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Elsevier: Goodman & Snyder: Differential Diagnosis for Physical Therapists Screening for Referral|| Chapter 15 (Answer Key)

1. Pelvic pain that is made worse after 5 to 10 minutes of physical activity or exertion but goes away with rest or cessation of the activity describes:


a. Constitutional symptom
b. Infectious process
c. Symptom of osteoporosis
d. Vascular pattern of ischemia

2. Pain that is relieved by placing a pillow or support under the hips and buttocks describes:


a. Constitutional symptom
b. Infectious process
c. Response to vascular congestion
d. Trigger point pattern

3. A positive Blumberg’s sign indicates:


a. Pelvic infection
b. Ovarian varicosities
c. Arthritis associated with IBD
d. Sacral neoplasm

4. A 33-year-old pharmaceutical sales representative reports pain over the mid-sacrum radiating to the right PSIS. Overpressure on the sacrum does not reproduce symptoms. This signifes:


a. Neoplasm is present
b. Red flag sign of sacral insuffciency fracture
c. A lack of objective fndings
d. Coccygodynia

5. A 67-year-old man was seen by a physical therapist for low back pain rated 7 out of 10 on the visual analogue scale. He was evaluated, and a diagnosis was made by the physical therapist.
The client attained immediate relief of symptoms, but after 3 weeks of therapy, the symptoms returned. What is the next step from a screening perspective?


a. The client can be discharged. Maximum beneft from physical therapy has been achieved.
b. The client should be screened for systemic disease even if you have already included screening during the initial evaluation.
c. The client should be sent back to the physician for further medical follow-up.
d. The client should receive an additional modality to help break the pain–spasm cycle.

6. McBurney’s point for appendicitis is located:


a. Approximately one-third the distance from the ASIS toward the umbilicus, usually on the left side
b. Approximately one-half the distance from the ASIS toward the umbilicus, usually on the left side
c. Approximately one-third the distance from the ASIS toward the umbilicus, usually on the right side
d. Approximately one-half the distance from the ASIS toward the umbilicus, usually on the right side
e. Impossible to tell because the appendix can be located anywhere in the abdomen

7. Which one of the following is a yellow (caution) flag?


a. Sacral pain occurs when the examiner performs a sacral spring test (posterior-anterior glide of the sacrum).
b. Sacral pain is relieved when the client passes gas or has a bowel movement.
c. Sacral pain occurs following a history of overuse.
d. Sacral pain is reduced or relieved by release of trigger points.

8. Cancer as a cause of sacral or pelvic pain is usually characterized by:


a. A previous history of reproductive cancer
b. Constant pain
c. Blood in the urine or stools
d. Constitutional symptoms
e. All of the above

9. Reproduced or increased abdominal or pelvic pain when the iliopsoas muscle test is performed suggests:


a. Iliopsoas trigger point
b. Inflammation or abscess of the muscle from an inflamed appendix or peritoneum
c. Abdominal aortic aneurysm
d. Neoplasm

10. A 75-year-old woman with a known history of osteoporosis has pain over the sacrum radiating to the right PSIS and right buttock. How do you rule out an insuffciency fracture?


a. Perform Blumberg’s test.
b. Conduct a sacral spring test (posterior–anterior overpressure of the sacrum).
c. Perform Murphy’s percussion test.
d. Diagnostic imaging is the only way to know for sure.


11. What is the importance of the pelvic floor musculature in relation to the abdominal and pelvic viscera?

See Figs. 15-2 and 15-3.

ANSWER KEY

01D02C03A
04C05B06D
07B08E09B
10D    
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Elsevier: Goodman & Snyder: Differential Diagnosis for Physical Therapists Screening for Referral|| Chapter 14 (Answer Key)

Elsevier: Goodman & Snyder: Differential Diagnosis for Physical Therapists Screening for Referral|| Chapter 14 (Answer Key)

Elsevier: Goodman & Snyder: Differential Diagnosis for Physical Therapists Screening for Referral|| Chapter 14 (Answer Key)

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