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The Spine Test Review

Total questions: 30

Worksheet time: 15mins

Name
Class
Date
1.

Which classification best describes vertebrae bones?

a)

Flat bones

b)

Long bones

c)

Short bones

d)

Irregular bones

2.

C1 (atlas) and C2 (axis) do not have a spinous or transverse process.

a)

True

b)

False

3.

Which statement is NOT true about intervertebral discs?

a)

The outer layer is made of hyaline cartilage

b)

They act as shock absorbers

c)

The inner layer is pulpy tissue

d)

Pressure is relieved when lying down

4.

When standing versus lying down, how does disc pressure change?

a)

Pressure increases when lying down and decreases when standing

b)

Pressure is equal in both positions

c)

Pressure is relieved when lying down compared to standing

d)

Pressure is relieved when standing compared to lying down

5.

Which ligament attaches to each spinous process according to the ligament diagram?

a)

Anterior longitudinal ligament

b)

Posterior longitudinal ligament

c)

Supraspinous ligament

d)

Interspinous ligament

6.

Which ligament is contained within the vertebral canal and extends the full length of the posterior vertebral bodies?

a)

Anterior longitudinal ligament

b)

Posterior longitudinal ligament

c)

Supraspinous ligament

d)

Ligamentum flavum

7.

Considering the functional roles, which ligament primarily resists hyperextension of the spine?

a)

Supraspinous ligament

b)

Posterior longitudinal ligament

c)

Anterior longitudinal ligament

d)

Intertransverse ligament

8.

Which structure is NOT part of the central nervous system?

a)

Brain

b)

Spinal cord

c)

Cranial nerves

d)

All of these are parts of the central nervous system

9.

The area of skin innervated by a specific spinal nerve is known as which pattern?

a)

Myotome

b)

Dermatome

c)

Sclerotome

d)

Viscerotome

10.

Radiating pain down an extremity is most consistent with which condition?

a)

Vertebral fracture

b)

Muscle spasm

c)

Ligament sprain

d)

Pinched nerve root

11.

Which mechanism of injury is most likely to lead to a fracture of the vertebral body in the neck?

a)

Whiplash

b)

Rotation

c)

Hyperextension

d)

Axial load

12.

Which type of curve should be present in the healthy cervical spine?

a)

Lordotic

b)

Kyphotic

c)

Scoliotic

d)

Flat

13.

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?

a)

Spurling test

b)

Valsalva maneuver

c)

Cervical compression test

14.

Which test is primarily used to reproduce cervical radicular symptoms by compressing neural foramina?

a)

Spurling test

b)

Straight leg raise test

c)

Valsalva maneuver

d)

Slump test

15.

Which statement best differentiates a dermatome from a myotome?

a)

Dermatomes assess muscle strength; myotomes assess skin sensation

b)

Dermatomes map skin sensory regions; myotomes map muscle movements to nerve roots

c)

Both dermatomes and myotomes assess reflexes only

d)

Myotomes map cutaneous sensation; dermatomes map joint motion

16.

In the presence of suspected vertebral body fracture from axial loading, which immediate management priority is most appropriate?

a)

Encourage active neck range of motion to assess pain

b)

Immobilize the cervical spine and seek emergency evaluation

c)

Apply heat to reduce muscle spasm

d)

Perform Spurling test to localize pain

17.

Which clinical feature most strongly suggests nerve root compression rather than a simple muscle strain?

a)

Localized ache without numbness

b)

Pain that radiates along a dermatomal distribution with paresthesia

c)

Tenderness limited to one muscle belly

d)

Pain only during resisted isometric contraction

18.

Which myotome assessment would you perform to screen C5 integrity?

a)

Elbow flexion

b)

Shoulder abduction

c)

Wrist flexion

d)

Finger abduction

19.

During a lower limb screen, which finding most indicates S1 weakness?

a)

Reduced ankle plantarflexion strength

b)

Weak hip flexion

c)

Limited knee extension

d)

Poor ankle dorsiflexion

20.

Which change in posture is most likely to aggravate symptoms of a lumbar disc herniation described as worsening with sitting and forward flexion?

a)

Maintaining lumbar lordosis while standing

b)

Prolonged slumped sitting with lumbar flexion

c)

Supine lying with knees supported

d)

Gentle walking

21.

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?

a)

Valsalva Maneuver

b)

Spurling Test

c)

Compression Test

22.

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?

a)

Whiplash injury

b)

Cervical radiculopathy

c)

Brachial plexus injury

d)

Herniated disc

23.

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?

a)

Rib fracture

b)

Costochondral injury

c)

Splenic injury

d)

Intercostal muscle strain

24.

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?

a)

Herniated disc

b)

Spondylolisthesis

c)

Lumbar radiculopathy

d)

Spinal stenosis

25.

Which symptom pattern most specifically indicates C6 nerve root involvement in cervical radiculopathy?

a)

Pain radiating to the ring and little fingers with weak finger abduction

b)

Pain and paresthesia to the thumb and index finger with weak elbow flexion

c)

Medial forearm numbness with wrist flexion weakness

d)

Dorsal hand numbness with wrist extension weakness

26.

For suspected costochondral injury, which combination of history/exam is most consistent?

a)

Sudden chest pain with popping sensation at the sternum and crepitus over ribs 1–2

b)

Localized tenderness just lateral to the sternum at ribs 4–6, pain with deep breaths, and no crepitus

c)

Diffuse chest tightness after running, normal palpation, and relief with coughing

d)

Left upper quadrant tenderness and referred shoulder pain after collision

27.

Which activity pattern is most likely to aggravate symptoms in adolescent athletes with spondylolisthesis?

a)

Prolonged sitting with lumbar flexion

b)

Jumping and repeated lumbar extension during sport

c)

Walking on level ground for short distances

d)

Isometric core activation without spinal movement

28.

In evaluating lumbar spine pain that radiates slightly into the buttocks without leg paresthesias, which finding favors spondylolisthesis over herniated disc?

a)

Pain relief with lumbar extension

b)

Point tenderness over L4–L5 and pain worse with extension

c)

Positive straight leg raise with calf pain

d)

Foot dorsiflexion weakness and lateral leg numbness

29.

Which indication warrants spine boarding in an on-field evaluation? Choose the BEST single indication.

a)

Isolated rib pain with normal breathing

b)

Transient dizziness after exertion only

c)

Suspected cervical spine fracture or unstable injury

d)

Mild low back soreness after practice

30.

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?

a)

Distraction Test

b)

Spurling Test

c)

Adson’s Maneuver

d)

Upper Limb Tension Test (median nerve)