Clin Ortho Final Exam 108 complete
solutions.
Clin Ortho Final Exam 108 complete
solutions.
Lumbar spine - ANSWER When pain with both supported AND unsupported flexion during the
Belt/Supported Adam's is indicative of (lumbar spine/sacroiliac) pathology.
Milgram's - ANSWER Which of the following tests does NOT look to differentiate lumbosacral issues
from sacroiliac issues.
a. Goldthwaits
b. Milgram's
c. Belt/supported Adam's
d. Active SLR
Sacroiliac - ANSWER When no pain is experienced with support, but pain appears without support
during Belt/Supported Adam's test is indicative of (lumbar spine/sacroiliac) pathology
Lumbar - ANSWER When performing the Goldthwaits test and the patient experiences pain BEFORE you
feel movement in the lumbar spine then it is probably a (lumbar/SI) problem
SI - ANSWER When performing the Goldthwaits test and the patient experiences pain AFTER you feel
movement in the lumbar spine then it is probably a (lumbar/SI) problem
decrease - ANSWER Kemp's is a provocative maneuver to (increase/decrease) size of IVF and recreate or
exacerbate radicular symptoms
(+) Kemp's - ANSWER Combination of extension, LF, and rotation to recreate/exacerbate radicular
symptoms down the leg (especially below the knee)
,Clin Ortho Final Exam 108 complete
solutions.
negative - ANSWER If there is only local pain about the compromised structures while performing
Kemp's, it is still a (negative/positive) result, and clinically significant for structural/facet issues
True - ANSWER Currently, the literature supporting the use of Kemp's test is limited and indicates that it
has poor diagnostic accuracy.
Lateral disc antalgic lean - ANSWER Patient will lean AWAY from the side of lesion to pull the nerve root
medially away from disc/inflammation.
Medial disc antalgic lean - ANSWER Patient lean TO side of protrusion to allow the nerve root to relax
away from the disc defect
Goldthwaits - ANSWER Which of the following is NOT an AKA for STORK test?
a. Goldthwaits
b. 1 leg standing test
c. Michelis' Test
d. 1 leg extension test
disc protrusion - ANSWER A (+) STORK test where pain is reproduced from hyperextension, all of the
following are potential diagnoses EXCEPT:
a. spondylosis
b. facet syndrome
c. disc protrusion
d. spondylolysis
Milgram's test - ANSWER Patient is supine, he/she is asked to lift both legs about 2-6 inches/20 degrees
off the table for up to 30 sec. This test looks to determine if there is a pathology in intra/extrathecal
area of the spine
, Clin Ortho Final Exam 108 complete
solutions.
Intrathecal, Extrathecal - ANSWER (Intrathecal/Extrathecal) pathology may include spinal tumor,
(Intrathecal/Extrathecal) pathology may include herniated disc or space occupying lesion.
All are causative - ANSWER Pain or motor control during ASLR is caused by all of the following EXCEPT:
a. abdomina inhibition
b. hip flexor inhibition
c. SI dysfunction
d. All are causative
Form closure - ANSWER Nutation and counternutation of the pelvis during gait or other load transfer
from leg to trunk
Force closure - ANSWER Occurs through muscle slings (anterior and posterior) that corset the
lumbopelvic region during such load transfers.
Passive SLR - ANSWER Although not specific, this is one of the most common and sensitive tests of the
LE when suspecting a lumbar disc. Few false negatives
less, more - ANSWER There is (less/more) LBP and leg pain when the discopathy is at L4-5 while there is
(less/more) LBP and leg pain when the discopathy is at L5-S1
Central - ANSWER If the pain is mostly back pain in the Passive SLR then it is most likely a
(central/medial/lateral) disc herniation.
Well Leg raise - ANSWER A version of the Passive SLR done on the unaffected side.
(+)= posterior medial disc
solutions.
Clin Ortho Final Exam 108 complete
solutions.
Lumbar spine - ANSWER When pain with both supported AND unsupported flexion during the
Belt/Supported Adam's is indicative of (lumbar spine/sacroiliac) pathology.
Milgram's - ANSWER Which of the following tests does NOT look to differentiate lumbosacral issues
from sacroiliac issues.
a. Goldthwaits
b. Milgram's
c. Belt/supported Adam's
d. Active SLR
Sacroiliac - ANSWER When no pain is experienced with support, but pain appears without support
during Belt/Supported Adam's test is indicative of (lumbar spine/sacroiliac) pathology
Lumbar - ANSWER When performing the Goldthwaits test and the patient experiences pain BEFORE you
feel movement in the lumbar spine then it is probably a (lumbar/SI) problem
SI - ANSWER When performing the Goldthwaits test and the patient experiences pain AFTER you feel
movement in the lumbar spine then it is probably a (lumbar/SI) problem
decrease - ANSWER Kemp's is a provocative maneuver to (increase/decrease) size of IVF and recreate or
exacerbate radicular symptoms
(+) Kemp's - ANSWER Combination of extension, LF, and rotation to recreate/exacerbate radicular
symptoms down the leg (especially below the knee)
,Clin Ortho Final Exam 108 complete
solutions.
negative - ANSWER If there is only local pain about the compromised structures while performing
Kemp's, it is still a (negative/positive) result, and clinically significant for structural/facet issues
True - ANSWER Currently, the literature supporting the use of Kemp's test is limited and indicates that it
has poor diagnostic accuracy.
Lateral disc antalgic lean - ANSWER Patient will lean AWAY from the side of lesion to pull the nerve root
medially away from disc/inflammation.
Medial disc antalgic lean - ANSWER Patient lean TO side of protrusion to allow the nerve root to relax
away from the disc defect
Goldthwaits - ANSWER Which of the following is NOT an AKA for STORK test?
a. Goldthwaits
b. 1 leg standing test
c. Michelis' Test
d. 1 leg extension test
disc protrusion - ANSWER A (+) STORK test where pain is reproduced from hyperextension, all of the
following are potential diagnoses EXCEPT:
a. spondylosis
b. facet syndrome
c. disc protrusion
d. spondylolysis
Milgram's test - ANSWER Patient is supine, he/she is asked to lift both legs about 2-6 inches/20 degrees
off the table for up to 30 sec. This test looks to determine if there is a pathology in intra/extrathecal
area of the spine
, Clin Ortho Final Exam 108 complete
solutions.
Intrathecal, Extrathecal - ANSWER (Intrathecal/Extrathecal) pathology may include spinal tumor,
(Intrathecal/Extrathecal) pathology may include herniated disc or space occupying lesion.
All are causative - ANSWER Pain or motor control during ASLR is caused by all of the following EXCEPT:
a. abdomina inhibition
b. hip flexor inhibition
c. SI dysfunction
d. All are causative
Form closure - ANSWER Nutation and counternutation of the pelvis during gait or other load transfer
from leg to trunk
Force closure - ANSWER Occurs through muscle slings (anterior and posterior) that corset the
lumbopelvic region during such load transfers.
Passive SLR - ANSWER Although not specific, this is one of the most common and sensitive tests of the
LE when suspecting a lumbar disc. Few false negatives
less, more - ANSWER There is (less/more) LBP and leg pain when the discopathy is at L4-5 while there is
(less/more) LBP and leg pain when the discopathy is at L5-S1
Central - ANSWER If the pain is mostly back pain in the Passive SLR then it is most likely a
(central/medial/lateral) disc herniation.
Well Leg raise - ANSWER A version of the Passive SLR done on the unaffected side.
(+)= posterior medial disc
