Musculoskeletal- Goolsby and Bates specific disorders
Questions With Complete Solutions
Associated symptoms of OA Correct Answers usually absent
Associated Symptoms of RA Correct Answers Weakness,
fatigue, weight loss, and low fever
Causes of cervical radiculopathy from nerve root compression
Correct Answers -Caused by dysfunction of C-spine nerve,
nerve roots, or both
-Foraminal encroachment of spinal nerve (75% of cases)
-Herniated c-spine disc (25% of cases)
Cervical Myelopathy Correct Answers may be caused by
cervical stenosis from osteophytes, ossification of ligamentum
flavum
Cervical Myelopathy S/s Correct Answers hyperreflexia;
clonus at the wrist, knee or ankle
- positive babinski signs
- gait disturbance
- May see Lhermitte sign
cervical myopathy - from cervical cord compression Correct
Answers -Neck pain with bilateral weakness and paresthesias in
both upper and lower extremities, often with urinary frequency
-Hand clumsiness, palmar paresthesias, and gait changes may be
subtle
-Neck flexion often exacerbates symptoms
, Cervical radiculopathy s/s Correct Answers -Most often affects
C7, with weakness in triceps, finger flexors and extensors
-Common in C6 with weakness in biceps, brachioradialis, wrist
extensors
cervical radiculopathy- from nerve root compression Correct
Answers -Sharp burning/tingling pain in the neck and one arm
-Associated paresthesias and weakness
-Sensory symptoms often follow myotomal (rather than
dermatomal) pattern deep in muscle
Chronic Tophaceuous gout associated symptoms Correct
Answers possible fever, patients may develop renal failure and
stones
Chronic whiplash Correct Answers symptoms lasting more
than 6 mo
Common locations of RA Correct Answers hands, initially
small joints, feet, wrists, knees, elbows, and ankles
Diagnosing RA Correct Answers -rheumatoid factor
- C-reactive protein and sedimentation rate elevation
Diagnosis of Lyme Disease Correct Answers ELISA and
Western Blot
Diagnosis of Sarcoidosis Correct Answers Biopsy of affected
tissue
Diagnosis of SLE Correct Answers Postive ANA
Questions With Complete Solutions
Associated symptoms of OA Correct Answers usually absent
Associated Symptoms of RA Correct Answers Weakness,
fatigue, weight loss, and low fever
Causes of cervical radiculopathy from nerve root compression
Correct Answers -Caused by dysfunction of C-spine nerve,
nerve roots, or both
-Foraminal encroachment of spinal nerve (75% of cases)
-Herniated c-spine disc (25% of cases)
Cervical Myelopathy Correct Answers may be caused by
cervical stenosis from osteophytes, ossification of ligamentum
flavum
Cervical Myelopathy S/s Correct Answers hyperreflexia;
clonus at the wrist, knee or ankle
- positive babinski signs
- gait disturbance
- May see Lhermitte sign
cervical myopathy - from cervical cord compression Correct
Answers -Neck pain with bilateral weakness and paresthesias in
both upper and lower extremities, often with urinary frequency
-Hand clumsiness, palmar paresthesias, and gait changes may be
subtle
-Neck flexion often exacerbates symptoms
, Cervical radiculopathy s/s Correct Answers -Most often affects
C7, with weakness in triceps, finger flexors and extensors
-Common in C6 with weakness in biceps, brachioradialis, wrist
extensors
cervical radiculopathy- from nerve root compression Correct
Answers -Sharp burning/tingling pain in the neck and one arm
-Associated paresthesias and weakness
-Sensory symptoms often follow myotomal (rather than
dermatomal) pattern deep in muscle
Chronic Tophaceuous gout associated symptoms Correct
Answers possible fever, patients may develop renal failure and
stones
Chronic whiplash Correct Answers symptoms lasting more
than 6 mo
Common locations of RA Correct Answers hands, initially
small joints, feet, wrists, knees, elbows, and ankles
Diagnosing RA Correct Answers -rheumatoid factor
- C-reactive protein and sedimentation rate elevation
Diagnosis of Lyme Disease Correct Answers ELISA and
Western Blot
Diagnosis of Sarcoidosis Correct Answers Biopsy of affected
tissue
Diagnosis of SLE Correct Answers Postive ANA
