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Herniated nucleus pulposus Exam Questions and Answers What is the Dx? Back pain after lifting heavy boxes with lower extremity weakness decreased sensation and + straight leg raise - ANSWER-Lumbar herniated nucleus pulposus (HNP) Which nerve root does the ankle reflex test? - ANSWER-S1 Motor n...

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  • November 11, 2024
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  • 2024/2025
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Herniated nucleus pulposus Exam

Questions and Answers


What is the Dx? Back pain after lifting heavy boxes with lower extremity weakness decreased sensation

and + straight leg raise - ANSWER✔✔-Lumbar herniated nucleus pulposus (HNP)


Which nerve root does the ankle reflex test? - ANSWER✔✔-S1


Motor nerve root for great toe? - ANSWER✔✔-L5 (remember L5 is the "largest" so it affects the largest

toe)


Anterior thigh pain - ANSWER✔✔-L4


Weak ankle dorsiflexion and loss of knee jerk - ANSWER✔✔-L4


Lateral thigh/leg, hip and groin paresthesias and pain with loss of sensation oat the dorsum of the foot -

ANSWER✔✔-L5


Walking on heels more difficult than walking on toes - ANSWER✔✔-L5


Walking on toes more difficult than walking on heels - ANSWER✔✔-S1


Loss of sensation on posterior leg/calf and plantar surface of the foot - ANSWER✔✔-S1


Upper extremity weakness, decreased sensation and reflexes, positive spurling test, pain at rest -

ANSWER✔✔-Usually posterolateral herniation at C5-C6 or C6-C7


Loss of sensation in the middle finger - ANSWER✔✔-C7


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