

How long may a child with Legg-Calvé-Perthes disease require follow-up after treatment?
A) 1 year
B) 2 years
C) 5 years
D) Lifelong
Answer: B) 2 years

What factor may influence the prognosis of Legg-Calvé-Perthes disease?
A) Age of the child at diagnosis
B) Diet of the child
C) Family history of allergies
D) Frequency of sports participation
Answer: A) Age of the child at diagnosis

Which intervention is typically avoided during the initial treatment phase of Legg-Calvé-Perthes disease?
A) Surgery
B) Physical therapy
C) Weight management
D) Medication
Answer: A) Surgery

What is an essential component of the rehabilitation process for children recovering from Legg-Calvé-Perthes disease?
A) Regular follow-up appointments
B) Complete rest from all activities
C) High-intensity workouts
D) No physical therapy
Answer: A) Regular follow-up appointments

Which statement about Legg-Calvé-Perthes disease is correct?
A) It affects adults primarily
B) It can lead to hip joint degeneration
C) It is a common condition with no long-term effects
D) It occurs equally in boys and girls
Answer: B) It can lead to hip joint degeneration