Review

Question 1

What are the 5 SI orthopedic tests?

Answer 1

SI compression, SI distraction, Gaenslens, Thigh Thrust, Sacral Thrust

Question 2

What does paralytic ileus signify?

Answer 2

A compression fracture of T11

Question 3

Compare Psoas syndrome, Myofascial pain syndrome and Thoraculumbar (mignes). What causes the pain? referral? What do you treat?

Answer 3

Psoas - psoas is short. does not cause the pain but overloads the spine which might causes injury to spine. Treat spine first then stretch
Myofascial pain syndrome - psoas is the thing that hurts. Refers along lumbar spine and front of thigh. Spine may be a side issue. treat psoas first.
Thoracolumbar - begins in TL facets or joint dysfunction, may feel pain in iliac crest, over hip and groin. Adjust TL

Question 4

SICK

Answer 4

Coracoid process,

Question 5

How much before sole lift is needed?

Answer 5

10 mm

Question 6

What does clinic in lower extremity most likely signify?

Answer 6

Cervical instability due to RA

Question 7

What is the strongest clue for disc derangement?

Answer 7

1. Repetitive spine loading creating centralization
2. Cannot tolerate sitting 5 mins
3. Flexion aggravates more the extension
4. Positive valsalva
5. Midline tenderness along spine

Question 8

What three conditions can cause Horner’s syndrome

Answer 8

WAD
Pancoast tumor
Barre lieu

Question 9

What two tests do you order if you suspect RA?

Answer 9

Rheumatoid factor

Anti CCP

Question 10

What are the seronegative arthrotides (HLA-B27)?

Answer 10

Reiters
Psoriatic arthritis
Enteric arthritis (IBS or Crohns)
Ankylosing Arthritis

Question 11

What three exam findings suggest a patient is a good candidate for facet blocks?

Answer 11

Tender facets 3/10
Painful extension with rotation 3/10
Restricted joint glide

Question 12

What is the referral pattern for anterior scalene and supraspinatus?

Answer 12

Lateral arm to first finger

Question 13

What is the referral pattern for the SCM

Answer 13

To head above eye

Question 14

What is the difference between tension-type headaches and temporal arteritis?

Answer 14

both have a tender scalp but Temporal arteritis occurs in older patients (>50)

Question 15

What are the 5 clues from history and physical?

Answer 15

1. Pain in leg (location, quality, severity, positional relief)
2. Paresthesia
3. SMR
4. Tension tests
5. Spinal loading - did any other exam procedure that loaded the spine immediately make leg sx worse

Question 16

What’s the A list for cervical nerve root injury? Lumbar?

Answer 16

Cervical - Most likely spur. Can be disc herniation of stenosis
Lumbar - disc herniation and stenosis. Spur on B list

Question 17

What are the three follow up diagnostic studies you could order for a suspected fracture?

Answer 17

Cat, MRI, or SPECT (if symptomatic/recent)