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Orthopaedics · Paediatric: Pirani score
Sample itemThe Pirani scoring system assesses which condition?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. Severity of clubfoot
The Pirani score grades six clinical signs of clubfoot (three hindfoot and three midfoot) each from 0 to 1, with a maximum of 6. It is used to monitor correction during Ponseti casting and to decide on tenotomy.
Option by option
A. Stability of the hip in infants
Hip stability uses the Ortolani and Barlow tests.
B. Fracture healing
Fracture healing is assessed radiographically.
C. Severity of scoliosis
Scoliosis is measured by the Cobb angle.
D. Severity of clubfoot (correct)
Correct. Pirani scores clubfoot severity.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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