What is the recommended screening test for developmental dysplasia of the hip in newborns in the UK?
Answer and explanation
Correct answer: B. Barlow and Ortolani examination, with ultrasound if at risk
- Step 1: Early detection allows splinting with a harness before the hip is damaged. Step 2. All newborns have a clinical hip examination, and ultrasound is used for those with abnormal findings or risk factors such as breech presentation. Answer: Barlow and Ortolani examination, with ultrasound if at risk. Why not the others: X-rays are not used at this age as the femoral head is cartilaginous. Blood and genetic tests do not detect dislocation.
Practise more Child health.
Free questions with an explanation for every one, and full timed UKMLA Applied Knowledge Test (MSRA-style single best answer) mock tests.
More Child health questions
- A 5-month-old has had 3 days of coryza, a wet cough, wheeze and fine crackles, and is feeding adequately with an oxygen saturation of 97 per…
- A 2-year-old has a barking cough, hoarse voice and inspiratory stridor at rest after a coryzal illness. Which treatment is recommended?
- According to the NICE traffic light system for assessing a febrile child under 5, which finding places the child in the red (high-risk) grou…
- A 3-year-old has had 6 days of fever, bilateral non-purulent conjunctivitis, red cracked lips, a polymorphous rash, swollen hands and cervic…
- A 4-week-old boy has projectile non-bilious vomiting after every feed and remains hungry. Which biochemical abnormality is expected, and why…
- A 9-month-old has episodes of colicky pain with drawing up of the legs, pallor, vomiting and a stool resembling redcurrant jelly. What is th…