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H/N IRAT Week 2 > iRAT #4 > Flashcards

iRAT #4 Flashcards

1
Q

According to souza, patients with myelopathy due to posterior cord compression may have all of the following symptoms EXCEPT

A

Increased dexterity

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2
Q

A patient with bilateral symptoms of clumsiness of the hands, difficulty walking, possible urinary dysfunction and shooting pains into the arms is a classic presentation for myelopathy. T/F

A

True

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3
Q

According to souza, a myelopathy is the most common spinal cord dysfunction in individuals older than ___ years of age and more common in ____ and ASians

A

55

Males

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4
Q

According to souza, most tests for cervical myelopathy are specific but not sensitive which means

A

Finding positives is good for ruling in myelopathy but not finding positives does not rule-out a myelopathy

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5
Q

According to souza, babinski sign may be present in cases of myelopathy. T/F

A

True

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6
Q

A spondylotic myelopathy that is caused by direct pressure on the posterior columns may produce

A

A & B

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7
Q

____ is the recommended management for cervical myelopathy where there are “hard” lesions such as spondylosis or ossification of the posterior longitudinal ligament.

A

Surgery

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8
Q

According to souza, mixed findings of UMNL and LMNL may occur with myelopathy. T/F

A

True

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9
Q

According to souza, an overlap of myelopathy symptoms possibly will NOT include which of the following

A

Vascular symptoms

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10
Q

According to souza, cervical myelopathy is present in ___ of individuals older than 70 years of age

A

90%

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11
Q

According to souza, myelopathy producing lower motor neuron problems is due to

A

All of these

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12
Q

A patient diagnosed with myelopathy will probably NOT result in bilateral sensory loss including numbness and vibration loss. T/F

A

False

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13
Q

According to souza, if there are mild meylopathic signs/symptoms or MRI evidence of compression with no T2 changes the patient should be managed using

A

HVLA adjusting

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14
Q

According to souza, patients with myelopathy due to anterior cord compression may have all of the following symptoms EXCEPT

A

Deep tendon hyporeflexia

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15
Q

According to souza, if spinal canal measurements are less than ____, a ______ should be order

A

13mm

MRI

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16
Q

Based on the symptoms of myelopathy which fo the following would be a good differential diagnosis

A

Multiple sclerosis

17
Q

Accrodign to MErck, medical management for cervical spondylosis leading to cervical myelopathy often require ____ to relieve the spinal compression

A

A & B

18
Q

According to Dr. Mark Amos, Hoffman’s test is performed by

A

Flicking the index finger into extension

19
Q

According to souza, a radiographic measurement of hte spinal canal diameter may be accoplished on the ___ view of the cervical spine

A

Lateral

20
Q

According to souza, all of hte ofllowing are causes of spinal cord compression (myelopathy) EXCEPT

A

Angioma

21
Q

According to souza, the signs and symptoms of the spinal cord compression or myeloapthay are basically the same despite nerve roots that are involved. T/F

A

False

22
Q

According to souza…the following myelpathy that is caused by direct pressure on the posterior columns may produce disturbanvces in

A

Vibration perception

Proprioception disturbances

23
Q

According to souza, myelopathy producing motor neuron problems is due to

A

Compression of nerve roots

24
Q

Accroding to souza, overlap of myelopathy symptoms will not include which of the following

A

Vascular symptoms

25
Q

According to souza, myelopathy will not likely result in bilateral senosry loss including numbness and vibration loss. T/F

A

False

26
Q

According to souza, surgery is the recommeneded management for cervical myelopathy where there are

A

Hard lesions such as spondylosis or ossification of PLL

27
Q

Accordign to souza, if there are mild myelopathy signs or symptoms of MRI evidence of compression with no T2 cahnges should be managed using

A

High velocity low amplitude adjustments

28
Q

According to souza, 70% of patients with early onset and mild myelopathy improve with management of chiropractic care. T/F

A

True

H/N IRAT Week 2 (7 decks)

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