C/SP

Question 1

Examination of the cervical spine involves determining whether the injury or pathology occurs where?

Answer 1

In the cervical spine or in a portion of the upper limb.

Question 2

Examination of the cervical spine = __________ examination.

Answer 2

scanning

Question 3

Mobility is greater than __________, therefore cervical spine is vulnerable to injury

Answer 3

stability

Question 4

How many cervical vertebrae

Answer 4

7

Question 5

How many cervical nerve roots are there?

Answer 5

8 cervical nerve roots.

Question 6

Primary movement of atlanto-occipital joint (C0–C1)?

Answer 6

Flexion/extension or nodding (15–20°).

Question 7

T/F: Atlanto-axial joint is the most mobile articulation of the entire spine.

Answer 7

T

Question 8

Primary movement of atlanto-axial joint (C1–C2)?

Answer 8

Rotation (50°).

Question 9

Cervical rotation past ______° may lead to kinking of the contralateral vertebral artery.

Answer 9

50

Question 10

What symptoms may occur with vertebral artery “kinky”?

Answer 10

Vertigo, nausea, tinnitus, fainting, visual disturbances.

Question 11

Vertebral artery insufficiency can result in what symptoms? 5Ds and 3Ns

Answer 11

Drop attacks
Dizziness/light headedness (w nk mvmt)
Dysphasia (difficulty swallowing)
Dysarthria (difficulty speaking)
Diplopia (double vision)
Nausea
Numbness
Nystagmus (shaky eyes)

Question 12

Orientation of superior facet joints?

Answer 12

SUP, POST and medially.

Question 13

Closed packed position = __________.
Resting position = __________.

Answer 13

-full extension
-slight extension.

Question 14

Capsular pattern of C/Sp

Answer 14

lateral flexion and rotation equally limited, then extension.

Question 15

Function of alar ligaments?

Answer 15

Limits flexion, extension, lateral flexion

Question 16

Function of transverse ligament?

Answer 16

Holds the dens of the axis against the anterior arch of the atlas.

Question 17

T/F: There are discs between C0/C1 and C1/C2.

Answer 17

False

Question 18

Discs make up ______% of the height of the cervical spine

Answer 18

25%

Question 19

Red flag for neoplasm?

Answer 19

Pain worse at night.

Question 20

Neoplasm red flag: unexplained __________

Answer 20

weight loss

Question 21

Red flag for infection?

Answer 21

Fever, chills, night sweats.

Question 22

Progressive neurologic deficit is a red flag

Answer 22

True

Question 23

Cervical myelopathy sign?

Answer 23

Unsteady gait.

Question 24

What condition is a “wry neck”?

Answer 24

Torticollis

Question 25

T/F: Dominant shoulder is usually lower

Answer 25

True

Question 26

Extension = ______° Rotation = ______° to the right and left Side flexion = ______°

Answer 26

-70° -70–90° -20–45°

Question 27

Tingling in the feet, electric shock sensation down the neck is the ___ sign description

Answer 27

Lhermitte

Question 28

C5 myotome

Answer 28

Shoulder abduction.

Question 29

C6 myotome

Answer 29

Elbow flexion and/or wrist extension.

Question 30

C7 myotome

Answer 30

Elbow extension and/or wrist flexion.

Question 31

C8 myotome

Answer 31

Thumb extension and/or ulnar deviation

Question 32

Vertebral artery test positive signs?

Answer 32

Nystagmus, dizziness, blurred vision, nausea.

Question 33

T/F: Vertebral artery test should be used alone

Answer 33

False

Question 34

Spurling’s test positive result?

Answer 34

Pain radiates into the arm toward the side tested

Question 35

Distraction test positive result?

Answer 35

Pain is relieved or decreased.

Question 36

With respect to trauma and whiplash injuries rear impact injuries are described as what

Answer 36

More severe and long lasting.

Question 37

T/F: Clinical presentation correlates with severity of injury

Answer 37

False

Question 38

With respect to whiplash, stiffness develops ______ after injury

Answer 38

24–48 hours

Question 39

Pain may radiate where after cervical injury?

Answer 39

Into occiput or down to shoulder/arm in a non-dermatomal pattern

Question 40

T/F: Avoid passive stretch with muscle spasm

Answer 40

True

Question 41

why is asking clt about their vision important

Answer 41

if their vision is poor, they may hunch SHs and adopt FHP when doing activities (computer, reading, etc...)

Question 42

red flag screening for cervicothoracic pathologies

Answer 42

-upper C/SP instability (C1-C2) -cervical myelopathy (nk P, stiffness, upper extremity radicular P) -vertebrobasilar artery insufficiency (5Ds, 3Ns) -fracture -infection (fever, fast HR, low BP, low enerygy, etc...)

Question 43

cervical myelopathy (red flag) can be mistaken as cervical radiculopathy b/c of what

Answer 43

upper extremity radicular P

Question 44

vertebrobasilar insufficiency should be suspected in cases of ___ where clts are exhibiting what sx

Answer 44

-trauma -Sx: sudden intense nk P or HA w/ 5D's and 3N's

Question 45

brain aneurysm should be suspected if clt is reporting sudden and intense "___-___" HA

Answer 45

thunder-clap

Question 46

upper cervical spine instability is likely w/ people who have what conditions

Answer 46

-RA (65%) -down syndrome -advanced age -suffered from MVA

Question 47

T/F: pts w/ upper C/SP instability will likely present w/ increased ROM

Answer 47

F; guarding will result in severely limited CROM

Question 48

clinicians should follow the ___ ___-___ ___ for pts reporting a major trauma

Answer 48

Canadian C-Spine rule

Question 49

upper extremity myotome basketball cue