Matthew Coulson
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Spinal Cord and Root Dysfunction given on 20/09/2018

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Matthew Coulson
Erstellt von Matthew Coulson vor mehr als 5 Jahre
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Spinal Cord and Root Dysfunction

Frage 1 von 16

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Pain/paraesthesia affecting only the legs is likely to have a ( lumbar, cervical, thoracic ) origin
Pain/paraesthesia affecting only the arms is likely to have a ( cervical, lumbar, thoracic ) origin

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Frage 2 von 16

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How are reflexes affected by Upper & Lower Motor Neuron Lesions?
Upper Motor Neuron Lesions cause ( brisk, decreased or absent ) reflexes
Lower Motor Neuron Lesions cause ( decreased or absent, brisk ) reflexes

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Frage 3 von 16

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Clonus is a series of involuntary rhythmic muscle contractions and relaxations. In which type of motor neuron lesions are these present?

Wähle eine der folgenden:

  • Upper Motor Neuron Lesions

  • Lower Motor Neuron Lesions

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Frage 4 von 16

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Upper Motor Neuron Lesions cause decreased tone
Lower Motor Neuron Lesions cause increased tone

Wähle eins der folgenden:

  • WAHR
  • FALSCH

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Frage 5 von 16

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= Compression, or 'pinching', of the nerve as it leaves the spinal cord
= Compression of the spinal cord itself

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    Radiculopathy
    Myelopathy

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Frage 6 von 16

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Back pain in the ( Thoracic, Cervical, Lumbar ) area is extremely rare as it is supported by the ( ribcage, sacrum, clavicles ). Therefore, pain in this area is a red flag as it tends to indicate myelopathy.

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Frage 7 von 16

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Lumbar ( spinal stenosis, ankylosing spondylitis, disc herniation ) tends to cause claudication which is exacerbated by ( mobilisation, rest ) and relieved by ( bending forwards/walking uphill, ensuring good posture/walking downhill, bending backwards/walking downhill ). Patients with neurogenic claudication tend to feel pain/paraesthesia down the ( back of their thighs, back of their calves ).

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Frage 8 von 16

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The presence or absence of which cardiovascular features of the body helps to differentiate neurogenic claudication from vascular claudication?

The presence or absence of the

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Frage 9 von 16

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A woman is brought into A&E by her husband complaining of shooting pains in her back and both of her legs. Upon further questioning she admits to being incontinent of urine for the past half day and has had a feeling of numbness between the legs when sitting on the toilet.

This woman likely has Syndrome
This condition warrants an emergency scan

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Frage 10 von 16

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What are the 4 main red flags for Cauda Equina Syndrome?

Wähle eine oder mehr der folgenden:

  • Saddle anaesthesia

  • Bilateral leg pain

  • Loss of bowel/bladder function

  • Severe lumbosacral back pain

  • Loss of reflexes

  • Erectile dysfunction

  • Numbness of the outer thighs

  • Severe mid-thoracic back pain

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Frage 11 von 16

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In terms of back pain, age is only considered a red flag when the patient is under 20 years of age.

Wähle eins der folgenden:

  • WAHR
  • FALSCH

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Frage 12 von 16

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A 27 year old woman presents complaining of progressive tingling & numbness in both of her hands that is now causing her to occasionally drop items around the house and at work. She is concerned as this is affecting her work.

This woman is likely to be suffering from a ( Cervical, Lumbar, Thoracic ) ( Myelopathy, Radiculopathy )

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Frage 13 von 16

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Is cervical myelopathy considered an upper or lower motor neuron lesion?

Wähle eine der folgenden:

  • Upper motor neuron lesion

  • Lower motor neuron lesion

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Frage 14 von 16

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Name the test for Cervical Myelopathy described below:

This test involved the doctor holding the middle finger steady before quickly forcing its flexion at the DIP joint. If, by forcing this motion, the index finger and thumb then also involuntarily flex, there is a positive sign and cervical myelopathy is not ruled out.

This test is called test.

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Frage 15 von 16

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Cervical Myelopathy can also be indicated by Lhermitte's sign, but what is this?

Wähle eine der folgenden:

  • Sudden transient electric-like shocks extending down the spine triggered by flexing the head forwards

  • Sudden transient electric-like shocks extending down the spine triggered by extending the head backwards

  • Sudden transient electric-like shocks extending down the spine triggered by rotating the head

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Frage 16 von 16

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The condition characterised by chronic pain following back surgeries is known as syndrome

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