3

Question 1

common name of compression of median nerve by flexor retinaculum

Answer 1

carpal tunnel syndrome: overuse, preg, BC

Question 2

what is the name of classification system used to grade spondy’s, and what is meant by a grade two spondy

Answer 2

myerding, 25-50%

Question 3

what visceral cond: N/V, epigastric, mid upper back pn, relieved by fetal position

Answer 3

pancreatitis

Question 4

why is the SIJ difficult to model and study

Answer 4

large amt of anatomical variation between SIJ

Question 5

what spinal nerves supply the SIJ

Answer 5

L4-S2

Question 6

orthos that form lazlette’s criteria

Answer 6

distraction
sacral thrust
thigh thrust
compression + gaenslen's
yeoman's

Question 7

MC type of spondy, and at what level does it MC occur

Answer 7

isthmic @ L5

Question 8

etiology and pt presentation of synovial fold entrapment

Answer 8

meniscoid [piece] get trapped bt facets, like an acute locked neck: lets locked and can’t move back
-pt is v antalgic, immed relieved by adjustment

Question 9

cond MC 20-40y, pn worse w lumbar flex, MRS can be pos while xray is normal

Answer 9

disc herniation

Question 10

which pirmary tumor is MC mets in the lumbar region and what type of lesions does it create on an xray

Answer 10

prostate, blastic lesions [look sclerotic, white]

Question 11

a pos step sign is indicative of

Answer 11

spondylo

Question 12

pt reports paresthesia into digit 4/5 after lots of computer work

Answer 12

cubital tunnel syndrome

Question 13

90% of all lumbar disc herniations occur at what 2 disc levels

Answer 13

L4/5

L5/S1

Question 14

explain how peridural fibrosis can cause pn

Answer 14

cord tehtering OR scar tissue takes up space where it shouldnt, and squeezes the structures

Question 15

describe nutation, counternutation and where it occurs

Answer 15

• nutation: nodding fwd of sacrum

- counter: backwd nodding of sac

Question 16

cond in elderly F, SIJ is ankylosed, sacrum has been weakened by osteoporosis

Answer 16

inusufficiency frx

Question 17

pt is 13y gymnast w LBP on extension: dx

Answer 17

isthmic spondy

Question 18

the post/inf 2/3 of the SIJ is ___ in nature, while the ant/sup 1/3 is ___ jts

Answer 18

synovial

fibrous/syndesmotic

Question 19

the amt of motion is determined by __ and the direction is det by ___

Answer 19

discs / facets

Question 20

what is considered the strongest lig in the body

Answer 20

interosseous sacral lig

Question 21

5 types of spondylolistheses

Answer 21

dysplastic
congenital
isthmic
degenerative
traumatic

Question 22

how many typical extrinsic musc provide movement to the SIJ

Answer 22

0

Question 23

this cond can have a 10:1 M:F, early sx = LB stiffness, SIJ tenderness, which rises up the spine

Answer 23

AS

Question 24

no musc hypertonicity, no mobility impairment,no tenderness in area of complaint, what do you do

Answer 24

visceral referral

Question 25

pt has a pulsatile swelling in abdoment and linear calcification lateral to lumbar, what is the cond you are most concerned about

Answer 25

AAA

Question 26

T/F why: according to souza persistant BP due to extraspinal path is rare in both children and adults

Answer 26

false, is rare in children but common in adults

Question 27

dx: 47y F has persistent NP and jaw pn, heartburn and sweating

Answer 27

MI

Question 28

an age related cond relived by rest, xray shows narrowed disc space, osteophytes, stenosis

Answer 28

DJD/OA

Question 29

MC cond in adults with hx of UTI, intravenous drug use, skin infx, recent surgery

Answer 29

infectious spondylitis

Question 30

why are gaenslen's and yeoman's tests less valued in lazlette's criteria

Answer 30

less SPECIFIC

Question 31

5 poss categories of extraspinal BP

Answer 31

``` psychogenic thoracic retroperitoneal abdominal pelvic [visceral] ```

Question 32

pt reports chronic pn with extension, after sitting/standing for time, moving around and stretching helps, local pn that sometimes radiates

Answer 32

facet syndrome

Question 33

alteration of SIJ biomechanics is difficult to test, the case for jt dysfx as a cause of SI pn is currently best supported by:

Answer 33

favorable response to adjustment

Question 34

visc condition can result in pn in costovertebral jx of ribs radiation PA to groin area

Answer 34

any kidney dz [uretal stone]

Question 35

pt has baby 6m ago, has LBP rads down leg, gets better with adjustment but returns day or two later

Answer 35

SIJ hypermobility/instability