Spinal Infections (TB/Pyogenic) MCQ Quiz | Spine Disorders

1. What is the most common causative organism in pyogenic vertebral osteomyelitis in adults?

2. Pott’s disease, or tuberculous spondylitis, most frequently affects which region of the spine?

3. Which imaging modality is considered the gold standard for diagnosing early spinal infections?

4. In tuberculous spondylitis, the infection typically begins in which part of the vertebra?

5. A “cold abscess” is a characteristic feature of which spinal infection?

6. The preservation of the intervertebral disc space in the early stages is more characteristic of:

7. Which of the following laboratory markers is most sensitive for monitoring the response to treatment in pyogenic spondylodiscitis?

8. The term “gibbus deformity” is classically associated with severe kyphosis resulting from:

9. What is the minimum recommended duration of antibiotic therapy for uncomplicated pyogenic vertebral osteomyelitis?

10. The classic triad described by Pott for spinal tuberculosis includes spinal pain, deformity, and which other feature?

11. Which of the following is a key differentiator on MRI between pyogenic and tuberculous spondylitis?

12. The most common route of spread for spinal infections in adults is:

13. Which of the following is an absolute indication for surgical intervention in spinal infections?

14. The standard first-line multi-drug therapy for spinal tuberculosis includes all of the following EXCEPT:

15. In pyogenic infections, the infection most commonly starts at the:

16. What is the most reliable method for obtaining a definitive microbiological diagnosis in spondylodiscitis?

17. A patient with spinal TB presents with a swelling in the groin. This is likely due to a psoas abscess tracking along which anatomical plane?

18. Constitutional symptoms like low-grade fever, malaise, and weight loss are more prominent in:

19. The “ivory vertebra” sign on a plain radiograph, characterized by diffuse sclerosis of a vertebral body, can be seen in all of the following EXCEPT:

20. Which of the following risk factors is most strongly associated with pyogenic spinal infections?

21. In spinal tuberculosis, neurological deficit is most commonly caused by:

22. Which spinal segment is most commonly affected in intravenous drug users with pyogenic spondylodiscitis?

23. Plain X-ray findings in spinal infections, such as disc space narrowing and endplate erosion, typically become visible only after:

24. The term “spondylodiscitis” specifically implies involvement of:

25. A key goal of surgical treatment for Pott’s disease with instability is: