B6-089 Physical Examination of the Back

Question 1

injury to the nerve root that causes pain, numbness, or weakness

Answer 1

radiculopathy

Question 2

[grading motor function]
no palpable/visible contraction

Answer 2

0

Question 3

[grading motor function]
muscle flicker

Answer 3

1

Question 4

[grading motor function]
movement with gravity eliminated

Answer 4

2

Question 5

[grading motor function]
movement against gravity with full ROM

Answer 5

3

Question 6

[grading motor function]
movement against gravity and some resistance

Answer 6

4

Question 7

[grading motor function]
movement against full resistance

Answer 7

5

Question 8

[grading deep tendon reflexes]
no response

Answer 8

0

Question 9

[grading deep tendon reflexes]
diminished

Answer 9

1

Question 10

[grading deep tendon reflexes]
normal

Answer 10

2

Question 11

[grading deep tendon reflexes]
increased

Answer 11

3

Question 12

[grading deep tendon reflexes]
hyperactive with clonus

Answer 12

4

Question 13

weakness in the biceps muscle
weak brachioradialis reflex
paresthesia in thumb

Answer 13

C6

Question 14

weakness in deltoid
weakened biceps reflex
paresthesia over shoulder

Answer 14

C5

Question 15

weakness in triceps
weakened tricep relfex
paresthesia over index, middle fingers

Answer 15

C7

Question 16

weakness of interossei of hand
paresthesia over ring, pinky fingers

Answer 16

C8

Question 17

weak quadriceps and tibialis anterior
weakened dorsiflexion
weakened patellar reflex
paresthesia over medial calf/ankle

Answer 17

L4

Question 18

weakened extensor hallucis longus
paresthesia over dorsal foot and 1st web space

Answer 18

L5

Question 19

weakened gastrocnemius
weak plantar flexion
weak achilles tendo reflex
paresthesia over plantar and lateral foot

Answer 19

S1

Question 20

upper motor neuron signs indicate problems in what parts of the spine

Answer 20

cervical or thoracic

Question 21

upper motor neuron signs [4]

Answer 21

hyperreflexia
Hoffman’s sign
inverted brachioradialis reflex
babinski’s

Question 22

special test for nerve root compression in the cervical spine

Answer 22

spurlings

Question 23

special test for spinal cord compression in the cervical spine

Answer 23

Lhermitte sign

Question 24

flicking the long finger causes flexion/adduction of the thumb and index finger flexion

Answer 24

positive Hoffman’s

Question 25

positive Hoffman's commonly occurs due to compression of the [...] spinal cord (myelopathy)

Answer 25

cervical

Question 26

tapping the brachioradialis results in finger flexion

Answer 26

positive inverted brachioradialis

Question 27

positive inverted brachioradialis indicates spinal cord disease at

Answer 27

C5/6

Question 28

paresthesia of great toe and extensor hallucis longus indicate [...] radiculopathy

Answer 28

L5

Question 29

loss of patellar reflex indicates [...] radiculopathy

Answer 29

L4

Question 30

loss of achilles reflex indicates [...] radiculopathy

Answer 30

S1

Question 31

deltoid weakness indicates [...] radiculopathy

Answer 31

C5

Question 32

most commonly, myelopathy is from degenerative conditions causing compression of the [...] spine

Answer 32

cervical

Question 33

numbness in the thumb indicates [...] radiculopathy

Answer 33

C6

Question 34

+ straight leg raise indicates

Answer 34

lumbar spine nerve compression

Question 35

loss of triceps reflex indicates [...] radiculopathy

Answer 35

C7

Question 36

symptoms of cervical spinal cord compression

Answer 36

weakness spasticity hyperreflexia bowel/bladder incontinence balance problems fine motor dysfunction

Question 37

one of the most common findings in cervical myelopathy

Answer 37

abnormal gait

Question 38

if a patient has neurologic deficits with a normal MRI spine, what is the next best step?

Answer 38

EMG