UPDATE|EXAM
QUESTIONS WITH MULTIPLE
CHOICES |VERIFIED & REVISED
ANSWERS (NEW)!!!
OSTEOARTHRITISm-mCORRECTmANSWERmAlsomknownmasmDegenerativemJointmDisease/OA
Progressivemdamagemandmlossmofmarticularmcartilage.m
Jointmspacesmnarrow.m
Mostmcommonmformmofmarthritis.m
Mostlymseenminmhips,mknees,mhands,mandmfeet.m
ETIOLOGY-agingmprocess,minherited,mobesity,mstructuralmabnormalities.
TREATMENTS-
med:mNSAIDS,mINJECTIONmOFmCORTIOCOSTEROIDSmANDmHYALURONICmACIDmBASEDmMEDS
BUOCHARDmNODESm-mCORRECTmANSWERmOA,monmproximalmIPmjoints
HEBERDENmNODESm-mCORRECTmANSWERmOA,monmdistalmIPmjoints
RHEUMATOIDmARTHRITISm-
mCORRECTmANSWERmBodymbelievesmsynovialmtissuemtombemforeignmandmattacksmit,mcausingminflam
mationmandmjointmeffusionm(swelling).m
Canmbemassociatedmwithmulnarmdrift,mswanmneckmdeformities,mandmboutonnieremdeformities
Pharmacotherapy:mNSAIDS,mCorticosteroids,mDMARDs(anti-rheumaticmdrugs)
OSGOOD-SCHLATTERSmDISEASEm-mCORRECTmANSWERmKneempainminmgrowingmadolescent
,Overuseminjurymwithmactivitiesmthatminvolvemrepetitivemextensionmofmthemknee:mrunning,metc.m
Painmismduemtominflammationmofmthempatellarmtendon
Thempatellarmtendonmismbeingmstretchedmandmismpullingmonmtheminsertionmpointmatmthemtibialmtube
rosity
Treatment:Reducingmpainmandmswelling,mNSAIDsmandmwrappingmthemknee
KYPHOSISm-mCORRECTmANSWERmExaggerationmofmthemnormalmposteriormthoracicmcurvature.
Canmhavemroundedmshouldersmandmdowager'smhump.
Etiology:mCanmbemfrommposturemormdisease.mChronicmspasticitymofmpectoralismmajormandmminor,ms
erratusmanterior,mweakmrhomboidmmajormandmminor.mOsteoporosisminmoldermpersons.
Tuberculosismofmvertebralmbodies,mankylosingmspondylitis,mcancer,mbenignmtumors,mspinambifida,mc
erebralmpalsy,mpoliomyelitis
SCOLIOSISm-
mCORRECTmANSWERmLateralmcurvatureminmthemnormallymstraightmverticalmlinemofmthemspine.m
Structuralm:
1.mUnknownm(80%mofmcases)minmadolescents,mormamcongenitalmmalformationmofmthemspinemandmdis
eases
2.mCausesmampermanentmchangeminmthemspine
3.mCanmalsombemsecondarymtomparalysis.mFunctional:
1.mCausedmbympainmormpoormposture
2.mAppearsmtomchangemconfigurationmwhenmthempatientmmoves
Causedmbymprotrusionmofmtransversemprocessmofmthemrotatedmvertebrae.mOnmthemsidemofmcurve'smc
onvexity
LORDOSISm-mCORRECTmANSWERmAlsomknownmasmhyperlordosis,msaddleback,mormswayback
Exaggerationmofmthemnormalmanteriormcurvaturemofmthemlumbarmspinem
Canmleadmtomdegenerativemdiscmdiseasemormherniatedmdiscsminmthemlumbarmspine
, Etiology
Posturalmcompensationmformaddedmabdominalmmass,mgirth,masminmpregnancymandmobesity
Maymaccompanymspinalmdiseasemsuchmasmosteoporosismormspondylolisthesis
SPONDYLISTHESISm-mCORRECTmANSWERmVertebrambecomesmanteriorlymdisplaced
UsuallymaffectsmL4/L5mormL5/S1
Agemofmonsetmusuallym>m40,mwomenm>mmenm(3:1)
Etiology
Discmdegenerationmandmbonemdiseasem(arthritis)
Birthmdefectmormtraumamtomvertebralmcolumnm
SignsmandmSymptoms
Lowmbackmpain,mreferredmpain
Musclemspasm
Increasedmlumbarmlordosis
Stepmdeformity-onemspinousmprocessmpalpatedmanteriormtomnext
SPONDYLOLYSISm-
mCORRECTmANSWERmStructuralmdeformityminmthemparsminterarticularismofmlumbarmspinemvertebra
e
UsuallymoccursmatmL4/L5mormL5/S1m
d.mCanmcausemanteriormslippingmofmthemL5mvertebramovermthemsacrummcalledmspondylolisthesis
SPONDYLOSISm-mCORRECTmANSWERmDegenerativemchangeminmthemspine
Commonlymaffectsmthemneck
Resultminmbonemspurmgrowthsmthatmcanmputmpressuremonmspinalmnervesmormthemspinalmcord
Etiology
Agingmprocess