Lumbosacral Sprain and Strain

Question 1

What type of Sprain is this?

- partial tear with bruising, edema and macrohemmorage. Max pain with tension.

Answer 1

Grade 2

Question 2

What type of Sprain is this?

when there is no tearing

Answer 2

Grade 0

Question 3

What type of Sprain is this?

when there is no bruising, micrometer, visible swelling, and moderate pain.

Answer 3

Grade 1

Question 4

What type of Sprain is this?

Painless, edema , macrohemmorage with bruising and the joint is unstable

Answer 4

Grade 3

Question 5

Your patient comes in complaining of back pain and you diagnose him with Sciatica. How will you treat him? And if he wants pain medication?

Answer 5

You will tell him that he is looking at a 4-6 week recovery time and 12 weeks if this coexists.
Our recommendation is to not take them but make sure that you take them properly.

Question 6

What is the (Oral)
Onset
Peak
Duration

Answer 6

Onset: 20-30 min
Peak: 1-2 hrs
Duration: 3-6 hrs

Question 7

What is the ( IM)
Onset
Peak
Duration

Answer 7

Onset: 20-30 minutes
Peak: 30-60 minutes
Duration: 3-4 hrs

Question 8

What is the (IV)
Onset
Peak
Duration

Answer 8

Onset: 10-15 secs
Peak: 15-30 min
Duration: 1-2 hrs.

Question 9

Radiculopathy def

Answer 9

a neurologic deficit in the nerve root that causes reflex loss, sensory loss, and muscle weakness.

Question 10

Radiculitis def

Answer 10

inflammation of the nerve root that causes radicular pain, muscle spasm, and hyperflexia.

Question 11

How would you approach OMT for a patient like this?

Answer 11

It is ok to perform OMT within the first 4 weeks but if you see no improvement then stop and reevaluate.

Question 12

If someone comes into the office with lower back pain, will you need to get images?

Answer 12

No because most will heal up in 4-6 weeks and most images show FALSE POSITIVES at a high rate.

Question 13

Radio nucleotide bone scan and what conditions it shows?

Answer 13

lights up areas of high bone turnover/ inflammation. You use this in combo with XRAY, CT, and MRI.
Conditions shown are OFIT: occult fractures, infections, tumors.

Question 14

If a patient’s back pain continues then_____ the first choice ( anatomic defect) , then second would be ______

Answer 14

Xray and MRI

Question 15

EMG/NCV are used for?

Answer 15

unresolved radicular pain. differentiates btw nerve root damage and peripheral nerve lesion.

Question 16

If a patient continues to have sensory loss then you do what test? What does this test for?

Answer 16

SSEP/DEP; evaluates motor system and peripheral nerve function. ( evaluates sensory system)

Question 17

MRI is best for?

Answer 17

soft tissue–> to find tumors, abcesses

Question 18

CT is best for? gold when?

Answer 18

bone pathology–> small fractures, and is gold standard when used with myelogram

Question 19

Complications in order of these tests are?

Answer 19

CT/myelogram
myelogram
Xray
MRI

Question 20

Open MRI used for?
Closed MRI used for?
Vertical MRI used for?

Answer 20

Open: peripheral joints and uses least radiation
Closed: used for spinal imaging and most radiation
Vertical: when person has radicular pain while seated or erect.

Question 21

CBC would be used for? rules out what and how?

Answer 21

rule out infections/cancer–> WBC

rule out anemia–> RBC

Question 22

urinalysis used for? rules out what and how?

Answer 22

rules out kidney stones by RBC, crystals

UTI–> WBC or Nitrates

Question 23

ESR
for males the eq is
for females the eq is

Answer 23

age divided by 2

age plus 10 divided by 2

Question 24

ESR def and use/ can differentiate btw?

Answer 24

shows the presence of inflammation but is nonspecific

- MI, appendicitis, RA

Question 25

OMT ““relative”” contraindications are ?

Answer 25

pain, spondylolisthesis, and HNP

Question 26

If you diagnose a pt with moderate LBP, then they can sit no longer than ________

Answer 26

30 minutes

Question 27

If you diagnose a patient with mild LBP, then they can sit no longer than ________.

Answer 27

40 minutes

Question 28

If you diagnose a patient with NO LBP, then they can sit for no longer than ________.

Answer 28

50 minutes

Question 29

If you diagnose a patient with severe LBP, then they can sit for no longer than _______>

Answer 29

20 minutes.