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Spine Quiz

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1 / 50

A 51-year-old male with a pacemaker reports difficulty with urination and numbness in his bilateral buttock. His symptoms began 12 hours ago. What is the next step in management?

2 / 50

Biomechanical studies have shown that an atlanto-dens interval of >7mm is likely associated with?

3 / 50

When performing facet joint injection for the diagnosis of facet joint pain, which of the following statements is correct?

4 / 50

When considering spinal infection, which of the following is false?

5 / 50

Following surgical treatment of a lumbar disc herniations with radiculopathy, patients with worker’s compensation claims have which of the following when compared to patients who do not have worker’s compensation claims at 5 years?

6 / 50

In patients with lumbar disc herniations resulting in significant unilateral leg pain but no functionally limiting weakness, surgical decompression has what long term effects when compared to nonoperative management.

7 / 50

When compared to normal controls, adults with untreated idiopathic scoliosis and a Cobb angle of greater than 60 degree at the time of skeletal maturity have a higher rate of which of the following?

8 / 50

With regard to childhood spondylolisthesis

9 / 50

In elderly patients with type II odontoid fractures, which of the following treatment modalities has the highest morbidity and mortality?

10 / 50

Which factor is most indicative of progression in an adolescent idiopathic scoliosis?

11 / 50

A 13 year-old boy is brought to your office because his mother is concerned about his poor posture. A lateral radiograph shows thoracic kyphosis of 38 degrees. This likely represents:

12 / 50

Which injury is most likely to occur in the cervical spine A seat belt restrained driver of a stationary car is rear ended from behind by another vehicle with his head thrown backwards and hyperextension in the lower cervical spine?

13 / 50

All of the following are attributed to the loss of supraspinal control of the sympathetic nervous system that commonly occurs in patients with spinal cord lesions at T-6 or higher EXCEPT

14 / 50

Which classification system for cervical myelopathy focuses exclusively on lower extremity function?

15 / 50

A 30-year-old male is involved in a motor vehicle accident and sustains a fracture-dislocation of the cervical spine. On physical exam he has absent distal motor function, absent sensation, absent rectal tone, and an intact bulbocavernosus reflex. Which term best describes this spinal cord injury pattern?

16 / 50

Which of the following is true about thoracic disc disease?

17 / 50

In the treatment of thoracolumbar idiopathic scoliosis using an anterior single rod technique with interbody cages, which of the following variables has been associated with pseudoarthrosis.

18 / 50

All the statements regarding central cord syndrome are true EXCEPT?

19 / 50

Which of the following statements regarding osteoid osteomas in the spine is correct?

20 / 50

Which of the following is considered the lowest level that a standard thoracolumbosacralorthosis (TLSO) can immobilise?

21 / 50

Which of the following best describes a patient’s functional level with a complete C5 spinal cord injury?

22 / 50

In patients with degenerative spondylolisthesis undergoing posterolateral fusion, the use of pedicle screws have been shown to

23 / 50

Which injury is most likely to occur in the cervical spine In a high speed car accident the unrestrained passenger in the front hits his head against the dashboard?

24 / 50

In the anterior approach to C5, what structure is less vulnerable from the left side than from the right?

25 / 50

With regard to the Brown-Sequard syndrome all the statements are true EXCEPT?

26 / 50

In a seventy year old man requiring an anterior cervical discectomy and fusion, the common carotid artery divides into internal and external carotid arteries at what level ?

27 / 50

A 49-year-old male presents with saddle anesthesia, lower extremity weakeness, and urinary retention. When must surgical decompression be done to improve bladder and motor recovery?

28 / 50

Functional electrical stimulation is used in the rehabilitation of patients with spinal cord injuries. This rehabiliation method has the greatest functional effect on which of the following?

29 / 50

Treatment options for a symptomatic cervical pseudoarthrosis following anterior cervical diskectomy and fusion include revision anterior surgery versus a posterior instrumented cervical fusion. When comparing these treatment options, all of the following are true of posterior cervical fusion EXCEPT:

30 / 50

A patient with severe multi-level spinal stenosis is scheduled to undergo decompression and fusion from T12-L4. Both pedicle screw length and diameter are measured pre-operatively. Which of the following pedicles would be templated for the smallest diameter screw?

31 / 50

What additional diagnostic test is most sensitive to diagnose pediatric spondylolysis when AP and lateral radiographs are normal.

32 / 50

In patients who have corrective surgery for adult scoliosis, what is the most reliable predictor of clinical symptoms postoperatively?

33 / 50

Which of the following is the most common complication following an interbody cage fusion at the level of lumbar spine performed through an anterior approach?

34 / 50

A 35-year-old man complains of clumsiness when buttoning his shirt and frequent episodes of falling when ambulating. Further work-up reveals congenital cervical spinal stenosis with spinal cord compression. Because of his young age, posterior laminoplasty is performed. Which nerve root is most likely to be adversely affected following surgery?

35 / 50

Atlantoaxial instability due to hypoplasia of the odontoid is most commonly seen in which type of mucopolysaccharidosis?

36 / 50

A patient with back pain, both lower limb radiation of pain, urinary retention and saddle anaesthesia:

37 / 50

In assessment of thoraco-lumbar trauma which of the following statements is true?

38 / 50

A 59 year-old man complains of acute pain radiating from the neck down the right upper extremity. Physical exam demonstrates right arm triceps weakness, decreased triceps reflex, and diminished sensation of the middle finger. A cervical disk herniation will likely be foundĀ  at which level?

39 / 50

Which of the following clinical scenarios would be an indication for surgical intervention of the spine?

40 / 50

Anterior transperitoneal approach to lumbar spine:

41 / 50

In patients with incomplete spinal cord injuries what is the most important prognostic variable relating to neurologic recovery?

42 / 50

Postoperative radiculopathy is a known complication of posterior cervical decompression for myelopathy. One potential mechanism of nerve root injury is thought to be tethering of the nerve root with dorsal migration of the spinal cord. What is the most common radicular pattern seen with this condition?

43 / 50

All of the following are characteristics of juvenile ankylosing spondylitis EXCEPT?

44 / 50

With reference to spinal stenosis which of the following statements is true?

45 / 50

An 3-year-old girl developed torticollis after a severe respiratory tract infection 8 months ago. A dynamic computed tomographic (CT) is performed and shows fixed relation of C1 and C2 despite maximum rotation of the head. What is the most appropriate next step in management?

46 / 50

Which is the most avascular disc?

47 / 50

A 35-year-old female presents for evaluation of new onset lumbar spine pain. Which of the following physical exam findings is indicative of an organic cause of low back pain symptoms?

48 / 50

All of the following clinical signs are characteristic of an upper motor neuron disorder EXCEPT

49 / 50

Proper immobilization is critical in young children with suspected cervical spine injuries. In this patient group, a dangerous level of cervical flexion has been associated with what immobilzation technique.

50 / 50

A patient with severe back spasm and pain with elevated CRP:

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The average score is 41%

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