Lumbar Orthopedics Practice Test

Neri's sign

Patient had low back pain and right leg pain, upon inspection you note a left antalgia. When performing lumbar ROM in flexion you note right knee flexes with lumbar flexion. What orthopedic test/sign have you performed?

- Antalgia sign

- Bragard's sign

- Seated bowstring sign

- Neri's sign

Standing Kemp's test

Your patient presents with localized low back pain that is increased with lumbar extension. Which orthopedic test/sign would be most appropriate to perform?

- Femoral nerve stretch test

- Bowstring sing

- Bragard's sign

- Standing Kemp's test

Right posteromedial disc herniation

Patient presents with a right antalgia sign with low back and right leg pain. What would be an appropriate DDx?

- Right posterolateral disc herniation

- Left posteromedial disc herniation

- Left posterolateral disc herniation

- Right posteromedial disc herniation

Disc

Patient presents with low back pain, noted in the subjective history the low back pain increases with sneezing. Which structure do you suspect as being the pain generator?

- Facet

- Muscle

- Disc

- Bone

S1 nerve root

Patient has the inability to toe walk. Which structure do you suspsect is involved?

- L4 nerve root

- L5 nerve root

- S1 nerve root

- L3 nerve root

Lewin snuff - disc herniation

In the attached diagram, the orthopedic test/sign being performed is called _____ and would be positive in which condition?

- Lewin punch - bone contusion

- Lewin-gaenslen's test - myalgia

- Lewing standing test - hamstring tightness

- Lewin snuff - disc herniation

True

T/F Slump test and Femoral Nerve Stretch test are considered evidence based orthopedic tests for the lumbar spine

True

T/F The Sign of the Buttock Orthopedic test when positive indicates gluteal bursitis

Passive lumbar extension test

What lumbar orthopedic test is being shown in the diagram?

- Nachlas test

- Ely's sign

- Prone instability test

- Passive lumbar extension test

Minor sign

Patient arises from a chair in discomfort and leaning onto to one side and bracing for assistance which orthopedic test/sign have you observed?

- Cox sign

- Antalgia sign

- Lindner's sign

- Minor sign

Pars fracture

Jackson One-Legged Hyperextension Test when positive can indicate a _____

- Hamstring tightness

- Dural sleeve adhesion

- Lumbar strain

- Pars fracture

False

T/F The name of the orthopedic test that when positive indicates hamstring tightness is Lewin Punch

Kernig sign

Which of the following would be positive in a patient with meningeal irritation?

- Cox sign

- Kernig sign

- Bowstring sign

- Demianoff sign