Spine Disorders Practice Questions

Question 1

A 50-year-old male presents with chronic low back pain and has failed 6 weeks of basic conservative management, including rest, NSAIDs, and physical therapy. MRI shows disc herniation at L5-S1 with radiculopathy. There are no features of cauda equina syndrome or progressive neurological deficits. What is the next best step in management?

Accepted Answer

Epidural steroid injection

Answer

Surgical decompression

Answer

Acupuncture

Answer

NSAIDs

Question 2

A lesion in the cauda equina will likely present with what type of signs?

Accepted Answer

Lower motor signs

Answer

Spastic paralysis

Answer

Hyperreflexia

Answer

Upper motor signs

Question 3

A 50-year-old male with a history of chronic low back pain presents with new-onset bowel and bladder incontinence. What is the next best step in management?

Accepted Answer

Urgent MRI of the spine

Answer

Conservative management with NSAIDs

Answer

Bed rest

Answer

Physical therapy

Question 4

A patient presents with a suspected cervical spine injury following an accident. What is the first step in management?

Accepted Answer

stabilize the cervical spine

Answer

perform imaging studies

Answer

administer oxygen

Answer

log roll the patient

Question 5

A 33-year-old man is brought to the emergency department after being involved in a major motor vehicle accident. He is unable to move his legs and complains of severe pain in his mid to lower back. On physical examination, he is found to have exquisite tenderness over some of the bony prominence of his lower back, but no gross physical deformity can be appreciated. On neurologic examination, flaccid paralysis of both lower extremities and complete anesthesia to all sensory modalities below approximately the L3 dermatome are noted. Catheterization of his bladder yields approximately 700 mL of urine. Plain radiographs of the spine reveal compression fracture in the body of L3 with greater than 50% of loss in its height. A computed tomography (CT) scan through this area reveals a burst fracture of the body of L3. There are large fragments of bone driven dorsally with an 80% canal compromise. What is the cause of weakness?

Accepted Answer

Compression of the cauda equina

Answer

Compression of the conus medullaris

Answer

Rupture of the anterior spinal ligament

Answer

Compression of the spinal cord at the level of L3

Question 6

Open reduction (OR) is not required in which fracture?

Accepted Answer

Fracture of the outer one-third of the radius

Answer

Fracture of the patella

Answer

Displaced fracture of the olecranon

Answer

Fracture of the condyle of the humerus

Question 7

False about fracture of vertebrae

Accepted Answer

Anterior longitudinal ligament runs along the posterior surface of vertebral bodies

Answer

Fracture dislocation is common in flexion rotation injury

Answer

Chance fracture occurs due to flexion distraction injury

Answer

Wedge compression causes flexion injury

Question 8

The most common pattern of involvement in Pott's spine is

Accepted Answer

Paradiscal

Answer

Central

Answer

Posterior

Answer

Question 9

Which of the following is NOT a clinical feature of Tuberculosis of the Spine?

Accepted Answer

Weight gain

Answer

Loss of lordosis

Answer

Night sweats

Answer

Evening rise of temperature

Question 10

What is the commonest extradural spinal tumor?

Accepted Answer

Metastasis

Answer

Neurofibroma

Answer

Glioma

Answer

Meningioma

Spine Disorders

Study Resources

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Cervical Spine Disorders

Thoracic Spine Disorders

Lumbar Spine Disorders

Intervertebral Disc Disease

Spinal Stenosis

Spondylolisthesis

Spinal Deformities

Spinal Infections

Spinal Tumors

Spinal Cord Injuries

Minimally Invasive Spine Surgery

Rehabilitation of Spine Conditions

Practice Questions

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About Spine Disorders for NEET-PG

Lessons in Spine Disorders

Master Spine Disorders