Written Exam Flashcards

1
Q

Fixation upon contralateral knee raiser

A

PI Ilium

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2
Q

PSIS palpates relatively inferior.

A

PI Ilium

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3
Q

Ischial tuberosity palpates relatively anterior.

A

PI Ilium

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4
Q

The gluteus maximus tends to slope more gradually towards the gluteal fold.

A

PI Ilium

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5
Q

I-S tapping pressure tends to feel firmer and more resistant to pressure.

A

PI Ilium

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6
Q

Increased vertical dimension of innominate bone.

A

PI Ilium

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7
Q

Increased vertical height of the obturator foremen.

A

PI Ilium

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8
Q

Sacrum is relatively anterior to the ilium intersegmentally

A

One of 3 additional factors for PI and EX

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9
Q

The femur head lowers on the side of a ___ or ___ predominate listing

A

PI or EX

one of 3 additional factors for PI and EX

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10
Q

There is a slight compensatory shift of the lumbar lordosis toward hyperlordosis

A

One of 3 additional factors for PI and EX

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11
Q

Fixation upon Ipsilateral Seated SI Axial Rotation.

A

EX Ilium

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12
Q

Fixation upon Ipsilateral Seated Lumbopelvic Lateral Bending.

A

EX Ilium

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13
Q

Wall walking will typically show the foot on the side of ___ ilium to be relatively anterior.

A

EX Ilium

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14
Q

The gluteal musculature appears narrow and hunched.

A

EX Ilium

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15
Q

Relative toe-in foot flare.

A

EX Ilium

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16
Q

The gluteus medius trigger points may be tender upon palpation.

A

EX Ilium

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17
Q

The patient may experience sciatic-like pain down the back of the thigh.

A

EX Ilium

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18
Q

Sacral centerline passes through the pubic bone.

A

EX Ilium

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19
Q

Horizontal dimension of obturator foramen is increased.

A

EX Ilium

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20
Q

Horizontal dimension of iliac ala is decreased.

A

EX Ilium

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21
Q

Fixation upon Contralateral Seated SI Axial Rotation.

A

IN Ilium

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22
Q

Fixation upon Contralateral Seated Lumbopelvic Lateral Bending.

A

IN Ilium

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23
Q

Wall walking will typically show the foot on the side of ___ ilium to be relatively posterior.

A

IN Ilium

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24
Q

The gluteal musculature appears flattened.

A

IN Ilium

25
Q

Relative toe-out foot flare.

A

IN Ilium

26
Q

The patient may experience inguinal area/groin pain.

In some cases testicular pain may also be present.

A

IN Ilium

27
Q

If the pain is severe it may radiate a short distance into the anterior-medial thigh.

A

IN Ilium

28
Q

Pubic symphysis deviates away from sacral centerline

A

IN Ilium

29
Q

Horizontal dimension of obturator foramen is decreased on the side of ___ ilium.

A

IN Ilium

30
Q

Horizontal dimension of iliac ala is increased on the side of ___ ilium.

A

IN Ilium

31
Q

Sacrum is relatively posterior to the ilium intersegmentally

A

One of three additional factors for IN or AS ilium.

32
Q

The femur head raises on the side of a ___ or ___ predominate listing.

A

AS or IN

One of three additional factors for IN or AS ilium

33
Q

There is a slight compensatory shift of the lumbar lordosis toward hypolordosis.

A

One of three additional factors for IN or AS ilium.

34
Q

Fixation upon Ipsilateral Knee Raiser.

A

AS Ilium

35
Q

PSIS palpates relatively superior.

A

AS Ilium

36
Q

Ischial tuberosity palpates relatively posterior.

A

AS Ilium

37
Q

Gluteus maximus tends to fall more sharply towards the gluteal fold creating a more rounded appearance.

A

AS Ilium

38
Q

I-S tapping pressure tends to feel more spongy and easier to push cephalad.

A

AS Ilium

39
Q

Decreased vertical dimension of innominate bone.

A

AS Ilium

40
Q

Decreased vertical height of the obturator foramen.

A

AS Ilium

41
Q

Usually the patient complains of pain across the lumbosacral junction.

A

Base posterior sacrum

42
Q

An instrumentation break typically occurs at the lower one-third of the fifth lumbar spinous.

A

Base posterior sacrum

43
Q

Motion palpation reveals a fixation on the fifth lumbar vertebra.

A

Base posterior sacrum

44
Q

Edema is found between the fifth lumbar vertebra and the first sacral segment.

A

Base posterior sacrum

45
Q

Sudoriferous changes are noted over the fifth lumbar vertebra and the first sacral segment.

A

Base posterior sacrum

46
Q

Sacral Compression Test may relieve Base Posterior Sacrum discomfort because it may be closing the L5 posterior open disc wedge (flexion malposition).

A

Base posterior sacrum

47
Q

Sacral Distraction Test may aggravate a Base Posterior Sacrum because it is increasing the L5 posterior open disc wedge even more (flexion malposition).

A

Base posterior sacrum

48
Q

The lateral lumbar x-ray will usually exhibit:

  • -A flexion malposition of the fifth lumbar vertebra on the sacral base.
  • -Sacral base George’s line is relatively posterior to the L5 George’s Line.
A

Base posterior sacrum

49
Q

The chief complaint is usually lumbosacral pain due to L5 – S1 facet syndrome.

A

Apex posterior sacrum

50
Q

An instrumentation break will usually occur at the lower 1/3 of the L5 spinous.

A

Apex posterior sacrum

51
Q

Motion palpation reveals a fixation at L5.

A

Apex posterior sacrum

52
Q

Edema may be present between the L5-S1 segments.

A

Apex posterior sacrum

53
Q

Static palpation may reveal tenderness over an L5-S1 zygapophyseal joint or
transverse process, as well as the spinous of L5.

A

Apex posterior sacrum

54
Q

Sudoriferous changes may be noted over L5 and S1.

A

Apex posterior sacrum

55
Q

Kemp’s Test may be positive for facet syndrome.

A

Apex posterior sacrum

56
Q

Sacral Compression Test may aggravate _____ posterior Sacrum discomfort by further jamming the facets between L5 and S1.

A

Apex posterior sacrum

57
Q

Sacral Distraction Test may relieve _____ Posterior Sacrum discomfort by opening the jammed facets between L5 and S1.

A

Apex posterior sacrum

58
Q

The lateral lumbar x-ray will typically reveal:

  • -An increased sacral base angle (more than 45 degrees).
  • -A Ferguson Weightbearing Line that passes anterior to the anterior tip of the sacral base indicating hyperlordosis of the lumbar spine.
  • -An Acu-Arc Ruler radius measurement of less than 19 cm indicates lumbar hyperlordosis.
  • -An extension malposition of the fifth lumbar vertebra on the sacral base.
  • -A Van Akkerveeken line measurement exceeding 3mm indicates facet instability.
  • -An L5 discal angle greater than 15 degrees may be a predisposing factor for severe facet syndrome.
  • -A positive Macnabb’s Line. Macnabb’s Line is drawn across the inferior plate line of L5. Macnabb’s Line is positive when the tip of the S1 superior facet is visible above the inferior plate line of L5.
A

Apex posterior sacrum