cranial diagnosis questions 7
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University of Colorado, Colorado Springs *
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116
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Anatomy
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Apr 3, 2024
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docx
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Which of the following physical examination findings is most suggestive of sacral torsion?
a) Symmetrical pelvic landmarks and equal sacral motion.
b) Asymmetry in the iliac crests and restricted sacral motion.
c) Bilateral leg weakness and numbness.
d) Hyperreflexia in the upper extremities.
During palpation for sacral torsion, what landmark is typically assessed for asymmetry?
a) Greater trochanter.
b) Posterior superior iliac spine (PSIS).
c) Ischial tuberosity.
d) Pubic symphysis.
Which imaging modality is most commonly used to confirm a diagnosis of sacral torsion?
a) Magnetic resonance imaging (MRI).
b) Ultrasound.
c) X-ray.
d) Positron emission tomography (PET) scan.
In diagnosing sacral torsion, what is the significance of observing leg length inequality?
a) It confirms the presence of sacral torsion.
b) It indicates lumbar spine pathology.
c) It is an unrelated finding.
d) It suggests a contralateral sacral torsion.
What is the role of motion testing in diagnosing sacral torsion?
a) To assess the range of motion of the lumbar spine.
b) To determine muscle strength in the lower extremities.
c) To evaluate the mobility and symmetry of the sacrum.
d) To assess cranial mobility.
Which clinical presentation is consistent with acute sacral torsion?
a) Gradual onset of symptoms over several weeks.
b) Sudden-onset severe low back pain after lifting a heavy object.
c) Chronic, intermittent low back pain exacerbated by prolonged sitting.
d) No specific symptoms; sacral torsion is typically asymptomatic.
How does sacral torsion differ from sacroiliac joint dysfunction?
a) Sacral torsion involves rotational misalignment of the sacrum, while sacroiliac joint dysfunction involves ligamentous instability.
b) Sacral torsion results from trauma, while sacroiliac joint dysfunction is typically degenerative.
c) Sacral torsion is typically asymptomatic, while sacroiliac joint dysfunction causes localized pain and tenderness.
d) Sacral torsion and sacroiliac joint dysfunction are synonymous terms.
What patient population is most commonly affected by sacral torsion?
a) Older adults over the age of 65.
b) Children and adolescents.
c) Pregnant women in their third trimester.
d) Athletes engaged in high-impact sports.
How can the cranial rhythmic impulse (CRI) be utilized in diagnosing sacral torsion?
a) By assessing cranial bone mobility.
b) By measuring cerebrospinal fluid pressure.
c) By indirectly assessing cranial-sacral relationships.
d) By identifying cranial nerve dysfunction.
What clinical findings may indicate chronic sacral torsion?
a) Sudden-onset severe low back pain.
b) Palpable tenderness over the sacral region.
c) Gradual progression of symptoms over months to years.
d) Resolution of symptoms with rest and conservative measures.
Answers:
b) Asymmetry in the iliac crests and restricted sacral motion.
b) Posterior superior iliac spine (PSIS).
c) X-ray.
d) It suggests a contralateral sacral torsion.
c) To evaluate the mobility and symmetry of the sacrum.
b) Sudden-onset severe low back pain after lifting a heavy object.
a) Sacral torsion involves rotational misalignment of the sacrum, while sacroiliac joint dysfunction involves ligamentous instability.
b) Children and adolescents.
c) By indirectly assessing cranial-sacral relationships.
c) Gradual progression of symptoms over months to years.
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