Spinal Neurological Disease Practice Test

These questions are part of the practice quiz. Start practicing

• Which clinical scenario most strongly suggests acute thoracolumbar disc extrusion in a chondrodystrophic breed?
• Discospondylitis typically requires antibiotic therapy for approximately how long?
• Which is a primary component in diagnosing Wobblers?
• Which of the following is NOT a characteristic of TL Hansen type III IVDD?
• If MRI is unavailable for suspected spinal epidural abscess, which modality can provide alternative detail?
• What is a common presenting feature of cervical spondylotic myelopathy?
• FCE pathogenesis involves emboli derived from which tissue?
• What does T2 hyperintensity within the spinal cord suggest in the setting of cord compression?
• Which features distinguish transverse myelitis from MS relapse on imaging and CSF?
• Which imaging modalities are recommended to diagnose lumbosacral stenosis when initial evaluation is inconclusive?
• How can you distinguish myelopathy from radiculopathy on examination?
• Which statement about dorsal columns is true?
• Describe Brown-Séquard syndrome and its typical exam findings after a hemicord injury.
• Which of the following is NOT a typical sign on physical examination for lumbosacral stenosis?
• Which of the following is a surgical treatment option for Wobbler syndrome?
• In discospondylitis, is surgery generally avoided if possible?
• What is Chiari I malformation and its relation to syringomyelia?
• Brown-Sequard syndrome features after penetrating spinal injury?
• Where is the lesion usually located when a panniculus response is positive?
• A common diagnostic finding for discospondylitis is
• If a patient has isolated dorsal column injury, which deficit would be expected?
• Prognosis of Wobblers is generally good, but what caveat should be considered?
• Majority of FCE cases will improve in about one week.
• Which statement best describes TL IVDD prognosis?
• Is syringomyelia in children commonly associated with scoliosis?
• What is a typical onset description for FCE?
• Which tracts carry conscious proprioception and which carry motor commands?
• What signs help distinguish neurological disease from orthopedic/metabolic disease?
• Name two surgical strategies for decompressing the cervical spinal cord in CSM.
• Atlantoaxial instability is usually a congenital problem.
• What will you see with a Cd lesion?
• Prognosis for atlantoaxial instability improves most with which approach?
• What is Lhermitte sign and with which spinal conditions is it most commonly associated?
• Describe the Great Dane type of Wobbler syndrome.
• Which brain imaging finding is typical for MS in patients with spinal cord involvement?
• Which arteries supply the posterior third of the spinal cord?
• Which of the following pairs spinal cord tracts with its primary function is correct?
• Describe UMN vs LMN signs.
• Which statement best describes a T3-L3 lesion in terms of limb function and bladder?
• What is the classic triad of spinal epidural abscess?
• What imaging modality is commonly used as an initial diagnostic tool for Wobbler syndrome?
• Which statement best reflects a key approach to diagnosing Wobbler syndrome?
• Discospondylitis typically presents as
• How is lumbosacral stenosis diagnosed?
• Which signs are typical of lesions below the foramen magnum?
• Which description best fits the Great Dane type of Wobbler syndrome?
• What is the panniculus response?
• Which dog breed and activity are commonly associated with lumbosacral stenosis?
• Which statement about prednisone and NSAIDs is correct in TL IVDD management?
• Conservative management of cervical IVDD typically yields what short-term outcome?
• FCE is believed to involve emboli from which tissue?
• Which statement best describes imaging differentiation between ependymoma and astrocytoma in the spinal cord?
• What is the most common bacteria that causes discospondylitis?
• Discospondylitis is best described as
• In addition to radiographs, which tests help diagnose discospondylitis?
• STIR or fat-sat MRI sequences are particularly helpful for which purpose in spinal imaging?
• Atlantoaxial instability is most commonly seen in which dogs?
• What is Babinski sign and what does a positive result indicate?
• What is the first-line imaging modality for suspected spinal epidural abscess?
• A Schiff-Sherrington lesion is most commonly localized to which spinal region?
• Which statement best describes management of discospondylitis?
• Which questions should guide the decision to fix a spinal fracture?
• Radiographs in discospondylitis often show
• What is the definitive treatment for atlantoaxial instability?
• What is spinal dural arteriovenous fistula and its typical presentation?
• Which MRI feature is typical of spinal ependymoma?
• Atlantoaxial instability involves instability between which vertebrae?
• Describe the Doberman type of Wobbler syndrome.
• What is the main way to diagnose FCE?
• Which combination best describes the diagnostic workup for lumbosacral stenosis?
• True or false: You can do surgery on cervical IVDD but there are lots of complications.
• Which of the following is NOT a criterion used to determine candidacy for TL IVDD surgery?
• For suspected atlantoaxial instability, which radiographic view is used to assess the dens?
• In a C6-T2 lesion, which limbs exhibit LMN signs?
• Which of the following are examples of postural reaction tests you can perform?
• How does Chiari I decompression affect syringomyelia?
• What is the most common intradural extramedullary spinal tumor in adults?
• How do you test for deep pain?
• Dissemination in space and time is a hallmark of MS. Which statement best describes this concept?
• Thoracolumbar intervertebral disc disease typically presents in which dogs?
• Hyperpathia is defined as:
• On the ASIA impairment scale, what does Grade E signify?
• Which dog breeds are predisposed to thoracolumbar intervertebral disc disease?
• When you are presented with a neurological case, what is the first determination you should make?
• What is the hallmark clinical syndrome of cervical spondylotic myelopathy?
• What are common neurological signs of syringomyelia progression?
• Ventral compression in cervical spondylotic myelopathy is typically addressed with which surgical approach?
• Dynamic compression is best detected on which imaging sequence?
• What are key infectious etiologies of myelitis and how they present?
• Which MRI sequences are essential for evaluating spinal cord pathology?
• What CSF findings are common in acute inflammatory/demyelinating spinal myelitis?
• If conservative management fails, what surgical option may be considered?
• Which statement best describes TL IVDD prognosis in relation to deep pain?
• What is a typical history of lumbosacral stenosis?
• In discospondylitis, should you wait for culture results before starting antibiotics?
• Which diagnostic tests are used to confirm discospondylitis?
• Multilevel dorsal compression in CSM is typically decompressed with which approach?
• What are treatment options for syringomyelia?
• What deficit is preserved in anterior spinal artery syndrome?
• What is the treatment and prognosis of FCE?
• What signs will you see with a T3-L3 lesion?
• Which statement about deep pain testing is true?
• Which statement about discospondylitis is true?
• Which conditions predispose to spinal TB (Pott disease) and what are typical imaging features?
• Which MRI finding is typical of spinal dural arteriovenous fistula?
• A lesion at L4-S3 is typically associated with which bladder sign?
• Healing of FCE depends on collateral circulation.
• In acute spinal cord injury, what are the immediate priorities of management?
• Some NMOSD cases are associated with which antibody?
• Treatment of Wobblers depends on what?
• What signs will you see with a C6-T2 lesion?
• In Wobbler syndrome, prognosis is generally good but what caveat should be considered?
• What is Hoffmann sign and what does a positive result indicate?
• In surgical treatment of atlantoaxial instability, removal of the dens may be performed. True or False?
• What is the first-line treatment for lumbosacral stenosis?
• What signs will you see with an L4-S3 lesion?
• Which imaging modality is first-line for suspected acute cervical spine trauma?
• What signs will you see with a C1-C5 lesion?
• What is a typical finding on physical examination for lumbosacral stenosis?
• Where is a myxopapillary ependymoma typically located and what is its clinical significance?
• Which imaging features most strongly suggest vertebral metastasis to the spine?
• Which option is NOT a typical TL IVDD surgical option?
• Which vessels reinforce the spinal cord’s arterial supply to the spinal cord?
• What is a reasonable first-line management for syringomyelia associated with Chiari I?
• What is LETM and with which condition is it classically associated?
• Which findings favor cervical myelopathy over peripheral nerve entrapment?
• What is the typical age range for TI intervertebral disc disease onset?
• What is the purpose of flexion-extension MRI in suspected CSM?
• What findings characterize posterior spinal artery syndrome?
• Which statement about FCE signalment is accurate?
• Which MRI findings support a diagnosis of cervical spondylotic myelopathy?
• How is TL IVDD diagnosed?
• What are common etiologies of spinal cord infarction?
• What is the typical MRI feature of syringomyelia?
• A lesion at T3-L3 is associated with which bladder sign?
• What is the typical treatment for cervical IVDD in dogs?
• Which imaging approach is used to localize TL IVDD after initial suspicion?
• What is the Nurick grade used for in spinal disease?
• What is the primary treatment for TL IVDD?
• Which imaging modality is often diagnostic for atlantoaxial instability?
• Which antibody is commonly positive in NMOSD?
• Which statement best describes the cap sign seen on MRI in spinal ependymoma?
• Which statement best describes the cervical IVDD patient posture?
• What is spinal shock?
• What antibiotic regimen is typically prescribed for discospondylitis?
• Syringomyelia is frequently associated with which condition?
• How does HIV affect the spinal cord?
• What is the most common intramedullary spinal cord tumor?
• In the progression of lumbosacral stenosis, untreated disease may lead to what outcome?
• What is the role of early decompression and stabilization in SCI?
• TL Hansen type I IVDD is best described as:
• Describe the deficit pattern in anterior spinal artery syndrome.
• Which statement correctly describes the relationship between T2 hyperintensity in the spinal cord and prognosis?
• Which statement about the intercapital ligament is true?
• How is the ASIA impairment scale structured and what does a grade A indicate?
• What is the role of high-dose corticosteroids in acute spinal demyelinating events?
• Spinal fractures may not always have obvious signs; pain can be the main presenting sign. True or False?
• Which of the following describes the typical presentation of cervical IVDD?
• How does spinal vascular pathology differ in prognosis and treatment from compressive etiologies?
• Which finding is more characteristic of MS relapse compared to NMOSD with LETM?
• Which description best explains the conscious proprioception exam?
• How does a sensory level help localize a spinal cord lesion?
• Describe what you will see above the foramen magnum.
• How does FCE typically present?
• Which of the following constitutes conservative management for spinal fractures?
• Anterior spinal artery syndrome shows which pattern of deficits?
• Which sign best describes Schiff-Sherrington syndrome?
• Which dogs are typical for Fibrocartilaginous Embolism (FCE)?
• Discospondylitis is most commonly seen in
• What is the classic description of Schiff-Sherrington syndrome?
• How does NMOSD differ from MS in spinal involvement and antibody tests?
• Why is maintaining mean arterial pressure (MAP) important in the first 24 hours after acute spinal cord injury?
• Which of the following is NOT a sign of discospondylitis?
• Intraoperative features that favor diagnosing ependymoma as the intramedullary tumor?
• TL Hansen type II IVDD is best described as which pathology?
• In MS, demyelinating plaques are perivenular and located in which spinal tracts most commonly?
• Which breeds are most commonly affected by cervical IVDD?
• Discospondylitis risk factors include
• What is syringomyelia and what is the typical cape-like sensory loss?