MT1

Question 1

What is the antalgic posture of a subrhizal disc?

Answer 1

-forward flexion

Question 2

which statement regarding tropism is true?

Answer 2

coronal facets are at the L/S junction levels

Question 3

Over the age of 30, disc herniation is most likely to occur at which level?

Answer 3

-L4/5

Question 4

Back pain is predominant symptom in a patient with a prolapsed disc

T or F

Answer 4

false

Question 5

Choose all that apply, which of the following are clinical findings associated with a L3/4 disc herniation

Answer 5

anterior thigh pain and SLR not usually positive

Question 6

Conservative care is the most successful in which of the following stages of spinal degeneration

Answer 6

dysfunction

Question 7

Under the age of 30, disc herniation is most likely to occur at which level?

Answer 7

L5/S1

Question 8

Concerning the DRG and nerve root, which of the following statement is true

Answer 8

tendinitis and myalgia like symptoms may result from NRG/NR irritation

Question 9

Concerning the IVD biomechanics, which of the following statements is true?

Answer 9

compressive forces are better tolerated than torsional forces

Question 10

Which of the following is likely the most common source of pain arising from the low back?

Answer 10

disc

Question 11

A foot drops (loss of dorsiflexion) is associated with which of the following nerve root levels?

Answer 11

L5

Question 12

Which of the following can be considered a complication of spinal manipulation

Answer 12

myelopathy

Question 13

Your patient has right sided sciatica with minimal LBP, SLR and DTR are normal. Which of the following is a reasonable clinical
impression?

Answer 13

facet disorder

Question 14

Your patient has LBP and LE pain that develops after walking and is relieved by flexion. What is the most reasonable clinical
impression

Answer 14

spinal stenosis

Question 15

A patient with a muscular injury is usually sore in the morning and after rest

Answer 15

true

Question 16

What is the most expensive part of managing chronic back pain

Answer 16

disability

Question 17

Which of the following statements concerning disc lesions and associated nerve root irritation is correct

Answer 17

none of the above are correct

Question 18

Which of the following are positive effects of flexion distraction

Answer 18

posterior disc space increases in height

Question 19

Flexion stretches the ligamentum flavum and reduces stenosis

Answer 19

true

Question 20

A decreased Achilles’ tendon reflex can be associated with a disc herniation at which of the following levels?

Answer 20

L5/S1 and L4/L5

Question 21

Pudendal plexus compression can result in pain in which of the following areas

Answer 21

perineal, scrotal and labial

Question 22

Your patient has an intercrestal line passing through the body of L5. L5 has short TP’s and there’s no transitional segment. In
which of the following spinal levels will degeneration most likely occur

Answer 22

L5/S1

Question 23

Which of the following can be complications of nerve root compression

Answer 23

urinary incontinence, interstitial cystitis, bladder dysfunction (all of the above)

Question 24

Which of the following combinations of forces is most harmful to the disc

Answer 24

torsion and compression

Question 25

Radiculopathy is most closely associated with which of the following

Answer 25

inflammation

Question 26

The clinical pattern of an L5/S1 disc herniation includes which of the following findings?

Answer 26

calf muscle weakness

Question 27

Flexed postures reduce stress on the facet joints and compress the posterior annulus fibrosis

Answer 27

False

Question 28

Which of the following is not a radiographic finding associated with instability

Answer 28

hyperlordosis

Question 29

Which order of postures from greatest to least intradiscal pressure is correct

Answer 29

sitting, upright, side lying, prone

Question 30

Referred pain is best described by which of the following statements

Answer 30

pain that is experienced in an area that shares an embryologic origin with the region involve

Question 31

Most spinal malignancies are primary lesions

Answer 31

false

Question 32

Concerning malignancy induced LBP, which of the following is true?

Answer 32

PSA levels rise in proportion to the clinical stage and volume of prostate cancer

Question 33

Unilateral or bilateral referral of pain into the lower or upper extremities can arise from within the disc

Answer 33

true

Question 34

The nerve supply to the cervical discs is limited when compared to the lumbar disc nerve supply

Answer 34

false

Question 35

Which of the following clinical presentations is characteristic of a medial disc herniation

Answer 35

antalgia to the side of pain

Question 36

Which of the following findings is the most indicative of sciatica due to a herniated disc

Answer 36

non-dermatomal pain pattern

Question 37

Which of the following is not a mechanism associated with cervical spine pain

Answer 37

damage to the innervates portions of the nucleus pulposis

Question 38

What are the two basic (common) causes of LBP

Answer 38

disc and facet injury

Question 39

Your patient has a short leg on the right. Which of the following statements are true?

Answer 39

coupled rotation puts additional torsional load on the disc, joints and ligaments

Question 40

Patients with cervical Spondylosis can have sympathetic like symptoms and or symptoms associated with structures innervates by the sinuvertebral nerve

Answer 40

true

Question 41

The plantar surface of the foot and posterior calf are innervates by which of the following nerves

Answer 41

tibial portion of sciatic nerve

Question 42

Which of the following procedures do medical providers perceive as effective treatments for acute LBP

Answer 42

drugs, bed rest, exercise

Question 43

What minimum percentage of disc reduction is necessary for symptom resolution

Answer 43

0%

Question 44

Spinal instability is most associated with which of the following factors

Answer 44

disc height loss

Question 45

Malignancies affect the cervical spine more than the lumbar spine

Answer 45

false

Question 46

Discs protrude and degenerate into the con cavity of the curve and into the side of extension, lordosis or lateral flexion

Answer 46

true

Question 47

A heel drop (loss of plantar flexion) is associated with which of the following nerve root levels

Answer 47

S1

Question 48

Which of the following statements regarding load distribution between the anterior and posterior columns in the cervical spine and or lumbar spine is correct:

Answer 48

in the cervical spine the posterior columns together bear more weight than the anterior column

Question 49

Spinal instability is most commonly found at which of the following spinal levels

Answer 49

L4/L5

Question 50

Which of the following regarding resistance to force is true

Answer 50

zygapophyseal joints in the lumbar spine normally bear 10% of the body weigh

Question 51

Your patient has an absent Achilles reflex unilaterally, which nerve root level is most likely involved

Answer 51

S1

Question 52

What is the predominant symptom of a patient with a non-contained disc

Answer 52

leg pain

Question 53

Flexed posture shares which of the following advantages

Answer 53

gives the spine a high compressive strength

Question 54

Which type of physician cares for the majority of patients with acute and chronic back pain

Answer 54

family physicians

Question 55

The majority of patients who seek care for back pain chooses a chiropractor

Answer 55

false

Question 56

Which of the following is true concerning the differential diagnosis of contained versus non-contained disc lesions

Answer 56

there may be no back pain in non-contained disc lesions

Question 57

which of the following statements regarding clinical biomechanics is true

Answer 57

radial tears are considered the first signs of disc degenerations

Question 58

At which level of the lumbar spine is shear stress most likely to be the greatest

Answer 58

L5/S1

Question 59

Which postures are the most beneficial

Answer 59

combinations of alternating varying postures

Question 60

Which of the following structures is the most pain sensitive

Answer 60

annulus fibrosis

Question 61

Concerning stages of injury to the functional spinal unit, which of the following is in the correct order?

Answer 61

asymmetric disc injury, disturbed kinematics, asymmetric movements of facets