Physical Exam

Question 1

Cervical Spine ROM

Answer 1

• Flexion: >45
• Extension: >45
• Rotation: >70
• Side-bending: >20

Question 2

UE Reflex: Bicep

Answer 2

C5 and C6

Question 3

UE Reflex: Brachioradialis

Answer 3

C5 and C6

Question 4

UE Reflex: Tricep

Answer 4

C6 and C7

Question 5

Grading Scale for Reflexes

Answer 5

• 4+: very brisk with clonus
• 3+: brisker than average
• 2+: average, normal
• 1+: somewhat diminished
• 0: reflex absent

Question 6

Neurologic - Strength Testing: C1

Answer 6

Resisted rotation ROM (main innervation from spinal accessory nerve)

Question 7

Neurologic - Strength Testing: C2-4

Answer 7

Scapular elevation

Question 8

Neurologic - Strength Testing: C5

Answer 8

Deltoid, shoulder abduction

Question 9

Neurologic - Strength Testing: C6

Answer 9

Biceps, wrist extension

Question 10

Neurologic - Strength Testing: C7

Answer 10

Triceps, wrist flexion

Question 11

Neurologic - Strength Testing: C8

Answer 11

Finger flexion

Question 12

Neurologic - Strength Testing: T1

Answer 12

Finger abduction

Question 13

C4 Dermatome

Answer 13

Over acromioclavicular joint

Question 14

C5 Dermatome

Answer 14

Lateral aspect of lower deltoid muscle

Question 15

C6 Dermatome

Answer 15

Radial side of forearm/thumb

Question 16

C7 Dermatome

Answer 16

Palmer side of middle finger

Question 17

C8 Dermatome

Answer 17

5th digit