Orthopedics DX 612

Lumbar Spine Homework

Name______Date______

  1. The piriformis muscle is clinically significant because of its proximity to which nerve?
  2. Gluteal
  3. Sciatic
  4. Pudenal
  5. Lumbar plexus
  6. Palpation of an irritated sciatic nerve might produce which of the following symptoms?
  7. Burning
  8. Aching
  9. Diplopia
  10. Nystagmus
  11. Which method of testing is most accurate for mensuration of lumbar range of motion?
  12. Eyeballing
  13. Goniometer
  14. Inclinometer
  15. Tape measure
  16. The most common form of spondylolysis in young adults is which of the following?
  17. Spondylolytic
  18. Degenerative
  19. Pathologic
  20. Dysplastic
  21. Which orthopedic test indicates either spondylolysis or spondylolisthesis is present due to an increased pain with testing?
  22. Segmental instability test
  23. One leg standing lumbar extension test
  24. SLR
  25. Bragard’s
  26. Which orthopedic test indicates lumbar instability when the pain is reduced upon testing?
  27. Segmental instability test
  28. One leg standing lumbar extension test
  29. SLR
  30. Bragard’s
  31. When a patient presents with anterolisthesis of L5 on S1, how would you grade the condition if the body of the vertebra slips anteriorward by 55%?
  32. Grade 1
  33. Grade 2
  34. Grade 3
  35. Grade 4
  1. SLR testing indicates disc involvement when radicular sciatic pain is elicited at which degree of elevation?
  2. 90 degrees
  3. 15 degrees
  4. 45 degrees
  5. 30 degrees
  6. Which root tension test is most provocative?
  7. Sicard’s
  8. Turyn’s
  9. SLR
  10. Bragard’s
  11. Which root tension test produces radicular pain in the contralateral lower extremity?
  12. Fajersztajn’s
  13. SLR
  14. Bragard’s
  15. Sicard’s
  16. Which tests are utilized to differentiate lumbar and sacroiliac conditions?
  17. Supported Forward Bending Test
  18. Kemp’s
  19. Goldthwaite’s
  20. Lindner’s
  21. Which orthopedic test indicates meningeal irritation when the hips flex with sharp, diffuse pain upon flexion of the cervical spine?
  22. Kemp’s
  23. Piriformis test
  24. Goldthwaite’s
  25. Lindner’s
  26. When a patient with a lumbar disc lesion leans away from the lesion to attain relief, which type of lumbar discopathy is present?
  27. Central
  28. Medial
  29. Lateral
  30. Prolapsed
  31. When a patient with sciatic radiculopathy flexes at the waist, which lower extremity will flex at the knee?
  32. Affected
  33. Contralateral
  34. Right
  35. Left
  36. When performing a positive Fajersztajn’s test with the well leg, which type of discopathy is suspected?
  37. Lateral
  38. Central
  39. Medial
  40. Fragmented
  41. Which positive tension test for sciatic radiculopathy would indicate the most severe irritation?
  42. SLR
  43. Bragard’s
  44. Sicard’s
  45. Bechterew’s
  46. When a patient with sciatic radiculopathy presents with his right hand on the lumbar spine and the left hand on the flexed left thigh, which side is symptomatic expressive
  47. Right
  48. Contralateral
  49. Ipsilateral
  50. Left
  51. When the patient experiences low back pain with 80 degrees of SLR, which anatomical structures are involved?
  52. Disc
  53. Lumbar zygapophyseal joints
  54. Sacroiliac joint
  55. Piriformis muscle
  56. Which anatomical structures would be involved with sciatic pain at 20 degrees of SLR?
  57. Disc
  58. Lumbar zygapophyseal joints
  59. Sacroiliac joint
  60. Piriformis muscle
  61. Femoral nerve traction test would stretch which of the following nerve roots?
  62. L1-2
  63. L2-3
  64. L3-4
  65. L4-5
  66. Kemp’s Test may irritate the sciatic nerve on the contralateral side of oblique bending with which of the following disc lesions?
  67. Medial disc
  68. Lateral disc
  69. Central disc
  70. Disc bulge
  71. Kemp’s Test may irritate the sciatic nerve on the ipsilateral side of oblique bending with which of the following disc lesions?
  72. Medial disc
  73. Lateral disc
  74. Central disc
  75. Disc bulge

Dr. James J LehmanPage 111/14/2018