Management of spinal fractures MCQs

What is the primary goal in the management of spinal fractures? A) To achieve complete immobilization B) To restore spinal alignment and stability C) To maximize pain D) To promote rapid movement Answer: B) To restore spinal alignment and stability Which imaging technique is commonly used to diagnose spinal fractures? A) MRI B) X-ray C) Ultrasound D) CT scan Answer: B) X-ray What is a common conservative treatment for stable spinal fractures? A) Surgical intervention B) Physical therapy C) Bed rest and brace application D) Pain medications only Answer: C) Bed rest and brace application Which type of fracture is typically indicated for surgical management? A) Stable fractures B) Compression fractures C) Unstable fractures D) Hairline fractures Answer: C) Unstable fractures What is a potential complication of spinal fracture management? A) Improved mobility B) Infection C) Enhanced flexibility D) None of the above Answer: B) Infection What type of brace is often used in the conservative management of thoracic or lumbar fractures? A) Cervical collar B) Milwaukee brace C) TLSO (Thoraco-Lumbo-Sacral Orthosis) D) Soft cast Answer: C) TLSO (Thoraco-Lumbo-Sacral Orthosis) Which surgical procedure involves the insertion of hardware to stabilize spinal fractures? A) Laminectomy B) Spinal fusion C) Discectomy D) Foraminotomy Answer: B) Spinal fusion What is the primary indication for vertebroplasty? A) To relieve muscle spasms B) To stabilize osteoporotic compression fractures C) To realign the spinal cord D) To treat ligament injuries Answer: B) To stabilize osteoporotic compression fractures Which type of fracture often results from osteoporosis? A) Transverse fracture B) Compression fracture C) Greenstick fracture D) Spiral fracture Answer: B) Compression fracture What is the purpose of early mobilization in spinal fracture management? A) To prevent joint stiffness and muscle atrophy B) To exacerbate pain C) To delay recovery D) To restrict movement Answer: A) To prevent joint stiffness and muscle atrophy What is a common sign of a spinal fracture? A) Increased appetite B) Severe back pain C) Weight gain D) Improved posture Answer: B) Severe back pain Which treatment is often prescribed for pain management in spinal fractures? A) Opioids B) Corticosteroids C) Antidepressants D) Antipsychotics Answer: A) Opioids What is a common non-surgical intervention for a stable spinal fracture? A) Corticosteroid injections B) Chiropractic manipulation C) Bracing and physical therapy D) Surgical fusion Answer: C) Bracing and physical therapy What type of spinal fracture is characterized by an anterior wedging of the vertebral body? A) Burst fracture B) Compression fracture C) Transverse fracture D) Avulsion fracture Answer: B) Compression fracture What is the purpose of surgical decompression in spinal fractures? A) To stabilize the fracture B) To relieve pressure on the spinal cord or nerves C) To promote healing D) To align the spine Answer: B) To relieve pressure on the spinal cord or nerves What is the role of physical therapy in spinal fracture management? A) To avoid any movement B) To enhance recovery and regain function C) To restrict mobility D) To provide only pain relief Answer: B) To enhance recovery and regain function Which of the following factors may complicate the management of spinal fractures? A) Age and health status of the patient B) Time of day C) Weather conditions D) Patient’s occupation Answer: A) Age and health status of the patient What is the significance of spinal stability in fracture management? A) It prevents further injury and facilitates healing B) It has no impact on recovery C) It only affects pain levels D) It increases rehabilitation time Answer: A) It prevents further injury and facilitates healing What type of imaging is best for evaluating spinal fractures and soft tissue injury? A) X-ray B) MRI C) Ultrasound D) CT scan Answer: B) MRI Which of the following is an indication for immediate surgical intervention in spinal fractures? A) Mild back pain B) Neurological deficits C) Stable fracture without symptoms D) Previous spinal surgery Answer: B) Neurological deficits What is the potential risk of prolonged bed rest in spinal fracture patients? A) Increased bone density B) Muscle weakness and joint stiffness C) Enhanced recovery D) Improved circulation Answer: B) Muscle weakness and joint stiffness What is a common long-term complication of spinal fractures? A) Enhanced flexibility B) Chronic pain C) Complete recovery D) Improved strength Answer: B) Chronic pain Which surgical approach is commonly used for thoracolumbar spine fractures? A) Anterior approach B) Posterior approach C) Lateral approach D) Transforaminal approach Answer: B) Posterior approach What is the purpose of using a halo brace in spinal fracture management? A) To immobilize the cervical spine B) To allow for free movement of the neck C) To increase mobility D) To eliminate pain Answer: A) To immobilize the cervical spine What is the role of corticosteroids in the management of spinal fractures? A) To promote muscle growth B) To reduce inflammation and swelling C) To enhance bone density D) To improve joint stability Answer: B) To reduce inflammation and swelling Which condition may lead to a higher incidence of spinal fractures? A) Osteoporosis B) Hypertension C) Asthma D) Diabetes Answer: A) Osteoporosis What is a common method for assessing spinal alignment after fracture treatment? A) Physical examination only B) Follow-up imaging studies C) Blood tests D) Urinalysis Answer: B) Follow-up imaging studies What is a vertebroplasty? A) A method for realigning the spine B) A procedure to stabilize a fractured vertebra using cement C) A surgical intervention for soft tissue injuries D) A non-invasive pain management technique Answer: B) A procedure to stabilize a fractured vertebra using cement What type of fracture is often associated with high-energy trauma? A) Stable fracture B) Compression fracture C) Burst fracture D) Greenstick fracture Answer: C) Burst fracture What does the term “spinal fusion” refer to in fracture management? A) The removal of a damaged vertebra B) The process of joining two or more vertebrae C) The injection of medication into the spine D) The use of a brace for support Answer: B) The process of joining two or more vertebrae Which of the following is an appropriate nursing intervention for a patient with a spinal fracture? A) Encouraging bed rest for an extended period B) Monitoring neurological status regularly C) Ignoring signs of complications D) Delaying pain management Answer: B) Monitoring neurological status regularly What is the expected outcome of conservative management for stable spinal fractures? A) Surgical intervention B) Complete healing and return to normal activity C) Chronic pain D) Permanent disability Answer: B) Complete healing and return to normal activity What is the significance of early intervention in spinal fracture management? A) It can worsen the injury B) It helps prevent complications and promotes healing C) It is unnecessary D) It only increases recovery time Answer: B) It helps prevent complications and promotes healing What kind of follow-up care is essential for patients with spinal fractures? A) Regular imaging and assessment B) No follow-up needed C) Infrequent assessments D) Only psychological support Answer: A) Regular imaging and assessment Which symptom is a red flag indicating possible spinal fracture complications? A) Mild discomfort B) Increasing numbness or weakness C) Occasional pain D) None of the above Answer: B) Increasing numbness or weakness What is the purpose of a spinal fracture rehabilitation program? A) To prevent movement B) To enhance recovery and return to function C) To eliminate all pain D) To restrict physical activity Answer: B) To enhance recovery and return to function

Management of spinal fractures MCQs
By: Prof. Dr. Fazal Rehman | Last updated: September 28, 2024

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