WorksheetsSSP517 - week eight - Lx and Tx spine injury and pathology 2
Total questions: 30
Worksheet time: 17mins
Non-specific idiopathic LBP accounts for ≈ what % of all LBP cases
≈20%
≈50%
≈50%
≈70%
Which of the following IS NOT a cause of Mechanical Lower Back Pain?
Metastatic cancer
Osteoporotic wedge fracture
Herniated disc
Spondylolysis
According to Dustman et al (2002), the prevalence of LBP has been reported to be as high as what % in the general popluation?
25%
55%
75%
85%
Which sex is non-specific idiopathic LBP more prevalent in?
Male
Female
What is the other name given to the facet joints of the spine?
Zygapophysial
Zygapoprofiter
Zygapolishing
Zygaphysical
Which of the following are properties of the facet joints? (select ALL correct answers)
Lined with hyaline cartilage
Surrounded by a fibrous capsule
Lubricated by synovial fluid
Regulated by a synovial membrane
Stabilised by ligaments
What is a common cause of chronic Facet joint syndrome?
Osteoarthritis
Repetitive flexion
Cauda equina syndrome
Postural variability
Which of the following is true of a compression pattern of the facet joints?
Restricted ROM/pain into combined extension movements
Restricted ROM/pain into combined flexion movements
Which of the following is true of a stretch pattern of the facet joints?
Restricted ROM/pain into combined extension movements
Restricted ROM/pain into combined flexion movements
What is another word for 'disc herniation'?
Disc prolapse
Disc sequestration
Disc iritation
Disc bulge
When performed under load, which two movements COMBINED are most associated with a disc-related injury? (select ALL correct answers)
Flexion
Extension
Sider flexion
Rotation
According to Casrlson et al (2019), over 85% of patients with symptoms associated with an acute herniated disc will resolve without any specific treatments within how long a period?
8-12 days
8-12 weeks
8-12 months
8-12 years
Which of the following IS NOT one of Tom Jesson's (2021) 'Key Facts' about Sciatica?
Referred pain is when pain from things like muscles, joints and discs is felt in the wrong place. It’s usually a diffuse ache
Because all of these things can exist together, in different amounts, the clinical picture is often far from clear!
Nerve root pain is a less specific term for radicular pain. It means pain from any part of the nerve root, including its protective sleeve. By contrast, radicular pain specifically refers to abnormal messages coming from the faulty wiring of the root.
Sciatica is an old-fashioned term without any specific meaning. Despite this, it is a useful and easy way to refer to pain down the back of the leg that seems to be related to a nerve.
Sciatica is a red flag condition and therefore patients who present with these symptoms should be referred on for urgent medical assessment
According to Koes and Tulder (2007), ≈ what % of cases of sciatica are due to a disc herniation?
≈ 10%
≈ 30%
≈ 70%
≈ 90%
According to Vroomen et al (2000), 70% of patients with sciatic will what?
Recover within three months
Recover within a year
Continue to have pain ≥ one year
Which of the following could result in intervertebral foramen stenosis? (Select ALL correct answers)
A disc herniation
An osteophyte
A spondylolisthesis
Spinal spondylosis
Visceral referred pain
What is a 'spondylolisthesis'?
A forward slip of a vertebra on the one below
A backward slip of a vertebra on the one below
A sideways slip of a vertebra on the one below
An upward slip of a vertebra on the one below
A downward slip of a vertebra on the one below
In general, what are the three main causes of a spondylolisthesis?
Degeneration
Trauma
Congenital
Visceral
Inflammatory
Which mechanical cause of LBP is the picture related to?
Spinal stenosis
Spinal spondylolisthesis
Spinal spondylosis
Spinal scoliosis
What is the other name given to spondylolysis?
Pars fracture
Colles fracture
Smith's fracture
Hangman's fracture
Spiral fracture
When performed repetitively, which two movements combined are the common aetiology for a spondylolysis? (select ALL correct answers)
Extension
Flexion
Rotation
Side flexion
Whereabouts upon the vertebrae would you find the pars interarticularis?
Between the superior and inferior articular facets
Between the lamina and the pedicles
Between the spinous process and the vertebral foramen
Between the transverse process and the vetebral body
What is the recommended treatment intervention for spondylolysis?
Rest (offload)
Massage
Mobilisations
Extension based exercise
Which of the following are risk factors of an osteoporotic wedge fracture? (Select ALL correct answers)
Age >50
Post-menopause
Smoker
Endomorph
Vitamin C deficiency
According to the NICE guidelines for 'Low Back Pain and Sciatica', which of these treatments are clinicians advised 'do not offer?
Education
Electrotherapy
Manual therapy
Exercise
What does 'Iatrogenic' mean?
Relating to illness caused by medical examination or treatment
For no known reason
To achieve an accurate and clear diagnosis
The fear of movement
According to Mawston et al (2021), which lumbar spine posture is more assoociated with greater strength and efficiency?
Flexed (kyphosis)
Extended (lordosis)
Which of these sitting postures is best for your back?
Slouching
Sitting upright
Changing position regularly
What does the word 'sedentary' mean?
Time spent sitting
Time spent moving
Time spent lying
Time spent standing
According to Levine (2014), how long does the average adult spent sitting each day?
2 hours
8 hours
10 hours
13 hours
