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Spinal Cord Compression

Matthew Coulson 15 preguntas

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Preguntas del test (15)

  1. 1The lateral corticospinal tracts decussate in the [blank_start]medulla[blank_end], then move down the spinal cord and synapse at the anterior horn on the [blank_start]contralateral[blank_end] side to their origin (the primary motor cortex). Despite this, the tracts are considered to be [blank_start]ipsilateral[blank_end] tracts due to the fact that they do not decussate at their level of entry and travel down the spinal cord on the same side as the structure they are innervating.
    1. Amedulla
    2. Bmidbrain
    3. Cpons
    4. Dcontralateral
    5. Eipsilateral
    6. Fipsilateral
    7. Gcontralateral
  2. 2Do upper motor neuron lesions tend to cause hyper or hyporeflexia?
    1. AHyporeflexia
    2. BHyperreflexia
  3. 3In terms of the main sensory and motor pathways:
    Dorsal Column pathway: [blank_start]Ipsilateral[blank_end]
    Spinothalamic Tract: [blank_start]Contralateral[blank_end]
    Corticospinal tract: [blank_start]Ipsilateral[blank_end]
    1. AContralateral
    2. BIpsilateral
    3. CIpsilateral
    4. DContralateral
    5. EIpsilateral
    6. FContralateral
  4. 4The dorsal column/medial lemniscus pathway is considered an ipsilateral pathway as it also decussates at the [blank_start]medulla[blank_end]
    1. Amedullary level
    2. Brelevant spinal level
    3. Clevel of the pons
    4. Dlevel of the midbrain
  5. 5Define Spondylosis
    1. AA painful condition of the spine resulting from the degeneration of the intervertebral discs.
    2. Ba painful condition of the spine resulting from the degeneration of the vertebral body
    3. Ca painful condition of the spine resulting from the degeneration of the spinous processes
    4. Da painful condition of the spine resulting from the degeneration of the articular processes
  6. 6Which of the following conditions causes complete sensory and motor loss below the site of the lesion?
    1. ASpinal Cord Transection
    2. BBrown-Sequard Syndrome
    3. CCentral Cord Syndrome
    4. DAnterior Cord Syndrome
  7. 7A patient presents to A&E with a stab wound in the left side of his back. He has the following signs:

    - Extreme weakness and complete loss of pinprick sensation on the left side from T7 downwards
    - Extreme pain on his left side
    - No response to painful or thermal stimuli on his right side from T6 downwards

    Diagnose this patient.
    1. ACentral Cord syndrome
    2. BLateral Cord syndrome
    3. CAnterior Cord syndrome
    4. DBrown Sequard Syndrome
  8. 8A patient presents to A&E with a stab would in the right lower thoracic area of his back. On which side of his body would you expect him to have the following deficits?
    Loss of sensory function and proprioception - [blank_start]Right[blank_end]
    Loss of motor function - [blank_start]Right[blank_end]
    Loss of response to painful & thermal stimuli - [blank_start]Left[blank_end]
    1. ALeft
    2. BRight
    3. CRight
    4. DLeft
    5. ERight
    6. FLeft
  9. 9An elderly man presents to A&E with a large bruised lump in the centre of his forehead. His wife describes that he tripped over a curb outside his house and fell straight onto his face. He complains that he cannot move his hands at all and has horrible tingly pains in these areas.
    What is this man likely suffering from?
    1. ACentral cord syndrome
    2. BBrown Sequard syndrome
    3. CAnterior cord syndrome
    4. DLateral cord syndrome
  10. 10Central cord syndrome is a typically hyperflexion/hyperextension injury to an already stenotic neck, typically affecting the upper limbs while sparing the lower limbs
    1. AVerdadero
    2. BFalso

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Descripción
Spinal Cord Compression lecture given on 25/09/2018
Idioma
English
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