MSK 4b - Quiz 1 - Quiz & Trivia

1. Whiplash Associated Disorder III:

Does not present with pain or stiffness

Is clinically uncommon

Presents with pain and stiffness and reduced ROM

Presents with pain but does not affect ROM

Includes neurological signs and symptoms

2. A hyper extension mechanism is most likely to result in:

Strain of the SCM

Sprain of the ligamentum flavum

Compression of the zygapophyseal joints

A&C

None of the above

3. Stenosis of the intervertebral foramen is NOT likely to result from:

Late stage osteoarthritis

Large posterolateral disc protrusion

Flare up of rheumatoid arthritis

Hyperlordotic posture

All of the above can cause stenosis

4. The primary referral pattern for the levator scapula is:

The middle deltoid

Over the acromion

Posterior neck above the superior angle of the scapula

Inferior angle of the scapula

All of the above

5. Which of the following types of disc injury is most likely to be aggravated or relieved mechanically by lumbar movements?

Sequestration

Prolapse

Extrusion

None of the above

6. Which type of torticollis is painful?

Acquired

Spasmodic

Congenital

A & B

All of the above

7. Structures that may be injured by a traction mechanism resulting from a hyperflexion injury include the:

Anterior joint capsule

SCM

Posterior joint capsule

Hyoids

None of the above

8. A 28 year old male client has come to you complaining of back pain. The pain began the day after he was moving furniture into his new house. THe pain he feels is in the low back/buttock area, and he is not reporting any numbness or altered sensation. The results of your testing are as follows: Pain with all active and passive movements, pain on resisted lumbar extension, straight leg raise that increases pain along the top of the iliac crest. Based on the available findings, what do you believe your client is presenting with?

Acute disc herniation

Iliolumbar ligament sprain

Lumbar strain

Stenosis

Osteoarthritis

9. A triggerpoint of the __________ muscle is most likely to produce a pattern of pain that is very similar to sciatica (pain in the buttock and down the back of the leg).

Gluteus maximus

Piriformis

Gluteus medius

Gluteus minimus

Quadratus lumborum

10. Low back pain is considered to be chronic at:

1 month

2 months

3 months

6 months

1 year

11. Muscles that are predominantly responsible for providing segmental stability of the cervical spine are:

Longus Colli

Longus Capitis

Multifidi

A&C

All of the above

12. Stenosis at the L4-L5 will cause compression of the ______ nerve root

L3

L4

L5

S1

None of the above

13. Your treatment of a client with an acute disc herniation is LEAST likely to include:

Positioning the client without a pillow under the abdomen

Self-care that includes stretching the biceps femoris from the long seated position

Self-care that includes prone lumbar extension movements

Massage technique to help reduce the spasms in the lumbar spine

Self-care that includes isometric transverse abdominus activation

14. Treatment of a client that is currently experiencing right sided acute/acquired torticollis is most likely to include:

Reciprocal inhibition by resisting left side flexion

Muscle stripping and specific compression to treat trigger points

Grade 3 mobilizations of the cervical spine

Reciprocal inhibition by resisting left rotation

All of the above are highly indicated

15. A posterolateral protrusion of the intervertebral disc between L3-L4 will be most likely to cause compression of:

L3 nerve root

L4 nerve root

L5 nerve root

S1 nerve root

Sciatic nerve

16. With a symptomatic client suffering from a contained disc herniation, which of the following findings would NOT be typical?

Peripheralization of symptoms with repeated lumbar flexion

Subjective complaint of pain in the buttock region

Subjective complaint of parasthesia or numbness below the knee

Increased pain when seated

Straight leg raise test that is positive at 90 degrees.

17. Which of the following is a FALSE statement regarding degenerative disc disease (DDD)?

Osteophyte formation is a feature of the severe stage

Muscle spasm is commonly associated with this condition

It occurs in the cervical spine

Extension exercises are recommended to help centralize the symptoms

Sitting is likely to relieve the symptoms associated with DDD

18. Muscles typically involved in acquired torticollis are:

Ipsilateral SCM, levator scapula, splenius capitis

Ipsilateral SCM, upper trapezius, contralateral scalene

Ipsilateral SCM, upper trapezius, contralateral splenius capitis

Ipsilateral SCM, scalene, splenius capitis

19. Anterosuperior movement of the left zygapophyseal joint at the C3 motion segment is involved in:

Right rotation and lateral flexion of C3

Flexion of C3

Extension of C3

A & B

A & C

20. Upper cervical flexion can be limited by a tight/short:

Rectus capitis posterior major

Obliquus capitis inferior

Splenius cervicis

B & C

A & C