Cervical Strain/Sprain Presentation and Treatment Quiz

What is the most common mechanism of injury for a cervical strain/sprain?

Overuse of the neck muscles
Compression of the cervical spine
Sudden flexion and extension of the neck, such as in a motor vehicle accident (correct)
Degenerative changes in the cervical spine

What is the most common location of pain in a cervical strain/sprain?

Focal, non-radiating pain in the posterior neck (correct)
Radiating pain down the arm
Headache
Pain in the front of the neck

What is the most common physical exam finding in a patient with cervical spondylosis?

Tenderness to palpation over the lateral neck (correct)
Weakness in the upper extremities
Decreased reflexes in the lower extremities
Increased range of motion in the neck

What is the most common treatment for torticollis?

NSAIDs and physical therapy (A) Signup and view all the answers

What is the most common imaging finding in a patient with cervical stenosis?

Decreased sagittal diameter of the cervical spinal canal (D) Signup and view all the answers

What is the most common location of a herniated cervical disc?

C5-C6 (B) Signup and view all the answers

What is the most common physical exam finding in a patient with cervical radiculopathy?

Decreased sensation in the affected dermatome (B) Signup and view all the answers

Which of the following is the most common treatment for a herniated cervical disc?

Conservative management with NSAIDs and physical therapy (B) Signup and view all the answers

What is the most common cause of cervical stenosis in older patients?

Degenerative changes from spondylosis (B) Signup and view all the answers

What is the most common symptom that is relieved when a patient with cervical radiculopathy places their hand on top of their head?

Numbness and tingling in the arm (D) Signup and view all the answers

Which of the following is a common cause of vertebral fractures?

High-energy trauma (MVA or fall from height) (D) Signup and view all the answers

What is the most common type of vertebral fracture?

Compression fracture (A) Signup and view all the answers

Which of the following is a characteristic of burst fractures?

Explosion of the vertebral body (B) Signup and view all the answers

Which of the following is a risk factor for compression fractures?

All of the above (D) Signup and view all the answers

What is the typical mechanism of injury for flexion-distraction injuries of the spine?

High-velocity motor vehicle accident (MVA) (C) Signup and view all the answers

Which of the following is a common symptom of vertebral fractures?

Pain with inspiration or coughing (D) Signup and view all the answers

Which of the following is a characteristic of glenohumeral osteoarthritis (OA)?

Posterior shoulder pain worse with activity and at night (B) Signup and view all the answers

What is the recommended treatment for acromioclavicular (AC) joint osteoarthritis with a 25-40 degree deformity?

Bracing (B) Signup and view all the answers

Which of the following is a potential complication of shoulder dislocation?

All of the above (D) Signup and view all the answers

What is the most common type of shoulder dislocation?

Anterior dislocation (A) Signup and view all the answers

What diagnostic imaging test is used to confirm the diagnosis of thoracic spondylosis?

CT with intrathecal contrast (myelogram) (C) Signup and view all the answers

What is the most common level of thoracic disc herniation?

T11-T12 (A) Signup and view all the answers

What is the typical course of scoliosis diagnosed in adolescence?

The curve needs to be followed into adulthood (A) Signup and view all the answers

What is the typical presentation of thoracic back pain?

Worse with sitting and bending forward (B) Signup and view all the answers

What is the approximate incidence of bowel or bladder changes associated with thoracic disc herniation?

15-20% (C) Signup and view all the answers

What is the typical treatment approach for thoracic spondylosis?

Conservative management with NSAIDs and physical therapy (A) Signup and view all the answers

What is the typical presentation of thoracic radicular pain?

Band-like chest or abdominal pain along an intercostal nerve (B) Signup and view all the answers

What is the typical cause of kyphosis in adults?

Osteoporosis (B) Signup and view all the answers

What is the typical gender distribution for adult spinal deformity?

Equal distribution between males and females (D) Signup and view all the answers

What is the typical presentation of thoracic spine fractures?

Severe back pain, worse with motion, with or without neurogenic symptoms (C) Signup and view all the answers