USMLE Forum Archives - USMLE Step 2 CK - MVA
MVA
bingousmle - 04-23-10 13:12
A 60-year-old woman was the restrained driver in a motor vehicle accident yesterday. Today, she presents to you for evaluation. She reports neck and upper back pain. On examination, she does not have bony tenderness, but cannot rotate her head 45° to the right or left. Which of the following is the most appropriate next step in her evaluation?
a. Reassurance and nonsteroidal anti-inflammatory agents
b. Cervical spine x-rays
c. MRI
d. Bone scan
e. Dual energy X-ray absorptiometry (DEXA) scan
bingousmle - 04-23-10 13:12
A 60-year-old woman was the restrained driver in a motor vehicle accident yesterday. Today, she presents to you for evaluation. She reports neck and upper back pain. On examination, she does not have bony tenderness, but cannot rotate her head 45° to the right or left. Which of the following is the most appropriate next step in her evaluation?
a. Reassurance and nonsteroidal anti-inflammatory agents
b. Cervical spine x-rays
c. MRI
d. Bone scan
e. Dual energy X-ray absorptiometry (DEXA) scan
The correct answer and explanation will be available after you answer.
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#1
Re: MVA ammulufy - 04-23-10 20:20 My answer is: b.
The limitation of mobility n pain in the respective areas can probably be due to fracture of the respective vertebra wch can clearly be visualised in X-ray.....DEXA scan is useful for evaluating osteoporosis n hence not useful here......bone scan is also useful for d same former condn n hence not the answr.....MRI is too much an invasive investigation for a trauma caused fracture whch can easily be detected by X-ray alone.....reassurance is not enough because of significant history of trauma....hence I go wid b.
#4
Re: MVA
bingousmle - 04-29-10 14:37 My answer is: b.
The limitation of mobility n pain in the respective areas can probably be due to fracture of the respective vertebra wch can clearly be visualised in X-ray.....DEXA scan is useful for evaluating osteoporosis n hence not useful here......bone scan is also useful for d same former condn n hence not the answr.....MRI is too much an invasive investigation for a trauma caused fracture whch can easily be detected by X-ray alone.....reassurance is not enough because of significant history of trauma....hence I go wid b.
thats correct...
#5
Re: MVA mtniharika - 04-30-10 05:35 My answer is: b.
any case of RTA with symptoms like pain should be evaluated with the baseline investigations like x-rays which if inconclusive or suspicious should be followed by higher investigations like MRI
#10
Re: MVA ferrero - 05-11-10 13:19 My answer is: b.
history of accidents with back pain ll lead diagnosis of fracture.to rule out fracture do Cervical spine x-rays.MRI is indicated if symptoms of neurological compramice present.
#13
Re: MVA babbu5508 - 05-20-10 03:21 My answer is: b.
neck and upper back pain, cannot rotate her head 45° to the right or left...probably there may be a fracture which can be visualised with x-rays.
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