Deck 24: Kyphoscoliosis

Question 1

Your patient has scoliosis. On her chest radiograph, this would be seen as:

A) elevated diaphragms.
B)an S or C shape to the spine.
C)pectus carinatum.
D)pectus excavatum.

Answer 1

an S or C shape to the spine.

Question 2

Braces are most effective with which group of kyphoscoliosis patients?

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

Answer 2

Adolescents with idiopathic scoliosis

Question 3

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

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

Answer 3

1, 2, 3, 4

Question 4

General conditions associated with kyphoscoliosis include all of the following EXCEPT:

A) age-based scoliosis.
B)neuromuscular scoliosis.
C)congenital scoliosis.
D)idiopathic scoliosis.

Question 5

A patient with severe kyphoscoliosis and chronic ventilatory failure with hypoxemia will have all of the following laboratory findings, EXCEPT:

A) increased PaCO₂.
B)increased hematocrit.
C)normal pH.
D)increased pH.

Question 6

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

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

Question 7

Posterior curvature of the spine best describes:

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

Question 8

Mild to moderate kyphoscoliosis will manifest itself clinically as a/an:

A) restrictive cardiac disorder.
B)obstructive pulmonary disorder.
C)equally restrictive and obstructive pulmonary disorder.
D)restrictive pulmonary disorder.

Question 9

The Charleston Bending Brace is preferred over other braces because:
1) it is only worn 23 hours a day.
2) it is worn for 8 to 10 hours at night.
3) it is used when the patient's Human Growth Hormone level is highest.
4) it corrects any associated upper airway obstruction.

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

Question 10

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

A) Surgery for rod instrumentation
B)Observation checkup in about 3 months
C)Milwaukee or other brace
D)Surgery for spinal fusion

Question 11

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

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

Question 12

Which age group is most likely to develop idiopathic scoliosis?

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

Question 13

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

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

Question 14

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)1, 2, 3, 4

Question 15

Scoliosis is defined as a Cobb angle of:

A) -10 degrees.
B)± 10 degrees.
C)> 10 degrees.
D)> 20 degrees.