cervical spine test

in conduction a clinical history for a cervical spine injury, the examiner would be concerned with which of the following signs and symptoms?

all of the above

postural deviation to the cervical and thoracic spine are often funtional and are caused by

all the above

what does the articulation between the anterior arch of the atlas and the dens form?

atlano- axial joint

name two tests that are used to check for an upper motor neuron lesion and state what a positive test for each

babinski: toes splay oppenheim: great toe extends

all of the following could be causes for nerve root impingement except

brachial plexus compression

which of the following muscles is not a site for typical reflex testing in the brachial plexus

brachialis

most brachial plexus injuries involve the upper trunk and involve which nerve root

c5-6

a sensory test over the lateral forearm would identify the dermatome of which nerve root

c6

the cricoid cartilage is located anterior of what cervical vertebra level?

c6

At which levels do cervical dislocations primarily occur?

c6-c7

the tricep reflex is associated with which nerve root

c7

Which 2 cervical vertebrae have spinous processes that protrude further posteriorly & are more distinct than the other cervical vertebrae?

c7 c2

thumb extension represents the motor nerve test for which nerve root

c8

What test can confirm the narrowing of the intervertebral foramen secondary to exostosis, enlargement, or irritation of the nerve root's dural sheath and degeneration of the facet joints?

cervical compression test

which of the following injuries poses a potential complication to the neurological structure in the cervical spine

chronic cervical joint instability

a decerebrate posture is defined when there is flexion of elbows and wrists, clenched fists, and extension of the lower extremity

false

cervical fractures alone tend to cause spinal cord trauma

false

the dens is a superior projection off of the atlas and allows for rotation

false

the first position of the ULTT includes passive lateral flexion of the cervical spine toward the side not being test and depression of the shoulder girdle on the side not being tested?

false

when completing the brachial plexus tension test, a positive sign for tension pathology is radiating pain on the side toward the lateral bending.

false

which method is more reliable in determining cervical range of motion?

inclinometer measurement

where is erb's point and why is it significant in c-spine eval?

its int he most superficial part of brachial plexus, anterior to traps, posterior to middle 3rd of clavicle. need to locate to rule out brachial plexus injuries

which of the following is not a TOS test

jacksons

which represents the correct beginning testing maneuver for the spurling test ?

lateral flexion and axial compression

the supraspinous ligament is called the ___ in the cervical region

ligamentum nuchea

which muscle group sits deep and lateral to the semispinalis group?

longissimus capitis and longissimus cervicis

in what shape is the cervical spine of a patient considered healthy?

lordotic curve

in determining TOS, the special tests are attempting to reproduce signs and symptoms that affect

motor function

the difference between a nerve root injury in the cervical spine and brachial plexus stretch int he shoulder is that brachial plexus injury will be characterized by

multiple nerve roots involved and transient loss of upper-extremity function

what are the symptoms we are looking for during the vertebral artery test? what do they confirm

nystagmus, dizziness, lightheadeness indicate loss of blood flow to brain

which special test is preformed by running a blunt object or fingernail across the crest of the anteromedial tibia of a patient who has suffered from an acute head injury?

oppenheim test

in what special test does a patient actively abduct an arm so that the hand rests on top of the head and must maintain this position for 30 sec to determine whether a nerve root compression exists?

shoulder abduction

which statement is false concerning cervical intervertebral discs?

the disc structure is the same as in the lumbar region

which is not correct when conducting the vertebral artery test?

the examiner passively flexes the cervical spine

which of the following is not a typical indication of a positive cervical compression test?

thoracic outlet syndrome

A congenital or acquired spasm of the sternocleidomastoid muscle that causes rotation of the chin opposite the side of the tilt is commonly referred to as what condition?

torticollis

what do the vertebral and veins pass through?

transverse foramen

symptoms of carpal tunnel syndrome can mimic those of a cervical nerve root impingement

true

the transverse processes of the atlas are longer than those of the other cervical vertebra, except c7

true

Axial loading of the cervical spine combined with what other motion is most likely to produce a catastrophic injury?

flexion

a focal hyperirritable area on a muscle that cam refer pain to other areas, mimicking nerve pain, is known as a

trigger point

although spearing is illegal in football, it still occurs in 19% of football plays

true

cervical radiculitis refers to pain that radiates down the arm when pressure is applied to a nerve root

true

positive cervical distraction relief test occurs when pain is reduced or subsisdes

true

a postive test for the babinkis test would be

great toe extension, lesser toes splay

research has shown that the upper limb tension test (ULTT) only demonstrates adequate results for which nerve?

median

four primary functions of spinal column

protect spinal cord allow movement hold bod upright support

The lamina groove is located between which two bony landmarks of the vertebrae?

spinous process and transverse process

spurlings test is a modification of the c-spine compression test. explain the difference

spurlings: passively extends/flexes the head c-spine compression: presses down

what is the least common form of thoracic outlet syndrome?

vascular

dizzines or nystagmus caused by passive neck extension, lateral flexion, and eventual rotation are signs and symptoms implicating the

vertebral artery