STUVIA 2024/2025
MSK Patho Week #5 - Exam 2
A - ✔✔Which of the following is associated with cervical myelopathy?
A) positive Babinski sign
B) diminished reflexes bilaterally
C) unilateral upper extremity hyperreflexia
D) isolated neck pain
D - ✔✔Tension type headache is characterized by which of the following? (choose all
that apply)
A) tearing, nasal congestion, and ptosis
B) aggravated by activity
C) unilateral head and neck pain
D) none of the above
A - ✔✔Which of the following IS NOT A MOTOR IMPAIRMENT associated with WAD
IIa, IIb, or IIC?
A) cold hyperalgesia
%
B) joint position error
C) decreased range of motion
D) both a and c are correct
Has no identifiable cause
Attributed to: emotional stress, posture, high job demand, low social support
Accompanied by poor prognostic factors: higher pain intensity, h/o previous neck pain,
older age (>40), concurrent low back pain, headaches - ✔✔non-specific neck pain
(cervicalgia)
Older age
High post traumatic stress symptoms (>24 on the Impact Event Scale Revised) -
✔✔List 2 poor prognostic indicators for a patient with traumatic neck pain.
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A, D, F - ✔✔Which of the following are associated with C6 cervical radiculopathy
secondary to posterolateral disc herniation in the neck?
A) reproduction of symptoms with neck flexion
B) reproduction of symptoms with neck extension
C) elbow extension weakness
D) elbow flexion weakness
E) triceps tendon hyporeflexia
F) biceps tendon hyporeflexia
G) triceps tendon hyperreflexia
H) biceps tendon hyperreflexia
True - ✔✔True/False: There is significant variation in the definition of neck pain and
the research methods employed within the epidemiological literature on neck pain.
4th, 21st, middle, 3rd - ✔✔Neck pain is ranked ____(#) in Years Lived with Disability
(YLDs) and _____(#) overall in global cause of Disability Adjusted Life Years (DALYs).
Neck pain peaks in ______ age and is the _____ (#) largest of healthcare
%
expenditures.
B, D, E, F, G, I, J
NOT A (females), C (older age) or H (high perceived muscle tension) - ✔✔Risk
factors for new onset neck pain include:
A) Male
B) History of neck pain
C) Younger age
D) High job demands
E) Ex-smoker
F) Low social/work support
G) History of LBP
H) Low perceived muscle tension
I) Depressed mood
J) Role conflict
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True - ✔✔True/False: "Leisure activity" and neck extensor endurance is associated
with a reduced risk of neck pain.
False - ✔✔True/False: The clinical course of neck pain is favorable.
1. Neck pain with headache
2. Neck pain with mobility deficits
3. Neck pain with radiating pain
4. Neck pain with coordination impairments (WAD) - ✔✔CPGs of Neck Pain
Neck pain with mobility deficits - ✔✔Age and prior history of MSK problems are two
important risk factors for which clinical practice guideline (CPG)?
50 - ✔✔<____% of patients with neck pain accompanied by movement coordination
impairments recover within 1 year.
Radiculopathy
%
Cervical Myelopathy - ✔✔Neck Pain with Radiating Pain:
(Cervical Myelopathy/Radiculopathy) = Favorable natural and clinical course
(Cervical Myelopathy/Radiculopathy) = Stable course; conservative management in
elderly that is likely worsening
A, C, E, G
NOT B: >6/10
NOT D: >20
NOT F: Cold - ✔✔Poor prognostic factors for neck pain associated with WAD include:
A) Older age
B) Pain intensity: >4/10 NPRS
C) Self-reported disability: >30% NDI
D) Pain-related catastrophizing: <20 Pain Catastrophizing Scale
E) High post-traumatic stress symptoms
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