Buy Radiation Myelopathy Discussion Questions

Buy Radiation Myelopathy Discussion Questions
Buy Radiation Myelopathy Discussion Questions
1. Which one of the following statements
regarding surgical management of spinal
metastatic disease is LEAST accurate?
a. The goal of surgery is preservation of
neurological function, pain relief, and
mechanical stabilization
b. Expected patient survival should exceed
12 months before surgical treatment of
spinal metastases is considered
c. Percutaneous biopsy (or excisional biopsy
during surgery) often required for tissue
diagnosis as 10-20% of spine metastases
have no known source
d. Seeding and recurrence along the biopsy
needle track can occur with some primary
tumors, such as chordomas
e. Posterior and posterolateral approaches
are preferred to deal with vertebral body
tumor in the setting of spinal metastases
where possible
Buy Radiation Myelopathy Discussion Questions
2. Which one of the following statements
regarding radiation myelopathy is LEAST
a. A history of radiation therapy in doses sufficient to result in injury must be present
b. The region of the irradiated cord must lie
slightly below the dermatome level of
expression of the radiation myelitis
c. Local tumor progression must be ruled
out before a diagnosis can be made
d. A latent period from the completion of
treatment to the onset of injury is usually
within 20-30 months
e. The probability of dying from radiation
myelopathy is approximately 70% with
cervical lesions
Buy Radiation Myelopathy Discussion Questions
3. A 31-year-old man presents with back pain
and erectile dysfunction. MRI is performed.
Which one of the following statements
regarding further management is key?
a. Gross total resection is the next
appropriate step
b. Craniospinal axis MRI should be
c. External beam radiotherapy is critical
after gross total resection
d. Etoposide chemotherapy is critical after
subtotal resection
e. Conservative management with surveillance imaging is recommended
Buy Radiation Myelopathy Discussion Questions
4. Which one of the following is most likely
based on the T2-Weighted MRI shown
a. Ependymoma
b. Lipoma
c. Neurofibroma
d. Primary CNS lymphoma
e. Schwannoma
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