CMS week 5 LBP
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Questions and Answers

What is considered mild radiculopathy?

  • Sensory loss without motor deficits (correct)
  • Severe sensory loss without pain
  • Sensory loss and pain with marked motor deficits
  • Pain with severe motor deficits
  • What increases the need for earlier imaging in patients with radicular symptoms?

  • Severe radiculopathy (correct)
  • Mild motor deficits
  • Spontaneous improvement
  • Progressive cancer risk
  • What is crucial for patients with radicular symptoms according to the text?

  • Pain management medication
  • Weight loss reduction counseling (correct)
  • Physical therapy without counseling
  • Immediate surgical intervention
  • In patients with lumbosacral radiculopathy, what is common without treatment?

    <p>Spontaneous improvement</p> Signup and view all the answers

    When is further imaging or emergent surgical intervention warranted for patients with radicular symptoms?

    <p>When symptoms worsen or are severe</p> Signup and view all the answers

    What does the text emphasize discussing with patients experiencing radicular symptoms?

    <p>Weight loss reduction</p> Signup and view all the answers

    What is the most common prognostic outcome for cases of lumbosacral radiculopathy?

    <p>Self-limited and spontaneous improvement</p> Signup and view all the answers

    What is the recommended duration of conservative management before considering imaging for patients with abnormal neuroimaging findings?

    <p>6 weeks</p> Signup and view all the answers

    Which of the following is NOT mentioned as a condition that requires timely diagnosis to prevent serious consequences in patients with abnormal neuroimaging findings?

    <p>Herniated disc</p> Signup and view all the answers

    What does an MRI provide in terms of views for patients with abnormal neuroimaging findings?

    <p>Both axial and sagittal views</p> Signup and view all the answers

    Which of the following can be visualized using MRI in patients with abnormal neuroimaging findings?

    <p>Discs, ligaments, and nerve roots</p> Signup and view all the answers

    Why is MRI preferred over plain radiographs for detecting spinal infection and malignancy in patients with abnormal neuroimaging findings?

    <p>MRI is more sensitive and specific</p> Signup and view all the answers

    Which imaging modality is preferred for diagnosing vertebral infection?

    <p>MRI</p> Signup and view all the answers

    What is one reason severe symptom intensity or red flag findings may prompt immediate imaging in patients with abnormal neuroimaging findings?

    <p>To prevent serious consequences</p> Signup and view all the answers

    What is the most common cause of vertebral osteomyelitis?

    <p>Hematogenous spread of Staphylococcus aureus</p> Signup and view all the answers

    In which scenario would patients with abnormal neuroimaging findings NOT usually receive immediate imaging according to the text?

    <p>When conservative management has been ineffective</p> Signup and view all the answers

    At which levels of the lumbar spine do approximately 90% of compressive lumbosacral radiculopathies occur?

    <p>L5-S1</p> Signup and view all the answers

    What blood tests are expected to show abnormal results in cases of vertebral infection?

    <p>All of the above</p> Signup and view all the answers

    What percentage of cases of osteomyelitis are estimated to be caused by vertebral infection in the US?

    <p>3-5%</p> Signup and view all the answers

    Which group of individuals is considered at higher risk for vertebral infection?

    <p>Patients with malnutrition</p> Signup and view all the answers

    What symptoms are commonly associated with vertebral infection as it progresses?

    <p>Sensory loss and weakness</p> Signup and view all the answers

    Which of the following disorders of musculoskeletal structures shows a clear relationship between anatomic abnormalities seen on imaging and symptoms?

    <p>Lumbar radiculopathy due to herniated disc</p> Signup and view all the answers

    What is a serious but nonemergent systemic disease affecting the spine, requiring specific treatment but not urgently?

    <p>Inflammatory arthritis</p> Signup and view all the answers

    Which condition requires specific and rapid diagnosis and treatment involving structures like the pelvis, renal structures, and GI structures?

    <p>Visceral disease</p> Signup and view all the answers

    In the context of low back pain occurring with radicular pain, which condition involves central spinal canal stenosis?

    <p>Spondylosis</p> Signup and view all the answers

    What condition presents as piriformis syndrome or iliotibial band syndrome in the differential diagnosis of low back pain with radiculopathy?

    <p>Degenerative Spinal stenosis</p> Signup and view all the answers

    Which of the following is NOT a potential cause of acute low back pain with radiculopathy?

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

    In the context of acute low back pain with radiculopathy, what may involve metastatic lesions and need to be considered in the differential diagnosis?

    <p>Neoplasms</p> Signup and view all the answers

    What is the recommended approach for managing lumbar radiculopathy?

    <p>Staying active at a moderate level and returning to normal activities</p> Signup and view all the answers

    When should additional interventions like injections be considered for lumbar radiculopathy?

    <p>If symptoms persist for over six weeks</p> Signup and view all the answers

    What are the emergent complications associated with lumbar radiculopathy?

    <p>Cauda equina syndrome and severe lumbar radiculopathy</p> Signup and view all the answers

    How does chronic pain develop in patients with lumbar radiculopathy?

    <p>After 6-12 weeks of pain onset</p> Signup and view all the answers

    Which type of symptoms may indicate the need for immediate emergent evaluation in lumbar radiculopathy?

    <p>Red Flag symptoms</p> Signup and view all the answers

    What is the impact of acute radicular pain on patients?

    <p>Loss of function and decreased quality of life</p> Signup and view all the answers

    How can deconditioning affect patients with lumbar radiculopathy over time?

    <p>Resulting in muscle atrophy</p> Signup and view all the answers

    Which intervention is NOT recommended for pain management in lumbar radiculopathy?

    <p>Bed rest</p> Signup and view all the answers

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