10 back pain

Question 1

three most common causes back pain

Answer 1

lumbar strain/sprain
age-related ddd
herniated disc

Question 2

acute sciatica

Answer 2

lbp with radiculopathy below the knee and sxs lasting up to 6 weeks

Question 3

red flags back pain

Answer 3

fever, unexplained weight loss, pain at night, bowel or bladder incontinence, neurological sxs, saddle anesthesia

osteoporosis risk factors

Question 4

disc herniations sxs

Answer 4

pain worse with sitting or bedning, relief with lying or standing
pain with cough/sneeze
pain radiating down leg
paresthesias
muscle weakness

Question 5

pe back

Answer 5

standing - inspect, palpate, rOM, gait, stoop test

seated - reflexes, strength , sensation

supine = abdominal, rectal, SLR, crossed leg raise, FABER (hip)

Question 6

stoop test

Answer 6

standing to squatting

central stenosis = reduce pain

Question 7

reflex grade

Answer 7

0
1+ decreased
2+ normal
3+ increased
4+ clonus

Question 8

decrease patella

Answer 8

L3-L4

Question 9

decreased achilles

Answer 9

S1

Question 10

hyperreflexia

Answer 10

UMN sydnrome with spinal cord compression

Question 11

normal muscle strength

Answer 11

5/5

Question 12

L3

Answer 12

patellar
lateral thigh and medial femoral condyle
exten quadriceps
squat and rise

Question 13

L4

Answer 13

patellar
medial leg and medial ankle
dorsiflex ankle
walk on heels

Question 14

L5

Answer 14

medial hamstring
lateral leg and dorsum of foot
dorsiflex great toe
walk on heels

Question 15

S1

Answer 15

achilles tendon reflex
posterior calf, sole of foot, lateral ankle
stand on toes
walk on toes

Question 16

straight leg raise

Answer 16

raise each leg by enxtending the knee from bent to straight
modified = sitting
true = laying and raise

Question 17

tx back pain

Answer 17

aspirin/NSAID and/or muscle relaxants, tylenol
local therapy (heat cold)
activity

phth

if iin pain 5_ weeks with progression of neuro deficit and poor pain control, refer to spine surgeon or continue conservative tx

Question 18

xray when

Answer 18

hx trauma
strenous lift with osteoporosis
prolonged steroid use
osteoporosis
age < 20 or > 70 
hx cancer
fevers/chills/weight loss
pain worse when supine or severe at nihgt
fx, tumor, infection

Question 19

mri when

Answer 19

worsening or unremitting pain
progressive major motor weakness
cauda equina
systemic disodrer
failed 6 weeks conservative