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Post Test: Spine Conditions

Total questions: 10

Worksheet time: 10mins

Name
Class
Date
1.

While reviewing a patient’s imaging films, the most appropriate imaging view to identify abnormal anatomy of the pars interarticularis in the lumbar region is:

a)

Anteroposterior view

b)

Lateral view

c)

Oblique view

d)

Lumbosacral view

2.

A PT examination reveals the PSIS is low on the left; ASIS is high on the left, standing flexion test shows that the left PSIS moves first and farthest superiorly; Gillet’s test demonstrates that the left PSIS moves inferiorly and laterally less than the right; long sitting test shows that the left malleolus moves from short to long; and the sitting flexion test is negative. In light of these findings, the therapist’s diagnosis is:

a)

Left anterior rotated innominate

b)

Left posterior rotated innominate

c)

Left upslip

d)

Iliac inflare on the left

3.

A patient has lumbar spinal stenosis encroaching into the spinal cord. The PT should educate the patient to avoid:

a)

Bicycling using a recumbent cycle ergometer

b)

Use of a rowing machine

c)

Tai chi activities

d)

Swimming using a crawl stroke

4.

A middle aged patient complains of “throbbing pain” in the lumbar region with activities upon exertion, such as walking off a flight of steps or playing tennis. The patient expresses no complaints of pain with bending, twisting, sitting, standing, or walking any distance. Active movements of the lumbar spine are full and pain free. Provocation testing is negative. Neurological signs are unremarkable. There is no significant tenderness to palpation. The most likely diagnosis for the patient is:

a)

Quadratus lumborum muscle pain

b)

Lumbar disc joint herniation

c)

Aortic aneurysm

d)

Sacroiliac joint pain

5.

A PT elects to use mechanical lumbar traction for a patient rehabilitating from a back injury. The therapeutic goals of the session include decreasing the patient’s muscle spasm. The most appropriate initial force based on the stated objective would be:

a)

10% of body weight

b)

15% of body weight

c)

25% of body weight

d)

50% of body weight

6.

After treating a patient with trochanteric bursitis for 1 week, the patient has no resolution of pain and is complaining of problems with gait. The therapist finds weakness of the quadriceps femoris and altered sensation at the greater trochanter. This is most likely due to:

a)

Degenerative joint disease of the hip

b)

Sacroiliac dysfunction

c)

L4 nerve compression

d)

L5 nerve compression

7.

A patient has impaired right rotation caused by a left thoracic facet joint capsular tightness at T6-T7. The arthrokinematics glide that would most effectively improve the right rotation in sitting is:

a)

Superior and anterior glide on the right T6 transverse process

b)

Superior and anterior glide on the left T6 transverse process

c)

Superior and anterior glide on the right T7 transverse process

d)

Superior and anterior glide on the left T7 transverse process

8.

A physical therapist is evaluating a patient with back pain. The patient reports having pain that has increased steadily over the last two months and is constant and unremitting. The pain radiates into both lower extremities. The patient also feels marked weakness throughout the right lower extremity. What is the most appropriate initial treatment?

a)

Discontinue treatment and refer the patient to a primary care physician for further testing

b)

Begin a program of core strengthening, focusing on transverse abdominis training and progressing towards a long term stabilization program

c)

Instruct the patient in appropriate lower extremity exercises to improve leg strength, focusing on the right leg

d)

Initiate piriformis stretching as tolerated and instruct the patient in self mobilization techniques to improve mobility throughout the lumbar spine

9.

A 35 year old woman with a diagnosis of lumbar strain has a physician’s prescription with a frequency and duration of 3 sessions/per week for 6 weeks. The PT examination reveals radiculopathy into the L5 dermatome of the right lower extremity, increased symptoms during lumbar flexion, decreased radiculopathy with lumbar extension, poor posture, and hamstring tightness bilaterally at 60 degrees. What is the best course of treatment?

a)

Lumbar traction

b)

McKenzie style extension, a posture program, hamstring stretching, and a home exercise program

c)

McKenzie style extension, a posture program, hamstring stretching, home program, hot packs and ultrasound

d)

Lumbar traction, hot packs, ultrasound, and hamstring stretching

10.

A patient complains of increased pain and tingling in both hands after sitting at a desk for longer than 1 hour. The diagnosis is thoracic outlet syndrome. Which treatment would be the most effective physical therapy intervention?

a)

Strengthening program of the scalenes and SCM

b)

Stretching program for the pectoralis minor and scalenes

c)

Cardiovascular training using cycle ergometry to reduce the symptoms of TOS

d)

Desensitization by maintaining the shoulder in abduction, extension, and external rotation with the head turned toward the ipsilateral shoulder