A 66-Year-Old Woman Was Seen in the Emergency Department Complaining

A 66-year-old woman was seen in the emergency department complaining of a burning pain over the upper part of her right arm. The pain had started 2 days previously and had progressively worsened. Physical examination revealed weakness and wasting of the right deltoid and biceps brachii muscles. The patient also had hyperesthesia in the skin over the lower part of the right deltoid and down the lateral side of the arm. Radiologic examination showed extensive spur formation on the bodies of the fourth, fifth, and sixth cervical vertebrae. These signs and symptoms suggested severe osteoarthritis of the cervical vertebral column.
-This disease produced the following changes in the vertebrae and related structures except which?

A) Repeated trauma and aging had resulted in degenerative changes at the articulating surfaces of the fourth, fifth, and sixth cervical vertebrae.
B) Extensive spur formation resulted in narrowing of the intervertebral foramina with pressure on the nerve roots.
C) The burning pain and hyperesthesia were caused by pressure on the third and fourth cervical posterior roots.
D) The weakness and wasting of the deltoid and biceps brachii muscles were caused by pressure on the fifth and sixth cervical anterior roots.
E) Movements of the neck intensified the symptoms by exerting further pressure on the nerve roots.
F) Coughing or sneezing raised the pressure within the vertebral canal and resulted in further pressure on the roots.