Written Exam

Question 1

Fixation upon contralateral knee raiser

Answer 1

PI Ilium

Question 2

PSIS palpates relatively inferior.

Answer 2

PI Ilium

Question 3

Ischial tuberosity palpates relatively anterior.

Answer 3

PI Ilium

Question 4

The gluteus maximus tends to slope more gradually towards the gluteal fold.

Answer 4

PI Ilium

Question 5

I-S tapping pressure tends to feel firmer and more resistant to pressure.

Answer 5

PI Ilium

Question 6

Increased vertical dimension of innominate bone.

Answer 6

PI Ilium

Question 7

Increased vertical height of the obturator foremen.

Answer 7

PI Ilium

Question 8

Sacrum is relatively anterior to the ilium intersegmentally

Answer 8

One of 3 additional factors for PI and EX

Question 9

The femur head lowers on the side of a ___ or ___ predominate listing

Answer 9

PI or EX

one of 3 additional factors for PI and EX

Question 10

There is a slight compensatory shift of the lumbar lordosis toward hyperlordosis

Answer 10

One of 3 additional factors for PI and EX

Question 11

Fixation upon Ipsilateral Seated SI Axial Rotation.

Answer 11

EX Ilium

Question 12

Fixation upon Ipsilateral Seated Lumbopelvic Lateral Bending.

Answer 12

EX Ilium

Question 13

Wall walking will typically show the foot on the side of ___ ilium to be relatively anterior.

Answer 13

EX Ilium

Question 14

The gluteal musculature appears narrow and hunched.

Answer 14

EX Ilium

Question 15

Relative toe-in foot flare.

Answer 15

EX Ilium

Question 16

The gluteus medius trigger points may be tender upon palpation.

Answer 16

EX Ilium

Question 17

The patient may experience sciatic-like pain down the back of the thigh.

Answer 17

EX Ilium

Question 18

Sacral centerline passes through the pubic bone.

Answer 18

EX Ilium

Question 19

Horizontal dimension of obturator foramen is increased.

Answer 19

EX Ilium

Question 20

Horizontal dimension of iliac ala is decreased.

Answer 20

EX Ilium

Question 21

Fixation upon Contralateral Seated SI Axial Rotation.

Answer 21

IN Ilium

Question 22

Fixation upon Contralateral Seated Lumbopelvic Lateral Bending.

Answer 22

IN Ilium

Question 23

Wall walking will typically show the foot on the side of ___ ilium to be relatively posterior.

Answer 23

IN Ilium

Question 24

The gluteal musculature appears flattened.

Answer 24

IN Ilium

Question 25

Relative toe-out foot flare.

Answer 25

IN Ilium

Question 26

The patient may experience inguinal area/groin pain. | In some cases testicular pain may also be present.

Answer 26

IN Ilium

Question 27

If the pain is severe it may radiate a short distance into the anterior-medial thigh.

Answer 27

IN Ilium

Question 28

Pubic symphysis deviates away from sacral centerline

Answer 28

IN Ilium

Question 29

Horizontal dimension of obturator foramen is decreased on the side of ___ ilium.

Answer 29

IN Ilium

Question 30

Horizontal dimension of iliac ala is increased on the side of ___ ilium.

Answer 30

IN Ilium

Question 31

Sacrum is relatively posterior to the ilium intersegmentally

Answer 31

One of three additional factors for IN or AS ilium.

Question 32

The femur head raises on the side of a ___ or ___ predominate listing.

Answer 32

AS or IN | One of three additional factors for IN or AS ilium

Question 33

There is a slight compensatory shift of the lumbar lordosis toward hypolordosis.

Answer 33

One of three additional factors for IN or AS ilium.

Question 34

Fixation upon Ipsilateral Knee Raiser.

Answer 34

AS Ilium

Question 35

PSIS palpates relatively superior.

Answer 35

AS Ilium

Question 36

Ischial tuberosity palpates relatively posterior.

Answer 36

AS Ilium

Question 37

Gluteus maximus tends to fall more sharply towards the gluteal fold creating a more rounded appearance.

Answer 37

AS Ilium

Question 38

I-S tapping pressure tends to feel more spongy and easier to push cephalad.

Answer 38

AS Ilium

Question 39

Decreased vertical dimension of innominate bone.

Answer 39

AS Ilium

Question 40

Decreased vertical height of the obturator foramen.

Answer 40

AS Ilium

Question 41

Usually the patient complains of pain across the lumbosacral junction.

Answer 41

Base posterior sacrum

Question 42

An instrumentation break typically occurs at the lower one-third of the fifth lumbar spinous.

Answer 42

Base posterior sacrum

Question 43

Motion palpation reveals a fixation on the fifth lumbar vertebra.

Answer 43

Base posterior sacrum

Question 44

Edema is found between the fifth lumbar vertebra and the first sacral segment.

Answer 44

Base posterior sacrum

Question 45

Sudoriferous changes are noted over the fifth lumbar vertebra and the first sacral segment.

Answer 45

Base posterior sacrum

Question 46

Sacral Compression Test may relieve Base Posterior Sacrum discomfort because it may be closing the L5 posterior open disc wedge (flexion malposition).

Answer 46

Base posterior sacrum

Question 47

Sacral Distraction Test may aggravate a Base Posterior Sacrum because it is increasing the L5 posterior open disc wedge even more (flexion malposition).

Answer 47

Base posterior sacrum

Question 48

The lateral lumbar x-ray will usually exhibit: - -A flexion malposition of the fifth lumbar vertebra on the sacral base. - -Sacral base George’s line is relatively posterior to the L5 George’s Line.

Answer 48

Base posterior sacrum

Question 49

The chief complaint is usually lumbosacral pain due to L5 – S1 facet syndrome.

Answer 49

Apex posterior sacrum

Question 50

An instrumentation break will usually occur at the lower 1/3 of the L5 spinous.

Answer 50

Apex posterior sacrum

Question 51

Motion palpation reveals a fixation at L5.

Answer 51

Apex posterior sacrum

Question 52

Edema may be present between the L5-S1 segments.

Answer 52

Apex posterior sacrum

Question 53

Static palpation may reveal tenderness over an L5-S1 zygapophyseal joint or transverse process, as well as the spinous of L5.

Answer 53

Apex posterior sacrum

Question 54

Sudoriferous changes may be noted over L5 and S1.

Answer 54

Apex posterior sacrum

Question 55

Kemp’s Test may be positive for facet syndrome.

Answer 55

Apex posterior sacrum

Question 56

Sacral Compression Test may aggravate _____ posterior Sacrum discomfort by further jamming the facets between L5 and S1.

Answer 56

Apex posterior sacrum

Question 57

Sacral Distraction Test may relieve _____ Posterior Sacrum discomfort by opening the jammed facets between L5 and S1.

Answer 57

Apex posterior sacrum

Question 58

The lateral lumbar x-ray will typically reveal: - -An increased sacral base angle (more than 45 degrees). - -A Ferguson Weightbearing Line that passes anterior to the anterior tip of the sacral base indicating hyperlordosis of the lumbar spine. - -An Acu-Arc Ruler radius measurement of less than 19 cm indicates lumbar hyperlordosis. - -An extension malposition of the fifth lumbar vertebra on the sacral base. - -A Van Akkerveeken line measurement exceeding 3mm indicates facet instability. - -An L5 discal angle greater than 15 degrees may be a predisposing factor for severe facet syndrome. - -A positive Macnabb’s Line. Macnabb’s Line is drawn across the inferior plate line of L5. Macnabb’s Line is positive when the tip of the S1 superior facet is visible above the inferior plate line of L5.

Answer 58

Apex posterior sacrum