July 16Th Review Questions Ch 281-286

July 16th Review Questions Ch 281-286

Chapter 281 1) Why are cervical injuries more likely to result in purely sensory or strength loss than in lumbar injuries?

2) Why is the cervical spine more resistant to prolapse than the lumbar spine?

-Which cervical disk is most likely to prolapse?

3) What is the difference between radiculopathy and myelopathy?

4) Which symptoms suggest cervical problems involving the roots or spinal cord (281-1)?

5) Name conditions that predispose a patient to serious neck injury:

6) Identify physical exam findings of patients with myelopathy:

7) Typical exam findings in central cord syndrome:

8) Which cervical disk roots prolapse the most frequently: Chapter 282 1) Historical risk factors for serious causes of back pain (282-1):

2) Physical exam risk factors for serious causes of back pain(282-1):

3) What constitutes a positive straight leg test?

- What back problem does this finding suggest (define the cause of sciatica)?

4) Define the sensory and motor distributions for L4, L5, S1:

- How would you test these nerve roots?

5) Describe your management of nonspecific back pain:

- Who is at risk of bleeding from NSAIDS?

6) Re. disk herniations: - From which 2 disk levels do 95% of all herniations come?

- Who should get an emergent MRI? 7) What are the typical findings of an epidural compression syndrome?

- Describe your evaluation and treatment of suspected cord compression/ Cauda Equina:

8) What are the predisposing factors of a spinal infection?

For a good neuron exam review, check out http://mchip00.nyu.edu/neurosurgery/index.html

Chapter 283 1) What is shoulder impingement syndrome? Mechanism? Treatment?

2) How do you test the integrity of the 4 rotator cuff muscles?

What is the most commonly torn muscle of the rotator cuff?

What is the ED treatment of a rotator cuff injury?

3) T/F The sling is the treatment of choice for a “frozen shoulder”.

Chapter 284

1) Whom might you want to check peak inspiratory force in?

2) Name rheumatic conditions associated with premature arthrosclerosis or coronary vasculitis: 3) Identify initial symptoms of acute rheumatic fever:

4) T/F Adrenal insufficiency secondary to sudden withdrawal of steroids usually presents with hyponatremia and hyperkalemia. Why?

5) Describe the clinical findings and causes of anterior spinal artery syndrome:

6) Describe the presenting symptoms of temporal arteritis and usual work up:

7) Who is at risk for scleritis and what is it?

Chapter 285 1) In human bites, what bacteria are commonly involved? Antibiotic of choice?

-in cat and dog bites, bacteria and antibiotic?

2) How do you differentiate hand cellulitis from deeper infections?

3) What are the 4 classic findings of flexor tenosynovitis?

4) How do you treat a paronychia? A felon?

5) What type of workers are at high risk for herpetic whitlow?

6) Treatment of tendinitis? 7) How do you test for De Quervain’s tenosynovitis?

Treatment?

8) Which fingers usually tingle in carpal tunnel syndrome?

Chapter 286 1) Review Table 286-1 and 286-4.

2) T/F Laboratory tests other than joint fluid analysis can be reliably used to exclude septic joint.

3) Review the arthrocentesis techniques described in the chapter.

4) What is the most common cause of septic arthritis in adolescents and young adults?

5) T/F Serum uric acids can be reliably used to diagnose an acute gouty flare.

Gout treatment:

6) RA classically spares which joints?