Spinal Disc Herniation and Scheuermann's Disease

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Questions and Answers

What is the primary difference between costovertebral disorders and facet mechanical dysfunction in terms of pathomechanics?

  • One is more common in the thoracic spine and the other is more common in the lumbar spine
  • One is related to mild trauma and the other is not
  • One is unilateral and the other is bilateral
  • They are similar in pathomechanics and clinical presentation (correct)

What is the main reason for the increased pain during deep respiration movements in costovertebral disorders?

  • The stimulation of the rib dysfunc on and adjacent muscle spasm (correct)
  • The increased pressure on the costovertebral joint
  • The rotation of the thoracic spine
  • The irritation of the thoracic disc

Which of the following is NOT a treatment option for costovertebral disorders?

  • Manipulation
  • Therapeutic ultrasound
  • Surgery (correct)
  • Pharmacological pain relief

What is the characteristic pattern of pain radiation in costovertebral disorders?

<p>Pain radiates along the line of the ribs (C)</p> Signup and view all the answers

What is the primary etiological factor in costovertebral disorders?

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

Which of the following conditions is NOT a differential diagnosis for costovertebral disorders?

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

What is the primary complaint of patients with central herniation?

<p>Sensory/motor problems in corresponding compressed area and below (D)</p> Signup and view all the answers

Which of the following is NOT a characteristic of myelopathic pain?

<p>Aching or dull pain (A)</p> Signup and view all the answers

What is the most common location of herniation in degenerative joint disease?

<p>At T11 and T12 (C)</p> Signup and view all the answers

What is the primary cause of referred pain in herniated discs?

<p>Chemical irritation of nerve roots (B)</p> Signup and view all the answers

Which of the following is a characteristic of radicular pain?

<p>Sharp, electric, burning, shooting pain (A)</p> Signup and view all the answers

What is the primary goal of treatment for herniated discs?

<p>To relieve compression on the spinal cord (B)</p> Signup and view all the answers

What is the primary method for confirming a diagnosis of Herpes Zoster?

<p>Tzanck test (D)</p> Signup and view all the answers

What is a common cause of spinal cord compression in patients with Scheuermann's disease?

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

Which of the following is NOT a common symptom of Scheuermann's disease?

<p>Sensory loss (C)</p> Signup and view all the answers

What is the primary goal of treatment for patients with Scheuermann's disease?

<p>Reducing weight-bearing activities (C)</p> Signup and view all the answers

What is the pathophysiological mechanism underlying Herpes Zoster?

<p>Reactivation of latent virus in posterior dorsal root ganglion (B)</p> Signup and view all the answers

What is a characteristic feature of the rash associated with Herpes Zoster?

<p>Unilateral and dermatomal (D)</p> Signup and view all the answers

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