Conditions

Question 1

***Red Flags for Cx Sp

Answer 1

5Ds
1. Diplopia (Double Vision)
2. Dysarthria (Slurred speech)
3. Dysphasia (swallow issues)
4. Drop Attacks
5. Dizziness

3Ns
- Nystagmus (eye flickering, uncontrollable)
- Numbness (generally unilateral)
- Nausea

1H
- headache >24hrs ( not resolved with meds)

Question 2

what is diplopia

Answer 2

double vision

Question 3

what is dysARTHRIA

Answer 3

slurred speech

Question 4

what is dysPHAGIA

Answer 4

issues swallowing

Question 5

what is nystagmus

Answer 5

uncontrolled flickering of eye

Question 6

what is syncope

Answer 6

fainting

Question 7

what age groups do “cervical disc dysfunctions” appear most in

Answer 7

30-50

Question 8

Cervical disc dysfunction (30-50yo)

Question 9

what is stenosis

Answer 9

pressure on nerve due to EXTRA PIECE OF BONE

Question 10

when is weight loss a red flag, how severe. What could it indicate

Answer 10

10% of body mass in 3 months without trying
- cancer

Question 11

what is Cervical Myelopathy vs Radiculopathy

Answer 11

Disc herniation

MYELOPATHY
- medical emergency
- presses on spinal chord (posterior)
- in lumbar spine= cauda equina

RADICULOPTAHY
- physios can treat
- lateral prolapse, presses on nerve root

Question 12

Effect of OA in the cx spine
- presents as…

Answer 12

Osteophytes may press on nerve,
may lead to palsy (muscle weakness) on myotome
(presents as bad ache in affected area)

Question 13

Ankylosing spondylitis
– what
– 3 symptoms
– 2 treatment

Answer 13

• what= inflammation …
• symptoms= LBP increasing with lack of activity, <45yo, morning stiffness
• rx= NSAIDs, stretches to increase spinal mobility

Question 14

Sciatica
– what
– main symptom
– 3 treatment

Answer 14

• what= compression of sciatic nerve
• symp= pain/numbness/weakness in 1 leg (location depends on nerve compression site)

-rx: NSAID, stretching lumbar spine, hot packs

Question 15

Rheumatoid arthritis
– what=
– where most often=
–3 symptoms=
– 3 treatment=

Answer 15

– what= autoimmune disease leading to joint instability

– where most often= cx spine, C1-2

– symptoms= pain, headache, tingling in fingers

– treatment= surgery, NSAIDs, low intensity exercise such as water aerobics