Radiculopathy: Diagnosis And Treatment (Msq Drill 167)

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1/35 Questions

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

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2.

Lumbar stenosis is a form of neurogenic claudication. True or false?
- True
- False
Correct Answer

A. True
3.

Does changing positions make the symptoms of lumbar stenosis worse or better?
- Worse
- Better
Correct Answer

A. 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
Correct Answer

A. 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
Correct Answer

A. True
6.

Degenerative spondylolisthesis is due to long standing instability intersegmentaly. True or false
- true
- false
Correct Answer

A. true
7.

Which of the following is associated with the scotty dog neck fracture on x-ray?
- Spondylolisthesis
- Spondylosis
- Spondylolysis
Correct Answer

A. 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.
- No, in the umbar region the nerve root exists below and in close proximity to the pedicle of its like numbered vertebra
Correct Answer

A. No, in the umbar region the nerve root exists below and in close proximity to the pedicle of its like numbered vertebra
9.

An ________ movement (subluxation) of one vertebral body on another is known as a spondylolisthesis.
- Anterior
- Posterior
Correct Answer

A. Anterior
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
Correct Answer(s)

A. Congenital narrowing of the spinal canal
A. Osteophytic spurring
A. Disc protrution or herniation
A. Hypertrophy of ligaments
11.

When patients with cervical spondylosis usually present, they complain of pain or weakness. Does this pain usually follow a dermatomal pattern?
- Yes
- No
Correct Answer

A. Yes
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
Correct Answer

A. No, it is usually insidious and progressive
13.

Do patients with cervical spondylotic myelopathy have hyperrelfexia or hyporeflexia?
- Hyperreflexia
- Hyporeflexia
Correct Answer

A. Hyperreflexia
14.

Patients with lumbar stenosis willl have unilateral, bilaterall or either symptoms?
- Unilateral
- Bilateral
- Unilateral or bilateral
Correct Answer

A. Unilateral or bilateral
15.

Is surgery considered to be a conservative treatment measure of radiculopathies?
- Yes
- No
Correct Answer

A. No
16.

Which of the following are conservative treatment measures for radiculopathies?
- Physical therapy
- Pain management
- Epidural steroids
Correct Answer(s)

A. Physical therapy
A. Pain management
A. Epidural steroids
17.

Is spondylosis considered a degenerative process?
- Yes
- No
Correct Answer

A. Yes
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
Correct Answer

A. 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
Correct Answer

A. Waist
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.
Correct Answer

A. Yes, the presentation is similar
21.

In the cervical region, the nerve root exists above or below the pedicle of its like-numbered vertebra?
- Above
- Below
Correct Answer

A. Above
22.

In the lumbar region where is the intervertebral disc space located?
- Well above the pedicle
- Well below the pedicle
Correct Answer

A. 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
Correct Answer

A. Bladder sphincter dysfunction

Explanation

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

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24.

The intervertebral disc space is located close to the inferior or superior portion so the pedicle?
- Inferior
- Superior
Correct Answer

A. Inferior
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
Correct Answer

A. A herniated lumbar disc usualy spares the nerve root exiting at that interspace
26.

Whereas spondylosis is a degenerative process, spondylolysis is a failure of the _____ .
- Interveterbral disc
- Neural arch
- Neural tube
Correct Answer

A. Neural arch
27.

What is the most common level for discherniation in the cervical spine?
- C4-C5
- C5-C6
- C6-C7
- C7-C8
- C8-T1
Correct Answer

A. C6-C7
28.

Which of the following is also known as spobdylolysis?
- Isthmic spondylolisthesis
- Dysplastic spondylolisthesis
- Degenertive spondylololisthesis
- Traumatic spondylolisthesis
- Pathologic spondylolisthesis
Correct Answer

A. Isthmic spondylolisthesis
29.

Which of the following types of spondylolisthesis is due to congenital abnormalities?
- Isthmic
- Dysplastic
- Degenerative
- Traumatic
- Pathologic
Correct Answer

A. Dysplastic
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
Correct Answer

A. The nerve root at 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
Correct Answer(s)

A. Head
A. Shoulders
A. Neck
32.

Basically cervical spondylotic myelopathy involves motor weakness involving which areas?
- Hand muscles
- Forearm muscles
- Distal lower extremities
- Proximal lower extremities
Correct Answer(s)

A. Hand muscles
A. Proximal lower extremities
33.

Which of the following are areas where patients with lumbar stenosis or neurogenic claudication may have discomfort?
- Buttocks
- Hip
- Back
- Thigh
- Leg
Correct Answer(s)

A. Buttocks
A. Hip
A. Thigh
A. Leg
34.

Which of the following radiological studies can be done in the diagnostic evaluation of the patient with back pain?
- CT
- MRI
- Myelography
Correct Answer(s)

A. CT
A. MRI
A. Myelography
35.

What exists through the neural foramen close to the undersurface of the pedicle?
- The nerve root
- The cervical root.
Correct Answer

A. The cervical root.

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Current Version
Feb 16, 2019

Quiz Edited by
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May 03, 2010

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Radiculopathy: Diagnosis And Treatment (Msq Drill 167)

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

Quiz Preview

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

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

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

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

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

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

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

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

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

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

Does cervical spondylotic myelopathy usually have a sudden abrupt onset?

Do patients with cervical spondylotic myelopathy have hyperrelfexia or hyporeflexia?

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

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

Which of the following are conservative treatment measures for radiculopathies?

Is spondylosis considered a degenerative process?

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

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

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?

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

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

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

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

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

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

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

Which of the following is also known as spobdylolysis?

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

A herniated cervical disc usually impinges:

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

Basically cervical spondylotic myelopathy involves motor weakness involving which areas?

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

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

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