Back Pain Evaluation and Management Quiz

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What is the usual symptom associated with lumbar strain?

Tingling in the upper thigh

Numbness in the lower back

Pain radiating into the lower leg

Immediate pain in the lower lumbar area (correct)

What is the role of the normal lumbar disk?

Posture support

Muscle strengthening

Nerve root protection

Shock absorption and flexibility (correct)

What is the term used to describe a circumferential spreading out of the disk without any tear or deformity of the disk annulus?

Herniation

Protruding

Bulging (correct)

Extruding

What refers to changes with greater potential to cause difficulty in disk herniation?

Extruding Signup and view all the answers

What is the symptomatic hallmark of nerve root irritation?

Sharp or burning sensation radiating down the leg Signup and view all the answers

What triggers the recurring attacks of localized back pain in degenerative lumbar disk disease?

Pain receptors in the longitudinal ligaments Signup and view all the answers

Where do more than 95% of disk protrusions and extrusions occur?

L4 to L5 or L5 to S1 Signup and view all the answers

What may develop with lumbar disk extrusion?

Sciatic scoliosis Signup and view all the answers

What is the clinical course for most patients with degenerative lumbar disk disease?

Significant improvement or resolution by 6 weeks Signup and view all the answers

What are the symptoms of radicular pain?

Sharp or burning sensation, paresthesias, numbness, and weakness Signup and view all the answers

What may worsen radicular pain?

Cough and Valsalva maneuver Signup and view all the answers

What is the term used for the pain in the distribution of the sciatic nerve?

Sciatica Signup and view all the answers

What is the second most frequent complaint in primary care practice?

Back pain Signup and view all the answers

What is often responsible for recurring mild discomfort of the low back and episodes of severe back pain with sciatica?

Degenerative disk disease Signup and view all the answers

What may result from problems originating outside of the spinal axis?

Back pain Signup and view all the answers

What may tear, usually at the iliac crest or lower lumbar/upper sacral region, causing local swelling and marked tenderness at the site of injury?

Musculoligamentous Strain Signup and view all the answers

What is the symptomatic hallmark of nerve root irritation?

Sciatica Signup and view all the answers

What must be kept in mind due to the prevalence of back pain and the disability it causes?

Serious underlying problems Signup and view all the answers

What is the role of the primary physician in managing back pain?

Assessment and conservative management Signup and view all the answers

What may many patients seek from their primary care physician even after consulting specialists?

Review of options and recommendations Signup and view all the answers

What causes local swelling and marked tenderness at the site of injury in musculoligamentous strain?

Bleeding and spasm Signup and view all the answers

What is the usual presentation of a patient with musculoligamentous strain?

After a specific episode of bending, twisting, or lifting Signup and view all the answers

What is often responsible for episodes of severe back pain with sciatica?

Disk herniation Signup and view all the answers

What is the prevalence of back pain and the disability it causes require the primary physician to be skilled in?

Assessment and conservative management Signup and view all the answers

What is the second most frequent complaint in primary care practice?

Back pain Signup and view all the answers

Which condition is often responsible for recurring mild discomfort of the low back and episodes of severe back pain with sciatica?

Degenerative disk disease Signup and view all the answers

What may result from problems originating outside of the spinal axis?

Back pain Signup and view all the answers

What causes local swelling and marked tenderness at the site of injury?

Musculoligamentous strain Signup and view all the answers

Which condition may cause episodes of severe back pain with sciatica?

Degenerative disk disease Signup and view all the answers

What is often responsible for recurring mild discomfort of the low back?

Degenerative disk disease Signup and view all the answers

What causes bleeding and spasm leading to local swelling and tenderness?

Musculoligamentous strain Signup and view all the answers

Back Pain Evaluation and Management Quiz

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Questions and Answers

What is the usual symptom associated with lumbar strain?

What is the role of the normal lumbar disk?

What is the term used to describe a circumferential spreading out of the disk without any tear or deformity of the disk annulus?

What refers to changes with greater potential to cause difficulty in disk herniation?

What is the symptomatic hallmark of nerve root irritation?

What triggers the recurring attacks of localized back pain in degenerative lumbar disk disease?

Where do more than 95% of disk protrusions and extrusions occur?

What may develop with lumbar disk extrusion?

What is the clinical course for most patients with degenerative lumbar disk disease?

What are the symptoms of radicular pain?

What may worsen radicular pain?

What is the term used for the pain in the distribution of the sciatic nerve?

What is the second most frequent complaint in primary care practice?

What is often responsible for recurring mild discomfort of the low back and episodes of severe back pain with sciatica?

What may result from problems originating outside of the spinal axis?

What may tear, usually at the iliac crest or lower lumbar/upper sacral region, causing local swelling and marked tenderness at the site of injury?

What is the symptomatic hallmark of nerve root irritation?

What must be kept in mind due to the prevalence of back pain and the disability it causes?

What is the role of the primary physician in managing back pain?

What may many patients seek from their primary care physician even after consulting specialists?

What causes local swelling and marked tenderness at the site of injury in musculoligamentous strain?

What is the usual presentation of a patient with musculoligamentous strain?

What is often responsible for episodes of severe back pain with sciatica?

What is the prevalence of back pain and the disability it causes require the primary physician to be skilled in?

What is the second most frequent complaint in primary care practice?

Which condition is often responsible for recurring mild discomfort of the low back and episodes of severe back pain with sciatica?

What may result from problems originating outside of the spinal axis?

What causes local swelling and marked tenderness at the site of injury?

Which condition may cause episodes of severe back pain with sciatica?

What is often responsible for recurring mild discomfort of the low back?

What causes bleeding and spasm leading to local swelling and tenderness?

What must be kept in mind due to the prevalence of back pain and the disability it causes?

What is the leading cause of disability?

What is often the cause of most back pain?

What is responsible for recurring mild discomfort of the low back?

What is often sought in addition to conservative management for back pain?

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