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Questions and Answers
Which of the following signs is NOT commonly associated with cervical spondylosis?
Which of the following signs is NOT commonly associated with cervical spondylosis?
Which assessment is specifically focused on the upper extremities in the context of cervical spondylosis?
Which assessment is specifically focused on the upper extremities in the context of cervical spondylosis?
What symptom would most likely indicate irritation in the cervical spine area?
What symptom would most likely indicate irritation in the cervical spine area?
Which of the following assessments would be least relevant in diagnosing cervical spondylosis?
Which of the following assessments would be least relevant in diagnosing cervical spondylosis?
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Which combination of symptoms and assessments aligns most closely with a diagnosis of cervical spondylosis?
Which combination of symptoms and assessments aligns most closely with a diagnosis of cervical spondylosis?
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Which condition is characterized by inflammation of joints and often leads to pain and stiffness in the cervical region?
Which condition is characterized by inflammation of joints and often leads to pain and stiffness in the cervical region?
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Which of the following conditions is primarily related to the cervical spine and may cause acute pain due to damage to the cervical discs?
Which of the following conditions is primarily related to the cervical spine and may cause acute pain due to damage to the cervical discs?
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Which condition is noted for chronic tension and pain in the neck muscles, often stemming from psychological stress?
Which condition is noted for chronic tension and pain in the neck muscles, often stemming from psychological stress?
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Among the following conditions, which is least likely to be associated with spinal structural changes seen in cervical spondylosis?
Among the following conditions, which is least likely to be associated with spinal structural changes seen in cervical spondylosis?
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Which of the following conditions is described as a progressive autoimmune disorder affecting the central nervous system, potentially impacting cervical function?
Which of the following conditions is described as a progressive autoimmune disorder affecting the central nervous system, potentially impacting cervical function?
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What type of pain is commonly experienced at rest in the second stage of frozen shoulder?
What type of pain is commonly experienced at rest in the second stage of frozen shoulder?
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Which of the following is a critical aspect to identify in differentiating frozen shoulder from impingement?
Which of the following is a critical aspect to identify in differentiating frozen shoulder from impingement?
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What is the characteristic change in range of motion (ROM) in the second stage of frozen shoulder?
What is the characteristic change in range of motion (ROM) in the second stage of frozen shoulder?
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What duration indicates the second stage of frozen shoulder?
What duration indicates the second stage of frozen shoulder?
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Which symptom is associated with the painful pre-adhesive stage of frozen shoulder?
Which symptom is associated with the painful pre-adhesive stage of frozen shoulder?
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What is a characteristic feature of the third stage of frozen shoulder?
What is a characteristic feature of the third stage of frozen shoulder?
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Which of the following symptoms is typically observed during the third stage of frozen shoulder?
Which of the following symptoms is typically observed during the third stage of frozen shoulder?
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How long is the duration of the third stage of frozen shoulder typically?
How long is the duration of the third stage of frozen shoulder typically?
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What does an examination under anesthesia (EUA) reveal in the context of the third stage of frozen shoulder?
What does an examination under anesthesia (EUA) reveal in the context of the third stage of frozen shoulder?
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Which of the following is not a typical feature of the acute adhesive or ‘freezing’ stage of frozen shoulder?
Which of the following is not a typical feature of the acute adhesive or ‘freezing’ stage of frozen shoulder?
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Which of the following muscles is primarily associated with tightness of the adductors and internal rotators?
Which of the following muscles is primarily associated with tightness of the adductors and internal rotators?
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Which muscle group is notably weak in the presence of shoulder retractors weakness?
Which muscle group is notably weak in the presence of shoulder retractors weakness?
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Among the following, which muscle contributes to tightness in the context of shoulder adductor and internal rotator issues?
Among the following, which muscle contributes to tightness in the context of shoulder adductor and internal rotator issues?
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Which of the following options lists muscles that relate to weakness of shoulder retractors?
Which of the following options lists muscles that relate to weakness of shoulder retractors?
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Which of the following muscles is least likely to contribute to tightness of adductors and internal rotators?
Which of the following muscles is least likely to contribute to tightness of adductors and internal rotators?
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Study Notes
Frozen Shoulder Stages
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Stage 1: Painful and Pre-Adhesive Stage
- Duration: 0-3 months
- Symptoms: Mild erythematous synovitis, sharp pain at end ranges of motion (ROM), achy pain at rest and sleep disturbance, mild decrease in ROM
- Key point: Loss of external rotation with an intact rotator cuff must be recognized to avoid misdiagnosis with impingement.
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Stage 2: Acute Adhesive or “Freezing” Stage
- Duration: 3-9 months
- Symptoms: Thickened red synovitis, very painful end ranges of all motions, ROM loss becomes more profound and sustained with or without anesthesia
- Key Point: Synovial fluid analysis (EUA) reveals connective tissue changes resulting in loss of motion.
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Stage 3: Thawing Stage
- Tightness of adductors: pectoralis major, latissimus dorsi, teres major
- Weakness of shoulder retractors and internal rotators: middle and lower trapezius, rhomboids
Frozen Shoulder Differential Diagnosis
- Decreased cervical range of motion
- Crepitus (clicking or cracking sound)
- Tenderness
- Spasm
- Neurological assessment of the upper extremities
- Gait and lower extremity reflexes assessment
Cervical Spondylosis Differential Diagnosis
- Adhesive capsulitis (Frozen Shoulder)
- Cervical disc disease
- Cervical sprain and strain
- Myofascial Pain
- Multiple sclerosis (MS)
- Rheumatoid arthritis
Radiological Findings in Cervical Spondylosis
- Note: No radiological findings are listed in your text. You may need to consult a medical textbook or reliable source for this information.
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Description
Explore the stages of frozen shoulder, including the symptoms and key points for each stage. Understand the differential diagnosis, particularly how to recognize specific symptoms and avoid misdiagnosis. This quiz will enhance your knowledge of shoulder pain and its management.
