Radiculopathy: Diagnosis And Treatment (Msq Drill 167)

1. Spondylosis is a non-specific degenerative process of the spine. True or false?

True

False

2. Lumbar stenosis is a form of neurogenic claudication. True or false?

True

False

3. Does changing positions make the symptoms of lumbar stenosis worse or better?

Worse

Better

4. Spondylolysis is a failure of the nuerl arch manifesting as a defect in which part of the vertebral body?

Superior articular process

Inferior articular process

Meninges

Pars interarticularis

5. A fracture in the neck of the scotty dog ina patient with spondylolysis is seen in oblique lumbar x-rays. True or false?

True

False

6. Degenerative spondylolisthesis is due to long standing instability intersegmentaly. True or false

True

False

7. Which of the following is associated with the scotty dog neck fracture on x-ray?

Spondylolisthesis

Spondylosis

Spondylolysis

8. In the cervical region the nerve root exits above the pedicle of its like numbered vertebra. Is this the same arrangement inthe lumbar region?

Yes, the nerve root also exists above the pedicle of its like numbered vertebra.

9. An ________ movement (subluxation) of one vertebral body on another is known as a spondylolisthesis.

10. Which of the following are factors that can led to cercical spondylosis or cervical stenosis?

Congenital narrowing of the spinal canal

Osteophytic spurring

Disc protrution or herniation

Hypertrophy of ligaments

Submit

11. When patients with cervical spondylosis usually present, they complain of pain or weakness. Does this pain usually follow a dermatomal pattern?

Yes

No

12. Does cervical spondylotic myelopathy usually have a sudden abrupt onset?

Yes, it usually has an abrupt onset

No, it is usually insidious and progressive

13. Do patients with cervical spondylotic myelopathy have hyperrelfexia or hyporeflexia?

Hyperreflexia

Hyporeflexia

14. Patients with lumbar stenosis willl have unilateral, bilaterall or either symptoms?

Unilateral

Bilateral

Unilateral or bilateral

15. Is surgery considered to be a conservative treatment measure of radiculopathies?

Yes

No

16.
Which of the following are conservative treatment measures for radiculopathies?

Physical therapy

Pain management

Epidural steroids

Submit

17. Is spondylosis considered a degenerative process?

Yes

No

18. When patients with lumbar stenosis walk or stand, does this relieve or worsen their symptoms?

Walking or standing relieves their symptoms

Walking or standing makes their symptoms worse

19. Patients with lumbar stenosis may develop the "anthropoid" posture. Basically these patients will have an exaggerated flexion at the _______ .

Shoulder

Waist

Lower back

20. 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?

Yes, the presentation is similar

No, the presentation is very different.

21. In the cervical region, the nerve root exists above or below the pedicle of its like-numbered vertebra?

Above

Below

22. In the lumbar region where is the intervertebral disc space located?

Well above the pedicle

Well below the pedicle

23. Which of the following may also be observed in a patient with cervical spondylotic myelopathy?

Insomnia

Bladder sphincter dysfunction

Increased vibrtory sensation in lower extremities

these patients may have DECREASED vibratory sensation int he lower extremities.

Explanation

these patients may have DECREASED vibratory sensation int he lower extremities.

24. The intervertebral disc space is located close to the inferior or superior portion so the pedicle?

Inferior

Superior

25. A herniated lumbar disc usually spares the nerve root exiting at that interspace or the nerve root exiting from the neural foramen below?

A herniated lumbar disc usualy spares the nerve root exiting at that interspace

A herniated lumbar disc usually spares the nerve root exiting from the neural foramen below

26. Whereas spondylosis is a degenerative process, spondylolysis is a failure of the _____ .

Interveterbral disc

Neural arch

Neural tube

27. What is the most common level for discherniation in the cervical spine?

C4-C5

C5-C6

C6-C7

C7-C8

C8-T1

28. Which of the following is also known as spobdylolysis?

Isthmic spondylolisthesis

Dysplastic spondylolisthesis

Degenertive spondylololisthesis

Traumatic spondylolisthesis

Pathologic spondylolisthesis

29. Which of the following types of spondylolisthesis is due to congenital abnormalities?

Isthmic

Dysplastic

Degenerative

Traumatic

Pathologic

30. A herniated cervical disc usually impinges:

The nerve root above the level of the herniation

The nerve root at the level of the herniation

The nerve root below the level of the herniation

31. Patients with cervical spondylosis or cervical stenosis will have pain and paresthesias involving which of the following areas?

Head

Shoulders

Neck

Upper extremities

Cahes

Submit

32. Basically cervical spondylotic myelopathy involves motor weakness involving which areas?

Hand muscles

Forearm muscles

Distal lower extremities

Proximal lower extremities

Submit

33. Which of the following are areas where patients with lumbar stenosis or neurogenic claudication may have discomfort?

Buttocks

Hip

Back

Thigh

Leg

Submit

34. Which of the following radiological studies can be done in the diagnostic evaluation of the patient with back pain?

CT

MRI

Myelography

Submit

35. What exists through the neural foramen close to the undersurface of the pedicle?

The nerve root

The cervical root.