Anatomy Review
Symptoms
Ortho Testing
Post-Op Lumbar
Random
100

How many degrees of lumbar flexion are typically available in a healthy adult spine?


About 40–60 degrees.




100

Pain shooting down the leg into the left foot

Back pain with radiating pain

100

What is a positive for the prone instability test?

If the pain is relieved when the patient lifts their feet off the ground.

100

What is the Ankle Brachial Index test used for?

To detect PAD

100

A 68-year-old patient has bilateral leg pain relieved by sitting and worsened by walking. What is the likely diagnosis?


A 68-year-old patient has bilateral leg pain relieved by sitting and worsened by walking. What is the likely diagnosis?


200

What muscle is deep, attaches segmentally to lumbar vertebrae, and helps stabilize the spine?


MultifiduS

200

Limited Lumbar flexion

Mobility deficit

200

What are the tests for Laslett’s Cluster?

Distraction, Thigh Compression, Compression, and Sacral Thrust.

200

What is microdisectomy decompression?

Excision of a herniation

200

A patient with known osteoporosis presents with acute thoracolumbar pain after bending forward. What should you suspect?


Compression fracture


300

Which spinal level is most commonly involved in lumbar disc herniation, and why?


 L4-L5 and L5-S1 are the most common levels due to increased mobility and mechanical stress at these transition zones.


300

Pt has pain at mid-end range. What is your differential diagnosis?

MCI

300

What would a grade +3 on the double leg lowering test indicate?

Pt maintains pelvic tilt from 74 degrees to 60 degrees
300

What is an indication of surgical lumbar surgery

disc herniation with radiculopathy, stenosis

unresponsive to 2-6 months of nonsurgical care’

spondylothesis with radiculopathy or claudification

Urgent - progressive neuro deficit, foot drop

Urgent - Cauda equine within 24 hours

300

What symptom pattern would most likely suggest lumbar spinal stenosis over disc herniation?


Bilateral leg symptoms worsened with extension, improved with flexion


400

 Which direction do lumbar facet joints primarily face?


Medially and posteriorly (sagittal plane)


400

Pain that doesn’t make sense with the MOI

Back pain with cognitive/affective tendencies

400

In the TrA Draw in Assessment, where should the bladder of the blood pressure cuff be placed?

S2 level

400

When is fusion spondylolisthesis indicated?

When stabilization of spine is needed

400

Which test reproduces radicular symptoms by increasing neural tension in the sciatic nerve?


Straight leg raise (SLR) test


500

What nerve roots form the lumbar plexus?


L1 to L4.


500

Lower Back pain resulting from giving birth a few weeks ago. Lower back pain is vague and feels stiff

SIJ dysfunction

500

How long should a male and female be able to hold the trunk extensor strength test?

Males: 31 seconds Female: 33 seconds

500

What is the criteria to progress rehab for conservative management of spondylosis/degenerative changes of lumbar spine?

Improved tolerance to WB

Neutral spine position with transitional movements

Improved quality of gait

500

A 32-year-old weightlifter reports sharp low back pain radiating into the lateral leg and dorsum of the foot. He has difficulty with heel walking. Neuro exam shows diminished sensation over the dorsum of the foot and weakness in great toe extension. Achilles reflex is diminished.


Nerve root: L5

Structure compressing it: Likely L4-L5 disc herniation


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