Quizes: What type of pain? AND Which muscle is tight?

Question 1

For each of the following, choose one of the following options: (or a combination)
S= Somatic
V= Visceral
R= radicular

Achey, vague

Answer 1

S, V

Question 2

For each of the following, choose one of the following options: (or a combination)
S= Somatic
V= Visceral
R= radicular

Associated with certain days of the month

Answer 2

V

Question 3

For each of the following, choose one of the following options: (or a combination)
S= Somatic
V= Visceral
R= radicular

Entire posterior thigh

Answer 3

S, R

somatic is better

Question 4

For each of the following, choose one of the following options: (or a combination)
S= Somatic
V= Visceral
R= radicular

Lancinating

Answer 4

R, V

Question 5

For each of the following, choose one of the following options: (or a combination)
S= Somatic
V= Visceral
R= radicular

Associated with large meals

Answer 5

V

Question 6

For each of the following, choose one of the following options: (or a combination)
S= Somatic
V= Visceral
R= radicular

Narrow band of superficial band

Answer 6

R

Question 7

For each of the following, choose one of the following options: (or a combination)
S= Somatic
V= Visceral
R= radicular

Not associated with movement or position

Answer 7

V

Question 8

For each of the following, choose one of the following options: (or a combination)
S= Somatic
V= Visceral
R= radicular

Mechanical pattern of agg/ease

Answer 8

S, R

Question 9

For each of the following, choose one of the following options: (or a combination)
S= Somatic
V= Visceral
R= radicular

Mild

Answer 9

S, R, V

Question 10

For each of the following, choose one of the following options: (or a combination)
S= Somatic
V= Visceral
R= radicular

Pain expands distally as problem worsens

Answer 10

S, R, V

Question 11

For each of the following, choose one of the following options: (or a combination)
S= Somatic
V= Visceral
R= radicular

Pain and paresthesia

Answer 11

R

Question 12

For each of the following, choose one of the following options: (or a combination)
S= Somatic
V= Visceral
R= radicular

Pain without other sensory complaints

Answer 12

S, V, R

Question 13

For each of the following, choose one of the following options: (or a combination)
S= Somatic
V= Visceral
R= radicular

Poorly locatized

Answer 13

S, V

paired with achey, vague

Question 14

For each of the following, choose one of the following options: (or a combination)
S= Somatic
V= Visceral
R= radicular

Superficial

Answer 14

R

Question 15

For each of the following, choose one of the following options: (or a combination)
S= Somatic
V= Visceral
R= radicular

Deep

Answer 15

V, S

Question 16

For each of the following, choose one of the following options: (or a combination)
S= Somatic
V= Visceral
R= radicular

Severe

Answer 16

S, V, R

Question 17

Choose one of the following for each of the Thomas test results:

A: Normal results
B: Iliacus/ psoas
C: Rectus femoris
D: Either iliacus/ psoas or (and) rectus femoris

The thigh does not reach the table and the knee is flexed to 80*.

Answer 17

D

wont know until the knee is extened

Question 18

Choose one of the following for each of the Thomas test results:

A: Normal results
B: Iliacus/ psoas
C: Rectus femoris
D: Either iliacus/ psoas or (and) rectus femoris

The thigh reaches the table and the knee is flexed to 50*

Answer 18

C

**make sure that the pt is relaxed and they are on the edge of the table

Question 19

Choose one of the following for each of the Thomas test results:

A: Normal results
B: Iliacus/ psoas
C: Rectus femoris
D: Either iliacus/ psoas or (and) rectus femoris

The thigh is on the table and the knee is flexed to 80*

Answer 19

A

Question 20

Choose one of the following for each of the Thomas test results:

A: Normal results
B: Iliacus/ psoas
C: Rectus femoris
D: Either iliacus/ psoas or (and) rectus femoris

The thigh is on the table and the knee is flexed to 60. When the knee is flexed further, the thigh lifts from the table 20

Answer 20

C

Question 21

Choose one of the following for each of the Thomas test results:

A: Normal results
B: Iliacus/ psoas
C: Rectus femoris
D: Either iliacus/ psoas or (and) rectus femoris

The thigh does not reach the table ad the knee is flexed 45*. When the knee is straighten, the thigh drops halfway to the table.

Answer 21

D

Question 22

Choose one of the following for each of the Thomas test results:

A: Normal results
B: Iliacus/ psoas
C: Rectus femoris
D: Either iliacus/ psoas or (and) rectus femoris

The thigh does not reach the table and the knee is flexed to 60*. When the knee is straightened, the thigh drops halfway to the table.

Answer 22

D

Question 23

Choose one of the following for each of the Thomas test results:

A: Normal results
B: Iliacus/ psoas
C: Rectus femoris
D: Either iliacus/ psoas or (and) rectus femoris

The thigh does not reach the table and the knee is flexed 70*. When the knee is straightened, the thigh lowers to the table.

Answer 23

C

Question 24

Choose one of the following for each of the Thomas test results:

A: Normal results
B: Iliacus/ psoas
C: Rectus femoris
D: Either iliacus/ psoas or (and) rectus femoris

The thigh does not reach the table and the knee is flexed 70*. When the knee is flexed further, the thigh raises further from the table.

Answer 24

D

Question 25

# Choose one of the following for each of the Thomas test results: A: Normal results B: Iliacus/ psoas C: Rectus femoris D: Either iliacus/ psoas or (and) rectus femoris The thigh doesn't reach the table. Knee at 80*. straightened and flexed and thigh stays the same.

Answer 25

B

Question 26

The capsular pattern of the spine causes limited A: contralateral LF and rotation B: contralateral LF and ipsilateral rotation C: ipilateral LF and rotation D: ipsilateral LF and contralateral rotation

Answer 26

B: contralateral LF and ipsilateral rotation

Question 27

A pt with very flexible hamstrings are likely to have A: limited hip contribution to flexion B: excessive hip contribution to flexion

Answer 27

B: excessive hip contribution to flexion

Question 28

An inclinometer that is placed on the sacrum during flexion will give a good assessment of A: hip mobility and/or hamstring flexibility B: lumbar jt mobility and muscle flexibility C: overall lumbar and hip/hamstring flexibility

Answer 28

A: hip mobility and/or hamstring flexibility

Question 29

A pt with a dics herniation at L5/S1 with nerve root impingement is most likely to have weakness in A: ankle DF B: great toe ext C: PF

Answer 29

C: PF

Question 30

You pt with lower lumbar spine pain has 3+ R Achilles DTR. All other STR's in B extremities are 2+. This hyperreflexia suggests A: a lower lumbar vertebral canal problem B: a CNS problem C: Nerve root irritation D: Nerve root compression

Answer 30

B: a CNS problem

Question 31

Your 69 yo pt has excessive thoracic kyphosis and FHP and reports B symmetrical LBP of several weeks duration. He says he started working as a WalMart greeter a few months ago, which involves standing on his feet several hours per shift. His pain is worst in standing, best with reclining in his armchair. Sitting in an upright chair is also uncomfortable but not as bad as standing. He thinks his posture has deteriorated since starting this job. How can you decide where his postural problem are relevant to his LBP? A: Assess baseline symp, have him actively improve his standing posture with instructions, then reassess symp. B: Assess baseline symp, have him actively improve his sitting posture with instructions, then reassess symp. C: Do the two stage treadmill test to look for reproduction of symp which would suggest spinal stenosis D: Instruct him to put a pillow or lumbar roll in his lumbar spine in the recliner and then reassess the effect next visit.

Answer 31

A: Assess baseline symp, have him actively improve his standing posture with instructions, then reassess symp.

Question 32

``` Joe has LB and R leg P and stands with his shoulders level but to the L of his pelvis. Which of the following describes this observation? A: L lateral shift, which is typical B: L lateral shift, which is atypical C: R lateral shift, which is typical D: R lateral shift, which is atypical ```

Answer 32

A: L lateral shift, which is typical

Question 33

Joe says that he started "standing crooked" a few days ado when his back and R calf P began but that he cant correct it when you cue him to do so. What should you do to decide if this is a relevant lateral shift? A: I don't need to do anything bc the P and shift started at the same time which automatically makes it relevant B: Manually correct the shift and if that improves his back pain then it is relevant C: Manually correct the shift and if his calf pain diminishes by the next visit then it is relevant D: Manually correct the shift and if his distal calf pain diminishes but the proximal calf pain remain the same then it is relevant

Answer 33

D: Manually correct the shift and if his distal calf pain diminishes but the proximal calf pain remain the same then it is relevant

Question 34

``` Before Joe leaves treatment your CI reminds you to instruct Joe in home shift correction since you got such good results with manual shift correction today. The instructions for Joe should be to stand with his ____ arm against the wall with the elbow at 90* and slide his hips to the ____. A: R, R B: R, L C: L, L D: L, R ```

Answer 34

C: L, L

Question 35

If Joe's leg P increased with shift correction but his back pain improves, the best course of action would be to A: stop the standing shift correction and try the unloaded shift B: Teach him self shit correction for his HEP C: Continue the shift until overcorrection has been achieved and reassess D: Start the prone progression by placing him over 2-3 pillow

Answer 35

A: stop the standing shift correction and try the unloaded shift

Question 36

The lumbar quadrant is best used in pt with LBP A: and hip P to help you decide if you should further evaluate the lumbar spine B: to help rule in SIJ as a possible contributing source C: that increased with ext and increased with ips flexion to rule in spondylosis D: rule out spinal stenosis when cont flexion and flexion each increase P

Answer 36

A: and hip P to help you decide if you should further evaluate the lumbar spine

Question 37

During slump testing, you tell the pt to slump and she drops her face toward her lap at the same time she rounds her spine. She says this increased her buttock pain. This is A: OK since dropping her head fwd is the next step anyways and the therapist should proceed with extending the knee to continue the test B: Not OK since flexing the head forward puts the nervous system on slack and will limit her knee ext range C: Not OK since neurodynamic tests must be done in a careful stepwise progression in order to make the appropriate assessment D: OK since next flexion tells me that the pain has a neurodynamic source, I can skip the rest if the slump test and call it (+)

Answer 37

C: Not OK since neurodynamic tests must be done in a careful stepwise progression in order to make the appropriate assessment

Question 38

You pt reports R buttock and thigh pain when doing downward dog since she started trying to use yoga DVD at home to rehab from a mild R hamstring strain after resting it for a couple of months by doing no exercise or recreational activity. She L SLR is 105* (with DF) and (-). Her R SLR is 90* and DF increases her familiar P. What is your assessment of these results? A: Her R SLR is (+) for neurodynamic contribution to her pain B: Her R SLR is also (+) since her SLR ROM is within normal limits C: It is unclear until a sensitizing maneuver has been done to clarify HS from neurodynaics D: SLR is not an appropriate test; slump is better for this type of suspected neurodynamic problem.

Answer 38

A: Her R SLR is (+) for neurodynamic contribution to her pain

Question 39

Why is it important to evaluate the hip in a pt with LBP?

Answer 39

Compensation for hip P or ROM | or visa versa

Question 40

``` Which of the following is NOT a common S/S of hip OA A: a report of lateral hip pain B: significant limitation of hip IR C: painful arc during active SLR D: (+) Scour test, esp loaded. ```

Answer 40

C: painful arc during active SLR