Board Questions Flashcards
A 38-year-old male presents to the office with the complaint of back pain. History reveals the pain began earlier that day while lifting heavy boxes. Physical examination reveals warmth and edema in the paraspinal muscles of the lumbar spine as well as tenderness to palpation. Lumbar range of motion testing is within normal limits but pain is elicited with flexion and extension. The most appropriate treatment is
Bottom Line: Indirect techniques are indicated when there is acute somatic dysfunction.
A 27-year-old male presents to the office with the complaint of low back pain. History reveals the pain began 2 days ago after a fall onto his backside. Physical examination reveals a positive seated flexion test on the right, a normal standing flexion test, a deep right sacral sulcus, and shallow right inferior lateral angle of the sacrum. What is the most likely diagnosis?
Bottom Line: Sacral dysfunctions require three important diagnostic tests: seated flexion test, depth of the sulci, and depth of the ILAs.
A 27-year-old male presents to the office with the complaint of low back pain. History reveals the pain began 2 days ago after a fall onto his backside. Physical examination reveals a positive seated flexion test on the right, a normal standing flexion test, a deep right sacral sulcus, and shallow right inferior lateral angle of the sacrum. The physician opts to utilize osteopathic manipulation in correcting this dysfunction. The correct location to apply pressure on the sacrum while the patient inhales and hold their breath is:
Bottom Line: A right unilateral sacral flexion is treated by applying pressure to the posterior right ILA using respiratory assistance.
A 14-year-old female presents to the office with the complaint of right hip and groin pain. History reveals the patient has a “snapping” sensation with flexion of the hip. Structural examination reveals a tenderpoint medial to the right ASIS, and a positive pelvic shift test to the left. The most useful test for further evaluation of this patient’s condition is:
Bottom Line: The Thomas test is a useful tool in the evaluation of psoas syndrome
A 14-year-old female presents to the office with the complaint of right hip and groin pain. History reveals the patient has a “snapping” sensation with flexion of the hip. Structural examination reveals a tenderpoint medial to the right ASIS, and a positive pelvic shift test to the left. The medical condition that should be ruled out in patients with this presentation is:
Bottom Line: Salpingitis should be ruled out prior to the diagnosis of psoas syndrome in female patients.
