Deck 69: Upper Back and Neck Pain Syndromes

Question 1

The most common cervical spine pain is:

A) Spondylosis
B) Spinal stenosis
C) Acute cervical strain
D) Acute disc herniation

Answer 1

C

Question 2

A female factory worker whose primary job task is doing overhead work is complaining of neck, shoulder, and axillary area pain. Reports feeling numbness and tingling in her fingers, feels her arm is tired, weak, and "tight." Also reports that her symptoms get worse whenever she is reaching and looking up. What is the best diagnosis?

A) Carpal tunnel syndrome
B) Myofascial pain syndrome
C) Cervical radiculopathy
D) Thoracic outlet syndrome neurogenic type

Answer 2

D

Question 3

The presence of the taut band with its zone of tenderness in the muscle involved is one of the most important factors of myofascial pain.

Answer 3

True

Question 4

Chronic myofascial pain syndrome involves the following:

A) Only the cervical neck area
B) Other muscle groups and regions
C) Tender trigger points
D) b and c only

Question 5

A 55-year-old male construction worker sustained a two-story fall while working on a roof. He has complaints of severe low back pain, difficulty walking, and loss of sensation in his inner thighs and perineum. He reports that he has fallen before and had severe back pain but never like this. He also recalls fighting off an "infection" a couple of weeks ago. Based on the information given, which is the most likely diagnosis?

A) Spine fracture
B) Bone mass
C) Cauda equina syndrome
D) None of the above

Question 6

Given the same scenario from question 5, what would be the most appropriate diagnostics to confirm your diagnosis?

A) X-rays
B) MRI
C) Myelogram
D) b and c only
E) All of the above

Question 7

Neuromuscular scoliosis is the result of abnormal muscles and nerves. This is most frequently found in people with spina bifida or cerebral palsy.

Question 8

The type of special test that narrows the neural foramen and increases or reproduces radicular arm pain and is associated with disc herniation or cervical spondylosis is:

A) Adson's test
B) Spurling's test
C) Axial loading test
D) None of the above

Question 9

Acute neck herniation usually presents with the following symptoms:

A) Pain aggravated by cough, sneeze, and straining
B) Pain that is localized at the base of the skull
C) Pain with range of motion
D) Headache and dizziness

Question 10

Patients with chronic disc degeneration such as spondylosis or osteoarthritis have difficulty with activity of daily living due to pain. What is/are the best initial conservative treatment plan to alleviate the symptom?

A) NSAIDs and muscle relaxants
B) Traction
C) Epidural injection
D) All of the above