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511 WEEK 5 QUIZ QUESTIONS AND ANSWERS WITH SOLUTIONS 2024
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511 WEEK 5 QUIZ QUESTIONS AND ANSWERS WITH SOLUTIONS 2024
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511 WEEK 5 QUIZ QUESTIONS ANDANSWERS WITH SOLUTIONS 2024
A 16 year old boy present to the office with complaints of low back pain after lifting heavy boxes. In
discussing with him proper body mechanics to prevent future injuries, the clinician should advise which
of the following?
• Hold boxes away from your body at arm's length
• Bend your knees and face the object straight on
• Keep your feet firmly together
• Bend and twist simultaneously as you twist - ANSWER Bend your knees and face the object straight on
A 48 year old male presents with acute low back pain in the right that increases when standing and
bending. Upon physical exam, lower extremity muscle strength is 5/5 and straight leg raise test is
negative. Which of the following is the most likely diagnosis?
- Herniated nucleus pulposus
- Osteoarthritis
- Muscle Strain
- Spondyloisthesis - ANSWER Muscle strain
Muscle strain is usually located in the low back and is unilateral in location. The onset is acute and pain
increases with standing and bending and decreases with sitting. the straight leg raises test and plain xray
are both negative
A 49 year old female present with low back pain radiating into the right leg. An X-ray of the lumbosacral
spine is WNL. which of the folloing diagnoses do you explore further?
- Herniated nucleus pulposus
- Scoliosis
- Osteoarthritis
- Compression fracture - ANSWER Herniated nucleus pulposus
, A plain xray will not show a herniated nucleus pulposus or a muscle straing. it will show
spondylolisthesis, scoliosis, osteoarthritis, and spinal stenosis. Note that xrays of the spain are not
indicated in low back pain unless the cause of the pains is thought to be body in origin or traumatic in
nature or theres is a need to rule out systemic disease.
A 55 year old female present with complaints of pain and parasthesisa in the left ulnar aspext of the
forearm, thumb, and middle finger following a C6 and C7 nerve root dermatomal pattern. This is known
as _________?
- Peripheral polyneuropathy
- Cervical radiculopathy
- Brachial plexus neuritis
- Thoracic outlet syndrome - ANSWER Cervican radiculopathy
Cervical root compresssion of C6 and C7 causes cervical rediculopathy. Brachial plexus neuritis present
with dysfunction franging from momentary parasthesias to completely flail extremities and is usuallly
caused by injuries to the C5 and C6 nerve roots. Peripheral polyneuropathy is associated with distal
sensorimotor parasthesia and diminished deep tendon reflexes. Thoracic outlet syndrome is caused by
compression of the brachial plexus and/or sublcavian vessles as they exit the space b/w the superior
shoulder girdle and the first rib. Symptoms are color changes in the hand and sensory changes and
weakness in the 4th and 5th fingers.
A 13 year old obeses (BMI aboe the 95th percentile) boy repoerts low-grade left knee pain for the past 2
months. He denies antecedent trauma but admits frequent "horseplay" with his friends. The pain has
progressivley worsened and he is now unable to bear weight at all on his left leg. His current complaints
inclused left groin, thigh, and medial knee pain and tenderness. His examination demonstrates negative
drawer, Lachman, and McMurray tests; left hip with decreased internal rotation and abduction; and
external hip rotation with knee flexion. Based on the above scenario, the clinican should suspect which
of the following?
- A left meniscal tear
- A slipped capital femoral epiphysis (SCFE)
- A left anterior cruciated ligament (ACL) tear
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