Rat 2 1/26

Question 1

During repeated flexion in standing, the pt says her leg pain is decreasing but her back pain is increasing. Almost as soon as she stops doing the motion, her leg pain goes back to baseline and her back pain remains increased. This reponse to RFIS would best be described as:
A: Centralized, better 
B: Centralized, no better
C: Centralized, worse
D: Centralized, no worse

Answer 1

B

look at the most distal pain to get better/ worse

then see if the pain stays better/worse

Question 2

Muscle activation in people with episodic LBP generally presents as \_\_\_\_\_\_\_\_ of superficial muscles.
A: Temporary under activation
B: Temporary over activation
C: Permanent under activation
D: Permanent over activation

Answer 2

D

the deep muscles are under activated and the superficial muscles are over activated

Question 3

Which of the following sets of findings most suggest the need for referral?
A: Babinski: great toe extension and flexion of toes; 3+ Achilles reflex
B: Babinski: great toe extension and abduction of toes; 3+ Achilles reflex
C: Babinski: great toe flexion and flexion of toes; 2+ Achilles reflex
D: Babinski: great toe flexion and abduction of toes; 2+ Achilles reflex

Answer 3

B

Question 4

PPIVM in the spine is most analogous to end range passive ____ in the shoulder
A: GH flexion
B: GH posterior glide
C: shoulder girdle flexion

Answer 4

A

PPIVM is a single movement
shoulder girdle is a composite movement
posterior glide is an assessor movement

Question 5

Idiopathic scoliosis is an example of a \_\_\_\_\_\_ spinal curve.
A: protective, structural
B: protective, non-structural
C: non-protective, non-structural
D: non-protective, structural

Answer 5

D

Question 6

Which of the following is most likely to result for slump testing in pt with NON- neurodynamic sources of posterior R thigh P?
A: He says he has posterior R thigh P on slumping
B: He says he has posterior R thigh P with knee extension that decrease with neck extension
C: His knee extension limitation and pain R>L
D: His pain is reproduced with DF and decreased with neck extension

Answer 6

A

Question 7

A pt with posterior L thigh P says that her thigh P is reproduced with passive R SLR. The pain decreases with neck extension. What is the best assessment of the source of her pain?
A: Neurodynamic
B: Discal
C: Non-muscloskeletal
D: Non-discal

Answer 7

A

She said that she should have left out the neck extension part. Concentrate on the contralateral SLR.
________
I have B for this. +Cross SLR is indicative of a discal problem (MB)

Question 8

Performing the prone knee bend in sidelying instead of prone is especially good for
A: ruling out discal component to the symptoms
B: stabilizing the pelvis more effectively to prevent anterior tilting
C: distinguishing neurodynamic from non-neurodynamic pain
D: differentiating upper lumbar from lower lumbar

Answer 8

C
______
I have D for the answer (MB)

Question 9

The two-stage treadmill test is particularly useful for differentiating
A: spinal stenosis pain form neurodynamic pain
B: arterial claudication from venous claudication
C: spondylolisthesis from spinal stenosis
D: spinal stenosis from vascular claudication

Answer 9

B

Question 10

Abdominal bracing for spinal stabilization is
A: likely to provide more spinal stability then TrA contraction
B: likely to be more effective in reducing pain that TrA contraction
C: is the lay term for TrA contraction so pts can understand better
D: likely to provide more compressive load to the spine than TrA contraction

Answer 10

A