Slipped capital femoral epiphysis (SCFE) MCQs

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

What is Slipped Capital Femoral Epiphysis (SCFE)? A) A fracture of the femoral neck B) A condition where the femoral head slips off the neck C) An infection of the hip joint D) A degenerative joint disease Answer: B) A condition where the femoral head slips off the neck At what age is SCFE most commonly diagnosed? A) 2 to 4 years B) 5 to 10 years C) 10 to 16 years D) 16 to 20 years Answer: C) 10 to 16 years Which gender is more commonly affected by SCFE? A) Males B) Females C) Both genders equally D) It varies by age Answer: A) Males What is a common symptom of SCFE? A) Sudden onset of fever B) Limping and hip pain C) Swelling of the knee D) Numbness in the leg Answer: B) Limping and hip pain Which imaging modality is primarily used to diagnose SCFE? A) X-ray B) MRI C) Ultrasound D) CT scan Answer: A) X-ray What is the characteristic finding on X-ray in a patient with SCFE? A) Joint effusion B) Deformity of the femoral head C) Displacement of the femoral head D) Increased bone density Answer: C) Displacement of the femoral head What is a potential complication of untreated SCFE? A) Osteoarthritis B) Hip fracture C) Avascular necrosis D) All of the above Answer: D) All of the above What is the first-line treatment for SCFE? A) Observation B) Surgical fixation C) Physical therapy D) Medication Answer: B) Surgical fixation What type of surgical procedure is commonly performed for SCFE? A) Osteotomy B) Pinning of the femoral head C) Total hip replacement D) Arthroscopy Answer: B) Pinning of the femoral head What is the primary goal of surgical intervention in SCFE? A) To relieve pain B) To stabilize the femoral head C) To improve mobility D) To reduce swelling Answer: B) To stabilize the femoral head What is a risk factor for developing SCFE? A) Obesity B) Age C) Hormonal imbalances D) All of the above Answer: D) All of the above What is the typical prognosis for children treated for SCFE? A) Poor, with lifelong disability B) Generally good, especially with early treatment C) Variable, with high recurrence rates D) Excellent, no follow-up needed Answer: B) Generally good, especially with early treatment How does SCFE typically present in adolescents? A) Hip stiffness only B) Persistent knee pain without hip symptoms C) Acute onset of hip pain D) Gradual onset of hip and knee pain Answer: D) Gradual onset of hip and knee pain What is the significance of early diagnosis in SCFE? A) It reduces the need for surgery B) It allows for better outcomes and less risk of complications C) It has no impact on treatment D) It prevents recurrence Answer: B) It allows for better outcomes and less risk of complications What is a common physical finding in a child with SCFE? A) Limited internal rotation of the hip B) Excessive external rotation of the hip C) Swelling of the thigh D) Dislocated hip Answer: A) Limited internal rotation of the hip What is the most important sign to look for in an adolescent with hip pain that might suggest SCFE? A) Fever B) Recent trauma C) Decreased range of motion in the hip D) Swelling around the knee Answer: C) Decreased range of motion in the hip In which type of SCFE does the femoral head slip in a posterior and medial direction? A) Stable SCFE B) Unstable SCFE C) Acute SCFE D) Chronic SCFE Answer: B) Unstable SCFE Which condition can be mistaken for SCFE due to similar symptoms? A) Osteosarcoma B) Transient synovitis C) Avascular necrosis D) All of the above Answer: D) All of the above What is the typical recovery time after surgical intervention for SCFE? A) 2 to 4 weeks B) 4 to 6 weeks C) 6 to 12 weeks D) 12 to 24 weeks Answer: C) 6 to 12 weeks Which of the following is a late complication of SCFE? A) Osteoarthritis B) Recurrent dislocation C) Hip flexor weakness D) Bone infection Answer: A) Osteoarthritis What is the typical follow-up schedule after surgical treatment for SCFE? A) Monthly B) Every 3 months for the first year C) Every 6 months D) Annually Answer: B) Every 3 months for the first year What is the usual indication for immediate surgical intervention in SCFE? A) Stable presentation B) Significant displacement of the femoral head C) Mild hip pain D) Absence of symptoms Answer: B) Significant displacement of the femoral head What is the impact of obesity on the risk of SCFE? A) It reduces the risk B) It has no effect C) It increases the risk D) It is a protective factor Answer: C) It increases the risk What hormonal factor is often associated with SCFE? A) Thyroid hormone levels B) Growth hormone levels C) Estrogen and testosterone levels D) Cortisol levels Answer: C) Estrogen and testosterone levels What is the most important aspect of post-operative care for SCFE? A) Weight-bearing as tolerated B) Immediate range of motion exercises C) Regular monitoring for complications D) Avoiding physical therapy Answer: C) Regular monitoring for complications Which of the following is NOT a sign of SCFE? A) Hip pain B) Limb length discrepancy C) Fever D) Limited hip range of motion Answer: C) Fever What is the primary mechanism behind the slippage in SCFE? A) Mechanical overload B) Hormonal changes C) Bone growth and shear forces D) Trauma Answer: C) Bone growth and shear forces Which demographic is most at risk for SCFE? A) Young children B) Adolescents undergoing rapid growth spurts C) Elderly individuals D) Adults Answer: B) Adolescents undergoing rapid growth spurts Which of the following is a recommended lifestyle modification to reduce the risk of SCFE? A) Increased physical activity B) Weight management C) Avoiding all sports D) Complete bed rest Answer: B) Weight management What is the impact of SCFE on the long-term function of the hip? A) No impact if treated B) Always leads to arthritis C) Variable depending on severity and treatment D) Guarantees normal function Answer: C) Variable depending on severity and treatment What is the common term used for the surgical procedure performed to stabilize SCFE? A) Hip arthroscopy B) Open reduction C) In situ fixation D) Femoral head resurfacing Answer: C) In situ fixation What is a sign of unstable SCFE? A) Full range of motion B) Acute hip pain with inability to bear weight C) Chronic hip pain D) Mild discomfort during activity Answer: B) Acute hip pain with inability to bear weight What is the typical duration of non-weight-bearing status after SCFE surgery? A) 1 week B) 2 to 4 weeks C) 4 to 6 weeks D) 6 to 8 weeks Answer: C) 4 to 6 weeks How is the severity of SCFE generally classified? A) Based on age B) Based on the degree of slippage C) Based on the type of treatment D) Based on associated symptoms Answer: B) Based on the degree of slippage What should parents monitor for in children recovering from SCFE surgery? A) Changes in appetite B) Signs of infection or complications C) Weight gain D) Flexibility of the hip Answer: B) Signs of infection or complications Which sports should be avoided after treatment for SCFE? A) Swimming B) Contact sports C) Yoga D) Running Answer: B) Contact sports What is a key factor in the long-term management of SCFE? A) Regular physical activity B) Monitoring for symptoms of recurrence C) Avoiding any exercise D) Surgical intervention every year Answer: B) Monitoring for symptoms of recurrence What is a major concern in patients with a history of SCFE? A) Hip joint stability B) Cardiovascular health C) Lung function D) Vision problems Answer: A) Hip joint stability  

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