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Chapter 15 Practice Questions

Terms in this set (11)

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. A constitutional symptom
b. An infectious process
c. A symptom of osteoporosis
d. A vascular pattern of ischemia
d. A vascular pattern of ischemia
2. Pain that is relieved by placing a pillow or support under the
hips and buttocks describes:
a. A constitutional symptom
b. An infectious process
c. A response to vascular congestion
d. A trigger point pattern
c. A response to vascular congestion
3. A positive Blumberg's sign indicates:
a. Pelvic infection
b. Ovarian varicosities
c. Arthritis associated with IBD
d. Sacral neoplasm
a. Pelvic infection
4. A 33-year-old pharmaceutical sales representative reports
pain over the midsacrum radiating to the right PSIS.
Overpressure on the sacrum does not reproduce symptoms.
This signifies:
a. The presence of a neoplasm
b. A red flag for sacral insufficiency fracture
c. A lack of objective findings
d. Coccygodynia
c. A lack of objective findings
5. A 67-year-old man was seen by a physical therapist for low back
pain rated 7 out of 10 on the visual analog 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 benefit 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.
b. The client should be screened for systemic disease, even if you
have already included screening during the initial evaluation.

Answer (C) may not be the best answer because reevaluation and screening/rescreening may provide additional information that may be helpful to the physician.
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
d. Approximately one half the distance from the ASIS toward
the umbilicus, usually on the right side
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.
b. Sacral pain is relieved when the client passes gas or has a
bowel movement.
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
e. All of the above
9. Reproduced or increased abdominal or pelvic pain when the
iliopsoas muscle test is performed suggests:
a. An iliopsoas trigger point
b. Inflammation or abscess of the muscle from an inflamed
appendix or peritoneum
c. An abdominal aortic aneurysm
d. The presence of a neoplasm
b. Inflammation or abscess of the muscle from an inflamed
appendix or peritoneum
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 insufficiency 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.
d. Diagnostic imaging is the only way to know for sure.

The sacral spring test or overpressure is contraindicated in the presence of osteoporosis; even minor trauma can result in fracture.
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.
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