<p>July 16th Review Questions Ch 281-286</p><p>Chapter 281 1) Why are cervical injuries more likely to result in purely sensory or strength loss than in lumbar injuries?</p><p>2) Why is the cervical spine more resistant to prolapse than the lumbar spine?</p><p>-Which cervical disk is most likely to prolapse?</p><p>3) What is the difference between radiculopathy and myelopathy?</p><p>4) Which symptoms suggest cervical problems involving the roots or spinal cord (281-1)?</p><p>5) Name conditions that predispose a patient to serious neck injury:</p><p>6) Identify physical exam findings of patients with myelopathy:</p><p>7) Typical exam findings in central cord syndrome:</p><p>8) Which cervical disk roots prolapse the most frequently: Chapter 282 1) Historical risk factors for serious causes of back pain (282-1):</p><p>2) Physical exam risk factors for serious causes of back pain(282-1):</p><p>3) What constitutes a positive straight leg test?</p><p>- What back problem does this finding suggest (define the cause of sciatica)?</p><p>4) Define the sensory and motor distributions for L4, L5, S1:</p><p>- How would you test these nerve roots?</p><p>5) Describe your management of nonspecific back pain:</p><p>- Who is at risk of bleeding from NSAIDS?</p><p>6) Re. disk herniations: - From which 2 disk levels do 95% of all herniations come?</p><p>- Who should get an emergent MRI? 7) What are the typical findings of an epidural compression syndrome?</p><p>- Describe your evaluation and treatment of suspected cord compression/ Cauda Equina:</p><p>8) What are the predisposing factors of a spinal infection?</p><p>For a good neuron exam review, check out http://mchip00.nyu.edu/neurosurgery/index.html</p><p>Chapter 283 1) What is shoulder impingement syndrome? Mechanism? Treatment?</p><p>2) How do you test the integrity of the 4 rotator cuff muscles?</p><p>What is the most commonly torn muscle of the rotator cuff?</p><p>What is the ED treatment of a rotator cuff injury?</p><p>3) T/F The sling is the treatment of choice for a “frozen shoulder”.</p><p>Chapter 284</p><p>1) Whom might you want to check peak inspiratory force in?</p><p>2) Name rheumatic conditions associated with premature arthrosclerosis or coronary vasculitis: 3) Identify initial symptoms of acute rheumatic fever:</p><p>4) T/F Adrenal insufficiency secondary to sudden withdrawal of steroids usually presents with hyponatremia and hyperkalemia. Why?</p><p>5) Describe the clinical findings and causes of anterior spinal artery syndrome:</p><p>6) Describe the presenting symptoms of temporal arteritis and usual work up:</p><p>7) Who is at risk for scleritis and what is it?</p><p>Chapter 285 1) In human bites, what bacteria are commonly involved? Antibiotic of choice?</p><p>-in cat and dog bites, bacteria and antibiotic?</p><p>2) How do you differentiate hand cellulitis from deeper infections?</p><p>3) What are the 4 classic findings of flexor tenosynovitis?</p><p>4) How do you treat a paronychia? A felon?</p><p>5) What type of workers are at high risk for herpetic whitlow?</p><p>6) Treatment of tendinitis? 7) How do you test for De Quervain’s tenosynovitis?</p><p>Treatment?</p><p>8) Which fingers usually tingle in carpal tunnel syndrome?</p><p>Chapter 286 1) Review Table 286-1 and 286-4.</p><p>2) T/F Laboratory tests other than joint fluid analysis can be reliably used to exclude septic joint.</p><p>3) Review the arthrocentesis techniques described in the chapter.</p><p>4) What is the most common cause of septic arthritis in adolescents and young adults?</p><p>5) T/F Serum uric acids can be reliably used to diagnose an acute gouty flare.</p><p>Gout treatment:</p><p>6) RA classically spares which joints?</p>