CH10: Pain in Back, Neck, Extremities

Question 1

ligament running along the ventral surface of the posterior elements and is applied to the inner surface of the laminae (p.212)

Answer 1

Ligamentum Flavum

Question 2

pain originating from the buttock and is projected along the posterolateral thigh (p. 214)

Answer 2

Sciatica

Question 3

sagging gluteal fold is indicative of the involvement of which root? (p. 215)

Answer 3

S1

Question 4

herniated disc lies LATERAL to the nerve root and displaces it medially, pain is relieved by bending the trunk SAME OR OPPOSITE? 9p.215)

Answer 4

OPPOSITE

Question 5

herniated disc lies MEDIAL to the nerve root and displaces it laterally, pain is relieved by bending the trunk SAME OR OPPOSITE? 9p.215)

Answer 5

SAME

Question 6

pain and limited motion upon knee extension (p. 215)

Answer 6

Kraus Weber Test

Question 7

Patient is supine, raising the leg places the sciatic nerve and its roots under tension, thereby producing radicular radiating pain from buttock; good for L5 or S1 (p. 215)

Answer 7

Lasague Sign

Question 8

Cross straight leg test sign (p. 215)

Answer 8

Fahersztajn sign

Question 9

Patient supine. Heel of the offending leg is placed on the opposite knee and pain is evoked by depressing the flexed leg and externall rotating the hip (p. 215)

Answer 9

Patrick Test

Question 10

Patrick test is useful for the diagnosis of what? (p. 215)

Answer 10

Trochanteric bursitis

Question 11

Described as asymmetrical loss of height of a vertebral body (p. 218)

Answer 11

Compression fracture

Question 12

Most common site of herniated intervertebral disc (p. 219)

Answer 12

L5- S1

Question 13

Classic points of Valleix- course of sciatic nerve (p. 219)

Answer 13

Sciatic notch, Retrotrochanteric gutter, Posterior surface of thigh, head of fibula

Question 14

Variation of Lasague maneuver: pain by dorsiflexion of the foot (p. 220)

Answer 14

Bragard sign

Question 15

Variation of Lasague maneuver: pain by dorsiflexion of great toe (p. 220)

Answer 15

Sicard sign

Question 16

Patient standing, forward bending of the trunk will cause flexion of the knee of the affected side (p. 220)

Answer 16

Neri sign

Question 17

Sciatica provoked by forced flexion of the head, neck, coughing, pressure on both jugular veins, increasing intraspinal pressure (p. 220)

Answer 17

Naffzinger sign

Question 18

extension of the disc beyond the margins of the interspace (p.222)

Answer 18

Bulging

Question 19

extension of the disc asymmetryically beyond the margin of the interspace (p. 222)

Answer 19

Protrusion

Question 20

Most extreme extension of the disc (p. 222)

Answer 20

Extrusion

Question 21

Segmeng of the junction of pedicle and lamina affected in spondylolysis (p. 224)

Answer 21

Pars interarticularis

Question 22

Cyst- like dilatation of the perineural sheath (p. 224)

Answer 22

Tarlov cysts

Question 23

Lumbosacral plexus neuritis akin to brachial neuritis which may cause sciatica, as does occasionally nerve infarction or damage from DM< HZ

Answer 23

Wartenberg plexitis

Question 24

Displacement and malalignment of one vertebral body in relation to the adjacent one (p. 225)

Answer 24

Spondylolisthesis

Question 25

Antigen for ankylosing spondylitis (p.227)

Answer 25

HLA B27

Question 26

Imaging hallmark of ankylosing spondylitis (p. 227)

Answer 26

Bamboo spine

Question 27

Bizarre gait described as walking with trunk flexed at almsot at a right angle (p. 229)

Answer 27

Camptocormia

Question 28

Most common root involved in cervical disc herniation? (p. 230)

Answer 28

C7

Question 29

Maneuver described as putting downward pressure on top of the head with the patient;s head turned to the afected side and neck slightly extended (p. 230)

Answer 29

Spurling maneuver

Question 30

Vein/ subclavian vein becoming thrombosed after prolonged exercise (p. 233)

Answer 30

Paget Schrotter syndrome

Question 31

checking for vascular compression by obliteration of the pulse when the patient is seated, arm extended, patient holds a breath and tilts the head back and tilted to the affected side (p. 233)

Answer 31

Adson Test

Question 32

Abducts and externally rotates the arm and braces the shoulders and turn the head to either side (p. 233)

Answer 32

Wright Maneuver

Question 33

Osteoporosis and atrophy of cutaneous and subcutaneousstructures after immobility eg following MI (p. 234)

Answer 33

Sudeck atrophy/ Sudeck- Leriche syndrome

Question 34

Imbalance of these fibers presumes the genesis of painful dysesthesias in neuroma (p. 235)

Answer 34

Increase in C, decrease in A delta

Question 35

neuroma found on the planter nerve between the third and fourth metatarsal bones (p. 235)

Answer 35

Morton neuroma

Question 36

Pain on compression of the forefoot (p. 235)

Answer 36

Mulder sign

Question 37

Tratment for erythromelalgia (p.235)

Answer 37

Aspirin