Discogenic Back Pain and Degenerative Disc Disease (DDD)

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Questions and Answers

Which of the following is NOT a symptom of cauda equina syndrome?

  • Saddle anesthesia
  • Back pain
  • Fever and chills (correct)
  • Lower leg weakness

What is the common imaging finding in patients with Degenerative Disc Disease (DDD)?

  • Disc space narrowing (correct)
  • Spinal Stenosis
  • Facet Arthropathy
  • Spondylolisthesis

Which condition is characterized by the forward displacement of one vertebra over another?

  • Spondylolisthesis (correct)
  • Discogenic pain
  • Facet arthropathy
  • Ligament sprains

What is the primary cause of Discogenic Back Pain?

<p>Loss of proteoglycans and fluid in the disc (A)</p> Signup and view all the answers

Which condition involves the inflammation and degeneration of the facet joints in the spine?

<p>Facet arthropathy (C)</p> Signup and view all the answers

What is a common feature of mechanical back pain due to Ligament Sprains?

<p>Decreased range of motion (ROM) (D)</p> Signup and view all the answers

Which condition involves the slipping forward of one vertebra over another without a fracture?

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

Which imaging modality is best for visualizing disc protrusion or herniation?

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

Which of the following conditions is characterized by a vertebra sitting forward on the one below it?

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

In which case is a CT or MRI scan more useful compared to X-rays for imaging purposes?

<p>Discogenic back pain (C)</p> Signup and view all the answers

Which condition is often related to aging and presents with unilateral neck or low back pain?

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

Pain exacerbated by lumbar extension or lateral flexion to the affected side is characteristic of which condition?

<p>Facet arthropathy (C)</p> Signup and view all the answers

Which condition can cause neurologic findings such as weakness, sensory dermatomic pain, and reflex loss?

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

Which type of joint is affected in facet arthropathy?

<p>&quot;Zygaphyseal joints&quot; (B)</p> Signup and view all the answers

What is one of the key differentiating factors between Spinal Claudication and Vascular Claudication?

<p>Spinal Claudication gets better when sitting, while Vascular Claudication worsens with sitting. (D)</p> Signup and view all the answers

What symptom is commonly associated with SI Ligament Sprain?

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

Which condition is characterized by the narrowing of facet joints leading to neural foraminal stenosis?

<p>Facet Arthropathy (A)</p> Signup and view all the answers

What is a common risk factor for Peripheral Vascular Disease or known atherosclerosis as mentioned in the text?

<p>Weak pedal pulses (D)</p> Signup and view all the answers

When does Mechanical Back Pain typically warrant imaging investigations according to the text?

<p>Within 3-6 months if symptoms are not settling or significantly impacting functioning (D)</p> Signup and view all the answers

What is a characteristic feature of Scoliosis mentioned in the text?

<p>Progressive sideways curvature of the spine (B)</p> Signup and view all the answers

Which condition often presents with nerve root pain that can be reproduced by leaning to one side?

<p>Facet Arthropathy (C)</p> Signup and view all the answers

What is the common developmental variation of the neural arches that can lead to spondylolisthesis?

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

Which imaging modality is best suited for assessing spinal cord signal in the context of spinal stenosis?

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

What condition is characterized by narrowing of the spinal canal?

<p>Spinal stenosis (C)</p> Signup and view all the answers

Which process can contribute to spinal stenosis by causing ligamentum flavum hypertrophy or facet hypertrophy?

<p>Degenerative disease (C)</p> Signup and view all the answers

What kind of pain is typically experienced by individuals with spinal or neurogenic claudication when walking?

<p>Pain in legs worsening with walking (C)</p> Signup and view all the answers

Which condition is often associated with worse back pain during forward flexion because of the forward slip moving more forward?

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

What can lead to non-union or lysis often mistaken for a 'fracture' seen on lateral X-ray views?

<p>Spondylolysis (A)</p> Signup and view all the answers

"Imagine that the forward slip moves more forward with bending forward" refers to which condition associated with worse back pain during such movement?

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

In the context of back pain, which imaging modality is best suited for visualizing disc protrusion or herniation?

<p>MRI scan (A)</p> Signup and view all the answers

Which imaging technique can demonstrate increased uptake suggesting active bone turnover in patients with facet arthropathy?

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

What is the common etiology of spondylolisthesis as mentioned in the text?

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

Which condition is characterized by the forward displacement of one vertebra over another?

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

When investigating facet arthropathy, which imaging modality can be more useful than plain X-rays?

<p>CT scan (D)</p> Signup and view all the answers

In cases where disc protrusion or herniation needs to be visualized, which imaging technique is NOT recommended?

<p>X-ray (C)</p> Signup and view all the answers

What is a characteristic feature of discogenic back pain that helps differentiate it from other back conditions?

<p>&quot;Pinched or compressed nerve&quot; (B)</p> Signup and view all the answers

Which imaging modality is commonly used to detect degenerative changes in facet joints associated with facet arthropathy?

<p>X-ray (D)</p> Signup and view all the answers

What is the primary reason for diagnosing Cauda Equina Syndrome with a CT or MRI scan?

<p>To confirm bladder and bowel dysfunction (C)</p> Signup and view all the answers

In the context of back pain, what is a common finding associated with Facet Arthropathy?

<p>Decreased range of motion (ROM) (A)</p> Signup and view all the answers

Which imaging modality is best suited for visualizing spondylolisthesis in patients with back pain?

<p>X-ray (B)</p> Signup and view all the answers

What is a distinguishing feature of Discogenic Back Pain in the context of Degenerative Disc Disease (DDD)?

<p>Microfracture of collagen and loss of proteoglycans (B)</p> Signup and view all the answers

When should a CT scan be preferred over X-rays for imaging mechanical back pain?

<p>To confirm narrowing of facet joints (C)</p> Signup and view all the answers

What is a common symptom associated with Spondylolisthesis?

<p>Lower leg weakness (A)</p> Signup and view all the answers

Which condition is NOT commonly associated with Facet Arthropathy?

<p>Degenerative Disc Disease (DDD) (C)</p> Signup and view all the answers

What is a significant feature of MRI scans compared to CT scans for assessing back pain issues?

<p>Enhanced soft tissue contrast (B)</p> Signup and view all the answers

What is the primary imaging modality for assessing spinal cord signal in the context of spinal stenosis?

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

Which imaging technique is best suited for visualizing non-union, lysis, or 'fracture' often seen on lateral X-ray views?

<p>X-rays (D)</p> Signup and view all the answers

Which condition involves the forward displacement of one vertebra over another without a fracture?

<p>Spondylolisthesis (A)</p> Signup and view all the answers

Which type of joint is primarily affected in facet arthropathy?

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

In the context of back pain, what is a common feature of discogenic back pain?

<p>Central disc herniation (A)</p> Signup and view all the answers

Which imaging modality is most appropriate for evaluating the severity of spondylolytic spondylolisthesis?

<p>X-rays (D)</p> Signup and view all the answers

What is a common feature of mechanical back pain due to Ligament Sprains?

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

In the context of back pain diagnosis, which imaging modality is best suited for visualizing soft tissue structures like the spinal cord signal?

<p>MRI scan (A)</p> Signup and view all the answers

Which condition is characterized by the forward displacement of one vertebra over another, often seen on imaging studies like X-rays or CT scans?

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

Which type of spine condition is commonly associated with Discogenic Back Pain due to degeneration or damage to the intervertebral discs?

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

When investigating back pain, which imaging modality is more useful compared to X-rays for visualizing detailed bony structures and soft tissues like the spinal cord signal?

<p>MRI scan (A)</p> Signup and view all the answers

Facet arthropathy involves which type of joint in the spine?

<p>Facet joints (D)</p> Signup and view all the answers

Which spine condition can lead to non-union and lytic changes often mistaken for a fracture on lateral X-ray views?

<p>Spondylolisthesis (A)</p> Signup and view all the answers

In the context of back pain, what is a common developmental variation of the neural arches that can contribute to spondylolisthesis?

<p><code>Pars Interarticularis Defect</code> (C)</p> Signup and view all the answers

Individuals with which spine condition often experience pain exacerbated by lumbar extension or lateral flexion to the affected side?

<p><code>Facet Arthropathy</code> (A)</p> Signup and view all the answers

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