MDT EXAM 1 QUESTIONS AND ANSWERS
Cancer; red flags. - CORRECT ANSWER✅✅✅History of cancer, unexplained weight loss, age >55,
progressive symptoms, not relieved by rest.
Cauda equina syndrome red flags - CORRECT ANSWER✅✅✅B&B dysfunction, saddle sensory
changes, sexual disturbances, unilateral/bilateral leg pain, sensory change and/or motor weakness lower
limbs.
Cord compression;red flags. - CORRECT ANSWER✅✅✅Gait disturbance, loss of dexterity,
parasthesia, hyperreflexia
Spinal fracture; red flags - CORRECT ANSWER✅✅✅Severe trauma, history of OP, corticosteroid use,
older age, females, previous spinal fracture, previous history of cancer, thoracic pain OR young, active
with sports related back pain.
Spinal related infection; red flags - CORRECT ANSWER✅✅✅Fever, malaise, immunosuppression, IV
drug use, recent surgery, recent pre-existing infection.
Vascular ; red flags - CORRECT ANSWER✅✅✅Vascular disease, smoking history, family history, age
over 65, male>female, history of trauma, dizziness diploplia, dysarthria and multiple other non-
mechanical symptoms.
AAA, cervical arterial dysfunction.
OTHER; chronic pain syndrome; definition - CORRECT ANSWER✅✅✅Pain generating mechanism
influenced by psychosocial factors or neurophysiological changes
Chronic pain; common criteria - CORRECT ANSWER✅✅✅Persistent widespread pain, aggravation
with all activity, disproportionate pain response to mechanical stimuli, inappropriate beliefs and
attitudes about pain.
,Inflammatory arthropathy; common criteria and clinical examples - CORRECT
ANSWER✅✅✅Constant pain, morning stiffness, excessive movements exacerbate symptoms
RA, seronegative arthritis (relevant tests -, but still show history of arthritis)
Mechanically inconclusive; common criteria - CORRECT ANSWER✅✅✅Unspecified msk condition:
All classifications excluded.
Symptoms affected by positions or movements BUT no recognizable pattern identified OR inconsistent
symptomatic and mechanical responses on loading
MUR syndrome definition and criteria - CORRECT ANSWER✅✅✅-radicular presentation consistent
with a currently unresponsive nerve root compromise
-symptoms presenting in a radicular pattern in the UE/LE
-accompanied by varying degrees of neuro signs and symptoms
-no centralization and symptoms do not remain better as a result of any repeated movements positions
or loading strategies.
SIJ/Pregnancy related pelvic girdle pain (PGP) ; definition and criteria - CORRECT ANSWER✅✅✅Pain
generating mechanism emanating from SIJ or pubic symphysis
Criteria: 3 or more SIJ pain provocation tests having excluded the lumbar spine and hip.
Spinal stenosis definition, criteria in LBS and Csp, clinical examples - CORRECT
ANSWER✅✅✅Symptomatic degenerative restriction of spinal canal or foramina
LBS: older population, history of leg symptoms relieved with flexion activities and exacerbated with
extension, longstanding loss of extension.
Cervical spine: arm symptoms consistently produced with closing foramina, abolished or decreased with
opening.
, Ie. Lumbar stenosis, cervical lateral foraminal stenosis
Structurally compromised: common criteria, clinical examples - CORRECT ANSWER✅✅✅-mechanical
symptoms (ROM restricted, clunking, locking, catching).
-may have sensation of instability
-long history of symptoms of h/o trauma
-irreversible with conservative care.
Ie. Painful structural scoliosis, painful OP, grade 3-4 spondy, upper cervical structural instability-RA .
Trauma; criteria, clinical example - CORRECT ANSWER✅✅✅Recent trauma associated with onset of
constant symptoms/recent trauma associated with onset of symptoms, now improving and pain
intermittent.
Ie. Whiplash.
MUR: pain constant or intermittent? - CORRECT ANSWER✅✅✅Constant
MUR: effect of RFIS and REIS - CORRECT ANSWER✅✅✅RFIS:Decrease, NB or inc NW
REIS: increase worse, no worse. (They do not centralize)
MUR; effect of RSGIS - CORRECT ANSWER✅✅✅Depends on what side:
-increase worse
-NE
-decrease, NB
Criteria to establish clinical relevance of lateral shift - CORRECT ANSWER✅✅✅1. Upper body visibly
shifted
2. Pt unable to self correct
3. If they can, they cant maintain it.
Cancer; red flags. - CORRECT ANSWER✅✅✅History of cancer, unexplained weight loss, age >55,
progressive symptoms, not relieved by rest.
Cauda equina syndrome red flags - CORRECT ANSWER✅✅✅B&B dysfunction, saddle sensory
changes, sexual disturbances, unilateral/bilateral leg pain, sensory change and/or motor weakness lower
limbs.
Cord compression;red flags. - CORRECT ANSWER✅✅✅Gait disturbance, loss of dexterity,
parasthesia, hyperreflexia
Spinal fracture; red flags - CORRECT ANSWER✅✅✅Severe trauma, history of OP, corticosteroid use,
older age, females, previous spinal fracture, previous history of cancer, thoracic pain OR young, active
with sports related back pain.
Spinal related infection; red flags - CORRECT ANSWER✅✅✅Fever, malaise, immunosuppression, IV
drug use, recent surgery, recent pre-existing infection.
Vascular ; red flags - CORRECT ANSWER✅✅✅Vascular disease, smoking history, family history, age
over 65, male>female, history of trauma, dizziness diploplia, dysarthria and multiple other non-
mechanical symptoms.
AAA, cervical arterial dysfunction.
OTHER; chronic pain syndrome; definition - CORRECT ANSWER✅✅✅Pain generating mechanism
influenced by psychosocial factors or neurophysiological changes
Chronic pain; common criteria - CORRECT ANSWER✅✅✅Persistent widespread pain, aggravation
with all activity, disproportionate pain response to mechanical stimuli, inappropriate beliefs and
attitudes about pain.
,Inflammatory arthropathy; common criteria and clinical examples - CORRECT
ANSWER✅✅✅Constant pain, morning stiffness, excessive movements exacerbate symptoms
RA, seronegative arthritis (relevant tests -, but still show history of arthritis)
Mechanically inconclusive; common criteria - CORRECT ANSWER✅✅✅Unspecified msk condition:
All classifications excluded.
Symptoms affected by positions or movements BUT no recognizable pattern identified OR inconsistent
symptomatic and mechanical responses on loading
MUR syndrome definition and criteria - CORRECT ANSWER✅✅✅-radicular presentation consistent
with a currently unresponsive nerve root compromise
-symptoms presenting in a radicular pattern in the UE/LE
-accompanied by varying degrees of neuro signs and symptoms
-no centralization and symptoms do not remain better as a result of any repeated movements positions
or loading strategies.
SIJ/Pregnancy related pelvic girdle pain (PGP) ; definition and criteria - CORRECT ANSWER✅✅✅Pain
generating mechanism emanating from SIJ or pubic symphysis
Criteria: 3 or more SIJ pain provocation tests having excluded the lumbar spine and hip.
Spinal stenosis definition, criteria in LBS and Csp, clinical examples - CORRECT
ANSWER✅✅✅Symptomatic degenerative restriction of spinal canal or foramina
LBS: older population, history of leg symptoms relieved with flexion activities and exacerbated with
extension, longstanding loss of extension.
Cervical spine: arm symptoms consistently produced with closing foramina, abolished or decreased with
opening.
, Ie. Lumbar stenosis, cervical lateral foraminal stenosis
Structurally compromised: common criteria, clinical examples - CORRECT ANSWER✅✅✅-mechanical
symptoms (ROM restricted, clunking, locking, catching).
-may have sensation of instability
-long history of symptoms of h/o trauma
-irreversible with conservative care.
Ie. Painful structural scoliosis, painful OP, grade 3-4 spondy, upper cervical structural instability-RA .
Trauma; criteria, clinical example - CORRECT ANSWER✅✅✅Recent trauma associated with onset of
constant symptoms/recent trauma associated with onset of symptoms, now improving and pain
intermittent.
Ie. Whiplash.
MUR: pain constant or intermittent? - CORRECT ANSWER✅✅✅Constant
MUR: effect of RFIS and REIS - CORRECT ANSWER✅✅✅RFIS:Decrease, NB or inc NW
REIS: increase worse, no worse. (They do not centralize)
MUR; effect of RSGIS - CORRECT ANSWER✅✅✅Depends on what side:
-increase worse
-NE
-decrease, NB
Criteria to establish clinical relevance of lateral shift - CORRECT ANSWER✅✅✅1. Upper body visibly
shifted
2. Pt unable to self correct
3. If they can, they cant maintain it.
