OA of the Spine Quiz Questions

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Questions and Answers

What is the main cause of facet arthropathy?

  • Aging (correct)
  • Facet hypertrophy
  • Degenerative disc disease
  • Osteophytes

Which diagnostic imaging modality is best to visualize disc herniation?

  • Bone scan
  • MRI (correct)
  • X-ray
  • CT scan

What is the typical symptom associated with spinal claudication?

  • Arm pain
  • Back pain with forward flexion
  • Chest pain
  • Leg pain that worsens with walking (correct)

What are the common symptoms of SI ligament sprain?

<p>Buttock pain and difficulty sitting or standing (C)</p> Signup and view all the answers

What is the main cause of spondylolisthesis?

<p>Developmental variation of the neural arches (A)</p> Signup and view all the answers

Which factor distinguishes spinal stenosis from vascular claudication?

<p>Response to leaning backward (A)</p> Signup and view all the answers

What are the consequences of disc herniation?

<p>Muscle weakness, dermatomic pain, reflex loss (A)</p> Signup and view all the answers

What is the purpose of asking patients to point to the location of their pain during history taking?

<p>To understand exactly what hurts (B)</p> Signup and view all the answers

Which of the following is NOT a red flag to consider during history taking and physical examination for back pain?

<p>Bruising in the back area (C)</p> Signup and view all the answers

What should be included in a full physical examination for a patient presenting with back pain?

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

What are the key symptoms associated with cauda equina syndrome?

<p>Saddle anesthesia and bladder dysfunction (D)</p> Signup and view all the answers

In the context of back pain, what does 'saddle anesthesia' refer to?

<p>Numbness affecting the buttocks and perineal area (C)</p> Signup and view all the answers

'Constitutional symptoms' that should be specifically asked about include:

<p>Appetite changes and fatigue (C)</p> Signup and view all the answers

'Back exam' as part of a full physical examination typically involves:

<p>'Palpation for tenderness, range of motion assessment, and neurological testing' (A)</p> Signup and view all the answers

'IVDU' as a red flag in history taking for back pain stands for:

<p>'Intravenous drug use' (D)</p> Signup and view all the answers

'Corticosteroids' as a red flag for possible fracture risk indicates:

<p>'Recent corticosteroid use' (D)</p> Signup and view all the answers

'Trauma' as a red flag for possible fracture in back pain history refers to:

<p>'Physical injury or accident' (C)</p> Signup and view all the answers

'Neurological assessment' as part of full physical examination includes evaluating for:

<p>'Motor function, sensory function, and reflexes' (C)</p> Signup and view all the answers

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