60 Questions
Which of the following is NOT a symptom of cauda equina syndrome?
Fever and chills
What is the common imaging finding in patients with Degenerative Disc Disease (DDD)?
Disc space narrowing
Which condition is characterized by the forward displacement of one vertebra over another?
Spondylolisthesis
What is the primary cause of Discogenic Back Pain?
Loss of proteoglycans and fluid in the disc
Which condition involves the inflammation and degeneration of the facet joints in the spine?
Facet arthropathy
What is a common feature of mechanical back pain due to Ligament Sprains?
Decreased range of motion (ROM)
Which condition involves the slipping forward of one vertebra over another without a fracture?
Spondylolisthesis
Which imaging modality is best for visualizing disc protrusion or herniation?
MRI scan
Which of the following conditions is characterized by a vertebra sitting forward on the one below it?
Spondylolisthesis
In which case is a CT or MRI scan more useful compared to X-rays for imaging purposes?
Discogenic back pain
Which condition is often related to aging and presents with unilateral neck or low back pain?
Spondylolisthesis
Pain exacerbated by lumbar extension or lateral flexion to the affected side is characteristic of which condition?
Facet arthropathy
Which condition can cause neurologic findings such as weakness, sensory dermatomic pain, and reflex loss?
DDD
Which type of joint is affected in facet arthropathy?
"Zygaphyseal joints"
What is one of the key differentiating factors between Spinal Claudication and Vascular Claudication?
Spinal Claudication gets better when sitting, while Vascular Claudication worsens with sitting.
What symptom is commonly associated with SI Ligament Sprain?
Buttock pain
Which condition is characterized by the narrowing of facet joints leading to neural foraminal stenosis?
Facet Arthropathy
What is a common risk factor for Peripheral Vascular Disease or known atherosclerosis as mentioned in the text?
Weak pedal pulses
When does Mechanical Back Pain typically warrant imaging investigations according to the text?
Within 3-6 months if symptoms are not settling or significantly impacting functioning
What is a characteristic feature of Scoliosis mentioned in the text?
Progressive sideways curvature of the spine
Which condition often presents with nerve root pain that can be reproduced by leaning to one side?
Facet Arthropathy
What is the common developmental variation of the neural arches that can lead to spondylolisthesis?
Spondylolysis
Which imaging modality is best suited for assessing spinal cord signal in the context of spinal stenosis?
MRI
What condition is characterized by narrowing of the spinal canal?
Spinal stenosis
Which process can contribute to spinal stenosis by causing ligamentum flavum hypertrophy or facet hypertrophy?
Degenerative disease
What kind of pain is typically experienced by individuals with spinal or neurogenic claudication when walking?
Pain in legs worsening with walking
Which condition is often associated with worse back pain during forward flexion because of the forward slip moving more forward?
Spondylolisthesis
What can lead to non-union or lysis often mistaken for a 'fracture' seen on lateral X-ray views?
Spondylolysis
"Imagine that the forward slip moves more forward with bending forward" refers to which condition associated with worse back pain during such movement?
Spondylolisthesis
In the context of back pain, which imaging modality is best suited for visualizing disc protrusion or herniation?
MRI scan
Which imaging technique can demonstrate increased uptake suggesting active bone turnover in patients with facet arthropathy?
Bone scan
What is the common etiology of spondylolisthesis as mentioned in the text?
Aging
Which condition is characterized by the forward displacement of one vertebra over another?
Spondylolisthesis
When investigating facet arthropathy, which imaging modality can be more useful than plain X-rays?
CT scan
In cases where disc protrusion or herniation needs to be visualized, which imaging technique is NOT recommended?
X-ray
What is a characteristic feature of discogenic back pain that helps differentiate it from other back conditions?
"Pinched or compressed nerve"
Which imaging modality is commonly used to detect degenerative changes in facet joints associated with facet arthropathy?
X-ray
What is the primary reason for diagnosing Cauda Equina Syndrome with a CT or MRI scan?
To confirm bladder and bowel dysfunction
In the context of back pain, what is a common finding associated with Facet Arthropathy?
Decreased range of motion (ROM)
Which imaging modality is best suited for visualizing spondylolisthesis in patients with back pain?
X-ray
What is a distinguishing feature of Discogenic Back Pain in the context of Degenerative Disc Disease (DDD)?
Microfracture of collagen and loss of proteoglycans
When should a CT scan be preferred over X-rays for imaging mechanical back pain?
To confirm narrowing of facet joints
What is a common symptom associated with Spondylolisthesis?
Lower leg weakness
Which condition is NOT commonly associated with Facet Arthropathy?
Degenerative Disc Disease (DDD)
What is a significant feature of MRI scans compared to CT scans for assessing back pain issues?
Enhanced soft tissue contrast
What is the primary imaging modality for assessing spinal cord signal in the context of spinal stenosis?
MRI
Which imaging technique is best suited for visualizing non-union, lysis, or 'fracture' often seen on lateral X-ray views?
X-rays
Which condition involves the forward displacement of one vertebra over another without a fracture?
Spondylolisthesis
Which type of joint is primarily affected in facet arthropathy?
Facet joint
In the context of back pain, what is a common feature of discogenic back pain?
Central disc herniation
Which imaging modality is most appropriate for evaluating the severity of spondylolytic spondylolisthesis?
X-rays
What is a common feature of mechanical back pain due to Ligament Sprains?
Facet hypertrophy
In the context of back pain diagnosis, which imaging modality is best suited for visualizing soft tissue structures like the spinal cord signal?
MRI scan
Which condition is characterized by the forward displacement of one vertebra over another, often seen on imaging studies like X-rays or CT scans?
Spondylolisthesis
Which type of spine condition is commonly associated with Discogenic Back Pain due to degeneration or damage to the intervertebral discs?
Spondylolisthesis
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?
MRI scan
Facet arthropathy involves which type of joint in the spine?
Facet joints
Which spine condition can lead to non-union and lytic changes often mistaken for a fracture on lateral X-ray views?
Spondylolisthesis
In the context of back pain, what is a common developmental variation of the neural arches that can contribute to spondylolisthesis?
Pars Interarticularis Defect
Individuals with which spine condition often experience pain exacerbated by lumbar extension or lateral flexion to the affected side?
Facet Arthropathy
Learn about the insidious onset of chronic pain related to disc herniation. Understand how discogenic back pain and DDD can be detected on X-ray, CT scan, and MRI scan. Explore the differences between acute pain from disc herniation and chronic pain from DDD.
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