Cervical Radiculopathy Differential Diagnosis
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Questions and Answers

What is a common complaint of patients with C2-4 radiculopathy?

  • Pain or numbness from the neck to the radial side of the biceps
  • Occipital or temporal pain extending to the back of the ear or side of the neck (correct)
  • Difficulty in breathing
  • Weakness in shoulder abduction

What can C3 and C4 radiculopathies lead to?

  • Weakness in shoulder abduction
  • Diaphragmatic weakness and paradoxical respiration (correct)
  • Dermatomal distribution of lower cervical spinal nerves
  • Pain or numbness from the neck to the radial side of the biceps

What symptoms are similar between C5 radiculopathy and a rotator cuff tear?

  • Pain or numbness from the neck to the radial side of the biceps
  • Weakened shoulder abduction (correct)
  • Occipital or temporal pain extending to the back of the ear or side of the neck
  • Diaphragmatic weakness and paradoxical respiration

What condition can mimic C6 radiculopathy?

<p>Carpal tunnel syndrome (CTS) (B)</p> Signup and view all the answers

What is a characteristic complaint of a patient with C6 radiculopathy?

<p>Pain or numbness from the neck to the radial side of the biceps (B)</p> Signup and view all the answers

What is a distinguishing feature between C5 radiculopathy and a rotator cuff tear?

<p>Shoulder pain during passive exercise or tenderness (C)</p> Signup and view all the answers

What is a potential consequence of C3 and C4 radiculopathies?

<p>Diaphragmatic weakness and paradoxical respiration (D)</p> Signup and view all the answers

What is a common complaint of patients with C2-4 radiculopathy?

<p>Occipital or temporal pain extending to the back of the ear or side of the neck (D)</p> Signup and view all the answers

Which test may be positive in patients with carpal tunnel syndrome (CTS)?

<p>Tinel’s sign (D)</p> Signup and view all the answers

What is a common manifestation of CTS?

<p>Thenar muscle atrophy (D)</p> Signup and view all the answers

Which nerve root is most frequently involved by cervical radiculopathy?

<p>C7 (B)</p> Signup and view all the answers

What can entrapment of the posterior interosseous nerve be mistaken for?

<p>Motor component of C7 radiculopathy (C)</p> Signup and view all the answers

What is a characteristic complaint of a patient with C8 radiculopathy?

<p>Profound weakness of the intrinsic hand muscles (C)</p> Signup and view all the answers

What can ulnar entrapment at the level of the elbow cause?

<p>Clinical tenderness along the medial side of the elbow (C)</p> Signup and view all the answers

What is a distinguishing feature between C6 radiculopathy and C7 radiculopathy?

<p>Patients with C7 radiculopathy express symptoms by pronating the forearms (C)</p> Signup and view all the answers

What is a common complaint of patients with cubital tunnel syndrome?

<p>Hypothenar muscle weakness (C)</p> Signup and view all the answers

What is a distinguishing characteristic of posterior interosseous neuropathy compared to C7 radiculopathy?

<p>Absence of sensory changes (C)</p> Signup and view all the answers

Which test may be positive in patients with carpal tunnel syndrome (CTS)?

<p>Tinel’s sign (C)</p> Signup and view all the answers

Which nerve entrapment may be mistaken for the motor component of C7 radiculopathy?

<p>Posterior interosseous nerve (A)</p> Signup and view all the answers

What may patients with C7 radiculopathy often express symptoms by doing?

<p>Pronating the forearms (C)</p> Signup and view all the answers

What clinical features may be present in ulnar entrapment at the level of the elbow (cubital tunnel syndrome)?

<p>Clinical tenderness along the medial side of the elbow and hypothenar muscles (B)</p> Signup and view all the answers

What do patients with C8 radiculopathy complain of?

<p>Profound weakness of the intrinsic hand muscles and difficulty using their hands in daily life (C)</p> Signup and view all the answers

Which muscle atrophy is manifested in carpal tunnel syndrome (CTS)?

<p>Thenar muscle (D)</p> Signup and view all the answers

What motor deficits are common in association with C6 radiculopathy?

<p>Wrist extensors and biceps (D)</p> Signup and view all the answers

Which reflexes may be changed in association with C6 radiculopathy?

<p>Brachioradialis and biceps reflexes (D)</p> Signup and view all the answers

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