Tuesday 22 September 2015

PGI MCQ for Medical PG Preparations .. NIME | spinal cordcompression MCQ

The following statements about spinal cordcompression are correct
A. Metastatic disease is a more common cause thanprimary tumour
B. the CSF protein concentration is likely to be normal
C. Local spinal pain and tenderness usually precedemotor weakness
D. Urinary urgency is commonly the presenting feature
E. Myelography is the best and most appropriate investigation



Ans. A,C,E
A. Usually extradural deposits
B. Typically elevated with xanthochromia (Froin'ssyndrome-coexistence of xanthochromia, high protein level and marked coagulation of cerebrospinal fluid (CSF). It is caused by meningeal irritation (e.g. during spinal meningitis) and CSF flow blockage by tumour mass or abscess)
C. Pain may follow nerve root distribution
D. A late feature
E. MRI is now invaluable