PARKER AAT1 ALL TEST QUESTIONS AND ANSWERS
Which of the following is true regarding lumbar spinal stenosis?
a. Lumbar extension typically decreases symptoms in patient's with ligamentum flavum
and/or facet hypertrophy.
b. Lumbar flexion typically decreases symptoms in patient's with ligamentum flavum
and/or facet hypertrophy.
c. Lumbar extension typically decreases symptoms in patient's with facet hypertrophy
and lumbar flexion typically decreases symptoms in patient's with ligamentum flavum
hypertrophy.
d. Lumbar flexion typically decreases symptoms in patient's with facet hypertrophy and
lumbar extension typically decreases symptoms in patient's with ligamentum flavum
hypertrophy. - answer- Lumbar flexion typically decreases symptoms in patient's with
ligamentum flavum and/or facet hypertrophy.
Which of the following is not a cause of lumbar spinal stenosis?
a. spinal epidural lipomatosis
b. sacroiliac joint syndrome
c. isthmic spondylolisthesis
d. degenerative spondylolisthesis
e. synovial cyst
f. disc herniation - answer- sacroiliac joint syndrome
Choose the neurovascular finding which may be associated with a severe lumbar disc
herniation?
local low back pain
Atrophy of the gastrocnemius muscle
significant point tenderness
pain not relieved by bedrest - answer- Atrophy of the gastrocnemius muscle
Lumbar disc herniation is thought to be responsible for _____ of LBP cases.
5-10%
50%
1-3%
10-20% - answer- 1-3%
In a patient with a lumbar disc herniation, the leg pain is typically _______.
found radiating more distally in less severe cases
more severe than the low back pain
less severe than the low back pain
throbbing - answer- more severe than the low back pain
,Which of the following has the most severe disc pathology?
A sequestered disc
A degenerated disc
A disc extrusion
A prolapsed disc - answer- A sequestered disc
Which of the following is consistent with sciatica?
Pain relieved by Valsalva's maneuver
Pain does not typically radiate past the knee
Most common symptom of facet syndrome
Most common symptom of nerve root irritation
Pain typically dull ache - answer- Most common symptom of nerve root irritation
When is it necessary to perform a neurological examination?
When your patient is experiencing sacroiliac pain.
When your patient presents with local low back pain.
When your patient is over 50 years of age.
When your patient is experiencing muscle weakness. - answer- When your patient is
experiencing muscle weakness.
Which of the following is the most common level for a lumbar disc herniation?
L3/L4
L2/L3
L5/S1
L4/L5 - answer- L5/S1
If you are adjusting S-I on the right TVP of the involved segment & I-S on the left TVP of
the involved segment, what motion are you trying to induce/restore?
Left lateral flexion
Right Lateral Flexion
Left rotation
Right rotation - answer- Right Lateral Flexion
Lumbar facet syndrome is defined as _________.
LBP originating from the zygapophyseal joints
LBP originating from the sacroiliac joints
LBP originating from the lumbar musculature
LBP originating from the posterior longitudinal ligament - answer- LBP originating from
the zygapophyseal joints
, You are likely to find a _______ in a patient suffering from facet syndrome and the
associated postural presentation. Choose the best answer.
Counter Nutation Restriction
RRROA
RRLOA
Nutation Restriction - answer- Counter Nutation Restriction
Which of the following are consistent with facet syndrome?
Hypolordosis
Aggravated by lumbar flexion
Joint capsule degeneration
origin always traumatic - answer- Joint capsule degeneration
How do you "lock out" the joint you are adjusting?
Laterally flex towards the side you are contacting as you rotate the patient's head away
from you while creating a fulcrum for this motion with the pressure from your contact
point.
Laterally flex away from the side you are contacting as you rotate the patient's head
away from you while creating a fulcrum for this motion with the pressure from your
contact point.
Laterally flex away from the side you are contacting as you rotate the patient's head
towards you while creating a fulcrum for this motion with the pressure from your contact
point.
Rotate the patient's head away from you while creating a fulcrum for this motion with the
pressure from your contact point. - answer- Laterally flex towards the side you are
contacting as you rotate the patient's head away from you while creating a fulcrum for
this motion with the pressure from your contact point.When a patient has
contraindications to HVLA adjusting/manipulation, you may still be able to mobilize the
joint. - answer- True
During lumbosacral extension, the sacral base should glide _________. - answer- A-I
One of the main differences between "acceptable" and "exceeding reactions" is that
exceeding reactions _____. - answer- Interfere with work/ADL's
Forceful manipulation is contraindicated in patients with ________. - answer-
Osteoporosis
Clotting disorders
Which of the following is true regarding lumbar spinal stenosis?
a. Lumbar extension typically decreases symptoms in patient's with ligamentum flavum
and/or facet hypertrophy.
b. Lumbar flexion typically decreases symptoms in patient's with ligamentum flavum
and/or facet hypertrophy.
c. Lumbar extension typically decreases symptoms in patient's with facet hypertrophy
and lumbar flexion typically decreases symptoms in patient's with ligamentum flavum
hypertrophy.
d. Lumbar flexion typically decreases symptoms in patient's with facet hypertrophy and
lumbar extension typically decreases symptoms in patient's with ligamentum flavum
hypertrophy. - answer- Lumbar flexion typically decreases symptoms in patient's with
ligamentum flavum and/or facet hypertrophy.
Which of the following is not a cause of lumbar spinal stenosis?
a. spinal epidural lipomatosis
b. sacroiliac joint syndrome
c. isthmic spondylolisthesis
d. degenerative spondylolisthesis
e. synovial cyst
f. disc herniation - answer- sacroiliac joint syndrome
Choose the neurovascular finding which may be associated with a severe lumbar disc
herniation?
local low back pain
Atrophy of the gastrocnemius muscle
significant point tenderness
pain not relieved by bedrest - answer- Atrophy of the gastrocnemius muscle
Lumbar disc herniation is thought to be responsible for _____ of LBP cases.
5-10%
50%
1-3%
10-20% - answer- 1-3%
In a patient with a lumbar disc herniation, the leg pain is typically _______.
found radiating more distally in less severe cases
more severe than the low back pain
less severe than the low back pain
throbbing - answer- more severe than the low back pain
,Which of the following has the most severe disc pathology?
A sequestered disc
A degenerated disc
A disc extrusion
A prolapsed disc - answer- A sequestered disc
Which of the following is consistent with sciatica?
Pain relieved by Valsalva's maneuver
Pain does not typically radiate past the knee
Most common symptom of facet syndrome
Most common symptom of nerve root irritation
Pain typically dull ache - answer- Most common symptom of nerve root irritation
When is it necessary to perform a neurological examination?
When your patient is experiencing sacroiliac pain.
When your patient presents with local low back pain.
When your patient is over 50 years of age.
When your patient is experiencing muscle weakness. - answer- When your patient is
experiencing muscle weakness.
Which of the following is the most common level for a lumbar disc herniation?
L3/L4
L2/L3
L5/S1
L4/L5 - answer- L5/S1
If you are adjusting S-I on the right TVP of the involved segment & I-S on the left TVP of
the involved segment, what motion are you trying to induce/restore?
Left lateral flexion
Right Lateral Flexion
Left rotation
Right rotation - answer- Right Lateral Flexion
Lumbar facet syndrome is defined as _________.
LBP originating from the zygapophyseal joints
LBP originating from the sacroiliac joints
LBP originating from the lumbar musculature
LBP originating from the posterior longitudinal ligament - answer- LBP originating from
the zygapophyseal joints
, You are likely to find a _______ in a patient suffering from facet syndrome and the
associated postural presentation. Choose the best answer.
Counter Nutation Restriction
RRROA
RRLOA
Nutation Restriction - answer- Counter Nutation Restriction
Which of the following are consistent with facet syndrome?
Hypolordosis
Aggravated by lumbar flexion
Joint capsule degeneration
origin always traumatic - answer- Joint capsule degeneration
How do you "lock out" the joint you are adjusting?
Laterally flex towards the side you are contacting as you rotate the patient's head away
from you while creating a fulcrum for this motion with the pressure from your contact
point.
Laterally flex away from the side you are contacting as you rotate the patient's head
away from you while creating a fulcrum for this motion with the pressure from your
contact point.
Laterally flex away from the side you are contacting as you rotate the patient's head
towards you while creating a fulcrum for this motion with the pressure from your contact
point.
Rotate the patient's head away from you while creating a fulcrum for this motion with the
pressure from your contact point. - answer- Laterally flex towards the side you are
contacting as you rotate the patient's head away from you while creating a fulcrum for
this motion with the pressure from your contact point.When a patient has
contraindications to HVLA adjusting/manipulation, you may still be able to mobilize the
joint. - answer- True
During lumbosacral extension, the sacral base should glide _________. - answer- A-I
One of the main differences between "acceptable" and "exceeding reactions" is that
exceeding reactions _____. - answer- Interfere with work/ADL's
Forceful manipulation is contraindicated in patients with ________. - answer-
Osteoporosis
Clotting disorders
