INSTRUCTIONS Care for the patient with hip pain
TEST INSTRUCTIONS
* Read the article. The test for this CE activity is to be taken online at http://www.nursingcenter.com/CE/NP. Tests can no longer be mailed or faxed.
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* Registration deadline is March 6, 2026.
PROVIDER ACCREDITATION
Lippincott Professional Development will award 2.5 contact hours for this continuing nursing education activity.
Lippincott Professional Development is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation.
This activity is also provider approved by the California Board of Registered Nursing, Provider Number CEP 11749 for 2.5 contact hours. Lippincott Professional Development is also an approved provider of continuing nursing education by the District of Columbia, Georgia, West Virginia, New Mexico, South Carolina, and Florida, CE Broker #50-1223. Your certificate is valid in all states.
Payment: The registration fee for this test is $24.95.
Care for the patient with hip pain
Learning Outcomes: Seventy-five percent of participants will be able to demonstrate competency in clinical reasoning for care of patients with hip pain by achieving a posttest score of 70% or greater.
Learning Objectives: After reading the article and completing the posttest, the participant will be able to:
1. Identify the clinical manifestations associated with hip pain etiologies.
2. Recognize the pathophysiologic mechanisms of hip pain etiologies.
3. Apply guideline-based strategies for diagnosis and management of hip pain.
Posttest: Knowledge-based questions
1. JL is a 68-year-old male who recently sustained a fall. He complains of constant, dull anterior hip and groin pain. He describes a clicking/catching sensation associated with movement. As the NP providing care, you suspect that JL has
a. a labral tear.
b. sacroiliac joint dysfunction.
c. greater trochanteric pain syndrome.
2. MJ is a 70-year-old female who arrives in the clinic complaining of morning stiffness in her lateral hip lasting less than an hour. She has pain associated with weight-bearing and pain with passive hip internal rotation. As the NP providing care, you explain to MJ that these symptoms are characteristic of
a. a labral tear.
b. osteoarthritis (OA).
c. gluteal tendinopathy.
3. For a patient with a fall prior to new-onset hip pain, the most inexpensive initial diagnostic testing to evaluate for a fracture includes a lateral X-ray of the symptomatic hip and
a. an aspirate of synovial fluid.
b. magnetic resonance angiography of the affected area.
c. an anteroposterior weight-bearing X-ray of the pelvis.
4. The pathophysiologic mechanism of the cam-type morphology of femoroacetabular impingement (FAI) syndrome is related to
a. impingement on the superior acetabulum with hip flexion and internal rotation along the femoral head-neck junction.
b. an acetabular overcoverage of the femoral head.
c. shear force injury leading to failure of the labrum.
5. You are the NP providing care to a patient with hip pain due to OA. According to management guidelines, first-line pharmacologic interventions include all the following, except
a. tramadol.
b. nonsteroidal anti-inflammatory drugs.
c. acetaminophen.
6. Abnormal tensile and compressive loading of the gluteus medius and gluteus minimus tendons leading to catabolic matrix degenerative changes are the pathophysiologic mechanism responsible for causing
a. a labral tear.
b. gluteal tendinopathy.
c. FAI syndrome.
7. One of the leading causes of a labral tear is
a. capsular laxity.
b. thinning of subchondral bone.
c. degenerative tear of the gluteus medius.
8. Insidious onset of lateral hip pain aggravated by lying on the affected side at night and sitting cross-legged are clinical manifestations of
a. OA.
b. FAI syndrome.
c. gluteal tendinopathy.
9. A nonsurgical strategy supported by the literature for improving some types of hip pain includes intraarticular injection of
a. corticosteroids.
b. hyaluronic acid.
c. platelet-rich plasma.
10. To assess for FAI syndrome and labral tears, a recommended examination technique is the
a. heel strike test.
b. straight leg raise against resistance test.
c. flexion-adduction-internal rotation test.