Answers for Practice Test Questions
Goodman & Snyder: Differential Diagnosis for Physical Therapists,
5th Edition
Chapter 15: Screening the Sacrum, Sacroiliac, and Pelvis
Answers to Practice Questions
1. (d)
2. (c)
3. (a)
4. (c)
5. (b) Reevaluate findings and prescribed intervention, including a screening or rescreening examination; medical referral may be the final decision after this step is taken. 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. (d) When present, McBurney’s point is found approximately one-half the distance from the anterior superior iliac spine (ASIS), moving toward the umbilicus (see Fig. 8-8); if the appendix is located somewhere else, McBurney’s point is likely to be negative. Blumberg’s sign for rebound tenderness (see Fig. 8-10) can be used to assess for appendicitis when generalized peritonitis is present, or when the appendix is located somewhere in the abdomen other than at the end of the cecum.
7. (b) Relief of low back and/or sacral pain that occurs when passing gas or stool is not a "normal" finding; although it is often a symptom of constipation (GI dysfunction), it can also be a symptom of a tumor or even mechanical dysfunction of the sacrum putting pressure on the sacral plexus. Regardless of the underlying cause, the symptom is a warning flag that indicates the need for further investigation.
8. (e)
9. (b)
10. (d) The sacral spring test or overpressure is contraindicated in the presence of osteoporosis; even minor trauma can result in fracture.
11. See Figs. 15-2 and 15-3.
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