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MS II > Lumbar test 1 lab > Flashcards

Lumbar test 1 lab Flashcards

1
Q

What does the lumbar spine look like if the multifidus becomes atrophied?

A

see divot or feel squishy

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2
Q

What should you be looking for with lumbar flexion movement?

A

symmetry

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3
Q

What are the aberrant motions that could show signs of instability?

A

painful arcs of motion
instability catch
Gowers sign
reversal of lumbo-sacral pelvic rhythm

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4
Q

This sign of instability is after lumbar flexion, the patient climbs up the thighs and has to put their hands on the thigh to get back up

a. painful arc
b. instability catch
c. Gowers sign
d. reversal of lumbo-pelvic rhythm

A

Gowers sign

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5
Q

This sign of instability is when during lumbar flexion there is a point of catching and then they go further

a. painful arc
b. instability catch
c. Gowers sign
d. reversal of lumbo-pelvic rhythm

A

instability catch

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6
Q

This sign of instability is when the pt extends their back then comes up with their hips

a. painful arc
b. instability catch
c. Gowers sign
d. reversal of lumbo-pelvic rhythm

A

reversal of lumbo-pelvic rhythm

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7
Q

Disc pressure (increases/decreases) with flexion

A

increases

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8
Q

What can limit lumbar extension?

A

degeneration

stenosis

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9
Q

If no symptoms with movement, do _

A

overpressure

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10
Q

Flexion, extension and sidebending are repeated 10x then asked how it changed the pain

A

repeated and sustained lumbar movements

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11
Q

This test is done with the PT standing on the opposite side of the pt, pt does active extension, add rotation towards the side being tested then sidebending

A

lumbar quadrant

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12
Q

Lumbar spine quadrant with overpressure maximized the

A

compression of the facet joints

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13
Q

Kneel behind patient on the table with the pt in a slump with sacrum vertical and apply load with forearms to shoulders

a. lumbar distraction
b. lumbar compression
c. neurological testing
d. seated slump

A

lumbar compression

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14
Q

Kneel behind the pt on the table and lift on the pts crossed forearms going straight up

a. lumbar distraction
b. lumbar compression
c. neurological testing
d. seated slump

A

lumbar distraction

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15
Q

Testing the dermatome on the lateral hips is for

a. L3
b. L2
c. L1
d. L4

A

L1

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16
Q

Testing the dermatome on the inside upper thigh is for

a. L2
b. L3
c. L1
d. L4

A

L2

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17
Q

Testing the dermatome on the medial side of the knee is for

a. L4
b. L2
c. L1
d. L3

A

L3

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18
Q

Testing the dermatome on the medial malleolus is for

a. L5
b. L2
c. L3
d. L4

A

L4

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19
Q

Testing the dermatome on the great toe is for

a. L5
b. L6
c. S1
d. L3

A

L5

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20
Q

Testing the dermatome on the small toe and lateral malleolus is for

a. S1
b. L4
c. L5
d. S2

A

S1

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21
Q

Testing the dermatome on the proximal achilles tendon is for

a. S1
b. L4
c. L5
d. S2

A

S2

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22
Q

The most common nerve roots effected are

a. L3, L4, L5
b. L4, L5, S1
c. L5, S1, S2
d. L4 and L5

A

L4, L5, S1

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23
Q

Hip flexion myotome test used to asses

a. L1, L2, L3
b. L4, L5
c. L5
d. L3, L4

A

L1, L2, L3

24
Q

Knee extension myotome test is used to assess

a. L1, L2, L3
b. L4, L5
c. L5
d. L3, L4

A

L3, L4

25
Q

Dorisflexion and inversion myotome test is used to assess

a. L1, L2, L3
b. L4, L5
c. L5
d. L3, L4

A

L4, L5

26
Q

Big toe extension myotome test is used to assess

a. L5
b. L4, L5
c. S1
d. L3, L4

A

L5

27
Q

Eversion myotome test is used to assess

a. L5
b. L4, L5
c. S1
d. L3, L4

A

S1

28
Q

The knee reflex is used to test

a. L2, L3
b. L4, L5
c. L3, L4
d. S1, S2

A

L3, L4

29
Q

The ankle reflex is used to test

a. L2, L3
b. L4, L5
c. L3, L4
d. S1, S2

A

S1, S2

30
Q

A positive well leg raise will be indicated by

a. reproduced pain
b. neurological symptoms
c. reproduction of pain during raising of opposite extremity
d. lack of ability to raise leg

A

reproduction of pain during raising of opposite extremity

31
Q

This can be described as a taught band, extra activity in the muscle and overactivity, a flick over and it will twitch

a. sensitized nerve
b. trigger point
c. muscle knot
d. referred pain

A

trigger point

32
Q

It is common to see referred pain down into the thigh or knee with a poke after 60 seconds they experience it

a. sensitized nerve
b. trigger point
c. muscle knot
d. referred pain

A

trigger point

33
Q

L5 disappears with

A

anterior pelvic tilt

34
Q

The slump test is used to test

a. lumbar plexus
b. lumbosacral plexus
c. femoral nerve
d. scaitic nerve

A

lumbosacral plexus

35
Q

What is the structural differentiator for the lumbar spine in a seated slump test?

a. knee extension
b. neck flexion
c. neck extension
d. dorsiflexion

A

neck extension

36
Q

The sideling slump test is used to test

a. lumbar plexus
b. lumbosacral plexus
c. femoral nerve
d. sciatic nerve

A

lumbar plexus

37
Q

What is the structural differentiator for the sidelying slump test?

a. knee extension
b. neck flexion
c. neck extension
d. dorsiflexion

A

neck extenstion

38
Q

How do you test the obturator nerve in the sidelying slump test?

a. abduct
b. adduct
c. extend the knee
d. internally rotate

A

abduct to feel in groin/inner thigh

39
Q

How do you test the lateral femoral cutaneous nerve in the sidelying slump test?

a. abduct
b. adduct
c. extend the knee
d. internally rotate

A

adduct after extension

40
Q

This is used to test the neurodynamics of the dura

a. sidelying slump test
b. seated slump test
c. SLR
d. passive neck flexion

A

passive neck flexion

41
Q

Passive neck flexion is relevant if it produces

A

LBP or leg pain

42
Q

How can you differentiate the PNF?

A

pushing on chin get more lower cervical spine

43
Q

Which myotome would you be testing with ankle eversion?

a. L4, L5
b. L5
c. S1
d. S2

A

S1

44
Q

Which myotome would you be testing with dorsiflexion and inversion?

a. L4
b. L4, L5
c. L3, L4
d. S1

A

L4, L5

45
Q

Which myotome would you be testing with knee extension?

a. L4
b. L4, L5
c. L3, L4
d. S1

A

L3, L4

46
Q

Which myotome would you be testing with hip flexion?

a. L1, L2, L3
b. L2, L3
c. L4, L5
d. L3, L4, L5

A

L1, L2, L3

47
Q

If a patient is standing in extension, what does this tell you?

A

compensation for feeling unsteady

48
Q

There is (increased/decreased) disc pressure with flexion

A

increased

49
Q

This test should only be done if no other test provokes symptoms

A

lumbar quadrant test

50
Q

A positive lumbar spine quadrant test is identified by

A

local pain: facet problem

radiating radicular: nerve root problem

51
Q

palpation of the lumbar spine has good reliability (true/false)

A

false

52
Q

iliac crests are across from L_ in women and L_/_ in men

A

L4

L4/L5

53
Q

L5 (small/larger) L4 (small/larger)

A

small

larger

54
Q

bottom rib is line with

A

T12

55
Q

What are you looking for when doing central PAs?

A

see if it is stiff

MS II (17 decks)

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