Business law case study.

Founded in 1970 in Alenon (Orne), the company MPO Fentres (Menuiserie

Plastique de l'Ouest) was one of the first French companies in the PVC/carpentry

sector to offer a customized service. However, at that time, in France, very little was

known about PVC, carpentry and double-glazing technology: these markets were

still in their infancy. It took about ten years, and two oil crises (in 1974 and especially in 1979) for the PVC window market to really take off. The commercial policy

of EDF (the French public energy provider) at that time favoured the development

of this product, encouraging investors to push for "all electric" installations, which

would, according to the manufacturer provider, require better insulation of public

buildings to reduce heat loss.

Question 1

How can gabapentin and carbamazepine act with a cervical disc

prolapse?

Question 2

Do patients with cervical spondylosis, experiencing neck pain and

stiffness, benefit from putting on a neck collar? If so, for how long should

the collar be worn?

Question 3

What is indicated by a straightening of the lumbar spine with a

loss of normal lordosis, and is there any relation to ankylosing

spondylitis?

Question 4

Can cervical spondylosis cause hypertonia in one upper limb?

Question 5

Should a female patient, with mild congestive cardiac failure,

microalbuminuria and cervical spondylosis receive IV vitamin D/

analogues? Would this not increase the risk of calcium stones owing to

the mild renal impairment? Would oral vitamin D be preferable?

Question 6

What is the recommended treatment for spinal canal stenosis? Do

carbamazepine or vasodilators have a role to play in its treatment?

Question 7

What technique is used for injecting steroids locally in the case of carpal

tunnel syndrome?

Question 8

In a patient who has sustained an anterior cruciate ligament (ACL) knee

injury and whose pain and swelling have subsided on conservative

treatment, what are the chances of complications (e.g. osteoarthritis,

fibrosis) from the torn ligament. Will the patient be able to lead a

normal life?

Question 9

Is either gapapentin or carbamazepine effective in the treatment of

meralgia paraesthetica?

Question 10

What is the clinical differentiation between Dupuytren's contracture and

ulnar nerve palsy? Is it the absence of sensory deficit in the former? Are

there any other differentiating factors?