PAS 407 FAL SESSIONS PART 1 and 2 all 120 QUESTIONS and CORRECT ANSWERS What is the prognosis for the patient in the CT below? A.No neural deficits with proper immobilization B.Paraplegia C.Quadriplegia D.Requires respirator to assist with breathing - A.No neural deficits with proper immobilization What is your diagnosis? A.Ankylosing spondylitis B.Normal radiograph C.Spondylolisthesis D.spondylolysis - A.Ankylosing spondylitis The injury depicted in the below CT is best described as a... A.Hangman's Fracture B.Jefferson fracture C.Odontoid fracture (type I) D.Odontoid fracture (type II) E.Odontoid fracture (type III) F.Spondylolysis G.Spondylolesthesis - A.Hangman's Fracture A 32 -year -old man was REAR ENDED, but complained of dizziness and GENERAL SORENESS in the neck, JUST SUPERIOR TO THE VERTEBRAL PROMINENCE, . ACTIVE ROM was painful but NOT ABNORMAL. NEUROLOGICAL TESTING was also WITHIN NORMAL PARAMETERS. Plain film RADIOGR APHS came back NEGATIVE. Case Study: As part of promotional event for a new clinic, a chiropractor offers free orthopedic physical assessments to all the players from a youth hockey program. Upon assessing a 15 -year -
old boy from the program, the chiropractor observes a dimple cove red by a hairy patch on the inferior part of his back. -What do you anticipate finding with further physical examination? A.Ankylosing spondylosis B.Chronic spinal stenosis C.Compression fracture to the L5 vertebral body D.Mild defect in the neural arch with no meninge, spinal cord protrusion. E.Moderate defect in the neural arch with meningocele F.Severe defect in the neural arch with meninge, spinal cord protrusion G.spondylolysthesis - D.Mild defect in the neural arch with no meninge, spinal cord protrusion. Because: Spina Bifida Occulta; •Incomplete fusion of lamina without dural protrusion •Often goes undetected •Occulta - hidden •In present case, physically active teen with no history of neural deficit or reported back pain •Characterized by hairy dimple on back •Imaging would confirm diagnosis •No treatment indicated •"if it ain't broke, don't fix it". Case Study: A 16 -year -old girl who spends 3 hours a day on her gymnastic training complains of low back pain. She notices general stiffness in her back and hamstring muscles and intermittent episodes of radiating pain to the buttocks and posterior thigh. S he identifies a "slipping" sensation in her lower back , in particular when moving from a sitting to a standing position. Her pediatric orthopedist orders an MRI scan... -Based on the radiographic findings, what is your diagnosis? A.Ankylosing spondylosis at L4 B.Ankylosing spondylosis at L5 C.Compression fracture at L4 D.Compression fracture at L5 E.Spondylolisthesis at L4/L5 F.Spondylolisthesis at L5/S1 - E.Spondylolisthesis at L4/L5 Because: A 16 -year -old girl who spends 3 hours a day on her GYMNASTIC TRAINING complains of low back pain. She notices GENERAL STIFFNESS IN HER BACK AND HAMSTRING MUSCLES and intermittent episodes of radiating pain to the buttocks and posterior thigh. She identifie s a "SLIPPING" SENSATION in her lower back , in particular when WHEN MOVING FROM A SITTING TO A STANDING POSITION Case Study: A patient reports to his family doctor after feeling something "shift" in his back after lifting a heavy object earlier that week. The injury caused extreme pain and tightness. Several days later, the pain remained and was accompanied by tightn ess down his left leg, which worsens anytime he would lean forward. -Based on the history/radiographic findings, what is the most likely diagnosis? A.Compression fracture B.Jefferson Fracture C.L4/L5 disc herniation D.L5/S1 disc herniation E.S1/S2 disc herniation F.Spondylolysis G.Spondylolysthesis H.Spondylosis - D.L5/S1 disc herniation Because: A patient reports to his family doctor after feeling something "SHIFT" in his back after lifting a heavy object earlier that week. The injury caused extreme pain and tightness. Several days later, the pain remained and was accompanied by TIGHTNESS DOWN HIS LEFT LEG, which WORSENS ANYTIME HE WOULD LEAN FORWARD Disruption of the dorsal scapular nerve would have the greatest effect on... A.Scapular depression B.Scapular protraction C.Scapular retraction D.Shoulder abduction E.Shoulder adduction F.Shoulder extension G.Shoulder flexion - C.Scapular retraction The 4th Rib Articulates with... A. The bodies of T3 and T4, the transverse process of T3
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