CCEB Part B 2023 QUESTIONS AND ANSWERS 100% VERIFIED

CCEB Part B 2023 QUESTIONS AND ANSWERS 100% VERIFIED 90% of L/S disc herniations resolve within ______ - 18-24mos Spondyloptosis - Complete slippage Types of spondylolisthesis - 1. Dysplasic (congenital defect) 2. Isthmic (lytic) 3. Degenerative 4. Traumatic 5. Pathologic Congenital causes of spinal stenosis - 1. Idiopathic 2. Achondroplastic Acquired causes of spinal stenosis - 1. Degenerative 2. Spondylolisthetic / spondylolytic 3. Post-traumatic Eisenstein method for stenosis - <13mm = relative stenosis <11mm = absolute stenosis Types of WAD - I: only symptoms II: MSK signs III: neuro signs IV: # or dislocation Cervical myelopathy grading scale - 0 = no signs of cord involvement 1 = signs of cord involvement, normal gait 2 = abnormal gait, but employed 3 = gait abnormality prevents employment 4 = ambulation possible w/ assistance 5 = chair-bound or bedridden Upper cross syndrome - Tight traps and pecs Weak DNF and rhomboids/serratus Wall test - <6cm from occiput to wall Jull's test - Hold head off table for 30s Scoliosis is ___ degrees of axial trunk rotation - >7 deg Scoliosis angle greater than ___ may cause IVF encroachment and cardiopulmonary complications - >60 deg With scoliosis, SPs rotate INTO or OUT OF the concavity? - Into Cervicogenic headaches must have one of the following according to the International Headache Society - 1. Resistance / limitation of PROM 2. Change in neck muscle contour, texture, tone, or response to active/passive stretching 3. Abnormal tenderness to neck muscles Diagnostic gold standard for BPPV - Dix-Hallpike maneuvre DDx BPPV from Meniere's - Meniere's - tinnitus and hearing loss Treatment for BPPV - 1. Epley's 2. Sermont's Glasgow coma scale score of _____ indicates concussion - 13-15 Concussion grading - 1: symptoms resolve <15mins 2: symptoms resolve >15mins 3: any LOC AC joint sprain types - 1: AC capsule, no displacement 2: AC capsule + coracoacromial ligs, visible clavicle elevation 3: major AC and coracoacromial ligs Frozen shoulder stages - Painful - frozen - thawing Frozen shoulder capsular end feel - ER + ABD Ottawa Knee Rules - Pt is >55 y/o Inability to bear weight both immediately and in the emergency department (4 steps) Isolated tenderness of the patella Tenderness at head of fibula Inability to flex to 90 degrees. Unhappy triad - ACL, MCL, medial meniscus tear Plantar fasciitis - Plantar fascia Flexor digitorum brevis Helbing's sign - Standing shows medial curvature / valgus shape of Achilles tendon Thompson test - Compression of the calf muscle while observing for plantar flexion to assess the stability of the Achilles tendon Tibialis anteiror strain (anterior shin splints) - Pain w/ heel strike, downhill running, over-striding Medial tibial stress syndrome (posterior shin splints) - TP, HFL, FDL, soleus Pain w/ toe off DDx tibial stress # and chronic exertional compartment syndrome - Tibial stress #: lasts 2-3 weeks CECS: extreme feeling of firmness Lateral epicondylitis - Extensor carpi radialis brevis Chronic bronchitis - Daily productive cough for 3mos for 2 consecutive years Pneumonia: typical or atypical - Typical: S. pneumoniae Atypical: Mycoplasma Bell test - Direct pressure over carpal tunnel + Phalen's for 20s Gold standard for carpal tunnel syndrome - Electromyography and nerve conduction studies Diabetes mellitus - fasting plasma glucose ____ - >7 Kirkaldy-Willis degenerative cascade - 1. Dysfunction 2. Unstable 3. Stable DDx kidney stones vs appendicitis - Kidney stones: rock and rolls Appendicitis: stays still Osteoporosis types - I: postmenopausal II: senile III: secondary to medications or other conditions Rheumatoid arthritis > or < 1hr? - >1hr Multiple sclerosis first S/S - Visual disturbances (diplopia) Shingles affecting fascial nerve - Ramsey Hunt Syndrome DDx neurogenic vs vascular claudication - Vascular not relieved by flexion Gold standard for cauda equina syndrome diagnosis - MRI Erb-Duchenne Palsy - Damage to C5-6 nerve roots Waiter tip appearance: elbow extended, forearm pronated, fingers flexed Klumpke Palsy - Damage to C8-T1 nerve roots Claw hand Jefferson fracture - C1 burst fracture Hangman's fracture - C2 fracture of posterior elements Teardrop fracture - Avulsion # of anterior VB Berry aneurysm - Subarachnoid hematoma Wallenberg's syndrome - Occlusion of PICA Sudden onset numbness/paralysis to face, blurred vision Scheuermann's disease - Wedging of >5deg in 3 consecutive vertebra Hyperkyphosis >40deg Glaucoma - Slow, progressive incr fluid in eye Blurred vision (peripheral -> central) Temporal arteritis - Tenderness over temporal artery Visual disturbances Meniere's disease - Recurrent vertigo Sensory hearing loss Vestibular neuritis - Inflammation of CN VIII Vertigo, NAUSEA Acoustic neuroma - Gradual onset sensorineural hearing loss Myringitis - Vesicles on tympanic membrane Sudden ear pain (24-48hrs) Putti's triad - 1. Shallow acetabulum 2. Superolateral displacement of proximal femur 3. Hypoplastic femoral head Legg-Calves-Perthes disease - AVN of femoral head 5-10yo boys Slipped capital femoral epiphysis - Fracture / dislocation of epiphyseal growth plate Active/overweight children 12-13yo Jones / dancer fracture - Fibularis brevis avulsion fracture of base of 5th MT Horizontal lucency Homan's sign Peebody's sign - Deep vein thrombosis Anterior interosseous sy