Back Pain Evaluation and Management Quiz
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Questions and Answers

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?

<p>Extruding (C)</p> Signup and view all the answers

What is the symptomatic hallmark of nerve root irritation?

<p>Sharp or burning sensation radiating down the leg (B)</p> Signup and view all the answers

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

<p>Pain receptors in the longitudinal ligaments (A)</p> Signup and view all the answers

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

<p>L4 to L5 or L5 to S1 (C)</p> Signup and view all the answers

What may develop with lumbar disk extrusion?

<p>Sciatic scoliosis (A)</p> Signup and view all the answers

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

<p>Significant improvement or resolution by 6 weeks (D)</p> Signup and view all the answers

What are the symptoms of radicular pain?

<p>Sharp or burning sensation, paresthesias, numbness, and weakness (D)</p> Signup and view all the answers

What may worsen radicular pain?

<p>Cough and Valsalva maneuver (D)</p> Signup and view all the answers

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

<p>Sciatica (A)</p> Signup and view all the answers

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

<p>Back pain (A)</p> 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?

<p>Degenerative disk disease (C)</p> Signup and view all the answers

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

<p>Back pain (B)</p> 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?

<p>Musculoligamentous Strain (C)</p> Signup and view all the answers

What is the symptomatic hallmark of nerve root irritation?

<p>Sciatica (A)</p> Signup and view all the answers

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

<p>Serious underlying problems (B)</p> Signup and view all the answers

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

<p>Assessment and conservative management (D)</p> Signup and view all the answers

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

<p>Review of options and recommendations (B)</p> Signup and view all the answers

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

<p>Bleeding and spasm (C)</p> Signup and view all the answers

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

<p>After a specific episode of bending, twisting, or lifting (C)</p> Signup and view all the answers

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

<p>Disk herniation (B)</p> 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?

<p>Assessment and conservative management (C)</p> Signup and view all the answers

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

<p>Back pain (C)</p> 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?

<p>Degenerative disk disease (D)</p> Signup and view all the answers

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

<p>Back pain (C)</p> Signup and view all the answers

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

<p>Musculoligamentous strain (B)</p> Signup and view all the answers

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

<p>Degenerative disk disease (A)</p> Signup and view all the answers

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

<p>Degenerative disk disease (B)</p> Signup and view all the answers

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

<p>Musculoligamentous strain (C)</p> Signup and view all the answers

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

<p>Serious underlying problems (C)</p> Signup and view all the answers

What is the leading cause of disability?

<p>Back pain (D)</p> Signup and view all the answers

What is often the cause of most back pain?

<p>Musculoligamentous strain (A)</p> Signup and view all the answers

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

<p>Degenerative disk disease (D)</p> Signup and view all the answers

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

<p>Complementary therapies (C)</p> Signup and view all the answers

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