GLOBUS 201 EXAM QUESTIONS AND ANSWERS
GRADED A+ 2026-2028
3 VERSIONS Complete Question Bank with Detailed
Rationales
Question 1: What is the indicated use for the COALITION AGX® Spacers?
A) Posterior lumbar fusion
B) Interbody fusion for DDD of the cervical spine (C2-T1) at one or two contiguous levels
C) Thoracic disc replacement
D) Occipitocervical fixation
Answer: B) Interbody fusion for DDD of the cervical spine (C2-T1) at one or two
contiguous levels
Rationale: The COALITION AGX® Spacers are interbody fusion devices for skeletally
mature patients with degenerative disc disease (DDD) of the cervical spine (C2-T1) for one
or two contiguous levels .
Question 2: What type of graft is used with COALITION AGX® Spacers?
A) Synthetic bone graft only
B) Autograft bone and/or allogenic bone graft composed of cancellous and/or
corticocancellous bone
C) Demineralized bone matrix only
D) Bone morphogenetic protein
Answer: B) Autograft bone and/or allogenic bone graft composed of cancellous
and/or corticocancellous bone
Rationale: The spacers are filled with autograft bone and/or allogenic bone graft
composed of cancellous and/or corticocancellous bone .
,Question 3: What conditions can the COALITION AGX® Plate address?
A) Degenerative disc disease only
B) Trauma only
C) Degenerative disc disease, trauma, tumors, deformity, pseudarthrosis, failed previous
fusion, spondylolisthesis, and spinal stenosis
D) Deformity only
Answer: C) Degenerative disc disease, trauma, tumors, deformity, pseudarthrosis,
failed previous fusion, spondylolisthesis, and spinal stenosis
Rationale: The COALITION AGX® Plate is intended for anterior screw fixation to the
cervical spine (C2-C7) for various indications including degenerative disc disease, trauma,
tumors, deformity, pseudarthrosis, failed previous fusion, spondylolisthesis, and spinal
stenosis .
Question 4: What is the profile thickness of the AGX® Standard Plate?
A) 1.2mm thick
B) 1.5mm thick
C) 1.8mm thick
D) 2.0mm thick
Answer: C) 1.8mm thick
Rationale: The AGX® Standard Plate has a profile thickness of 1.8mm, providing a low
profile design that minimizes disruption to patient anatomy while maintaining strength .
Question 5: What are the available screw diameters in the COALITION AGX® system?
A) 3.0mm and 3.5mm
B) 3.6mm and 4.2mm
C) 4.0mm and 4.5mm
D) 4.5mm and 5.0mm
,Answer: B) 3.6mm and 4.2mm
Rationale: The COALITION AGX® Screw Module offers screws in 3.6mm and 4.2mm
diameters with both fixed and variable screw options .
Question 6: What feature helps prevent screw backout in the COALITION AGX®
system?
A) Thread locking compound
B) Confident Blocking
C) Helical locking mechanism
D) Screw head expansion
Answer: B) Confident Blocking
Rationale: The COALITION AGX® system features "Confident Blocking" which helps
prevent screw backout and provides secure fixation .
Question 7: Which screw has a cutout at the tip in the COALITION system?
A) Self-tapping screw
B) Fixed screw
C) Variable screw
D) Self-drilling screw
Answer: A) Self-tapping screw
Rationale: In the COALITION system, the self-tapping screw is identified by a cutout at the
tip . Self-drilling screws would have a different tip configuration.
Question 8: Which screw has two lines on the head in the COALITION system?
, A) Self-tapping screw
B) Fixed screw
C) Variable screw
D) Self-drilling screw
Answer: C) Variable screw
Rationale: In the COALITION system, the variable screw is identified by two lines on the
head. This distinguishes it from the fixed screw .
Question 9: The SECURE-C cervical disc is indicated for use at which level?
A) C2-C7 at one level
B) C3-C7 at one level
C) C2-T1 at one or two levels
D) C3-C6 at one level
Answer: B) C3-C7 at one level
Rationale: The SECURE-C cervical disc is indicated for reconstruction of the disc at one
level from C3-C7 .
Question 10: What is the recommended placement of distraction pins for the SECURE-C
procedure?
A) Middle of the superior and inferior vertebral bodies
B) Superior portion of the superior vertebral body and inferior portion of the inferior
vertebral body
C) Superior portion of both vertebral bodies
D) Inferior portion of both vertebral bodies
Answer: B) Superior portion of the superior vertebral body and inferior portion of
the inferior vertebral body
Rationale: It is recommended that distraction pins be placed in the superior portion of the
superior vertebral body and inferior portion of the inferior vertebral body .
GRADED A+ 2026-2028
3 VERSIONS Complete Question Bank with Detailed
Rationales
Question 1: What is the indicated use for the COALITION AGX® Spacers?
A) Posterior lumbar fusion
B) Interbody fusion for DDD of the cervical spine (C2-T1) at one or two contiguous levels
C) Thoracic disc replacement
D) Occipitocervical fixation
Answer: B) Interbody fusion for DDD of the cervical spine (C2-T1) at one or two
contiguous levels
Rationale: The COALITION AGX® Spacers are interbody fusion devices for skeletally
mature patients with degenerative disc disease (DDD) of the cervical spine (C2-T1) for one
or two contiguous levels .
Question 2: What type of graft is used with COALITION AGX® Spacers?
A) Synthetic bone graft only
B) Autograft bone and/or allogenic bone graft composed of cancellous and/or
corticocancellous bone
C) Demineralized bone matrix only
D) Bone morphogenetic protein
Answer: B) Autograft bone and/or allogenic bone graft composed of cancellous
and/or corticocancellous bone
Rationale: The spacers are filled with autograft bone and/or allogenic bone graft
composed of cancellous and/or corticocancellous bone .
,Question 3: What conditions can the COALITION AGX® Plate address?
A) Degenerative disc disease only
B) Trauma only
C) Degenerative disc disease, trauma, tumors, deformity, pseudarthrosis, failed previous
fusion, spondylolisthesis, and spinal stenosis
D) Deformity only
Answer: C) Degenerative disc disease, trauma, tumors, deformity, pseudarthrosis,
failed previous fusion, spondylolisthesis, and spinal stenosis
Rationale: The COALITION AGX® Plate is intended for anterior screw fixation to the
cervical spine (C2-C7) for various indications including degenerative disc disease, trauma,
tumors, deformity, pseudarthrosis, failed previous fusion, spondylolisthesis, and spinal
stenosis .
Question 4: What is the profile thickness of the AGX® Standard Plate?
A) 1.2mm thick
B) 1.5mm thick
C) 1.8mm thick
D) 2.0mm thick
Answer: C) 1.8mm thick
Rationale: The AGX® Standard Plate has a profile thickness of 1.8mm, providing a low
profile design that minimizes disruption to patient anatomy while maintaining strength .
Question 5: What are the available screw diameters in the COALITION AGX® system?
A) 3.0mm and 3.5mm
B) 3.6mm and 4.2mm
C) 4.0mm and 4.5mm
D) 4.5mm and 5.0mm
,Answer: B) 3.6mm and 4.2mm
Rationale: The COALITION AGX® Screw Module offers screws in 3.6mm and 4.2mm
diameters with both fixed and variable screw options .
Question 6: What feature helps prevent screw backout in the COALITION AGX®
system?
A) Thread locking compound
B) Confident Blocking
C) Helical locking mechanism
D) Screw head expansion
Answer: B) Confident Blocking
Rationale: The COALITION AGX® system features "Confident Blocking" which helps
prevent screw backout and provides secure fixation .
Question 7: Which screw has a cutout at the tip in the COALITION system?
A) Self-tapping screw
B) Fixed screw
C) Variable screw
D) Self-drilling screw
Answer: A) Self-tapping screw
Rationale: In the COALITION system, the self-tapping screw is identified by a cutout at the
tip . Self-drilling screws would have a different tip configuration.
Question 8: Which screw has two lines on the head in the COALITION system?
, A) Self-tapping screw
B) Fixed screw
C) Variable screw
D) Self-drilling screw
Answer: C) Variable screw
Rationale: In the COALITION system, the variable screw is identified by two lines on the
head. This distinguishes it from the fixed screw .
Question 9: The SECURE-C cervical disc is indicated for use at which level?
A) C2-C7 at one level
B) C3-C7 at one level
C) C2-T1 at one or two levels
D) C3-C6 at one level
Answer: B) C3-C7 at one level
Rationale: The SECURE-C cervical disc is indicated for reconstruction of the disc at one
level from C3-C7 .
Question 10: What is the recommended placement of distraction pins for the SECURE-C
procedure?
A) Middle of the superior and inferior vertebral bodies
B) Superior portion of the superior vertebral body and inferior portion of the inferior
vertebral body
C) Superior portion of both vertebral bodies
D) Inferior portion of both vertebral bodies
Answer: B) Superior portion of the superior vertebral body and inferior portion of
the inferior vertebral body
Rationale: It is recommended that distraction pins be placed in the superior portion of the
superior vertebral body and inferior portion of the inferior vertebral body .
