COMLEX / COMSAE OMM Exam Review
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Answers
Which ligament runs vertically along the
posterior aspect of the vertebral bodies? -
Correct Answer-Posterior Longitudinal
Ligament (Begins to narrow at lumbar
region)
Why is the lumbar spine more susceptible to
disc herniations? - Correct Answer-Narrowing
of Posterior Longitudinal Ligament
In the thoracic and lumbar regions, the nerve
root exits where in relation to the
corresponding vertebrae? - Correct Answer-
Below
Where does the spinal cord usually
terminate? - Correct Answer-L1-L2
Due to the termination of the spinal cord,
where do the lumbar nerve roots exit in
relation to the intervertebral disc? - Correct
Answer-Above
A pelvic side shift usually indicates what? -
Correct Answer-Iliopsoas dysfunction
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,A positive Thomas test indicates what? -
Correct Answer-Iliopsoas dysfunction
What landmark is used to locate the L4-L5
intervertebral disc? - Correct Answer-Iliac
Crest
What is the most common anomaly in the
lumbar region? - Correct Answer-
Zygopophyseal Facet Trophism (predisposes
to early degenerative changes)
What is it called when one or both transverse
processes of L5 articulate with the sacrum? -
Correct Answer-Sacralization
What is it called when there is a failure of S1
to fuse with the other sacral segments? -
Correct Answer-Lumbarization
A defect in the closure of the lamina of the
vertebral segment is called: - Correct Answer-
Spina Bifida
No herniation through the defect, course
patch of hair over site, rare neurologic
deficits: - Correct Answer-Spina Bifida
Occulta
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,Herniation of meninges through defect: -
Correct Answer-Spina Bifida Meningocele
Herniation of meninges and nerve roots
through defect, associated with neurological
deficits: - Correct Answer-Spina Bifida
meningomyelocele
What is the major motion of the lumbar
vertebrae? - Correct Answer-Flexion and
Extension
Sidebending of L5 will induce what in the
sacrum? - Correct Answer-Oblique Axis on the
same side
Rotaion of L5 will induce what in the sacrum?
- Correct Answer-Rotation to opposite side
What is another name for the lumbosacral
angle? - Correct Answer-Ferguson's Angle
What is the intersection of a horizontal line
and the line of inclination of the sacrum
called? - Correct Answer-Lumbosacral Angle
(Ferguson's Angle)
What is a normal angle for the Lumbosacral (Ferguson's
angle)? - Correct Answer-25-35 degrees
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, Where do 98% of herniations occur? - Correct Answer-L4-
L5 or L5-S1
A herniated lumbar disc will exert pressure on the nerve
root of the vertebrae (above or below)? - Correct Answer-
Below
Sharp, burning or shooting pain radiating down the leg
which is worse with flexion is indicative of what? - Correct
Answer-Herniated disc
Increased pain when standing or wlking indicates what? -
Correct Answer-Psoas Syndrome
What is the gold standard for the diagnosis of herniated
disc? - Correct Answer-MRI
What is indicated if a patient has ipsilateral psoas syndrome and
contralateral piriformis spasm? - Correct Answer-Sciatica
A flexion contracture of the iliopsoas is often associated with
what? - Correct Answer-Non-neutral dysfunction of L1 or L2
Lower back pain that is worsened by extension (standing, walking
or lying supine) is most likely what? - Correct Answer-Spinal
Stenosis
Anterior displacement of one vertebrae in relation to the one
below is called: - Correct Answer-Spondylolisthesis
Fatigue fractures in the pars interarticularis is a common cause of
what? - Correct Answer-Spondylolisthesis
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