Lumbar and Thoracic Practice Quiz Flashcards

1
Q

what accurately indicates an intervertebral disc pressing on a nerve?

A

positive straight leg raise test

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2
Q

the gel like substance inside an intervertebral dis is called

A

nucleus pulposus

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3
Q

the lumbar facet joints on the R side of the spine are most likely going to be compressed during

A

extension movements

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4
Q

the most common direction for a disc herniation to protrude is

A

posterior-lateral

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5
Q

which of the following is a bio mechanical result of decreased lumbar lordosis

A

increased compressive load on the intervertebral discs

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6
Q

bilateral lumbar stress fractures involving a forward slippage of a portion of the vertebra is known as

A

spondylolisthesis

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7
Q

which condition will not occur in the lumbar refion

A

tenosynovitis

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8
Q

what is a primary factor in the development of decreased lumbar lordosis

A

prolonged sitting in ooor posture

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9
Q

a pt with a moderate strain to the erector spinae mm’s is likely to have the most pain or discomfort with which of the following evaluation procedures

A

resisted lumbar extension

passive lumbar extension would be for a sprain

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10
Q

which of the following is commonly correlated with spondylolisthesis

A

hamstring tightness

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11
Q

if your pt presents w a hypertonic left QL and functional scoliosis, what would you also expect

A

increased compression on the left lumbar facet joints

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12
Q

excessive lumbar lodrdosis creates a situation where a greater % of the bodyweight is transferred through the

A

lumbar facet joints

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13
Q

pain from lumbar facet syndrome is most likely felt

A

as an aching pain close to the spine

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14
Q

a disc herniation that protrudes in a straight posterior direction is likely to produce

A

cauda equina syndrome

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15
Q

what trunk motions occur on the sagittal plane

A

flexion

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16
Q

what position produces one of the greatest compressive loads on spinal structures

A

poor sitting postures

17
Q

hypertonicity in one QL is most evident from

A

high ilium on the same side

18
Q

which of the following postural problems is most likely to result from an exaggerated thoracic kyphosis

A

forward head posture

19
Q

which region of the spine are disc herniation’s least common

20
Q

an intervertebral disc pathology in which the nucleus has pushed through the outer margins of the annulus fibrosis is called

A

an extrusion

21
Q

if your pt has a limited and restricted range of motion in left lateral flexion performed from a standing position , the most likely tissue that is causing that situation would be

22
Q

what muscle group is primarily being used to perform lumbar movement during slow forward flexion from a standing position

A

erector spinae

23
Q

a pt that has thoracic kyphosis is also likely to have

A

upper crossed syndrome

24
Q

the primary cause of a visible rib hump on one side of the spine in the thoracic region in a pt having scoliosis is

A

transverse processes pushing out from vertebral rotation

25
Q

a scoliosis condition that has two curves in the spinal region is called

A

S curve scoliosis

26
Q

HT in which of the following mms is not a contributing factor in an exaggerated lumbar lordosis

A

rectus abdominus

27
Q

which of the following factors would be the most likely cause for development of a lumbar disc herniation

A

long periods of compressive loads on the lumbar spine

28
Q

stress fractures in spondylolysis and spondylolisthesis are most likely to devleop in the

A

pars interarticularis

29
Q

your pt has been dx w a herniated lumbar disc pressiong on nerve roots, during your intiial intake hx he is most likely to complain of

A

pins and needles down leg

30
Q

the SLR is one of the most common special orthopaedic tests and is most commonly used to identify

A

lumbar disc herniation’s pressing on a nerve root