WorksheetsThe Spine Test Review
Total questions: 30
Worksheet time: 15mins
Which classification best describes vertebrae bones?
Flat bones
Long bones
Short bones
Irregular bones
C1 (atlas) and C2 (axis) do not have a spinous or transverse process.
True
False
Which statement is NOT true about intervertebral discs?
The outer layer is made of hyaline cartilage
They act as shock absorbers
The inner layer is pulpy tissue
Pressure is relieved when lying down
When standing versus lying down, how does disc pressure change?
Pressure increases when lying down and decreases when standing
Pressure is equal in both positions
Pressure is relieved when lying down compared to standing
Pressure is relieved when standing compared to lying down
Which ligament attaches to each spinous process according to the ligament diagram?
Anterior longitudinal ligament
Posterior longitudinal ligament
Supraspinous ligament
Interspinous ligament
Which ligament is contained within the vertebral canal and extends the full length of the posterior vertebral bodies?
Anterior longitudinal ligament
Posterior longitudinal ligament
Supraspinous ligament
Ligamentum flavum
Considering the functional roles, which ligament primarily resists hyperextension of the spine?
Supraspinous ligament
Posterior longitudinal ligament
Anterior longitudinal ligament
Intertransverse ligament
Which structure is NOT part of the central nervous system?
Brain
Spinal cord
Cranial nerves
All of these are parts of the central nervous system
The area of skin innervated by a specific spinal nerve is known as which pattern?
Myotome
Dermatome
Sclerotome
Viscerotome
Radiating pain down an extremity is most consistent with which condition?
Vertebral fracture
Muscle spasm
Ligament sprain
Pinched nerve root
Which mechanism of injury is most likely to lead to a fracture of the vertebral body in the neck?
Whiplash
Rotation
Hyperextension
Axial load
Which type of curve should be present in the healthy cervical spine?
Lordotic
Kyphotic
Scoliotic
Flat
A patient presents with low back pain radiating down the posterior leg with tingling in the calf and foot. Symptoms worsen with sitting, bending forward, or coughing. Which special test best confirms a suspected lumbar disc herniation?
Spurling test
Valsalva maneuver
Cervical compression test
Which test is primarily used to reproduce cervical radicular symptoms by compressing neural foramina?
Spurling test
Straight leg raise test
Valsalva maneuver
Slump test
Which statement best differentiates a dermatome from a myotome?
Dermatomes assess muscle strength; myotomes assess skin sensation
Dermatomes map skin sensory regions; myotomes map muscle movements to nerve roots
Both dermatomes and myotomes assess reflexes only
Myotomes map cutaneous sensation; dermatomes map joint motion
In the presence of suspected vertebral body fracture from axial loading, which immediate management priority is most appropriate?
Encourage active neck range of motion to assess pain
Immobilize the cervical spine and seek emergency evaluation
Apply heat to reduce muscle spasm
Perform Spurling test to localize pain
Which clinical feature most strongly suggests nerve root compression rather than a simple muscle strain?
Localized ache without numbness
Pain that radiates along a dermatomal distribution with paresthesia
Tenderness limited to one muscle belly
Pain only during resisted isometric contraction
Which myotome assessment would you perform to screen C5 integrity?
Elbow flexion
Shoulder abduction
Wrist flexion
Finger abduction
During a lower limb screen, which finding most indicates S1 weakness?
Reduced ankle plantarflexion strength
Weak hip flexion
Limited knee extension
Poor ankle dorsiflexion
Which change in posture is most likely to aggravate symptoms of a lumbar disc herniation described as worsening with sitting and forward flexion?
Maintaining lumbar lordosis while standing
Prolonged slumped sitting with lumbar flexion
Supine lying with knees supported
Gentle walking
A 20-year-old defensive lineman reports neck pain with tingling down the right arm to the thumb and index finger. Symptoms worsen when he turns his head to the right or looks up. You suspect cervical nerve root compression at the right C6 root. Which special test is BEST to confirm this suspicion?
Valsalva Maneuver
Spurling Test
Compression Test
A 17-year-old female tennis player felt a sharp “burning” from the neck into the shoulder and down the arm when reaching overhead to serve. She now has weakness with shoulder abduction and elbow flexion, mild sensory changes along the lateral arm, and symptoms reproduced when the neck is laterally flexed away from the injured side. No neck pain at rest or spinal tenderness. What injury is most likely?
Whiplash injury
Cervical radiculopathy
Brachial plexus injury
Herniated disc
During batting practice, a 20-year-old male outfielder develops sharp pain along the front left chest immediately after a powerful swing. Pain worsens with deep breath, coughing, and torso twisting. Tenderness is just lateral to the sternum at ribs 4–6, with mild swelling and point tenderness along the left side of the sternum. No crepitus is felt. What injury is most likely?
Rib fracture
Costochondral injury
Splenic injury
Intercostal muscle strain
A 16-year-old female volleyball outside hitter has progressive low back pain, worse with lumbar extension and jumping/arching to spike, better with flexion. Exam shows exaggerated lumbar lordosis, mild anterior pelvic tilt, and point tenderness over L4–L5 without leg numbness. What diagnosis best fits?
Herniated disc
Spondylolisthesis
Lumbar radiculopathy
Spinal stenosis
Which symptom pattern most specifically indicates C6 nerve root involvement in cervical radiculopathy?
Pain radiating to the ring and little fingers with weak finger abduction
Pain and paresthesia to the thumb and index finger with weak elbow flexion
Medial forearm numbness with wrist flexion weakness
Dorsal hand numbness with wrist extension weakness
For suspected costochondral injury, which combination of history/exam is most consistent?
Sudden chest pain with popping sensation at the sternum and crepitus over ribs 1–2
Localized tenderness just lateral to the sternum at ribs 4–6, pain with deep breaths, and no crepitus
Diffuse chest tightness after running, normal palpation, and relief with coughing
Left upper quadrant tenderness and referred shoulder pain after collision
Which activity pattern is most likely to aggravate symptoms in adolescent athletes with spondylolisthesis?
Prolonged sitting with lumbar flexion
Jumping and repeated lumbar extension during sport
Walking on level ground for short distances
Isometric core activation without spinal movement
In evaluating lumbar spine pain that radiates slightly into the buttocks without leg paresthesias, which finding favors spondylolisthesis over herniated disc?
Pain relief with lumbar extension
Point tenderness over L4–L5 and pain worse with extension
Positive straight leg raise with calf pain
Foot dorsiflexion weakness and lateral leg numbness
Which indication warrants spine boarding in an on-field evaluation? Choose the BEST single indication.
Isolated rib pain with normal breathing
Transient dizziness after exertion only
Suspected cervical spine fracture or unstable injury
Mild low back soreness after practice
Which special test increases foraminal compression to reproduce symptoms in cervical radiculopathy, particularly when the head is extended and laterally flexed toward the symptomatic side?
Distraction Test
Spurling Test
Adson’s Maneuver
Upper Limb Tension Test (median nerve)
