Exam (elaborations)
CCEB Part B Questions and Answers Graded A+
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Exam of 25 pages for the course CCEB at CCEB (CCEB Part B)
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CCEB Part B90% of L/S disc herniations resolve within ______ - answer18-24mos
Spondylectomies - answer Complete slippage
Types of spondylolistheses - answer1. Dysplastic (congenital defect)
2. Isthmic (lytic)
3. Degenerative
4. Traumatic
5. Pathologic
Congenital causes of spinal stenosis - answer1. Idiopathic
2. Achondroplastic
Acquired causes of spinal stenosis - answer1. Degenerative
2. Spondylolisthesis / spondylolysis
3. Post-traumatic
Eisenstein method for stenosis - answer<13mm = relative stenosis
<11mm = absolute stenosis
Types of WAD - answerI: only symptoms
II: MSK signs
III: neuro signs
IV: # or dislocation
Cervical myelopathy grading scale - answer0 = 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 - answerTight traps and pecs
Weak DNF and rhomboids/serratus
Wall test - answer<6cm from occiput to wall
Jull's test - answerHold head off table for 30s
Scoliosis is ___ degrees of axial trunk rotation - answer>7 deg
,Scoliosis angle greater than ___ may cause IVF encroachment and cardiopulmonary
complications - answer>60 deg
With scoliosis, SPs rotate INTO or OUT OF the concavity? - answerInto
Cervicogenic headaches must have one of the following according to the International
Headache Society - answer1. 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 - answerDix-Hallpike maneuvre
DDx BPPV from Meniere's - answerMeniere's - tinnitus and hearing loss
Treatment for BPPV - answer1. Epley's
2. Sermont's
Glasgow coma scale score of _____ indicates concussion - answer13-15
Concussion grading - answer1: symptoms resolve <15mins
2: symptoms resolve >15mins
3: any LOC
AC joint sprain types - answer1: AC capsule, no displacement
2: AC capsule + coracoacromial ligs, visible clavicle elevation
3: major AC and coracoacromial ligs
Frozen shoulder stages - answerPainful - frozen - thawing
Frozen shoulder capsular end feel - answerER + ABD
Ottawa Knee Rules - answerPt 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 - answerACL, MCL, medial meniscus tear
Plantar fasciitis - answerPlantar fascia
Flexor digitorum brevis
Helbing's sign - answerStanding shows medial curvature / valgus shape of Achilles
tendon
, Thompson test - answerCompression of the calf muscle while observing for plantar
flexion to assess the stability of the Achilles tendon
Tibialis anteiror strain (anterior shin splints) - answerPain w/ heel strike, downhill
running, over-striding
Medial tibial stress syndrome (posterior shin splints) - answerTP, HFL, FDL, soleus
Pain w/ toe off
DDx tibial stress # and chronic exertional compartment syndrome - answerTibial stress
#: lasts 2-3 weeks
CECS: extreme feeling of firmness
Lateral epicondylitis - answerExtensor carpi radialis brevis
Chronic bronchitis - answerDaily productive cough for 3mos for 2 consecutive years
Pneumonia: typical or atypical - answerTypical: S. pneumoniae
Atypical: Mycoplasma
Bell test - answerDirect pressure over carpal tunnel + Phalen's for 20s
Gold standard for carpal tunnel syndrome - answerElectromyography and nerve
conduction studies
Diabetes mellitus - fasting plasma glucose ____ - answer>7
Kirkaldy-Willis degenerative cascade - answer1. Dysfunction
2. Unstable
3. Stable
DDx kidney stones vs appendicitis - answerKidney stones: rock and rolls
Appendicitis: stays still
Osteoporosis types - answerI: postmenopausal
II: senile
III: secondary to medications or other conditions
Rheumatoid arthritis > or < 1hr? - answer>1hr
Multiple sclerosis first S/S - answerVisual disturbances (diplopia)
Shingles affecting fascial nerve - answerRamsey Hunt Syndrome
DDx neurogenic vs vascular claudication - answerVascular not relieved by flexion
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