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WorksheetsSSP517 - week seven - Lx and Tx spine injury and pathology 1
Total questions: 28
Worksheet time: 14mins
True or False;
o Back pain treatment costs more than cancer and diabetes treatment combined per year in the UK
True
False
True or False;
o An MRI scan is always recommended to get an accurate diagnosis of the cause of back pain
True
False
True or False;
o Flexion is bad for the back and should be avoided
True
False
True or False;
o 'Disc degeneration' is present in a large percentage (37%) of asymptomatic individuals in their 20s
True
False
True or False;
o The words that we use with patients and athletes have the power to make their recovery better or make their recovery worse
True
False
True or False;
o Its always a good idea to pre-tense your stomach and back muscles before moving
True
False
True or False;
o The perfect posture is sitting bolt upright, and slouching should be avoided
True
False
True or False;
o Exercise should be avoided when suffering with back pain
True
False
Axial Spondyloarthritis was previously known as;
Ankylosing Spondylitis
Ankylosing Stenosis
Ankylosing Spondylolisthesis
Ankylosing Spondylosis
Ankylosing Scoliosis
Saddle anesthesia, impaired bladder and bowel function, and bi-lateral dermatomal changes are red flag signs and symptoms of which spinal pathology?
Cauda Equina Syndrome
Axial Spondyloarthritis
Spinal Malignancy/Metastatic Cancer
Cervical Artery Dysfunction
Upper Cervical Instability
Possible uveitis, possible psoriasis, possible enthesitis, significant early morning stiffness, and a family history of inflammatory arthritis are red flag signs and symptoms of which spinal pathology?
Cauda Equina Syndrome
Axial Spondyloarthritis
Spinal Malignancy/Metastatic Cancer
Cervical Artery Dysfunction
Upper Cervical Instability
Unexplained weight loss, being systemically unwell, and unremitting night pain are red flag signs and symptoms of which spinal pathology?
Cauda Equina Syndrome
Axial Spondyloarthritis
Spinal Malignancy/Metastatic Cancer
Cervical Artery Dysfunction
Upper Cervical Instability
Uveitis associated with Axial SpA is in regards to what?
The eyes (red, itchy, sensitive to light)
The digestive system (irritable bowel)
The tendons (e.g. Achilles tendinopathy and lateral epicondylitis)
The fingers (swollen 'sausage fingers')
The skin (dry and flaky patches)
Psoriasis associated with Axial SpA is in regards to what?
The eyes (red, itchy, sensitive to light)
The digestive system (irritable bowel)
The tendons (e.g. Achilles tendinopathy and lateral epicondylitis)
The fingers (swollen 'sausage fingers')
The skin (dry and flaky patches)
Enthesitis associated with Axial SpA is in regards to what?
The eyes (red, itchy, sensitive to light)
The digestive system (irritable bowel)
The tendons (e.g. Achilles tendinopathy and lateral epicondylitis)
The fingers (swollen 'sausage fingers')
The skin (dry and flaky patches)
Which University produced the 9 part STarT back tool which can be used for the assessment of biopsychosocial factors related to back pain?
Keele University
Solent University
Sheffield Hallam University
Cambridge University
University of the West of England (UWE)
The vast majority of lower back pain can be categorised as 'Mechanical LBP'. ≈ what % is attributed to this?
≈ 97%
≈ 75%
≈ 50%
≈ 37%
≈ 17%
Axial Spondyloarthritis and Spinal Malignancy/Metastatic Cancer are classified as;
Non-mechanical
Mechanical
Visceral
What is the biggest predictor of future metastatic spinal malignancy?
Previous cancer
Lifestyle factors
Age
Family history
The vast majority of spinal metastases (≈70%) are of which part of the spine?
Cervical spine
Thoracic spine
Lumbar spine
Sacral spine
What is the estimated prevalence of Axial Spondyloarthritis?
1 in 200 people
1 in 20 people
1 in 2,000 people
1 in 20,000 people
1 in 200,000 people
Which of the following is the correct pathophysiological process involved in Axial SpA?
Inflammation of the attachments of soft tissues (entheses) of the vertebrae leading to calcification
A stress fracture to the Pars interarticularis caused by repetitive combined extension and rotation
Sequestration of the nucleus pulposus through the annulus fibrosus
A fragility fracture to the vertebral body resulting in a loss of height
A forward slip of a vertebra on the one below due to instability of the supporting structures
What is the average age of diagnosis of Axial SpA?
14 years old
24 years old
54 years old
74 years old
94 years old
What is the average time to reach a diagnosis of Axial SpA?
1 year
8.5 years
4 years
6 months
5.5 years
Whereabouts in the spine would patients with Axial SpA usually report that their symptoms initially started?
In the buttocks (sacroiliac joints)
In the lumbar spine
In the thoracic spine
In the cervical spine
What is often reported to be the most debilitating consequence of Axial SpA as reported by patients?
Fatigue
Stiffness
Pain
Restricted ROM
What is the mainstay of treatment for Axial SpA?
Medication and exercise
Massage and manual therapy
Manipulations and acupuncture
Electrotherapy and taping
Which primary cancer is most likely to metastasize in the spine as secondary cancer?
Prostate
Lung
Breast
Skin
Kidney
