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

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

<p>Weight loss reduction (B)</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 (A)</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 (D)</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 (B)</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 (B)</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 (D)</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 (A)</p> Signup and view all the answers

Which imaging modality is preferred for diagnosing vertebral infection?

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

What is the most common cause of vertebral osteomyelitis?

<p>Hematogenous spread of Staphylococcus aureus (B)</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 (B)</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 (C)</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 (D)</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% (A)</p> Signup and view all the answers

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

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

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

<p>Sensory loss and weakness (B)</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 (C)</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 (A)</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 (D)</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 (A)</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 (A)</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 (D)</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 (D)</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 (C)</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 (C)</p> Signup and view all the answers

What are the emergent complications associated with lumbar radiculopathy?

<p>Cauda equina syndrome and severe lumbar radiculopathy (C)</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 (B)</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 (A)</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 (D)</p> Signup and view all the answers

How can deconditioning affect patients with lumbar radiculopathy over time?

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

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

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

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Week 5 LBP (Moodle Version) PDF
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