Spine

Question 1

C5 reflex test.

Answer 1

Biceps.

Question 2

C5 motor function test.

Answer 2

Deltoid.

Question 3

C5 sensation test.

Answer 3

Anterolateral brachium.

Question 4

C6 reflex test.

Answer 4

Brachioradialis tendon.

Question 5

C6 motor test.

Answer 5

Wrist extension.

Question 6

C6 sensation test.

Answer 6

Radial hand and forearm.

Question 7

C7 motor test.

Answer 7

Wrist flexion.

Question 8

C7 sensation test.

Answer 8

Middle digit.

Question 9

C8 motor test.

Answer 9

Finger flexion.

Question 10

C8 sensation test.

Answer 10

Ulnar forearm and hand.

Question 11

T1 motor test.

Answer 11

Interossei.

Question 12

T1 sensation test.

Answer 12

Medial brachium.

Question 13

L4 motor test.

Answer 13

Tibalis anterior.

Question 14

L4 reflex test.

Answer 14

Patellar tendon.

Question 15

L4 sensation test.

Answer 15

Medial leg, ankle and foot.

Question 16

L5 motor test.

Answer 16

Extensor digitorum longus.

Question 17

L5 sensory test.

Answer 17

Midline ankle, dorsum foot, digits 2-4.

Question 18

S1 motor test.

Answer 18

Peroneus longus, brevis.

Question 19

S1 reflex test.

Answer 19

Achilles.

Question 20

S1 sensory test.

Answer 20

Lateral ankle, foot.

Question 21

Shoulder abduction should do this to cervical radicular pain.

Answer 21

Reduce it.

Question 22

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

Answer 22

C5.

Question 23

Disc herniation at C5-6 involves this nerve root.

Answer 23

C6 (caudal).

Question 24

Natural history of cervical spondylotic myelopathy is characterized by.

Answer 24

Stepwise deterioration followed by period of stability.

Question 25

Most common cervical spine manifestation of rheumatoid arthritis.

Answer 25

Atlantoaxial subluxation.

Question 26

Second most common cervical spine manifestation of rheumatoid arthritis.

Answer 26

Basilar invagination.

Question 27

Differentiates neurogenic from hypovolemic shock.

Answer 27

Relative bradycardia in neurogenic shock.

Question 28

Neurogenic shocks results from this.

Answer 28

Loss of sympathetic tone.

Question 29

Preexisting cervical spondylosis with hyperextension injury

Answer 29

Central cord syndrome.

Question 30

Most common incomplete spinal cord injury.

Answer 30

Central cord syndrome.

Question 31

Incomplete spinal cord syndrome with best prognosis.

Answer 31

Brown-Sequard syndrome.

Question 32

Brown-Sequard deficits.

Answer 32

Ipsilateral motor loss, contralateral pain and temp loss.

Question 33

ASIA E.

Answer 33

Normal motor.

Question 34

ASIA D.

Answer 34

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

Question 35

ASIA C.

Answer 35

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

Question 36

ASIA B.

Answer 36

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

Question 37

ASA A.

Answer 37

No motor or sensory function below level.

Question 38

Bulging nucleus pulposis with intact annulus.

Answer 38

Disc protrusion.

Question 39

Pulposus herniated through annulus but confined by PLL.

Answer 39

Disc extrusion.

Question 40

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

Answer 40

Disc sequestration.

Question 41

Posterior laminectomy for thoracic disc herniation.

Answer 41

Contraindicated due to high rate of neurologic injury.

Question 42

Imaging modality for evaluation of recurrent disc herniation.

Answer 42

MRI with gadolinium.

Question 43

Surgical treatment of disc herniation.

Answer 43

Partial laminotomy and discectomy.

Question 44

Alendronate effect on spinal fusion rates.

Answer 44

Decrease.

Question 45

BMP2 FDA indication.

Answer 45

Single-level anterior interbody fusion.

Question 46

Grade IV spondylolisthesis.

Answer 46

Greater than 75%.

Question 47

Grade III spondylolisthesis.

Answer 47

50-75%.

Question 48

Activities with Grade I spondylolisthesis.

Answer 48

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

Question 49

Activities with Grade II spondylolisthesis.

Answer 49

Restricted from gymnastics/football.

Question 50

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

Answer 50

50%.

Question 51

Most frequent level of degenerative spondylolisthesis.

Answer 51

L4-5.

Question 52

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

Answer 52

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

Question 53

Most common site of DISH in spine.

Answer 53

Thoracic region on right side.

Question 54

DISH is associated with this chronic disease.

Answer 54

Diabetes.

Question 55

Earliest radiographic finding of spinal infections.

Answer 55

Loss of normal lumbar lordosis.

Question 56

Spinal tuberculosis originates from the ____ and spreads ___.

Answer 56

Originates in metaphysis of vertebral body and spreads under ALL.