Anonymous
02-21-2004, 11:41 PM
As a senior medical student, you are doing clinical rotations in Chicago. You are assigned to examine a 60-year-old male patient presenting in the ER with BACK PAIN. The patient complains of a right-sided sudden low back pain radiating down his right leg to the big toe. You physical exam is notable for decreased power in the right extensor hallucis longus and tibialis anterior muscles. You also notice decreased pinprick sensation in the right anterolateral calf and dorsum of the right foot. Straight-leg rising on the right reproduced the patient’s pain. Your findings are compatible with:
a) A right L2 radiculopathy
b) A right L5 radiculopathy
c) A right L4 radiculopathy
d) An S1 radiculopathy
Your 35-year old male patient developed left NECK AND SHOULDER PAIN, with numbness and tingling radiating down the ulnar aspect of his left arm and into the fourth and fifth fingers. On your neurological exam, he had some weakness of the intrinsic muscles of the left hand, and decreased sensation to pinprick and light touch over the left fourth and fifth fingers. The neck and shoulder pain suggest to you a radiculopathy:
a) C2
b) C4
c) C5
d) C7
e) C8
A 25-year-old man was drinking heavily with friends and fell from a second story balcony. He struck his back on the way down and landed in a seated position. He immediately noticed COMPLETE LOSS OF MOVEMENT AND SENSATION IN BOTH LEGS. The exam in the ER was notable for flaccid tone and no strength throughout the lower extremities, decreased rectal tone, and bilateral sensory loss to pinprick, touch, vibration, and joint position sense bellow the umbilicus. What is the proper term to describe the loss of movement in this case?
a) Hemiplegia
b) Quadriplegia
c) Paraplegia
d) Semiplegia
Your diagnosis is:
a) Right hemicord lesion
b) Left hemicord lesion
c) Anterior cord syndrome due to the occlusion of anterior spinal artery
d) Posterior cord syndrome due to tumor compression
e) Fractured spine with cord compression
See what the responses are Thanks!!!
a) A right L2 radiculopathy
b) A right L5 radiculopathy
c) A right L4 radiculopathy
d) An S1 radiculopathy
Your 35-year old male patient developed left NECK AND SHOULDER PAIN, with numbness and tingling radiating down the ulnar aspect of his left arm and into the fourth and fifth fingers. On your neurological exam, he had some weakness of the intrinsic muscles of the left hand, and decreased sensation to pinprick and light touch over the left fourth and fifth fingers. The neck and shoulder pain suggest to you a radiculopathy:
a) C2
b) C4
c) C5
d) C7
e) C8
A 25-year-old man was drinking heavily with friends and fell from a second story balcony. He struck his back on the way down and landed in a seated position. He immediately noticed COMPLETE LOSS OF MOVEMENT AND SENSATION IN BOTH LEGS. The exam in the ER was notable for flaccid tone and no strength throughout the lower extremities, decreased rectal tone, and bilateral sensory loss to pinprick, touch, vibration, and joint position sense bellow the umbilicus. What is the proper term to describe the loss of movement in this case?
a) Hemiplegia
b) Quadriplegia
c) Paraplegia
d) Semiplegia
Your diagnosis is:
a) Right hemicord lesion
b) Left hemicord lesion
c) Anterior cord syndrome due to the occlusion of anterior spinal artery
d) Posterior cord syndrome due to tumor compression
e) Fractured spine with cord compression
See what the responses are Thanks!!!