Spinal Deformities and Disc Herniation Quiz
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Questions and Answers

What imaging modality is commonly used to diagnose thoracic disc herniation?

  • Computed Tomography (CT) Myelogram (correct)
  • Electromyography (EMG) and Nerve Conduction Studies (NCS)
  • Magnetic Resonance Imaging (MRI)
  • Plain radiographs (X-rays)

    • What is the most common level of thoracic disc herniation?

  • T1-T2
  • T11-T12 (correct)
  • T5-T6
  • T8-T9

    • Which of the following is a characteristic feature of adult spinal deformity?

  • Sagittal imbalance greater than 5 cm
  • Scoliosis with a curve greater than 10 degrees
  • Chronic back pain and radicular symptoms
  • All of the above (correct)

    • What is the most common cause of kyphosis in adults?

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

    Which of the following is a characteristic feature of idiopathic scoliosis?

    <p>Progression of the curve after skeletal maturity</p> Signup and view all the answers

    What is the primary goal of conservative management for thoracic disc herniation?

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

    What is the most common cause of thoracic spine fractures in adults?

    <p>High-energy trauma (e.g., motor vehicle accidents, falls from height)</p> Signup and view all the answers

    What is the typical age of onset for adult spinal deformity?

    <p>60 years old</p> Signup and view all the answers

    Which diagnostic test confirms the diagnosis of thoracic spine disc herniation?

    <p>MRI of the thoracic spine</p> Signup and view all the answers

    What is the recommended treatment for thoracic spondylosis?

    <p>NSAIDs and oral steroids</p> Signup and view all the answers

    Which diagnostic test involves using intrathecal contrast to confirm a diagnosis?

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

    Which diagnostic test is used to localize the nerve root involved in cervical myelopathy?

    <p>EMG/NCS</p> Signup and view all the answers

    What imaging technique is recommended for assessing adult spinal deformity?

    <p>Plain X-ray</p> Signup and view all the answers

    What is the main cause of spinal stenosis in the thoracic region?

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

    Which diagnostic test is commonly used to evaluate adult spinal deformity?

    <p>Plain X-ray</p> Signup and view all the answers

    What is a common symptom associated with adult spinal deformity?

    <p>Thoracic back pain worse with sitting/bending forward</p> Signup and view all the answers

    What is the primary purpose of performing a myelogram?

    <p>To evaluate the spinal cord and nerve roots</p> Signup and view all the answers

    Which of the following tests is most commonly used to evaluate nerve conduction and muscle function?

    <p>Electromyography (EMG) and Nerve Conduction Study (NCS)</p> Signup and view all the answers

    Which spinal region is most commonly affected by thoracic disc herniation?

    <p>Thoracic spine</p> Signup and view all the answers

    What is the primary characteristic of scoliosis?

    <p>Abnormal curvature of the spine from side to side</p> Signup and view all the answers

    Which of the following is a common risk factor for adult spinal deformity?

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

    What is the primary diagnostic imaging modality used for evaluating spinal deformities like scoliosis?

    <p>X-ray</p> Signup and view all the answers

    Which of the following is a potential complication of a thoracic disc herniation?

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

    What is the primary treatment goal for adult spinal deformity?

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

    Which of the following conditions is characterized by an abnormal forward curvature of the spine?

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

    Which of the following is a common symptom associated with cervical radiculopathy?

    <p>Arm pain and weakness</p> Signup and view all the answers

    What is the primary treatment goal for conservative management of thoracic disc herniation?

    <p>Alleviate pain and improve function</p> Signup and view all the answers

    Which of the following is a characteristic feature of adult spinal deformity?

    <p>Decreased range of motion</p> Signup and view all the answers

    What is the most common cause of thoracic spine fractures in adults?

    <p>Motor vehicle accidents</p> Signup and view all the answers

    Which diagnostic test is commonly used to evaluate adult spinal deformity?

    <p>Radiographic imaging</p> Signup and view all the answers

    What is the most common level of thoracic disc herniation?

    <p>T5-T6</p> Signup and view all the answers

    Which of the following is a potential complication of a thoracic disc herniation?

    <p>Spinal cord compression</p> Signup and view all the answers

    What is the most common level for the nucleus pulposus to extrude through the annulus fibrosis?

    <p>T11/T12</p> Signup and view all the answers

    Which of the following is a common symptom associated with cervical or thoracic spine pathology?

    <p>Numbness in the upper extremities</p> Signup and view all the answers

    What is a key difference in the assessment of pain and tenderness in evaluating cervical and thoracic spine conditions?

    <p>Subjective and objective</p> Signup and view all the answers

    Which special test involves pressing on the coronal aspect of the head with the patient gazing upright and lateral?

    <p>Spurling test</p> Signup and view all the answers

    What is a crucial component of a patient's history that aids in evaluating cervical or thoracic spine pathologies?

    <p>Limitation of daily activities</p> Signup and view all the answers

    Which imaging modality is commonly used to evaluate cervical or thoracic spine pathologies?

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

    What is the most common mechanism of action for cervical spine injury?

    <p>Whiplash injury</p> Signup and view all the answers

    What is the primary symptom associated with cervical spondylosis (degenerative disc disease)?

    <p>Neck and shoulder pain worsened by upright activity</p> Signup and view all the answers

    Which special test is used to assess for cervical spondylosis or disc herniation?

    <p>Spurling's maneuver</p> Signup and view all the answers

    What is a common finding on physical examination in a patient with torticollis (wry neck)?

    <p>Resting deviation of the head to the affected side</p> Signup and view all the answers

    Which of the following is NOT a recommended treatment for non-traumatic posterior neck pain?

    <p>Surgical intervention</p> Signup and view all the answers

    What is the primary diagnostic test used to rule out a cervical spine fracture?

    <p>CT scan</p> Signup and view all the answers

    What is the most common level affected in cervical disk herniation?

    <p>C5/C6</p> Signup and view all the answers

    What is the primary cause of cervical stenosis in younger individuals?

    <p>Congenital narrowing</p> Signup and view all the answers

    Which of the following is NOT a recommended treatment for cervical radiculopathy?

    <p>Spinal manipulation</p> Signup and view all the answers

    What is the diagnostic test used to determine the type of neurological involvement in cervical radiculopathy?

    <p>EMG/NCS</p> Signup and view all the answers

    What is the positive clinical sign in the Spurling's Maneuver test for cervical radiculopathy?

    <p>Pain aggravation with neck extension</p> Signup and view all the answers

    What is the primary mechanism of injury in thoracic disk herniation?

    <p>Degenerative changes</p> Signup and view all the answers

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