NR 511Week 5 QUIZ.docx
Question 1
1 / 1 pts
A 42-year-old professional golfer complains of chronic back pain for many years. His
workup reveals that it is not the result of a degenerative disc problem. His back “goe
...
NR 511Week 5 QUIZ.docx
Question 1
1 / 1 pts
A 42-year-old professional golfer complains of chronic back pain for many years. His
workup reveals that it is not the result of a degenerative disc problem. His back “goes
out” about twice per year, and he is out of work for about a week each time. Which of
the following should the clinician advise?
Consider changing careers to something less physical.
Start on a daily low-dose narcotic to take away the pain.
Make an appointment with a neurosurgeon for a surgical consultation.
Correct!
Begin a planned exercise program to strengthen back muscles.
In this case, the patient may benefit from a regular planned exercise program to
strengthen his back muscles and attempt to reduce the probability of future episodes of
back pain.
Question 2
1 / 1 pts
A 49-year-old female presents with low back pain radiating into the right leg,. An x-ray of
the lumbosacral spine is within normal limits. Which of the following diagnoses do you
explore further?
Compression fracture.
Correct!
Herniated nucleus pulposus.
Scoliosis.
Osteoarthritis.
A plain x-ray will not show a herniated nucleus pulposus or a muscle strain. It will show
spondylolisthesis, scoliosis, osteoarthritis, and spinal stenosis. Note that x-rays of the
spine are not indicated in low back pain unless the cause of the pain is thought to be
bony in origin or traumatic in nature or there is a need to rule out systemic disease.
Question 3
1 / 1 pts
In assessing the skeletal muscles, the clinician turns the patient’s forearm so that the
palm is face up. This is called:
Pronation.
Correct!
Supination.
Abduction.
Eversion.
Turning the forearm so that the palm is up is called supination.
Question 4
1 / 1 pts
A conservative approach is recommended in the initial approach to the management of
low back pain. Which of the following would be an appropriate treatment plan for a 32-
year-old obese male (BMI 33) diagnosed with an acute lumbar strain?
Bedrest.
Correct!
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