15.5 Post Back & Spine Special Tests Flashcards

1
Q

This test compares the patient’s and examiner’s hearing by bone conduction. The examiner alternately places the vibrating tuning fork against the patient’s mastoid process and against the examiner’s mastoid bone until one of them no longer hears a sound. The examiner and patient should hear the sound for equal amounts of time.
a. Weber
b. Rinne
c. Schwabach
d. Ticking watch test

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2
Q

In scalene cramp test, the patient is in sitting and
a. Rotates the head to the affected side, pulls the chin downward
b. Rotates the head to unaffected side, pulls the chin upward
c. Rotates the head to affected side, pulls the chin upward
d. Rotates the head to the unaffected side and pulls the chin downward

A
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3
Q

In Naffziger’s test, the recommended time in compressing the jugular vein is
a. 30 secs
b. 10 secs
c. 30 mins
d. 10 mins

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4
Q

Indication for cross well-leg raising test
a. Sciatic nerve affectation
b. Tibial nerve affectation
c. Sural nerve affectation
d. Common peroneal nerve
e. Disc prolapse

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5
Q

True about valsalva maneuver except:
a. Patient may first flex the hip to a position just short before pain is felt
b. Patient is in sitting position
c. Pain increases and rules out intrathecal pressure
d. Patient bears down as if evacuating bowels
e. None of these

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6
Q

The patient stands on one leg and extends spine while balancing on the leg. The test is repeated on the opposite leg. Positive test is indicated by pain in the back.
a. One leg standing
b. Stork standing
c. Lumbar extension test
d. All of these
e. None of these

A
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7
Q

A positive stork standing test is being associated with pain at the back and
a. Transverse ligament stress
b. Pars interarticularis stress
c. Spondyloptosis
d. Compression fracture

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8
Q

PROVOCATIVE test except:
a. spurling’s test
b. maximum cervical compression
c. jackson’s compression test
d. distraction test

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9
Q

A patient is positioned by the therapist with the cervical spine rotated to the right. The patient then extends the neck as the therapist externally rotates and extends the right upper extremity. The radial pulse is palpated in the right upper extremity by the therapist. What type of special test is this, and for what condition is it testing?
a. Adson’smaneuver – cervical disc herniation
b. Lhermitte’s sign – cervical disc herniation
c. Adson’smaneuver – thoracic outlet syndrome
d. Lhermitte’s sign – thoracic outlet syndrome

A
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10
Q

Patient laterally flexes head to one side, and then the examiner applies downward pressure on the patient’s head. If the pain is felt on the opposite side to which the head is taken, it is indicative of:
a. Nerve root compression
b. Muscle spasm
c. Nerve root distraction
d. Inflammation

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11
Q

Patient in supine, the legs are raised straight two inches from the table and held as long as he can. If the patient can hold the position for 30 secs with no pain, then an intrathecal pressure may be ruled out:
a. Milgram’s
b. Gaenlen’s
c. Hoover’s
d. Naffziger

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12
Q

This procedure tests the integrity of the segmental innervation of the rectus abdominis and the paraspinal mm. The patient lies a quarter sit up with arms cross over the chest. If the umbilicus is drawn up, down, or to one side, there may be asymmetrical involvement of the anterior abdominal paraspinal mm.
a. Patrick’s test
b. FABER test
c. Beevor’s test
d. Valsalva maneuver

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13
Q

A patient comes to you with complaints of numbness and paresthesia that radiate on the left arm. To have an accurate plan, you asked the patient to rotate the head to the (L) then you pressed down straight to the head. Then you repeat it on the other side. The patient said that her symptoms were produced during the 1stmaneuver. What special test is being performed?
a. Brachial plexus compression test
b. Scalene cramp test
c. Jackson compression test
d. Bakody’s sign
e. None of these

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14
Q

You tap the area of the parotid gland overlying the masseter mm. The facial mm will contract in a twitch if blood calcium is low. This is a test of the 7th cranial nn. Which of the following best describes this special test?
a. Jaw reflex
b. marin amat test
c. chvostek test
d. marcus-gunn phenomenon
e. bell’s phenomenon

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15
Q

Lhermitte’s sign is seen in:
a. all of these
b. disc herniation
c. multiple sclerosis
d. spinal cord dse
e. none of these

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16
Q

It is the active form of ULTT 4:
a. bakody’s sign
b. wright’s test
c. naffzigger’s test
d. bikele’s sign
e. spurling’s test

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17
Q

Your px feels an electric-shock sensation down the spinal cord and legs when his neck is flexed. Which of the following is positive?
a. Neri’s sign
b. Leri’s sign
c. Kernig’s sign
d. Lhermitte’s sign

A
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18
Q

The Romberg test is said to be positive if the patient manifests _____, which indicate deficits in the ______.
a. Dizziness; dorsal column
b. Postural sway; dorsal column
c. Dizziness; cerebellum
d. Postural sway; cerebellum

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19
Q

The examiner palpates the radial pulse and then draws the patient’s shoulder down and back A positive test is indicated by an absence of the pulse and implies possible thoracic outlet syndrome.This test is particularly effective in patients who complain of symptoms while wearing a backpack or heavy coat.
a. Costoclavicular Test
b. Military brace test
c. Wright
d. A and B

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20
Q

In Halstead maneuver, the cervical region is positioned _____.
a. Lateral flexion to the contralateral side
b. Lateral flexion to the ipsilateral side
c. Rotation to the ipsilateral side
d. Rotation to the contralateral side

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21
Q

Forward bending test is also known as ____.
a. staheli’s test
b. adam’s test
c. lasegue’s test
d. nachlas test
e. aota

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22
Q

SLR with big toe extension:
a. sicard’s
b. braggard’s
c. turyn’s
d. brudzinski

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23
Q

Paralysis of the abdominal mm could be verified by performing:
a. Valsalva maneuver
b. Crede’s maneuver
c. Beevor’s sign
d. Flick’s sign
e. Murphy’s sign

A
24
Q

In this test, patient is positioned in prone while the PT applies pressure to the posterior aspect of the lumbar spine with one hand and passively flexes patient’s knee with the other hand. What test is being described which confirms unstable spinal segment?
a. Segmental instability test
b. Stork – standing test
c. Ely’s test
d. Pheasant’s test
e. Gluteal syline test

A
25
Q

A 30 y/o male patient comes to you with complaints of worsening pain in the low back. History revealed that pt has been undergoing PT sessions for 6 mos now but reports no progress on the condition. Pt asked the patient to kneel on a chair and then bend forward to touch the floor with the fingers. As a result, patient is unable to perform the test and overbalances. What special test and diagnosis would you conclude on the situation?
a. Hoover’s test – malingering
b. Ely’s test – rectus femoris tightness
c. Burn’s test – malingering
d. Sit and reach test – lumbar strain

A
26
Q

The ipsilateral posterior rotation test is also known as:
a. Flamingo’s test
b. Yeoman’s test
c. Sign of the buttock’s test
d. Lasegue’s test
e. Gillet’s test

A
27
Q

A 14 y/o female patient who is recently diagnosed with thoracic dextroscoliosis is referred to you for further assessment and evaluation. What special test will you perform on the patient?
I. Beevor’s test
II. Plumbline test
III. Forward bending test
IV. Naffziger’s test
V. Leg length test

a. i, ii, v
b. ii, iv, v
c. ii, iii, v
d. i, iii, v
e. i, iv, v

A
28
Q

The shoulder abduction test is usually used to check for radicular symptoms on the cervical spine. What nerve roots are most likely checked by this test?
a. None of these
b. C1 – C2
c. C3 – C4
d. C4 – C5
e. C7 – C8

A
29
Q

This test requires the patient to lie supine and raise his uninvolved leg. If there is back and sciatic pain on the involved side, there may be evidence of space occupying lesion in the lumbar area
a. Milgram’s test
b. Well leg raising test
c. Kernig’s test
d. Hoover’s test

A
30
Q

All of the following are indicated for sacroiliac joint lesion, except:
a. Gillet’s test
b. Straight leg raise
c. Yeoman’s test
d. Piedalu’s sign
e. None of these

A
31
Q

Schober’s test measurement which is indicative of ankylosing spondylitis:
a. < 5 mm
b. < 5 cm
c. < 5 inches

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32
Q

In Rinne’s test, where should the examiner place the tuning fork initially?
a. Vertex
b. Mastoid
c. 1-2cm beside the ear
d. Forehead

A
33
Q

What is being tested in Schwabach’s Test?
a. Bone conduction
b. Air conduction
c. Sound pitch
d. A and B
e. B and C

A
34
Q

True regarding Foraminal Compression Test, except:
a. This test is performed if in history the patient has complained of nerve root symptoms which at the time of examination are present
b. This test is designed to provoked symptoms
c. The examiner applies a downward force as the patient bends or side flexes to affected side first
d. The examiner applies a downward force as the patient bends or side flexes to the unaffected side as well

A
35
Q

The following are the positioning of the upper extremity in performing ULTT 1, except:
a. Shoulder depressed and abducted 10 degrees
b. Elbow extended
c. Forearm supinated
d. Finger and thumb extension
e. None of these

A
36
Q

What nerve/s in ULTT 1 is/are being assessed?
a. Median nerve
b. Anterior interosseous nerve
c. None of these
d. All of these

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37
Q

In performing Elvey’s Test what should be the position of the cervical spine
a. Contralateral side flexion
b. Ipsilateral side flexion
c. Ipsilateral rotation
d. Contralateral rotation

A
38
Q

To assess upper motor neuron lesion using Lhermitte’s Sign, the patient is in this position
a. Short sitting
b. Long sitting
c. Supine
d. Prone

A
39
Q

It is a test to determine subluxation of the atlas on the axis
a. Pettman’s distraction test
b. Sharp Purser Test
c. Craniocervical Flexion Test
d. Lateral Shear test

A
40
Q

This is also known as the Long sitting slump
a. Slump test method 1
b. Slump Test method 2
c. Slump test method 3
d. Slump test method 4

A
41
Q

The shoulder abduction test is usually used to check for radicular symptoms on the cervical spine. What nerve roots are most likely checked by this test?
a. All of these
b. C3-C4
c. C1 – C2
d. C4-C5

A
42
Q

The patient lies on the side with the upper leg (test leg) hyperextended at the hip. The patient holds the lower leg flexed against the chest. The examiner stabilizes the pelvis while extending the hip of the uppermost leg. Pain is present whenever positive. What special test is being described?
a. Gaenslen’s test for L4 nerve lesion
b. Gaenslen’s test for thoracic segment pathology
c. Yeoman’s test for L4 nerve lesion
d. Yeoman’s test for lumbar segment pathology
e. None of these

A
43
Q

The patient is relaxed in a prone position with the head straight and arms by the sides The examiner stands at the patient’s feet and observes the buttocks from the level of the buttocks. The affected gluteus maximus muscle appears flat as a result of atrophy. This test indicates lesion in which of the following nerve roots?
a. L5, S1, S2
b. L4, L5, S1
c. S1, S2, S3
d. L4, L5 only

A
44
Q

Which of the following special tests is done in prone position?
a. Milgram
b. Gaenslen
c. Piedallu
d. Yeoman

A
45
Q

All of the following are special tests for intermittent claudication, except:
a. Bicycle test of Van Gelderen
b. Stoop Test
c. Threadmill test
d. All of these
e. None of these

A
46
Q

True regarding maximum cervical compression test, except:
a. the patient side flexes the head and then rotates it to the same side.
b. A positive test is indicated if pain radiates into the arm
c. If the head is taken into extension (as well as side flexion and rotation) and compression is applied, the intervertebral foramina close maximally to the side of movement and symptoms are accentuated.
d. Pain on the convex side indicates nerve root or facet joint pathology, whereas pain on the concave side indicates muscle strain

A
47
Q

This is the called the neck flexion component when performing SLR
a. Sotto Hall
b. Linder
c. Hyndman
d. All of these
e. None of these

A
48
Q

The nerve bias in SLR method 4
a. Femoral nerve
b. Sural nerve
c. Common peroneal nerve
d. Tibial nerve

A
49
Q

This test is also known as Nachlas test
a. Prone knee bending
b. Lasegue test
c. Slump test
d. Laguere test

A
50
Q

Which SLR method requires the foot to be positioned into eversion?
a. SLR method 1
b. SLR method 2
c. SLR method 3
d. SLR method 4

A