IR 2

Question 1

Which of the following is not considered to be a red flag sign according to Souza?

Answer 1

Pain worse in a recumbent position

Question 2

The most sensitive factor indicator for cauda equina syndrome according to Souza is?

Answer 2

Urinary retention

Question 3

Pts with referred pain almost always have hard neurological findings?

Answer 3

False

Question 4

Mar presents to your office with low back and leg pain. PE reveals sensation loss on the right foot behind the medial mallelous and 1+ patellar reflex. What is the most likely etiology of his complaint?

Answer 4

L3 disc herniation

Question 5

Frank is a 60 yo male presenting with complaints of lower back and rib pain that is not relieved by rest. The pain seems to worse at night. Urinary analysis reveals the presence of BJ proteins. Which of the following diagnosis is consistent with this presentation?

Answer 5

Multiple Myleoma

Question 6

Your patient presents neck and right arm pain that radiates to the 5th digit of the right hand. You suspect some sort of space occupying lesion as the etiology of this presentation. Which of the following would you expect to be present?

Answer 6

+1/5 finger flexors

Question 7

A disc herniation that bulges outward and nuclear material remains attached but does not escape the AF or PLL is considered to be a?

Answer 7

Protrusion

Question 8

Dave is a 23 yo male who complains of chronic lower back (lumbar spine) pain and stiffness with occasional radiation of pain into the buttocks and posterior thigh. He denies any trauma to the area to have brought up on the pain and cannot describe any injury in the past. ROS does not reveal any other findings. What is the most likely diagnosis with the pt?

Answer 8

AS

Question 9

Grace is a 36 yo female who presents to your office complaining of a recent onset of neck pain associated with tingling and numbness to the 3rd digit of her left hand. She denies any trauma to her neck. PE reveals decreased Cervical ROM globally, but most noted with cervical extension. Finger extensors are graded 4/5 and triceps reflex is +1 on the the left side. THe right side is WNL. What is the most likely etiology of her complaints?

Answer 9

C6 Disc

Question 10

Cervical spine disc herniations are not?

Answer 10

Very common b/t ages of 25-30

Question 11

A pt who demonstrates full ROM of a jt, against gravity, and a Drs resistance would demonstrate muscle strength graded?

Answer 11

5