Deck 25: Kyphoscoliosis

Question 1

Scoliosis is defined as a spinal curvature of _____ degrees.

A) >10
B) >20
C) >30
D) >40

Answer 1

>10

Question 2

Positive risk factors for the development of kyphoscoliosis include:
1) male gender.
2) female gender.
3) taller person.
4) shorter person.

A)1, 3
B)2, 4
C)2, 3
D)1, 4

Answer 2

2, 3

Question 3

Which age group is most likely to develop idiopathic scoliosis?

A) Infants
B) Juveniles
C) Adolescents
D) Adults

Answer 3

Adolescents

Question 4

For best results, how many hours per day should a SpineCor brace be worn?

A) 8
B) 10
C) 16
D) 20

Question 5

Which of the following pulmonary function results are likely to be found in a patient with kyphoscoliosis?
1) Increased V_T
2) Normal or increased PEFR
3) Decreased VC
4) Decreased FVC

A)1, 2
B)3, 4
C)1, 3, 4
D)2, 3, 4

Question 6

The major pathologic and structural changes of the lungs found with kyphoscoliosis include:
1) mediastinal shift.
2) elevated diaphragms.
3) lung compression.
4) mucus accumulation.

A)1, 2
B)3, 4
C)1, 3, 4
D)2, 3, 4

Question 7

In a case of severe kyphoscoliosis, which of the following chest radiograph findings would be expected?
1) Normal size heart
2) Areas of atelectasis
3) Increased lung opacity
4) Thoracic deformity

A)1, 4
B)2, 3
C)1, 3, 4
D)2, 3, 4

Question 8

Which of the following would be expected to appear on the chest radiograph of a patient with scoliosis?

A) Increased lung translucency
B) An S or C shape to the spine
C) Bullae
D) Pectus excavatum

Question 9

A patient with severe kyphoscoliosis and chronic ventilatory failure with hypoxemia may have:
1) increased PaCO₂.
2) increased hematocrit.
3) normal pH.
4) increased pH.

A)1, 3
B)1, 3, 4
C)1, 2, 4
D)1, 2, 3

Question 10

A patient has a 45-degree curvature of her spine. The physician is most likely to recommend which of the following treatments?

A) Surgical intervention
B) Observation checkup in about 3 months
C) Milwaukee brace
D) Boston brace

Question 11

What is the name for the degree of lateral spinal curvature calculated from a radiograph?

A) Carr angle
B) Sheumann angle
C) Cobb angle
D) Sands angle

Question 12

Posterior curvature of the spine best describes:

A) kyphoscoliosis.
B) spina bifida.
C) scoliosis.
D) kyphosis.

Question 13

Which of the following chest assessment findings are associated with kyphoscoliosis?
1) Crackles or wheezing
2) Hyperresonant percussion note
3) Whispered pectoriloquy
4) Tracheal shift

A)1, 2
B)3, 4
C)1, 3, 4
D)2, 3, 4

Question 14

Which of the following are orthotic braces used in the management of scoliosis?
1) Boston
2) Milwaukee
3) Chicago
4) Charleston bending

A)1, 3
B)1, 2, 4
C)2, 3, 4
D)1, 2, 3

Question 15

The Charleston bending brace is preferred over other braces because it:
1) is worn only 23 hours a day.
2) is worn for 8 to 10 hours at night.
3) is worn at night, when human growth hormone level is highest.
4) corrects any associated upper airway obstruction.

A)1, 4
B)1, 2
C)2, 3
D)1, 3, 4

Question 16

In which of the following is bracing the primary form of treatment?

A) Adolescents with idiopathic scoliosis (AIS)
B) Patients with congenital scoliosis
C) Patients with neuromuscular scoliosis
D) Infants with idiopathic scoliosis