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Spine Exam Quiz

Total questions: 22

Worksheet time: 13mins

Name
Class
Date
1.

Which of these are red flag(s) for Cauda Equina Syndrome?

a)

prolonged morning spine pain or stiffness

b)

worsened spine pain at night

c)

spine pain + fever, chills, weight loss

d)

saddle anesthesia

e)

spine pain + bowel or bladder incontinence

2.

Along with spine pain, which of these are red flag(s) for cancer?

a)

prolonged morning spine pain or stiffness

b)

worsened spine pain at night

c)

fever, chills, weight loss

d)

saddle anesthesia

e)

bowel or bladder incontinence

3.

If a patient has pain at the spinous processes or SI joint on palpation, it is most likely coming from...

a)

bone

b)

muscles

4.

If a patient has worse pain in the legs with back flexion, it is most likely coming from...

a)

nerve root impingement

b)

muscular issue

c)

skeletal issue

d)

spinal stenosis

5.

If a patient has worse pain in the legs with back extension, it is most likely coming from...

a)

nerve root impingement

b)

muscular issue

c)

skeletal issue

d)

spinal stenosis

6.

The normal range of motion for lateral flexion of the back is...

a)

5-15 degrees

b)

15-20 degrees

c)

20-35 degrees

d)

40-60 degrees

7.

What dermatome is located at this blue arrow?

(a)  

8.

What dermatome is located at this blue arrow?

(a)  

9.

What dermatome is located at this blue arrow?

(a)  

10.

Your patient has pain radiating around the medial malleolus. She could have a nerve root impingement in which dermatome?

a)

L4

b)

L5

c)

S1

d)

L3

e)

S2

11.

Your patient has weakness with knee extension. Which myotome is most likely to have a nerve injury?

a)

L3

b)

L4

c)

L2

d)

L5

e)

S1

12.

Your patient has weakness and atrophy with hip flexion. What's most likely to be the cause?

a)

Spinal stenosis

b)

Conus Medullaris Syndrome

c)

Cancer

d)

PNS injury

e)

Cauda Equina Syndrome

13.

Which myotomes should you test for reflexes?

a)

L3

b)

L4

c)

L5

d)

S1

e)

S2

14.

What does the straight leg raise involve?

a)

Patient prone

b)

Patient supine

c)

Patient lifts leg up

d)

You raise their leg up

e)

Knee extended

15.

Reproduction of radiating leg pain with the straight leg raise suggests...

a)

Radiculopathy at L4-S1

b)

Radiculopathy at L1-L2

c)

Radiculopathy at T12 to L1

d)

Radiculopathy at L2-L3

16.

Which reflex is found at the L5 myotome?

(a)  

17.

The normal range of motion for neck flexion is...

a)

15 degrees

b)

45 degrees

c)

60 degrees

d)

90 degrees

18.

Your patient has numbness at the dorsum of her middle finger. She could have a nerve root impingement in which dermatome?

a)

C7

b)

C8

c)

T1

d)

T2

e)

C6

19.

Your patient has weakness with wrist extension. Which myotome is most likely to have a nerve injury?

a)

C6

b)

C5

c)

C7

d)

C8

e)

T1

20.

Which of these reflexes is found at the C6 myotome?

a)

Biceps Reflex

b)

Brachioradialis Reflex

c)

Triceps Reflex

d)

Medial Hamstring Reflex

e)

Patella Reflex

21.

Which of these reflexes is found at the S1 myotome?

a)

Biceps Reflex

b)

Brachioradialis Reflex

c)

Achilles Reflex

d)

Medial Hamstring Reflex

e)

Patella Reflex

22.

What does Spurling's Maneuver involve?

a)

Extend neck

b)

Rotate neck towards symptomatic side

c)

Rotate neck away from symptomatic side

d)

Lateral flexion towards symptomatic side

e)

Lateral flexion away from symptomatic side