Cervical Radiculopathy and Radicular Pain Quiz

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What is the primary purpose of activity restrictions and rest in the initial stage of pain symptoms?

To reduce pain and improve range of motion

To facilitate recovery and healing (correct)

To promote cervical spine stabilization

To prevent muscle deconditioning

Which of the following physiotherapy techniques is NOT included in the multimodal approach for mild to moderate neck pain symptoms?

Manual therapy and traction

Structured exercise program

Transcutaneous electrical nerve stimulation (TENS)

Nerve root blocks (correct)

What is the primary goal of the structured exercise program in the multimodal physiotherapy approach?

To facilitate activity modification and postural training

To improve neck muscle activation and cervical spine stabilization (correct)

To improve strength, endurance, and flexibility

To reduce pain and improve range of motion

Which of the following pain medications is LEAST likely to be used in chronic neck pain conditions?

NSAIDs Signup and view all the answers

Which of the following surgical procedures is LEAST likely to be performed for clients who did not respond well to conservative management?

Nerve root block Signup and view all the answers

What is the primary role of post-operative physiotherapy in the rehabilitation of clients who underwent surgical management for neck pain?

To play an integral role in the overall rehabilitation process Signup and view all the answers

Which of the following physiotherapy techniques is LEAST likely to be used for short-term pain reduction in the multimodal approach?

Structured exercise program Signup and view all the answers

Which of the following pain medication classes is MOST likely to be used in acute neck pain conditions?

NSAIDs Signup and view all the answers

What is the primary purpose of cognitive functional therapy in the multimodal physiotherapy approach?

To promote pain neuroscience education and address psychological factors Signup and view all the answers

Which of the following physiotherapy techniques is MOST likely to be used for long-term pain management in the multimodal approach?

Structured exercise program Signup and view all the answers

What is the sensitivity of the Adson test in diagnosing neurovascular compression from thoracic outlet syndrome?

78% Signup and view all the answers

Which muscle is affected in cervical radiculopathy associated with C6 nerve root compression?

Biceps Signup and view all the answers

What is the specificity of the shoulder abduction test in diagnosing cervical radiculopathy?

92% Signup and view all the answers

Which condition could overlap with radiculopathy symptoms, mimicking cervical radiculopathy?

Complex regional pain syndrome (CRPS) Signup and view all the answers

What dermatome is affected in Cubital tunnel syndrome?

C8 Signup and view all the answers

Which test is often used to rule out neurovascular compression from thoracic outlet syndrome?

Adson test Signup and view all the answers

In Cervical Radiculopathy associated with C7 nerve root compression, which muscle experiences weakness?

Triceps Signup and view all the answers

What is the common conservative medical management for cervical radiculopathy?

Conservative management in 70-80% of cases Signup and view all the answers

'Double crush syndrome' is often considered as a potential differential diagnosis in cervical radiculopathy. What does it refer to?

'Consecutive compression at different points along the same nerve pathway' Signup and view all the answers

'Pancoast syndrome' can mimic symptoms of cervical radiculopathy. What is Pancoast syndrome associated with?

Lung cancer Signup and view all the answers

What is the primary cause of cervical radiculopathy?

Conduction block of the spinal nerve root Signup and view all the answers

Which of the following is NOT a symptom of cervical radiculopathy?

Increased muscle tone Signup and view all the answers

Which of the following nerve roots are most frequently affected in cervical radicular pain?

C5, C6, and C7 Signup and view all the answers

What is the term used to describe persistent or recurrent pain in the relevant dermatome and myotome regions without signs of sensory loss, reflex, or muscle weakness?

Cervical neuralgia Signup and view all the answers

According to the diagnostic criteria for cervical radiculopathy, which of the following is considered a 'definite diagnosis'?

Reproduction of radicular symptoms with specific provocative tests Signup and view all the answers

Which of the following regions is NOT associated with cervical radicular pain?

Lumbar region Signup and view all the answers

According to the diagnostic criteria for cervical radiculopathy, which of the following is NOT considered a 'probable diagnosis'?

Reproduction of radicular symptoms with specific provocative tests Signup and view all the answers

Which of the following statements about cervical radicular pain is TRUE?

It can occur without signs of sensory loss, reflex, or muscle weakness Signup and view all the answers

Which of the following is NOT a potential symptom of cervical radiculopathy?

Increased muscle tone Signup and view all the answers

Which of the following statements about the diagnostic criteria for cervical radiculopathy is FALSE?

A 'definite diagnosis' can be made based on positive findings on magnetic resonance imaging (MRI) Signup and view all the answers

Which of the following findings is NOT considered a definite diagnostic criterion for cervical radiculopathy?

Presence of any two signs and symptoms from the list: sensory changes, muscle weakness, fasciculations, and unilateral diminished reflexes Signup and view all the answers

Which of the following is NOT a common risk factor or etiology for cervical radiculopathy?

Vitamin D deficiency and osteomalacia Signup and view all the answers

Which of the following functional limitations is LEAST likely to be observed in a patient with cervical radiculopathy?

Difficulty in activities that demand shoulder abduction Signup and view all the answers

Which of the following statements about the pain pattern in cervical radiculopathy is FALSE?

Radicular pain increases when the head is moved away from the symptomatic side Signup and view all the answers

Which of the following physical examination findings is LEAST likely to be observed in a patient with cervical radiculopathy?

Presence of a positive Babinski sign Signup and view all the answers

Which of the following statements about the Spurling test is TRUE?

It has a positive likelihood ratio of 15.8 for diagnosing cervical radiculopathy Signup and view all the answers

Which of the following statements about the ULTT (Upper Limb Tension Test) is FALSE?

It is used to assess the integrity of the brachial plexus Signup and view all the answers

Which of the following statements about the clinical features of cervical radiculopathy is TRUE?

Patients will exhibit a forward and stooped posture, as well as muscle atrophy Signup and view all the answers

Which of the following statements about the age and gender distribution of cervical radiculopathy is FALSE?

There is no significant gender difference in the prevalence of cervical radiculopathy Signup and view all the answers

Which of the following is NOT a potential mechanism for nerve root compression in cervical radiculopathy?

Compression due to a spinal cord tumor Signup and view all the answers