Radiculopathy: Diagnosis And Treatment (Msq Drill 167)
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- 1.
Is spondylosis considered a degenerative process?
- A.
Yes
- B.
No
Correct Answer
A. Yes -
- 2.
Spondylosis is a non-specific degenerative process of the spine. True or false?
- A.
True
- B.
False
Correct Answer
A. True -
- 3.
Which of the following are factors that can led to cercical spondylosis or cervical stenosis?
- A.
Congenital narrowing of the spinal canal
- B.
Osteophytic spurring
- C.
Disc protrution or herniation
- D.
Hypertrophy of ligaments
Correct Answer(s)
A. Congenital narrowing of the spinal canal
B. OsteopHytic spurring
C. Disc protrution or herniation
D. HypertropHy of ligaments -
- 4.
When patients with cervical spondylosis usually present, they complain of pain or weakness. Does this pain usually follow a dermatomal pattern?
- A.
Yes
- B.
No
Correct Answer
A. Yes -
- 5.
If a patient has spinal cord compression, is the presentation similar to that of a patient with a nerve root compression along with myelopthic features?
- A.
Yes, the presentation is similar
- B.
No, the presentation is very different.
Correct Answer
A. Yes, the presentation is similar -
- 6.
Patients with cervical spondylosis or cervical stenosis will have pain and paresthesias involving which of the following areas?
- A.
Head
- B.
Shoulders
- C.
Neck
- D.
Upper extremities
- E.
Cahes
Correct Answer(s)
A. Head
B. Shoulders
C. Neck -
- 7.
Does cervical spondylotic myelopathy usually have a sudden abrupt onset?
- A.
Yes, it usually has an abrupt onset
- B.
No, it is usually insidious and progressive
Correct Answer
B. No, it is usually insidious and progressive -
- 8.
Basically cervical spondylotic myelopathy involves motor weakness involving which areas?
- A.
Hand muscles
- B.
Forearm muscles
- C.
Distal lower extremities
- D.
Proximal lower extremities
Correct Answer(s)
A. Hand muscles
D. Proximal lower extremities -
- 9.
Do patients with cervical spondylotic myelopathy have hyperrelfexia or hyporeflexia?
- A.
Hyperreflexia
- B.
Hyporeflexia
Correct Answer
A. Hyperreflexia -
- 10.
Which of the following may also be observed in a patient with cervical spondylotic myelopathy?
- A.
Insomnia
- B.
Bladder sphincter dysfunction
- C.
Increased vibrtory sensation in lower extremities
Correct Answer
B. Bladder spHincter dysfunctionExplanation
these patients may have DECREASED vibratory sensation int he lower extremities.Rate this question:
-
- 11.
Lumbar stenosis is a form of neurogenic claudication. True or false?
- A.
True
- B.
False
Correct Answer
A. True -
- 12.
Patients with lumbar stenosis willl have unilateral, bilaterall or either symptoms?
- A.
Unilateral
- B.
Bilateral
- C.
Unilateral or bilateral
Correct Answer
C. Unilateral or bilateral -
- 13.
Which of the following are areas where patients with lumbar stenosis or neurogenic claudication may have discomfort?
- A.
Buttocks
- B.
Hip
- C.
Back
- D.
Thigh
- E.
Leg
Correct Answer(s)
A. Buttocks
B. Hip
D. Thigh
E. Leg -
- 14.
When patients with lumbar stenosis walk or stand, does this relieve or worsen their symptoms?
- A.
Walking or standing relieves their symptoms
- B.
Walking or standing makes their symptoms worse
Correct Answer
B. Walking or standing makes their symptoms worse -
- 15.
Does changing positions make the symptoms of lumbar stenosis worse or better?
- A.
Worse
- B.
Better
Correct Answer
B. Better -
- 16.
Patients with lumbar stenosis may develop the "anthropoid" posture. Basically these patients will have an exaggerated flexion at the _______ .
- A.
Shoulder
- B.
Waist
- C.
Lower back
Correct Answer
B. Waist -
- 17.
Whereas spondylosis is a degenerative process, spondylolysis is a failure of the _____ .
- A.
Interveterbral disc
- B.
Neural arch
- C.
Neural tube
Correct Answer
B. Neural arch -
- 18.
Spondylolysis is a failure of the nuerl arch manifesting as a defect in which part of the vertebral body?
- A.
Superior articular process
- B.
Inferior articular process
- C.
Meninges
- D.
Pars interarticularis
Correct Answer
D. Pars interarticularis -
- 19.
A fracture in the neck of the scotty dog ina patient with spondylolysis is seen in oblique lumbar x-rays. True or false?
- A.
True
- B.
False
Correct Answer
A. True -
- 20.
An ________ movement (subluxation) of one vertebral body on another is known as a spondylolisthesis.
- A.
Anterior
- B.
Posterior
Correct Answer
A. Anterior -
- 21.
Which of the following types of spondylolisthesis is due to congenital abnormalities?
- A.
Isthmic
- B.
Dysplastic
- C.
Degenerative
- D.
Traumatic
- E.
Pathologic
Correct Answer
B. Dysplastic -
- 22.
Degenerative spondylolisthesis is due to long standing instability intersegmentaly. True or false
- A.
true
- B.
false
Correct Answer
A. true -
- 23.
Which of the following is also known as spobdylolysis?
- A.
Isthmic spondylolisthesis
- B.
Dysplastic spondylolisthesis
- C.
Degenertive spondylololisthesis
- D.
Traumatic spondylolisthesis
- E.
Pathologic spondylolisthesis
Correct Answer
A. Isthmic spondylolisthesis -
- 24.
Which of the following is associated with the scotty dog neck fracture on x-ray?
- A.
Spondylolisthesis
- B.
Spondylosis
- C.
Spondylolysis
Correct Answer
C. Spondylolysis -
- 25.
In the cervical region, the nerve root exists above or below the pedicle of its like-numbered vertebra?
- A.
Above
- B.
Below
Correct Answer
A. Above -
- 26.
What exists through the neural foramen close to the undersurface of the pedicle?
- A.
The nerve root
- B.
The cervical root.
Correct Answer
B. The cervical root. -
- 27.
The intervertebral disc space is located close to the inferior or superior portion so the pedicle?
- A.
Inferior
- B.
Superior
Correct Answer
A. Inferior -
- 28.
A herniated cervical disc usually impinges:
- A.
The nerve root above the level of the herniation
- B.
The nerve root at the level of the herniation
- C.
The nerve root below the level of the herniation
Correct Answer
B. The nerve root at the level of the herniation -
- 29.
What is the most common level for discherniation in the cervical spine?
- A.
C4-C5
- B.
C5-C6
- C.
C6-C7
- D.
C7-C8
- E.
C8-T1
Correct Answer
C. C6-C7 -
- 30.
In the cervical region the nerve root exits above the pedicle of its like numbered vertebra. Is this the same arrangement inthe lumbar region?
- A.
Yes, the nerve root also exists above the pedicle of its like numbered vertebra.
- B.
No, in the umbar region the nerve root exists below and in close proximity to the pedicle of its like numbered vertebra
Correct Answer
B. No, in the umbar region the nerve root exists below and in close proximity to the pedicle of its like numbered vertebra -
- 31.
In the lumbar region where is the intervertebral disc space located?
- A.
Well above the pedicle
- B.
Well below the pedicle
Correct Answer
B. Well below the pedicle -
- 32.
A herniated lumbar disc usually spares the nerve root exiting at that interspace or the nerve root exiting from the neural foramen below?
- A.
A herniated lumbar disc usualy spares the nerve root exiting at that interspace
- B.
A herniated lumbar disc usually spares the nerve root exiting from the neural foramen below
Correct Answer
A. A herniated lumbar disc usualy spares the nerve root exiting at that interspace -
- 33.
Which of the following radiological studies can be done in the diagnostic evaluation of the patient with back pain?
- A.
CT
- B.
MRI
- C.
Myelography
Correct Answer(s)
A. CT
B. MRI
C. MyelograpHy -
- 34.
Is surgery considered to be a conservative treatment measure of radiculopathies?
- A.
Yes
- B.
No
Correct Answer
B. No -
- 35.
Which of the following are conservative treatment measures for radiculopathies?
- A.
Physical therapy
- B.
Pain management
- C.
Epidural steroids
Correct Answer(s)
A. pHysical therapy
B. Pain management
C. Epidural steroids -
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Feb 16, 2019Quiz Edited by
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May 03, 2010Quiz Created by
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