CH10: Pain in Back, Neck, Extremities Flashcards

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1
Q

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

A

Ligamentum Flavum

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2
Q

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

A

Sciatica

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3
Q

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

A

S1

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4
Q

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

A

OPPOSITE

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5
Q

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

A

SAME

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6
Q

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

A

Kraus Weber Test

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7
Q

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)

A

Lasague Sign

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8
Q

Cross straight leg test sign (p. 215)

A

Fahersztajn sign

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9
Q

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)

A

Patrick Test

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10
Q

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

A

Trochanteric bursitis

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11
Q

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

A

Compression fracture

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12
Q

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

A

L5- S1

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13
Q

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

A

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

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14
Q

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

A

Bragard sign

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15
Q

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

A

Sicard sign

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16
Q

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

A

Neri sign

17
Q

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

A

Naffzinger sign

18
Q

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

A

Bulging

19
Q

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

A

Protrusion

20
Q

Most extreme extension of the disc (p. 222)

A

Extrusion

21
Q

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

A

Pars interarticularis

22
Q

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

A

Tarlov cysts

23
Q

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

A

Wartenberg plexitis

24
Q

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

A

Spondylolisthesis

25
Q

Antigen for ankylosing spondylitis (p.227)

A

HLA B27

26
Q

Imaging hallmark of ankylosing spondylitis (p. 227)

A

Bamboo spine

27
Q

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

A

Camptocormia

28
Q

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

A

C7

29
Q

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)

A

Spurling maneuver

30
Q

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

A

Paget Schrotter syndrome

31
Q

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)

A

Adson Test

32
Q

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

A

Wright Maneuver

33
Q

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

A

Sudeck atrophy/ Sudeck- Leriche syndrome

34
Q

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

A

Increase in C, decrease in A delta

35
Q

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

A

Morton neuroma

36
Q

Pain on compression of the forefoot (p. 235)

A

Mulder sign

37
Q

Tratment for erythromelalgia (p.235)

A

Aspirin