30 Questions
What is the most common mechanism of injury for a cervical strain/sprain?
Sudden flexion and extension of the neck, such as in a motor vehicle accident
What is the most common location of pain in a cervical strain/sprain?
Focal, non-radiating pain in the posterior neck
What is the most common physical exam finding in a patient with cervical spondylosis?
Tenderness to palpation over the lateral neck
What is the most common treatment for torticollis?
NSAIDs and physical therapy
What is the most common imaging finding in a patient with cervical stenosis?
Decreased sagittal diameter of the cervical spinal canal
What is the most common location of a herniated cervical disc?
C5-C6
What is the most common physical exam finding in a patient with cervical radiculopathy?
Decreased sensation in the affected dermatome
Which of the following is the most common treatment for a herniated cervical disc?
Conservative management with NSAIDs and physical therapy
What is the most common cause of cervical stenosis in older patients?
Degenerative changes from spondylosis
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
Which of the following is a common cause of vertebral fractures?
High-energy trauma (MVA or fall from height)
What is the most common type of vertebral fracture?
Compression fracture
Which of the following is a characteristic of burst fractures?
Explosion of the vertebral body
Which of the following is a risk factor for compression fractures?
All of the above
What is the typical mechanism of injury for flexion-distraction injuries of the spine?
High-velocity motor vehicle accident (MVA)
Which of the following is a common symptom of vertebral fractures?
Pain with inspiration or coughing
Which of the following is a characteristic of glenohumeral osteoarthritis (OA)?
Posterior shoulder pain worse with activity and at night
What is the recommended treatment for acromioclavicular (AC) joint osteoarthritis with a 25-40 degree deformity?
Bracing
Which of the following is a potential complication of shoulder dislocation?
All of the above
What is the most common type of shoulder dislocation?
Anterior dislocation
What diagnostic imaging test is used to confirm the diagnosis of thoracic spondylosis?
CT with intrathecal contrast (myelogram)
What is the most common level of thoracic disc herniation?
T11-T12
What is the typical course of scoliosis diagnosed in adolescence?
The curve needs to be followed into adulthood
What is the typical presentation of thoracic back pain?
Worse with sitting and bending forward
What is the approximate incidence of bowel or bladder changes associated with thoracic disc herniation?
15-20%
What is the typical treatment approach for thoracic spondylosis?
Conservative management with NSAIDs and physical therapy
What is the typical presentation of thoracic radicular pain?
Band-like chest or abdominal pain along an intercostal nerve
What is the typical cause of kyphosis in adults?
Osteoporosis
What is the typical gender distribution for adult spinal deformity?
Equal distribution between males and females
What is the typical presentation of thoracic spine fractures?
Severe back pain, worse with motion, with or without neurogenic symptoms
Explore the presentation, physical exam findings, diagnosis, and treatment options for cervical strain/sprain. Learn about the location of pain, associated symptoms, diagnostic tests, and common treatment modalities such as soft collar, NSAIDs, massage, and physical therapy.
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