QUESTIONS WITH VERIFIED ANSWERS
GRADED A+
You see a 48-year-old woman who reports LBP. She mentions new onset of loss of
bowel and bladder function. This most likely indicates:
A. Cauda equina syndrome
B. Muscular sprain
C. Vertebral fracture
D. Sciatic nerve entrapment
Cauda Equina Syndrome
Immediate diagnostic imaging for LPB should be reserved for all the following
except the presence of:
A. Signs of cauda equina
B. Severe neurological deficits
C. Risk for Cancer
D. Moderate pain lasting at least 2 weeks
D. Moderate pain lasting at least 2 weeks
A lumbosacral X-ray would be most helpful to aid in diagnosis of new onset-LPB
in which of the following patients?
A. 49 year old man with 1 day of paint after yard work
,B. 63 year old women who slipped on icy walkway
C. 54 year old obese man who reports pain radiating to buttocks
D. 61 year old woman reporting pain after attempting to lift her grandson
B. 63-year-old woman who slipped on icy walkway
The most common sites for lumbar disc herniation are:
L4-L5 & L5-S1
Changes in the joint during OA can typically include all of the following except:
A) Widening of the joint space
B) Wearing away of articular cartilage
C) Formation of bone spurs
D) Synovial membrane thickens
A) Widening of the joint space
Which of the following tests yields the greatest amount of clinical information in a
patient with acute lumbar radiculopathy?
A. LS X-Ray
B. ESR Measurement
C. MRI
D. Bone Scane
C. MRI
,A 24-year-old male presents to your clinic with complaints of right knee pain. He
was playing with his kids in the back yard when he took a wrong step and twisted
his knee. Over the next 24 hours, he reported swelling and decreased range of
motion. He also reports an occasional painful clicking in the knee.
Given this information, what is at the top of your differential diagnosis list?
A. PCL tear
B. ACL tear
C. Meniscal tear
D. MCL tear
E. Dislocated patella
C. Meniscal tear
A 27-year-old female presents to your clinic with 4 months of gradual onset right
anterior knee pain. She likes to stay active by taking spinning and bootcamp
classes, but has been unable to participate due to pain during these activities. She
reports squatting in bootcamp is especially aggravating. She also reports pain
ascending stairs, kneeling, and after sitting in meetings.
Given this information, what is at the top of your differential diagnosis list?
A. Patellar tendonitis
B. Meniscal tear
C. Patellofemoral joint pain
D. Distal ITB syndrome
C. Patellofemoral joint pain
ACL injuries result from a:
, A. Higher incidence of contact vs noncontact type injuries
B. Higher incidence of noncontact vs contact type injuries
C. Equal incidence of contact and noncontact type injuries
D. An insidious onset and not from contact or noncontact type injuries
B. Higher incidence of noncontact vs contact type injuries
A 21 y.o. female division I soccer player comes into urgent care c/o right knee pain
and swelling. She's states that at practice 4 days ago she heard a pop and had an
immediate onset of pain. Since the injury she has noticed her knee is really
unstable and is constantly giving out on her when walking to class. On exam you
notice she has a bent-knee gait, positive Lachman's maneuver and a ballotable
patella. What is her dx?
A. MCL tear
B. ACL tear
C. LCL tear
D. PCL tear
B. ACL tear
T/F: MRI is the confirmatory test for ACL and PCL injuries
True
A 21 y.o. female division I soccer player comes into urgent care c/o right knee pain
and swelling. She's states that at practice 4 days ago she heard a pop and had an
immediate onset of pain. Since the injury she has noticed her knee is really
unstable and is constantly giving out on her when walking to class. On exam you