Imaging Of The Spine (Msq Drill 154)
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- 1.
- A.
AP cervical
- B.
PA cervical
Correct Answer
A. AP cervical -
- 2.
- A.
Cervical lateral view
- B.
Cervical oblique view
Correct Answer
A. Cervical lateral view -
- 3.
80-90% cervical injuries are diagnosed in what view?
- A.
AP cervical
- B.
Lateral view cervical
- C.
Oblique view cervical
Correct Answer
B. Lateral view cervicalExplanation
2nd critical view is a chest x-ray then KUB.Rate this question:
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- 4.
What lines have to remain in column when viewing a cervical x-ray?
- A.
Line behind the vertebral bodies
- B.
The posterior spinous line
Correct Answer(s)
A. Line behind the vertebral bodies
B. The posterior spinous lineExplanation
I'm sorry I did not pick up the third line on mediasite.Rate this question:
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- 5.
- A.
Cervical normal open mouth - atlas view
- B.
Cervical open mouth - dens view
- C.
Cervical open mouth - OA view
Correct Answer
B. Cervical open mouth - dens view -
- 6.
Most odontoid fractures occur at the base or the apex?
- A.
Base
- B.
Apex
Correct Answer
A. Base -
- 7.
In a C1 burst fracture the lateral mass will move inwards or outwards?
- A.
Inwards
- B.
Outwards
Correct Answer
B. Outwards -
- 8.
When looking at a cervical open mouth view, the lateral mass of C1 should align with the lateral mass of:
- A.
The occiput
- B.
C2
- C.
The dens
Correct Answer
B. C2 -
- 9.
The lateral mass of C1 can be pushed laterally or medially in a C1 ring fracture?
- A.
Medially
- B.
Laterally
Correct Answer
B. Laterally -
- 10.
A patient has just had a cervical impact on the floor. What view will you order first?
- A.
Lateral c-spine
- B.
AP regular
- C.
Oblique c-spine
- D.
AP open mouth
Correct Answer
A. Lateral c-spine -
- 11.
This view is best for looking at the relationships of the:
- A.
Spinous processes
- B.
Uncinate processes
- C.
Transverse foramina
- D.
Facets
Correct Answer
D. Facets -
- 12.
Each superior facet is tucked underneath the inferior facet or process?
- A.
Facet
- B.
Process
Correct Answer
B. Process -
- 13.
If the superior facet is not tucked underneath the inferior process it is called a:
- A.
Locked facet
- B.
Jumped facet
- C.
Uneven facet
Correct Answer
B. Jumped facet -
- 14.
When a superior facet does not fully jump out of the inferior process it is known as a:
- A.
Widened facet
- B.
Locked facet
- C.
Missed facet
Correct Answer
B. Locked facet -
- 15.
Should the holes of the foramina in an anterior oblique view of the cervical spine have to be somewhat equal in size?
- A.
Yes
- B.
No
Correct Answer
A. Yes -
- 16.
When the holes of the foramina are not equal it is usually due to:
- A.
Acute injury
- B.
Chronic traumatic injury
- C.
Degenerative disease
Correct Answer
C. Degenerative disease -
- 17.
As aging occurs facets are enlarged or shortened?
- A.
Enlarged
- B.
Shortened
Correct Answer
A. EnlargedExplanation
facet arthropathy.Rate this question:
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- 18.
As facets enlarge due to aging do they encroach into the intervetebral formaina?
- A.
Yes
- B.
No
Correct Answer
A. Yes -
- 19.
The vertebral bony spurs are the most frequent cause of cervical radiculopathy?
- A.
Yes
- B.
No
Correct Answer
A. Yes -
- 20.
What is the most common cause of radiculopathy in the c-spine?
- A.
Herniated discs
- B.
Vertebral body osteophytes
Correct Answer
B. Vertebral body osteopHytes -
- 21.
The c-spine is very prone to fractures because of the following factors:
- A.
Hyper mobile
- B.
Small size of the spine
- C.
Length of the spine
- D.
The fact that it is a lever for a heavy head
Correct Answer(s)
A. Hyper mobile
B. Small size of the spine
D. The fact that it is a lever for a heavy head -
- 22.
When assessing the c-spine you want to assess for stability vs instability. True or false
- A.
True
- B.
False
Correct Answer
A. True -
- 23.
What is the most common mechanism of injury in the c-spine?
- A.
Lateral flexion
- B.
Hyperflexion
- C.
Hyperextension
- D.
Axial compression
- E.
Complex
Correct Answer
B. Hyperflexion -
- 24.
This anterior subluxation is an example of what type of injury?
- A.
Hyperextension
- B.
Axial compression
- C.
Hyperflexion
Correct Answer
C. Hyperflexion -
- 25.
What is the mechanism of injury?
- A.
Hyperflexion
- B.
Hyperextension
- C.
Axial compression
- D.
Lateral flexion
Correct Answer
C. Axial compression -
- 26.
An atlantooccipital injury is an example of what type of injury?
- A.
Hyperflexion
- B.
Lateral flexion
- C.
Axial compression
- D.
Complex
Correct Answer
C. Axial compression -
- 27.
This is an example of what type of injury?
- A.
Hyperextension
- B.
Hyperflexion
- C.
Axial compression
- D.
Lateral flexion
- E.
Complex
Correct Answer
B. HyperflexionExplanation
flexion teardrop injuryRate this question:
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- 28.
This is a clay shoveler's fracture which is an example of what type of injury?
- A.
Hyperflexion
- B.
Hyperextension
- C.
Lateral flexion
- D.
Complex
Correct Answer
B. Hyperextension -
- 29.
What fracture occurs in the pedicle of C2?
- A.
Jefferson
- B.
Hangman's
- C.
Clay shoveler's fracture
Correct Answer
B. Hangman's -
- 30.
A hangman's fracture is a _________ injury.
- A.
Hyperflexion
- B.
Hyperextension
- C.
Lateral flexion
- D.
Complex
Correct Answer
B. HyperextensionExplanation
It usually involves the pars of C2.Rate this question:
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- 31.
- A.
Extension teardrop fracture
- B.
Hangman's fracture
- C.
Burst fracture
Correct Answer
A. Extension teardrop fracture -
- 32.
A burst fracture is a ____________ fracture.
- A.
Hyperflexion
- B.
Hyperextension
- C.
Axial loading
- D.
Lateral flexion
Correct Answer
C. Axial loading -
- 33.
If a burst fracture involves C1 what is it known as?
- A.
Jefferson burst
- B.
Hangman burst
Correct Answer
A. Jefferson burst -
- 34.
An odontoid fracture is a ___________ injury.
- A.
Hyperflexion
- B.
Hyperextension
- C.
Lateral flexion
- D.
Complex
Correct Answer
D. Complex -
- 35.
Where do you see the lucency in this dens fracture?
- A.
at the apex of the dens
- B.
At the base of the dens
Correct Answer
B. At the base of the dens -
- 36.
Why do you order a swimmer's view?
- A.
To view the the junction between the OA & AA
- B.
To view the cervicothoracic juction - between C7-T1
- C.
To get a complete view of the thoracic spine
Correct Answer
B. To view the cervicothoracic juction - between C7-T1 -
- 37.
Most times the swimmer's view is ordered for most thoracic and cervical spine imaging.
- A.
True
- B.
False
Correct Answer
A. True -
- 38.
This fracture usually occurs in people who have had what type of traumatic event?
- A.
Fall from height
- B.
Slip while on ice
- C.
Motor vehicle accel & decel
Correct Answer
C. Motor vehicle accel & decelExplanation
This is the chance fracture or seat belt fractureRate this question:
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- 39.
What two components make up the chance fracture?
- A.
Vertebral body fracture
- B.
Spinous process fracture
- C.
Pedicle or facet joint fracture
Correct Answer(s)
A. Vertebral body fracture
C. Pedicle or facet joint fractureExplanation
Usually at L1 or L2Rate this question:
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- 40.
Is a limbus vertebra a fracture?
- A.
Yes
- B.
No
Correct Answer
B. NoExplanation
The vertebral disc pushes into the vertebral body.Rate this question:
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- 41.
Is a limbus vertebra usually symptom causing?
- A.
Yes
- B.
No
Correct Answer
B. No -
- 42.
Osteochondritis leading to secondary center ossification of the vertebral bodies leads to this condition.
- A.
Scoliosis
- B.
Scheuerman's disease or kyphosis
- C.
Rheumatoid arthritis
Correct Answer
B. Scheuerman's disease or kypHosis -
- 43.
This is an example of a ____________ fracture.
- A.
Hyperextension
- B.
Hypeflexion
- C.
Complex
- D.
Compression
Correct Answer
D. Compression -
- 44.
What does spondylolisthesis imply?
- A.
Slipped vertebral bodies
- B.
Degenerated vertebral bodies
- C.
Misaligned vertebral bodies or a body is moved forward.
Correct Answer
C. Misaligned vertebral bodies or a body is moved forward. -
- 45.
Which of the following is a grade 2 spondylolisthesis?
- A.
Less than 25 degrees
- B.
25-50 degrees
- C.
> 50 degrees
Correct Answer
B. 25-50 degreesExplanation
These are the classifications for the grading system for spondylolithesis.Rate this question:
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- 46.
Most of the time spondylolisthesis occurs as a result of a fracture to the:
- A.
Isthmus
- B.
Pedicle
- C.
Pars reticularis
- D.
Uncinate process
Correct Answer
C. Pars reticularis -
- 47.
The breakage in the pars reticularis that leads to spondylolisthesis is known as spondylolysis. True or false?
- A.
True
- B.
False
Correct Answer
A. True -
- 48.
What is the neck of the scutty dog in the diagnosis of spondylolysis?
- A.
The pedicle
- B.
The vertebra
- C.
The pars reticularis
Correct Answer
C. The pars reticularisExplanation
the pedicle are the eyes, the snout is the transverse process, ear is superior articulating facet, neck is the front legs.Rate this question:
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- 49.
Is this a CT or MRI?
- A.
CT
- B.
MRI
Correct Answer
A. CT -
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Feb 16, 2019Quiz Edited by
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Apr 28, 2010Quiz Created by
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