Test 2- Spine
The middle finger is the dermatome for
C7
True of False? Cervical fractures occur more frequently than cervical dislocations
False
Finger abduction assesses which of the following cervical nerves?
T1
True or False? A positive sign of a first thoracic nerve root stretch is pain in the scapular area or arm.
True
The most common mechanism of injury for a cervical fracture is
axial loading and violent neck flexion
C6
elbow flexion and wrist extension
During a brachial plexus injury, muscular weakness is evident in the
external rotators, deltoid, and biceps brachii
T1
finger abduction and adduction
C1-C2
neck flexion
Contralateral
pain on the opposite side
Which of the following signs and symptoms is not related to neurological deficits or damage?
referred pain
Actions involving stimulation of a motor neuron by a sensory neuron in the spinal cord without involvement of the brain are called
reflexes
C4
shoulder elevation
The dermatome for C3 is the
supraclavicular fossa
C8
thumb extension and ulnar deviation
True or False? A cervical fracture or dislocation automatically produces signs of a serious neck injury, namely sensory or motor problems.
False
True or False? A cervical sprain usually involves the sternocleidomastoid and the trapezius.
False
True or False? An individual with a cervical fracture will not be able to walk under their own power.
False
True or False? Large compressive loads, such as those sustained during weight lifting, can cause fractures of the vertebral endplates, leading to a wedge fracture in the cervical area
False
True or False? The body landmark associated with the first thoracic vertebra is the base of the spine of the scapula.
False
Osteochondritis of the spine because of abnormal epiphysis plate behavior that allows for herniation of the disk into the vertebral body is termed
Scheuermann 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
Spinal stenosis
True or False? A cervical sprain has the same mechanism of injury as a cervical strain, but the action is more violent in nature for the sprain
True
True or False? Because the intervertebral disks are avascular, they rely on changes in posture and body position to produce a pumping action to bring in nutrients.
True
True or false? The right and left pedicles have notches on their superior and inferior borders, providing openings for the spinal nerves to pass through.
True
The vertebrae that consists of a bony ring with large, flat, superior articular facets on which the skull rests is the
atlas
Grade II burners represent
axonotmesis
After executing a tackle by leading with his head, a football player is down on the field. All of the following suggest an unstable neck EXCEPT: a) The player is unconscious b) The player is conscious and reports numbness in the upper extremities c) the player is conscious, neurologically intact, and reports neck pain d) all of the above
d) all of the above
C7
elbow extension and wrist flexion
Lordosis
excessive lumbar curve
Kyphosis
excessive thoracic curve
C3
lateral neck flexion
Scoliosis
lateral rotational curve
The ligament that connects the pedicles of adjacent vertebrae is the
ligamentum flavum
The functional unit of the spine is called the
motion segment
A localized conduction block that causes temporary loss of sensation and/or loss of motor function from selective demyelination of the axon sheath without true axonal disruption is termed
neurapraxia
Bilateral sensory changes including burning pain, tingling, or total loss of sensation is referred to as
neuropraxia
Ipsilateral
pain on the same side
C5
shoulder abduction
The myotome for C5 is
shoulder abduction
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
soft-disk disease
Which of the following characteristics would suggest a cervical sprain rather than strain?
symptoms that persists for several days
If a unilateral cervical dislocation is present, the neck will be visibly tilted in what direction?
toward the dislocated side
Axial loading of the cervical spine occurs when the neck is in a position of
flexion
The Spurling test is a
foraminal compression test
True of False? Factures and dislocations commonly occur at the fourth, fifth and sixth cervical vertebrae.
true
True or False? Axial loading has been identified as the leading mechanism of injury for severe cervical spine injuries
True
True or False? In a brachial plexus injury, pain is usually transient and resolves itself in 5 to 10 minutes
True
True or False? The spiral nerve is composed of two roots. One is responsible for motor function; the other is responsible for sensory function.
True
True or False? The thoracic curve is convex posteriorly
True
Normal ROM for cervical flexion is
80-90 degrees
An athlete has sustained a sprain to the cervical region and is having radiating paresthesia down the left arm. What should be done for this athlete?
refer to a physician
The Torg ratio aids in the assessment of
spinal stenosis
A crushing compression fracture that leaves a vertebra narrowed anteriorly is termed a(n)
wedge fracture
A deformity of the neck in which the head tilts toward one shoulder and, simultaneously, the chin rotates toward the opposite shoulder is termed
wry neck