DX 612 Homework SIJ and Pelvis
Name______Date______
1. Assessment for sprain of the sacroiliac ligaments or lumbosacral capsular sprain may be performed with the following orthopedic tests.
a. Kemp, Straight Leg Raise, and Schepelmann
b. Turyn, Sicard, and Bragard
c. Gaenslen, Goldthwait, and Supported Adams (Belt) test
d. Anterior Innominate, Piedallu, and Yeoman test
2. Please select the 3 tests may be utilized to assess for anterior sacroiliac ligament injury.
a. Yeoman, Gapping and Squish tests
b. Kemp, Bowstring and Ludloff tests
c. Quick, Valsalva and Nachlas tests
d. Lewin supine, Schober and Vanzetti tests
3. In order to differentiate SIJ disease from hip joint disease, you might consider the use of one of the following tests to reveal the presence of Erichsen’s sign.
a. Kemp
b. Turyn
c. Forceful, sharp, bilateral thrust to the posterior of the ilia and toward the midline
d. Lateral and downward pressure against the ASIS with the patient in a supine position.
4. The Sacroiliac test is also known as which of the following tests?
a. Kemp
b. Sicard
c. Goldthwait
d. Gapping
5. If you performed a knee-to-shoulder test and produced pain in the ipsilateral sacroiliac joint of a patient with fever and malaise, which of the following conditions would you suspect?
a. Subluxation of the sacrum
b. Pyogenic sacroiliitis
c. Discogenic disease
d. Pelvic obliquity
6. Which of the following tests involves the overpressure at the end of a FABERE range of motion in order to assess for a sacroiliac intraarticular abnormality?
a. Hip abduction test
b. Laguerre test
c. Phelps test
d. Lewin Punch test
7. According to the research by Laslett, a specific clinical examination and reasoning
process can differentiate between symptomatic and asymptomatic sacroiliac joints.
Identify the specific series of tests used in the study to assess SIJ lesions.
a. Gapping, Scouring, Gaenslen, Iliac Compression, and Sacral apex tests
b. Gaenslen, SLR, Kemp, and Anterior Innominate
c. Iliac Compression test, Valsalva, and Sitting SLR
d. Sacral apex test, Smith-Peterson, and Sacroiliac resisted-abduction tests
8. What is the threshold of SIJ pain provocative tests necessary to indicate SIJ pathology according to Laslett?
a. Two
b. Three
c. Four
d. Five
9. Which of the following tests when positive might indicate pelvic obliquity?
a. Yeoman
b. Gaenslen
c. Scouring
d. Sacroiliac resisted-abduction
10. The sacroiliac joint when dysfunctional by present localized pain over the joint or referred pain. If lying on the affected side increased the referred pain, where would you anticipate the pain location?
a. Ipsilateral groin
b. Contralateral posterior thigh
c. Ipsilateral posterior thigh
d. Down the contralateral leg
11. Which lower extremity is flexed when performing a Gaenslen test?
a. Affected lower extremity
b. Unaffected lower extremity
c. Contralateral leg
d. Painful lower extremity
12. Which ROM is most often painful?
a. Flexion
b. Lateral flexion
c. Extension
d. None of the above
13. What sign might be present with abnormal torsion movement of the sacroiliac joint?
a. Turyn
b. Babinski
c. Piedallu
d. Goldthwait
14. When the sacroiliac stretch test is positive with pain at the symphysis pubis, which of the following activities would you suspect as the cause of the pubic pain?
a. Prolonged sitting
b. Lifting injury
c. Soccer
d. Poor posture
15. The Mazion Pelvic Maneuver assesses for unilateral forward displacement of the Ilia on the sacrum. Which of the lower extremities is placed in a forward position prior to touching the floor with the fingers?
a. Symptomatic
b. Ipsilateral
c. Affected
d. Unaffected
16. Your patient presents with lower back pain. Choose the most appropriate examination protocol.
a. History, observation, palpation
b. History, observation, palpation, MRI
c. History, observation, palpation, ROM, specialized imaging
d. History, observation, palpation, ROM, Special tests, lab
17. Your patient presents with low back pain that radiates down the posterior thigh to the calf. Choose the most appropriate orthopedic tests to perform to determine if the patient is experiencing radicular/nerve root pain.
a. Valsalva, Kemp’s, and Belt test
b. Valsalva, Kemp’s, and Gaenslen
c. Valsalva, Kemp’s, and nerve root tension tests
d. Valsalva, Gaenslen, Belt test
18. Your patient c/o of pain shooting down the RLE to the heel with coughing and sneezing. Name the triad.
a. Kemp
b. SLR
c. Adson
d. Dejerine
19. You suspect that your patient has pain in the right groin due to either a sacroiliac lesion or a strain of the iliacus muscles. Name the most appropriate tests that will enable you to rule-in or rule-out the SIJ lesion.
a. Anterior innominate test, Belt test, Gaenslen
b. SLR, Kemp, Gaenslen
c. Turyn, Sicard, Bragard
d. Gaenslen, Bowstring test, Belt test
20. Choose the test(s) that would be painful with a posterior joint dysfunction with meniscoid entrapment.
a. Kemp test
b. Dorso-lumbar flexion
c. Dorso-lumbar extension
d. Turyn
21. Choose the test(s) that would be utilized if you wanted to evaluate a patient with sciatica.
a. SLR
b. Kemp
c. Bowstring
d. Valsalva
22. You suspect that your patient may have strained pelvic musculature due to the history slipping on a wet floor and a complaint of pain in the groin area. Choose the test(s) that would increase the pain.
a. Palpation
b. O’Donoghue’s maneuver
c. Anterior innominate test
d. Waddell
23. If your patient demonstrates foot drop with the heel walk test. What might be the cause of such a finding?
a. Femoral neuralgia
b. Sciatic radiculopathy
c. Disc disease at L1 & L2
d. Meralgia paresthetica
24. If your patient has sprained her anterior sacroiliac ligaments and she presents with a chief concern of groin pain on the affected side, which would be the most appropriate test to perform in order to determine if she is experiencing a sacroiliac lesion?
a. SLR
b. Heel walk
c. Gaenslen
d. Bowstring
25. Your 70 year-old patient presents with severe leg pain that extends from the buttocks to the posterior calves with walking but no back pain. Sitting down or squatting relieves the pain. Which condition would you suspect?
a. Acute lumbar herniated nucleus pulposus
b. Scoliosis
c. Neurogenic claudication
d. Myofascial pain syndrome
Professor LehmanPage 1