Cervical, Shoulder and Elbow Quiz- Prevention and Care

The ________ vertebrae, nicknamed ___________ , performs the "yes" motion.

C1 Atlas

The ________ vertebrae, nicknamed ___________ , performs the "no" motion.

C2 Axis

Match the myotome to the nerve root: C5 -> C6 -> C7 -> C8 -> T1 ->

C5 -> Shoulder Abduction C6 -> Wrist Extension C7 -> Wrist Flexion C8 -> Finger Flexion T1 -> Finger Adduction

Match the dermatome to the nerve root: C5 -> C6 -> C7 -> C8 -> T1 ->

C5 -> lateral upper arm C6 -> radial side of hand C7 -> middle finger C8 -> ulnar side of hand T1 -> medial elbow

This is the most superficial position of the brachial plexus

Erb Point

Match the motion with its plane: Flexion -> Abduction -> External Rotation -> Pronation -> Supination -> Internal Rotation ->

Flexion -> Sagittal Abduction -> Frontal External Rotation -> Transverse Pronation -> Transverse Supination -> Transverse Internal Rotation -> Transverse

When can a player who experienced a brachial plexus injury return to play?

When the patient experiences full strength, ROM, and sensation. They also must also have normal deep tendon reflexes, and a negative brachial plexus traction test.

Sprengel deformity presents as a. An undescended scapula b. An elevation of the distal clavicle c. A winged scapula d. A drooping of the shoulder girdle

a. An undescended scapula

A patient is described their symptom as a "dead arm" after their injury. What is this primarily associated with: a. Chronic shoulder dislocation b. Shoulder Impingement c. Rotator Cuff Tear d. AC Sprain

a. Chronic shoulder dislocation

SELECT ALL THAT APPLY. A patient diagnosed with upper cross syndrome would present with: a. Forward head posture b. Increased cervical lordosis c. Decreased thoracic kyphosis d. Protracted shoulders

a. Forward head posture b. Increased cervical lordosis d. Protracted shoulders

What is the main function of the rotator cuff muscles? a. Hold the head of the humerus in the glenoid fossa b. Perform abduction and external rotation c. Perform abduction and internal rotation d. Facilitate scapulothoracic motions

a. Hold the head of the humerus in the glenoid fossa

An acute process in which the nucleus pulposus herniates through the posterior annulus, resulting in signs and symptoms of cord or nerve root compression is termed: a. Soft-disc disease b. Scheuermann disease c. Hard-disc disease d. Spinal stenosis

a. Soft-disc disease

A loss of cerebrospinal fluid around the spinal cord because of deformation of the spinal cord or a narrowing of the neural canal is called a. Spinal stenosis b. Spinal occlusion c. Scheurmann disease d. Spina bifida

a. Spinal stenosis

What is the most commonly injured bursa in the shoulder? a. Subacromial b. Biceps c. Subcoracoid d. Subscapularis

a. Subacromial

An individual reports numbness in the side of the neck, which extends across the shoulder and down the medial arm to the ulnar aspect of the hand, accompanied by weakness in grasp and atrophy of hand musculature. What injury should be suspected? a. Thoracic Outlet Syndrome b. Rotator Cuff Tear c. AC Sprain d. Cervical Plexus injury

a. Thoracic Outlet Syndrome

Which of the following are "red flags" that warrant immobilization and immediate referral to a physician? CHECK ALL THAT APPLY. a. Trunk or abdominal pain that may be referred from the visceral organs b. Paralysis or inability to move a body part c. Muscle hypertrophy in a myotome d. Any injury for which you are uncertain about the severity or nature e. Pain radiating into the extremities f. Normal reflexes g. Severe pain, point tenderness, or deformity along the vertebral column h. No change in sensation anywhere in the body

a. Trunk or abdominal pain that may be referred from the visceral organs b. Paralysis or inability to move a body part d. Any injury for which you are uncertain about the severity or nature e. Pain radiating into the extremities g. Severe pain, point tenderness, or deformity along the vertebral column

A complication from a forearm fracture that can lead to ischemic necrosis of the forearm muscles is called a. Volkmann contracture. b. forearm splints. c. Little League elbow. d. nightstick fracture.

a. Volkmann contracture

The ligament that stabilizes and encircles the head of the radius is the a. annular ligament. b. radial collateral. c. ulnar collateral. d. quadrate ligament.

a. annular ligament.

Testing the sensory function of the radial nerve is performed by a. checking sensation of the thumb. b. checking sensation of the little finger. c. checking strength of the thumb. d. checking strength of the little finger.

a. checking sensation of the thumb.

The biceps brachii contributes most effectively to flexion when the forearm is _____________. a. supinated b. pronated c. flexed d. extended

a. supinated

A positive valgus stress test at 15° to 20° of elbow flexion often indicates a. tear to the ulnar collateral ligament. b. tear to the radial collateral ligament. c. tear to the pronators. d. tear to the biceps brachii.

a. tear to the ulnar collateral ligament.

Contusion of the radial nerve during a blow to the elbow will exhibit signs of a. transitory paralysis of the extensors of the arm. b. sensory deficit of the middle finger. c. sensory deficit of the ring finger. d. transitory paralysis of the flexors of the arm.

a. transitory paralysis of the extensors of the arm.

The most common mechanism of injury for a cervical fracture is: a. Rapid, forced lateral flexion of the neck b. Axial loading and violent neck flexion c. Forced hyperextension d. A violent muscle contraction

b. Axial loading and violent neck flexion

After executing a tackle by leading with his head, a football player is down on the field. Which of the following suggests the athlete could have an unstable neck? CHECK ALL THAT APPLY. a. The player is conscious and reports no neck pain. b. The player is conscious and reports numbness in the upper extremities c. The player is unconscious d. The player is conscious, neurologically intact, and reports neck pain

b. The player is conscious and reports numbness in the upper extremities c. The player is unconscious d. The player is conscious, neurologically intact, and reports neck pain

A painful arc is characterized by: a. An inability to actively abduct the arm between 70° and 120° b. An inability to actively adduct the arm between 70° and 120° c. An inability to passively abduct the arm between 70° and 120° d. An inability to passively adduct the arm between 70° and 120°

c. An inability to passively abduct the arm between 70° and 120°

The Torg ratio aids in the assessment of: a. Cervical muscle strains b. Spondylolysis c. Spinal stenosis d. Scoliosis

c. Spinal stenosis

Football linemen who consistently get hit in their arms may develop an ectopic formation directly on the distal humerus commonly called a. myositis ossificans. b. blocker's myositis. c. blocker's contusion. d. tackler's exostosis.

d. tackler's exostosis.

A crushing compression fracture that leaves a vertebra narrowed anteriorly is termed a _____ fracture

wedge fracture