Management of spinal fractures MCQs

By: Prof. Dr. Fazal Rehman Shamil | Last updated: September 28, 2024

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

 

Related Posts: