511 Week 5 Questions and answers 2024/25

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 - Compress