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ABOS Part I > Spine > Flashcards

Spine Flashcards

1
Q

C5 reflex test.

A

Biceps.

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2
Q

C5 motor function test.

A

Deltoid.

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3
Q

C5 sensation test.

A

Anterolateral brachium.

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4
Q

C6 reflex test.

A

Brachioradialis tendon.

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5
Q

C6 motor test.

A

Wrist extension.

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6
Q

C6 sensation test.

A

Radial hand and forearm.

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7
Q

C7 motor test.

A

Wrist flexion.

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8
Q

C7 sensation test.

A

Middle digit.

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9
Q

C8 motor test.

A

Finger flexion.

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10
Q

C8 sensation test.

A

Ulnar forearm and hand.

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11
Q

T1 motor test.

A

Interossei.

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12
Q

T1 sensation test.

A

Medial brachium.

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13
Q

L4 motor test.

A

Tibalis anterior.

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14
Q

L4 reflex test.

A

Patellar tendon.

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15
Q

L4 sensation test.

A

Medial leg, ankle and foot.

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16
Q

L5 motor test.

A

Extensor digitorum longus.

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17
Q

L5 sensory test.

A

Midline ankle, dorsum foot, digits 2-4.

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18
Q

S1 motor test.

A

Peroneus longus, brevis.

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19
Q

S1 reflex test.

A

Achilles.

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20
Q

S1 sensory test.

A

Lateral ankle, foot.

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21
Q

Shoulder abduction should do this to cervical radicular pain.

A

Reduce it.

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22
Q

This nerve root exits at the C4-5 neural foramen.

A

C5.

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23
Q

Disc herniation at C5-6 involves this nerve root.

A

C6 (caudal).

24
Q

Natural history of cervical spondylotic myelopathy is characterized by.

A

Stepwise deterioration followed by period of stability.

25
Q

Most common cervical spine manifestation of rheumatoid arthritis.

A

Atlantoaxial subluxation.

26
Q

Second most common cervical spine manifestation of rheumatoid arthritis.

A

Basilar invagination.

27
Q

Differentiates neurogenic from hypovolemic shock.

A

Relative bradycardia in neurogenic shock.

28
Q

Neurogenic shocks results from this.

A

Loss of sympathetic tone.

29
Q

Preexisting cervical spondylosis with hyperextension injury

A

Central cord syndrome.

30
Q

Most common incomplete spinal cord injury.

A

Central cord syndrome.

31
Q

Incomplete spinal cord syndrome with best prognosis.

A

Brown-Sequard syndrome.

32
Q

Brown-Sequard deficits.

A

Ipsilateral motor loss, contralateral pain and temp loss.

33
Q

ASIA E.

A

Normal motor.

34
Q

ASIA D.

A

Greater than half of motor segments below neurologic injury level are 3 or greater. Incomplete sensory.

35
Q

ASIA C.

A

Less than half of motor segments below neurologic linjury level are 3 or greater. Incomplete sensory.

36
Q

ASIA B.

A

No motor function below neurologic level of injury. Incomplete sensory deficit.

37
Q

ASA A.

A

No motor or sensory function below level.

38
Q

Bulging nucleus pulposis with intact annulus.

A

Disc protrusion.

39
Q

Pulposus herniated through annulus but confined by PLL.

A

Disc extrusion.

40
Q

Disc material free in canal, separated from bulk of disc.

A

Disc sequestration.

41
Q

Posterior laminectomy for thoracic disc herniation.

A

Contraindicated due to high rate of neurologic injury.

42
Q

Imaging modality for evaluation of recurrent disc herniation.

A

MRI with gadolinium.

43
Q

Surgical treatment of disc herniation.

A

Partial laminotomy and discectomy.

44
Q

Alendronate effect on spinal fusion rates.

A

Decrease.

45
Q

BMP2 FDA indication.

A

Single-level anterior interbody fusion.

46
Q

Grade IV spondylolisthesis.

A

Greater than 75%.

47
Q

Grade III spondylolisthesis.

A

50-75%.

48
Q

Activities with Grade I spondylolisthesis.

A

May return to normal activities including contact sports and gymnastics once asymptomatic.

49
Q

Activities with Grade II spondylolisthesis.

A

Restricted from gymnastics/football.

50
Q

Prophylactic fusion recommended for growing children with sponylolisthesis greater than this amount.

A

50%.

51
Q

Most frequent level of degenerative spondylolisthesis.

A

L4-5.

52
Q

Indications for non-operative tx of a lumbar burst fx (4).

A
  1. < 20-30 deg kyphosis
  2. < 50% loss of height
  3. Intact PCL
  4. No neurologic compromise
53
Q

Most common site of DISH in spine.

A

Thoracic region on right side.

54
Q

DISH is associated with this chronic disease.

A

Diabetes.

55
Q

Earliest radiographic finding of spinal infections.

A

Loss of normal lumbar lordosis.

56
Q

Spinal tuberculosis originates from the ____ and spreads ___.

A

Originates in metaphysis of vertebral body and spreads under ALL.

ABOS Part I (16 decks)

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