Deck 24: Back Pain

Question 1

____ is a numbness or "pins and needles" sensation located in the skin territory of the perineum between the legs, the external genitalia, and the anus.

A) Lateral anesthesia
B) Saddle anesthesia
C) Localized anesthesia
D) Compressive anestheisa

Answer 1

Saddle anesthesia

Question 2

When spinal cord compression occurs in the lumbar spine, it is called ____ syndrome.

A) degeneration of disks
B) musculoskeletal pain
C) musculocutaneous
D) cauda equina

Answer 2

cauda equina

Question 3

A patient who has a ruptured aortic aneurysm needs to be in a facility with ____ services that can repair the aorta.

A) emergency
B) vascular surgery
C) transplant surgery
D) intensive care

Answer 3

vascular surgery

Question 4

____ typically occur from calcium that builds up in the kidney over time.

A) Stenosis
B) Diskitis
C) Kidney stones
D) Osteoporosis

Question 5

Musculoskeletal back pain is by far the most common cause for back pain.

Question 6

During an examination to determine muscle strength in the presence of back pain, differences in strength between the two legs that may indicate central cord compression.

Question 7

____ is a change in the structure of the bones that makes them more brittle.

A) Osteoporosis
B) Degeneration
C) Metastasis
D) Hematosis

Question 8

At approximately the level of the ____ vertebrae, the spinal cord separates into individual spinal nerves.

A) first cervical
B) third cervical
C) fourth thoracic
D) second lumbar

Question 9

Infections that occur in the disk are known as ____.

A) abscess
B) diskitis
C) stenosis
D) osteo abscess

Question 10

In general, patients who have nontraumatic back pain require spinal motion restriction with a cervical collar or a long spine board to ensure there is no further injury.

Question 11

____ agents are stronger medications that can be administered intravenously, intramuscularly, or subcutaneously to provide analgesia.

A) NSAIDS
B) SAS
C) Valium
D) Opioid

Question 12

The spinal column is made up of ____ vertebrae that both support the human while walking upright and protect the spinal cord.

A) 28
B) 31
C) 33
D) 35

Question 13

Most often nontraumatic back pain occurs as a result of ____.

A) disk herniation
B) muscle strain
C) caudia equina
D) disk degeneration

Question 14

For a patient who is believed to be septic, the blood pressure should be supported with up to 2 liters of ____ as a means of resuscitating the patient.

A) plasma
B) distilled water
C) normal saline
D) sugar water

Question 15

As humans age, many people will develop minor disk ____, commonly known as bulging disks, that often do not cause pain.

A) herniation
B) thickening
C) degeneration
D) stenosis

Question 16

____ is an infection of the kidney and can produce back pain.

A) Pyelonephritis
B) Diskitis
C) Osteomylitis
D) An epidural abscess

Question 17

____ is a narrowing of the spinal canal.

A) Compression
B) Spinal abscess
C) Diskitis
D) Spinal stenosis

Question 18

An infection that occurs within the spinal canal is known as a(n) ____.

A) spinal abscess
B) diskitis
C) epidural abscess
D) osteo abscess

Question 19

Lumbar pain affects an estimated 85% of adults under the age of 50 years old, and approximately 20% of Americans suffer from lower back pain annually.

Question 20

There is little room between the bony surface of the vertebral canal and the spinal cord.

Question 21

Increased heart rate may be a sign of early shock, especially when coupled with a decreased ____________________ blood pressure.

Question 22

The spinal cord has the appearance of a horse's tail, thus leading to its name: ____________________.

Question 23

A significant compression of the spinal cord at any level should produce ____________________.

Question 24

In a severe vertebral disk ____________________, the disk can cause enough compression on the cord to produce permanent nerve damage.

Question 25

The abdominal ____________________ runs down the left side of the vertebral column from the diaphragm down to approximately the level of the second or third lumbar vertebrae.