Page: 20-21 (Clinical Orthopedics: Lumbar Spine) Flashcards Preview

NBCE Part II/III. Neuromusculoskeletal Diagnosis (Irene Gold Associates) > Page: 20-21 (Clinical Orthopedics: Lumbar Spine) > Flashcards

Flashcards in Page: 20-21 (Clinical Orthopedics: Lumbar Spine) Deck (23)
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1
Q

What is the treatment for a disc herniation?

A
  • Mckenzie exercises
  • Flexion-Distraction technique
  • Adjust
2
Q

What is the primary ORTHOPEDIC test that only indicates a Medial disc herniation?

A
  • Well-Leg Raiser (aka: Fajerstazn’s)
3
Q

What ORTHOPEDIC test indicates Piriformis syndrome?

A
  • Bonnet’s sign
4
Q

What is the best ORTHOPEDIC test for sciatica?

A
  • Bowstring sign
5
Q

What ORTHOPEDIC tests indicate Sciatica?

A
  • Straight-Leg raiser
  • Braggard’s sign
  • Sicard’s sign
  • Turyn’s sign
  • Bowstring sign
  • Minor’s sign
6
Q

What ORTHOPEDIC tests indicates Root Sciatica?

A
  • Linder’s sign

Root Sciatica = pain in the lumbar spine radiating to sciatic nerve.

7
Q

What Lumbar ORTHOPEDIC test indicates a Space Occupying Lesion?

A
  • Millgram’s test
8
Q

What ORTHOPEDIC test indicates Tight Hamstrings?

A
  • Neri’s bowing
9
Q

Name the Test

While the patient is in the supine position, the Dr. dorsiflexes the big toe?

a. ) Linder’s sign
b. ) Bowstring sign
c. ) Bonnet’s sign
d. ) Turyn’s sign

A

d.) Turyn’s

  • Positive (+): Pain in the BUTTOCKS
  • Indicates: Sciatica
10
Q

Name the Test

With the patient supine the doctor stands on the side being tested. Dr. internally rotates leg, adducts leg, and then performs SLR?

a. ) Linder’s sign
b. ) Bowstring sign
c. ) Bonnet’s sign
d. ) Turyn’s sign

A

c.) Bonnet’s sign

  • Positive (+): Radicular pain into the limb
  • Indicates: Piriformis syndrome
11
Q

Name the Test

Patient’s head is passively flexed to the chest while seated?

a. ) Linder’s sign
b. ) Bowstring sign
c. ) Bonnet’s sign
d. ) Turyn’s sign

A

a.) Linder’s sign

  • Positive (+): Pain in the lumbar spine radiating to sciatic nerve
  • Indicates: Root sciatic
12
Q

Name the Test

The doctor performs a SLR to the point of pain. The knee is flexed slightly and placed on the Dr.’s shoulder. Digital pressure is placed above the popliteal fossa and then in the popliteal fossa?

a. ) Linder’s sign
b. ) Bowstring sign
c. ) Bonnet’s sign
d. ) Turyn’s sign

A

b.) Bowstring sign

  • Positive (+): Pain in the lumbar region of radiculopathy
  • Indicates: Sciatica
13
Q

Name the Test

SLR with dorsiflexion of the foot is performed on the asymptomatic side of a sciatic patient?

a. ) Milgram’s test
b. ) Frajerstazn’s
c. ) Bragard’s sign
d. ) Sicard’s sign

A

b.) Frajerstazn’s (aka: Well-Leg-Raiser)

  • Positive (+): Pain down symptomatic side
  • Indicates: Medial disc lesion
14
Q

Name the Test

The patient is supine with the limbs extended. Patient is asked to elevate legs until 6 inches off table and hold for as long as possible (60 sec)?

a. ) Milgram’s test
b. ) Frajerstazn’s
c. ) Bragard’s sign
d. ) Sicard’s sign

A

a.) Milgram’s test

  • Positive (+): Pain
  • Indicates: Space occupying lesion
15
Q

Name the Test

Patient supine with affected leg raised slowly while hand of doctor is under lumbosacral portion of the spine?

a. ) Sicard’s sign
b. ) Braggard’s sign
c. ) Neri’s Bowing
d. ) Goldthwait’s sign

A

d.) Goldthwait’s sign

16
Q

Name the Test

Perform SLR, drop 5 degrees and dorsiflex big toe?

a. ) Sicard’s sign
b. ) Braggard’s sign
c. ) Neri’s Bowing
d. ) Goldthwait’s sign

A

a.) Sicard’s sign

  • Positive (+): Pain in affected leg
  • Indicates: Sciatica
17
Q

Name the Test

Perform SLR, then lower leg below the point of discomfort and then dorsiflex the foot sharply?

a. ) Sicard’s sign
b. ) Braggard’s sign
c. ) Neri’s Bowing
d. ) Goldthwait’s sign

A

b.) Braggard’s sign

  • Positive (+): Pain in affected leg
  • Indicates: Sciatica
18
Q

Name the Test

When bending forward from the waist the knee flexes on the side of involvement?

a. ) Sicard’s sign
b. ) Braggard’s sign
c. ) Neri’s Bowing
d. ) Goldthwait’s sign

A

c.) Neri’s Bowing

  • Positive (+): Knee buckling
  • Indicates: Tight hamstrings
19
Q

Goldthwait’s sign causes pain at…?

a. ) 0-30 degrees: _____?
b. ) 30-60 degrees: _____?
c. ) 60-90 degrees: _____?

A

a. ) SI joint problem
b. ) Lumbosacral joint problem
c. ) Lumbar spine or Contralateral SI joint problem

20
Q

When performing Belt Test, if the lesion is in the _____, the patient will have no pain while the pelvis is stabilized?

A
  • Pelvis
21
Q

When performing Belt Test, if the lesion is in the _____, the pain will be present in both situations?

A
  • Lumbar spine
22
Q

Name the Test

Patient seated. The patient attempts to extend each leg one at a time. Doctor places one hand on the side being tested to resist hip flexion by the patient. The patient then attempts to extend both legs together with both thighs stabilized by the doctor?

a. ) Belt test
b. ) Kemp’s test
c. ) Slumps test
d. ) Becterew’s sitting test

A

d.) Becterew’s sitting test

  • Positive (+): Pain or Leaning back
  • Indicates: Disc, Posteromedial disc if pain when good leg raised
23
Q

Kemp’s Test

  1. ) Posteromedial disc: + Kemp’s _____ pain?
  2. ) Posterolateral disc: + Kemp’s _____ pain?
A
  1. ) away from

2. ) into