Question Bank

Question 1

Pt. presents with severe back pain, numbness when they sit, and trouble initiating urination.

What syndrome are you concerned this pt. has?

What are other typical signs of this syndrome?

Answer 1

Cauda equina

Sx: bladder/bowel dysfunction, saddle numbness, severe pack pain, bilateral leg pain, motor weakness

Question 2

T/F: Cauda equina is not a medical emergency.

Answer 2

False:

Cord compression is not a medical emergency

Cauda equina IS a medical emergency

Question 3

Pt. presents with a hyper-reflexive, weakness in her LE, and also has difficulty initiating urination.

What syndrome are you concerned this pt. has?

What are other typical signs of this syndrome?

Answer 3

Cord compression

Sx:

• Motor changes: increased tone, weakness, unsteady gait
• Sensory changes: N/T, paresthesia
• Hyper-reflexive
• +/- bladder/bowel dysfunctions
• +/- pain

Question 4

The 5 D’s of vertebral artery symptoms

Answer 4

1. Drop attack - LOB/falling w/o loss of consciousness
2. Dizziness
3. Diplopia (double vision)
4. Dysarthria (difficulty talking)
5. Dsyphagia (difficulty swallowing)

Question 5

Why would you scan a peripheral joint for a spine condition?

Answer 5

LE joints may contritue to spinal conditions over time

Check peripheral joints closest to the spine (i.e. shld and hip girdle)

Question 6

What information is gained from applying OP?

Answer 6

Information about the passive structures of the joint

Question 7

Describe the difference between MMT and myotome testing

Answer 7

MMT tests muscle integrity. Consistent weakness would be indicative of a musculoskeletal issue.

Myotome tests neurological integrity. Fatiguing weaknes would be indicative of a neurological issue

Question 8

Whenever a load is applied to a muscle only ____% of the available MU are activated

Answer 8

20

Question 9

Describe the difference between consistent and fatiguing weakness

Answer 9

Consistent weakness: repeated testing will elicit the same strength response because the mm is switching which (20%) MUs are active

Fatiguing weakness: repeated testing will result in a rapid drop in strength because the MUs that are use are depeleted until all MU are used up

Question 10

Describe the difference between PPIVM and PAIVM

Answer 10

PPIVM: passive physiological intervertebral motion is equivalent to osteokinematics

PAIVM: passive accessory intervertebral motion is equivalent to arthrokinematics

Question 11

What are the parts of the assessment?

Answer 11

1. SINS statement
2. Problem list
3. Tx goals
4. Prognostic factors

Question 12

If treating a unilateral spine condition which side should you treat first?

Answer 12

Painful side first

Question 13

If treating with rotation for a spine condition which side should you treat first?

Answer 13

Treat painful side up

Question 14

If treating for pain what parameters would you use for mobilization?

Answer 14

Choose the least painful technique

Shorter duration: 1-2 bouts, 15-30 seconds

Question 15

If treating for resistance what parameters would you use for mobilization?

Answer 15

Treat most painful level first at the end range

Increase vigor as tolerated, quicker speed

Longer duration: 3-5 bouts, 45-60 sec

Question 16

When can disc degeneration begin?

Answer 16

In your 30s

Question 17

What percent of the load do the lumbar facet joints bare during neutral posture?

Answer 17

20%

Question 18

How is CNR classified?

Answer 18

As a type of sciatica

Question 19

T/F: MSI focues more on treating the source as opposed to correcting movement patterns.

Answer 19

False: flip it

Question 20

T/F: Motor control is key in MSI.

Answer 20

True

Question 21

T/F: According to MSI strengthening along is sufficient to affect timing and recruitment.

Answer 21

False: also need motor control

Question 22

T/F: According to MSI how you move can be more important thatn how far you move.

Answer 22

True: look at if impaired movement exists even if the amount of motion is not functionally limiting

Question 23

T/F: You always want to stretch a painful muscle.

Answer 23

False: not always, you may not want to add tension to a already painful/stiff muscle