S-O MT I

Distraction test how to

"-Patient seated; examiner stands at the side of the patient -Examiner places one hand under the patient's chin and the other under the base of the occiput (other hand positions will be demonstrated in class) -With gradually increasing force lift (distract) the patient's head to remove it's weight from the neck, and hold for 30-60 seconds"

soto-hall positive sign

Pain and restriction from cervical joint disorder (VSC or DJD, more common) or posterior soft tissue involvement.

Adson's how to

Patient seated, Examiner palpates the radial pulse noting it's strength, and slightly abducts, extends, and externally rotates the patient's arm, The patient is instructed to rotate their head ipsilaterally, extend their head, and take a deep breath and hold for approximately 10 seconds, Examiner checks the radial pulse for decreased intensity, Instruct the patient to breath and question the patient about creation aggravation of symptoms of arm pain or paresthesia

Soto-Hall test how to

Patient supine, Examiner places caudal hand on the patient's sternum and exerts slight pressure to prevent the thoracic spine from flexing during the test (male doctors may have female patients place their hands on their sternum and then the doctor can place his hand on top of the patient's hands). The examiner's cephalad hand is placed under the occiput and passively flexes the patient's head to their chest.

Neck pain experienced during the Soto-Hall test identifies that your patient has a cervical fracture. T/F?

True but it is more commonly seen when your patient has pain and restriction in the cervical region due to joint disorder or posterior soft tissue involvement- ash Local pain with active motion = muscle sprain Local pain with passive motions = ligament strain *Don't we need x-ray to confirm Fracture????* -ac So FALSE???

A pain severity scale in the LCCW Health Center forms utilizes a 10cm line that lacks numbers, but has the terms "absence" at one end and "extreme" at the other end. What is the name for this pain severity recording scale? a. visual analog scale b. numeric pain rating scale c. pain intensity scale d. point-to-point scale e. ouchy scale

a. visual analog scale

23When cervical radiculopathy is suspected based upon history and cervical orthopedic testing, nueroulogical examination should be performed to evaluate the _____ function(s) of the cervical spinal nerves. a. sensory b. motor c. reflex d. sensory and motor e. motor & reflex ab. sensory reflex ac. sensory, motor, & reflex

ac. sensory, motor, & reflex

When a cervical radiculopathy is suspected based upon history and cervical orthopedic function, neurologic examination should be performed to evaluate the ____ function(s) of the cervical spinal nerves. a. sensory b. motor c. reflex d. sensory and motor e. motor and reflex ab. sensory and reflex ac. sensory, motor, and reflex

ac. sensory, motor, and reflex

48. Which of the following tests would be best to identify intermittent claudication in the upper extremity? a. O'Donahue's test b. Roos test c. Jackson's test d. Eden's test e. Kernig's test

b. Roos test Don't Shoot!

49. Which of the following tests would be best to identify intermittent claudication in the upper extremity? a. O'Donahue's test b. Roos test c. Jackson's test d. Eden's test e. Kernig's test

b. Roos test Don't shoot <--THAT'S FUNNY!!

50. An abnormal EAST suggests the presence of _____. a. strain b. TOS c. cervical radiculopathy d. meningitis e. spinal instability

b. TOS

When performing a visual assessment of cervical extension without instrumentation, the normal range of extension would be indicated when _______ a. the plane of the patient's face becomes parallel to the floor b. a line between the patient's forehead and the tip of their nose is approximately parallel to the floor.

b. a line between the patient's forehead and the tip of their nose is approximately parallel to the floor. -ash

Matching: choose all that apply scalenus anticus syndrome a. Wright's test b. Adson's test c. Eden's test d. modified Adson's test

b. and d., Adson's and modified Adson's test

cervical rib syndrome a. Wright's test b. Adson's test c. Eden's test d. Modified Adson's test

b. and d., Adson's and modified Adson's test

45. Which of the following is the best description of the Kernig test? a. compress the jugular veins for 10 seconds b. bend the hip and knee to 90 degrees, and then extend the knee c. laterally flex the patient's head and depress the contralateral shoulder d. while taking the radial pulse, abduct the patient's arm e. flex the supine patient's head to their chest

b. bend the hip and knee to 90 degrees, and then extend the knee -ash

With the patient seated, inclinometer measurement of cervical ROM could read which of the following? a. only flexion and extension b. flexion, extension, and lateral bending c. all cervical ranges of motion.

b. flexion, extension, and lateral bending rotation requires the patient to be supine -LS

#44 Which of the following best describes the difference in procedure between the Adson and modified Adson test? a. in the modified Adsons test the pt. holds their breath longer b. in the modified Adsons test the pt. rotates the head to the opposite side c. in the modified Adsons the pt. does NOT hold their breath d. in the modified Adsons the pt does NOT extend their head. e. in the modified Adsons the pt. flexes their neck

b. in the modified Adsons test the pt. rotates the head to the opposite side

49 "Sprain" refers to ____ injury. a. musculo-tendonous b. ligamentous

b. ligamentous

TOS usually causes parethesia and numbness down the ____ aspect of the upper extremity. a. lateral b. medial

b. medial

Matching: choose all that apply Wright's test a. cervical rib syndrome b. pectoralis minor syndrome c. costoclavicular syndrome d. scalenus anticus syndrome

b. pectoralis minor syndrome (hyperabduction) -ash

When the Valsalva maneuver exacerbates upper extremity pain and tingling, the patient's upper extremity complaint is most likely due to _____. a. sclerogenic referred pain b. radiculopathy c. TOS d. strain/sprain e. meningitis

b. radiculopathy A positive finding suggests that a radiculopathy due to compression by a space occupying lesion

When the Valsalva maneuver exacerbates upper extremity pain and tingling, the patient's upper extremity complaint is most likely due to _________. a. sclerogenic referred pain b. radiculopathy c. TOS d. strain/sprain e. meningitis

b. radiculopathy this is due to the compression by a space occupying lesion- ash

When the shoulder depression test performed on the right causes an electric-like shooting sensation down the right arm, ____ is most likely present. a. radiculopathy due to IVF stenosis b. radiculopathy due to adhesions c. radiculopathy due to disc herniation d. meningitis e. none of the above

b. radiculopathy due to ADHESIONS also known as nerve root dural sleeve adhesions that take place in a dermatome.- ash

When the shoulder depression test performed on the right causes a tingling sensation down into the right arm, _____ is most likely present. a. degeneration b. radiculopathy due to adhesions c. radiculopathy due to IVF stenosis d. radiculopathy due to disc herniation e. none of the above

b. radiculopathy due to adhesion specifically nerve root dural sleeve adhesions - LS

Bakody's sign is present when a patient states that placing their hands on top of their head _________ their upper extremity pain and paresthesia. a. exacerbates b. relieves

b. relieves

16 A patient presents post-trauma with both hands around his neck and jaw, holding and supporting his neck. Which of the following is the correct name for this sign? a. Rothman's sign b. Rubin's sign c. Randall's sign. d. Rust's sign e. Bradzinski's sign ab. none of the above

d. Rust's sign indicates cervical instability

Two tests that increase intrathecal pressure are ____. a. Naffzigger and O'Donahue's b. Lhermitte's and modified Spurling c. Valsalva and Kernig's d. Valsalva and Naffzigger e. Soto-Hall and Jackson's

d. Valsalva and Naffzigger -ash

The finding in the question above is suggestive of _____ a. cervical radiculopathy b. spondyloarthrosis c. TOS d. cervical myelopathy e. none of the above

d. cervical myelopathy

When Lhermitte's sign is present, you should consider that the patient has ____. a. cervical radiculopathy b. spondyloarthrosis c. TOS d. cervical myelopathy e. none of the above

d. cervical myelopathy

Bakody's sign is considered to suggest the presence of _______________________. a. Carpel tunnel syndrome b. Cervical Myelopathy c. Cervical fracture d. cervical radiculopathy e. cervico-thoracic strain-sprain ab. meningitis

d. cervical radiculopathy

Bakody's sign is considered to suggest the presence of ____. a. meningitis b. cervical myelopathy c. cervical fracture d. cervical radiculopathy e. strain/sprain

d. cervical radiculopathy specifically C5,C6,C7 this position relieves their brachial plexus and cervical spinal nerves-ash

The presence of the sign described in the question above should be considered to suggest the presence of _______. a. cerbrovascular accident b. TOS c. cervical DJD d. cervical spinal instability

d. cervical spinal instability

Which of the following best describes the procedure for performing the modified Spurling test? a. forced flexion of the cervical spine b. compression of the head in the lateral flexed position c. compression of the head in the flexed position d. compression of the head in the rotated position e. compression of the head in the rotated and extended position

e. compression of the head in the rotated and extended position

24 The Naffzigger test is performed by bilaterally compressing the _________ for 30-45 seconds. a. carotid arteries b. radial arteries c. temporal arteries d. politeal arteries e. jugular veins

e. jugular veins -ac

The exam finding described in the question above should suggest _____. a. cervical spondylosis b. cervical disc protrusion c. cervical nerve root adhesions d. TOS e. meningitis ab. none of the above

e. meningitis

44. An Abnormal Allen's test would indicate the likely presence of ________ a. cervical spondylosis b. compression of a spinal nerve c. compression of the spinal cord d. cervical fracture e. none of the above

e. none of the above abnormal findings would indicate insufficiency of the *artery* via stenosis or obstruction proximately- ash

The visual analog scale (VAS) is used _________. a. to illustrate the location and quantity of the patients pain complaint b. to record the patient's available ranges of motion c. to estimate how likely the patient's case will become a malpractice case d.to illustrate where a patient's condition likely falls on a spectrum of etiology e. to quantify the patients pain

e. to quantify the patients pain

Compression test How to?

patient seated doctor stands behind the patient and places both hands ontop of the headdoctor applies gradually increasing pressure straight down

Wrights how to

patient seated with arms hanging at their sides, Palpate the radial pulse noting its intensity and then slowly abduct the pt's arm to 180 degrees while monitoring the radial pulse for decreased amplitude, Question the patient about reproduction of their symptoms

Costoclavicular how to

patient seated with hands resting at their sides, examiner stands behind the patient and reaches forward to palpate the radial pulse noting it's strength (may check sides individually or simultaneously), examiner stands behind the patient and reaches forward to palpate the radial pulse noting it's strength (may check sides individually or simultaneously)

15 If the sclerogenic pain illustrated below was referred from a facet joint, which joint would most likely be the source? a.C3-4 b.C4-5 c.C5-6 d.C6-7 e.C7-8

Know image!

Valsalva how to

-patient seated examiner instructs the patient to take a deep breath, hold it, and "bear down" as if trying to move their bowels

Wrights significance

Abduction of the UE potentially tractions the axillary artery and/or the brachial plexus under the tendon of the pectoralis minor muscle or the coracoid process. (Arterial involvement is most commonly described.

TOS exams you should do.

Adson's Wrights Costoclavicular

Distraction test postive sign

Decreased pain, tingling, & numbness in the upper extrem suggests cervical radiculopathy (due to IVF stenosis or IVD P/P)

Cervical Radic exams you should pick

Compression Distraction Valsalva

Cervical Joint disorder (w/o radic). what test do you?

Compression Distraction Soto-hall

Compression test positive sign

Creation or exacerbation of local cervical spine pain suggests joint involvement (subluxation, DJD, trauma, etc.). Ill-defined, diffuse pain into the shoulder, or arm,may be present due to sclerogenic referral.

Wrights positive sign

Creation or exacerbation of the patient's complaint of pain and paresthesia in the upper extremity (often in lower trunk - C8, T1 distribution). or...Decreased intensity of the radial pulse

adson's positive sign

Creation or exacerbation of the patient's complaint of pain and paresthesia in the upper extremity (often in lower trunk - C8, T1 distribution). or...Decreased intensity of the radial pulse

Costoclavicular positive sign

Creation or exacerbation of the patient's complaint of pain and paresthesia in the upper extremity . or...Decreased intensity of the radial pulse

T/F. Bakody's sign is present when a patient states that placing their hand on top of their head exacerbates their upper extremity pain and paresthesia.

F Bakody's sign will lessen their upper extremity pain- ash

T/F. Neck pain experienced during the Soto-Hall test identifies that your patient has a cervical fracture.

F With Soto-Hall, pain and restriction is more commonly *due to cervical joint disorder* or posterior soft tissue involvement and *NOT fracture* - LS

T/F The Roland-Morris questionnaire is used to assess a neck pain patient's functional ability

F - Roland Morris questionnaire was created for *low back pain only*. Cervical neck pain questionnaire is called the Neck Disability Index.

T/F. TOS usually causes paresthesia and numbness down the lateral aspect of the upper extremity.

F--- Medial aspect of UE

25 T/F Jackson's test differentiates between radiculopathy due to disc herniation and radiculopathy due to IVF stenosis.

F? I would go with F here because it wouldn't differentiate between the two... the patient would just present with P/T/N in a radicular pattern. I think you would need oblique x-rays to differentiate between the two- ash

42. The hyperabduction test is also known as the Roos test. T/F?

False hyperabduction is known as wrights test- ash

Fracture may be ruled out if tuning fork exam is negative. T/F?

False because you would have to confirm with X-rays- ash

Compression of the head in lateral flexion is known as _____ test. a. Jackson's b. Roger's c. Spurling's d. Johnson's e. none of the above

Jackson's -ash

Valsalva positive sign

Production or exacerbation of radiation into the upperextremity, especially in a dermatomal pattern,

T/F When evaluating a patient post-trauma, x-ray needs to be moved prior to all components of the physical exam

T

T/F. Jackson's test differentiates between radiculopathy due to disc herniation and radiculopathy due to IVF stenosis.

T With the head laterally flexed, joint and disc compression will be localized more to the side of lateral flexion (Lateral flexion narrows the IVF ipsilaterally) -LS Not sure it this will ddx herniation tho???? -ac

T/F Patients with cervical DJD may complain of shoulder and upper thoracic/scapular pain.

T I'm basing my answer on the fact that it could be due to a sclerogenic referral from DJD. -LS

T/F. Pain that occurs with reduced isometric contraction, but not with passive stretching, would be more indicative of musculocutaneous injury rather than ligamentous injury.

T aka Strain injurys

T/F When performing a visual assessment of cervical extension ROM without instrumentation, the patients cervical extension would be considered WNL if a line from their forehead to the tip of their nose is horizontal.

T with normal cervical extension the plane of the face does not quite become horizontal, however a line between the forehead and the tip of the nose does become parallel to the floor. - LS

Costoclavicular significance

TOS, most likely costoclavicular syndrome

adson's significance

TOS, most likely either the cervical rib or scalenus anticus subgroups. Brachieal plexus entrapped or strained under cervical rib or between scalenes. NOTE: if cervical rib appears on x-ray, do NOT assume that TOS is caused by cervical rib syndrome

Valsalva significance

This exam increases intrathecal (CSF) pressure and helps to identify radiculopathy caused by a space-occupying lesion.

soto-hall significance

This procedure compresses the vertebral bodies anteriorly. It also posteriorly tractions the nuchal ligament and pulls on the spinous processes. Posterior cervical musculature is stretched.

distraction test significance

This test reduces pressure on vertebral bodies, discs, facets, and opens the IVFs. The main purpose of this test is to see if decreased pressure on cervical spine structures reduces pain

16 Patients with cervical DJD may complain of shoulder and upper thoracic/scapular pain. T/F?

True

X-ray needs to be moved prior to all components of the physical examination <where/when> a trauma case presents. T/F?

True

Pain that occurs with resisted isometric contraction, but not with passive stretching, would be more indicative of musculotendinous injury than ligamentous injury. T/F?

True this injury is a STRAIN and injury from CONTRACTILE ELEMENTS-ash

50 T/F. Abnormal finding on the EAST suggest the presence of TOS

True I would go with T on this one... slide 102 on cervical TOS orthopedic exams- ash

The normal range of cervical lateral flexion on the LCCW Health Center exam form is _____ degrees. a. 30 b. 40 c. 50 d. 60

b. 40 cervical flexion: 50 cervical extension: 60 cervical rotation: 80 -ash

Visual estimates of a patient's ROM recorded on the LCCW Health Center forms are considered to be +/- ____ degrees. a. 1 b. 5 c. 10 d. 15

b. 5

48. Which of the following tests could appear to be positive when the patient has tight hamstrings? a. Kernig's test b. Roos test c. Allen's test d. Eden's test e. O'Donahue's test

a. Kernig's test

Which of the following is the correct term for cervical DJD? a. spondylosis b. spondylolysis c. spondylolisthesis

a. Spondylosis Cervical spondylosis is a chronic degenerative disorder of cervical vertebral joints, alternatively known as DJD, or osteoarthritis. (Slide 2 - Notes 4) - LS

pectoralis minor syndrome a. Wright's test b. Adson's test c. Eden's test d. Modified Adson's test

a. Wright's test

Modified Adson's test a. cervical rib syndrome b. pectoralis minor syndrome c. costoclavicular syndrome d. scalenus anticus syndrome

a. and d. cervical rib syndrome and scalenus anticus syndrome same as Adson's but patient rotates head *contralaterally*

Your patient experiences aggravation of neck pain when the cervical compression test is performed. The examination finding would be most supportive of which of the following? a. cervical DJD b. cervical myelopathy c. cervical radiculopathy d. TOS e. strain/sprain

a. cervical DJD

Adson's test a. cervical rib syndrome b. pectoralis minor syndrome c. costoclavicular syndrome d. scalenus anticus syndrome

a. cervical rib syndrome and d. scalenus anticus syndrome -ash

Wright's test is also known as the ____ test. a. hyperabduction test b. bilateral shoulder depression test c. Roos test d. circulatory compromise test e. adduction-interval rotation test

a. hyperabduction test

"Strain" refers to ____ injury. a. musculo-tendonous b. ligamentous

a. musculo-tendonous Sprain = ligamentous/capsular injury, non contractile. Pain w stretching Strain = musculotendinous, pain w isometric contraction

15 The presence of the sign described in the question above should be considered to suggest the presence of _____. a. spinal instability b. TOS c. cerebrovascular accident d. cervical DJD

a. spinal instability

The correct term for cervical DJD is _________ a. spondylosis b. spondylolysis c. spondylolisthesis

a. spondylosis -ash

14 When perfoming a visual assessment of cervical flexion ROM without instrumentation. The patients cervical flexion would be considered normal upon their chin reaching ___ fingers widths of their chest. a. 1 b. 2 c. 3 d. 4

b. 2

The normal range of lumbar lateral flexion on the LCCW Health Center exam form is ______ degrees. a. 15 b. 30 c. 45 d. 60

b. 30 Lumbar flexion: 90 lumbar extension: 30 lumbar rotation: 30 -ash

The average for cervical lateral flexion on the LCCW Health Center exam form is _____ a. 30 b. 40 c. 50 d. 60

b. 40 For *cervicals* flexion 40 extension 60 RLF/LLF 40 R/L rotation 80 *lumbar* averages are 90 flex, 30 ext, 30 lat flex, 30 rot

41. Which of the following is the best description of Eden's Test? a. take the radial pulse while abducting the patient's arm to 180 degrees b. take the radial pulse and then have the patient pull their shoulders down and back, while you push down on the shoulder c. flex the patient's head to their chest d. laterally flex the patient's head and depress the contralateral shoulder e. have the patient abduct the arms to 90 degrees and repeatedly clench and unclench the fists

b. take the radial pulse and then have the patient pull their shoulders down and back, while you push down on the shoulder

If the sclerogenic pain illustrated below was referred from a cervical facet joint, which joint would most likely be the source? a. C3-4 b. C4-5 c. C5-6 d. C6-C7 e. C7-C8

c. C5-6

43. The cervical spinal nerves that most commonly develop radiculopathy are ___ a. C4, C5 b. C5, C6 c. C6, C7 d. C7, C8 e. C8, T1

c. C6, C7

The 2 cervical spinal nerves that most commonly develop radiculopathy are ____? a. C4, C5 b. C5, C6 c. C6, C7 d. C7, C8 e. C8, T1

c. C6, C7

costoclavicular syndrome a. Wright's test b. Adson's test c. Eden's test d. Modified Adson's test

c. Eden's test

26 Electrical sensations shooting down the spine, arms and legs when the head is flexed is know has ________ sign. a. Brudzinski's b. Soto-Hall's c. Lhermitte's d. Kernig's e. Lindners ab. none of the above

c. Lhermitte's -ac A positive finding of Lhermitte's would be a cervical myelopathy- ash

The test which compares the patient's pain when they perform isometric contraction and when passive stretching is applied is known as _____ test. a. O'Brien's b. Macallister's c. O'Donahue's d.'s nutz e. Adler's

c. O'Donahue's

Eden's test a. cervical rib syndrome b. pectoralis minor syndrome c. costoclavicular syndrome d. scalenus anticus syndrome

c. costoclavicular syndrome -ash

Which of the following best describes the difference in procedure between the Adson and modified Adson's tests? a. in the modified Adson test the patient does not hold their breath b. in the modified Adson test the patient holds their breath longer c. in the modified Adson test the patient rotates their head to the opposite side d. in the modified Adson test the patient does not extend their head e. in the modified Adson test the patient flexes their neck

c. in the modified Adson test the patient rotates their head to the opposite side

Jackson's test is performed by ____ the patient's head and then applying compression. a. extending b. flexing c. lateral flexing d. rotating e. flexing and rotating

c. lateral flexing

7 The revised Owestry questionare is a ____ functional assessment questionare? a. cervical b. thoracic c. low back d. extremity

c. low back

The revised Oswestry questionnaire is a ________ functional assessment questionnaire? a. cervical b. thoracic c. low back d. extremity

c. low back

#46 Which of the following would be the most directly relevant follow-up test when the Brudzinski's sign is present? a. Roos b. Soto-Hall c. Naffzigger d. Kernig e. O'Danahue

d. Kernig

#46 Which of the following would be the most directly relevant follow-up test when the Brudzinski's sign is present? a. Roos b. Soto-Hall c. Naffzigger d. Kernig e. O'Danahue

d. Kernig because they are both tests for meningitis- ash

When a patient has complaints of neck pain, and upper extremity pain, tingling, and numbness, the patient's cervical x-ray exam should consist of ______ x-ray views. a. 1 b. 2 c. 3 d. 5 e. 7

d. 5

When a pt. has complaints of neck pain, and upper extremity pn., tingling, and numbness, the patients cervical x-ray exam should consist of _______ x-ray views. a. 1 b. 2 c. 3 d. 5 e. 7

d. 5 Minimum 3 views 5 views for radicular symptoms (add obliques) 7 views (Davis series) for instability i.e. car wreck (add flex/extension)

When the doctor flexes the supine patient's head to their chest, the patient's hips and knees flex. What is the name of this sign? a. Lhermitte's b. Soto-Hall c. Kernig's d. Brudzinski's e. none of the above

d. Brudzinski's

The presence of Brudzinski sign should cause you to suspect the presence of ____. a. cervical disc protrusion b. cervical spondylosis c. cervical nerve root adhesions d. meningitis e. TOS ab. none of the above

d. meningitis Brudzinski's and Kernig's ddx for meningitis

A patient presents post-trauma with both hands around his neck, holding and supporting his neck. Which of the following is the correct name for this sign? a. Rubin's sign b. Rothman's sign c. Randall's sign d. Rust's sign e. Brudzinski's sign ab. none of the above

d. rust's sign -ash

#45 Which of the following is the best description of Eden's test? a. take the readial pulse while abducting the patients arm to 180 degrees b. flex the patients head to their chest c. laterally flex the patients head and depress the contralateral shoulder d. take the radial pulse and then have the patient pull the shoulder down and back, while you push down on the shoulder e. have the patient abduct the arms to 90 degrees and repeatedly clench and unclench the fist

d. take the radial pulse and then have the patient pull the shoulder down and back, while you push down on the shoulder

What do the Valsalva maneuver and the Naffzigger test have in common? a. they both involve stretching of posterior cervical musculature b. they both reduce spinal nerve compression c. they both cause traction of the brachial plexus d. they both increase intrathecal pressure e. none of the above

d. they both increase intrathecal pressure

Which of the following is a low back functional assessment questionnaire? a. Richard-Bockman b. Posner-Nitner c. Paulette-Aujon d. Jones-Meissner e. Roland-Morris

e. Roland-Morris

46 The patient is instructed to abduct thier arms to 90 degrees (palm facing down) and then repeatedly clench and unclench their hands. Within 15 seconds the patient experiences cramping on the right forearm (the symptomatic side). Which of the following orthopedic test would be most useful in helping you to confirm your suspected diganosis? a. cervical distraction test b. Lhermittes test c. shoulder depression test d. modified spurlings test e. Wrights test.

e. Wrights test. (Pec Minor Syndrome, aka Hyperabduction Syndrome)

#47 The patient is instructed to abduct their arms to 90 degrees (palm facing down) and then repeatedly clench and unclench their hands. Within 15 seconds the patient experiences cramping on the right forearm (the symptomatic side). Which of the following orthopedic test would be most useful in helping you to confirm your suspected diaganosis? a. cervical distraction test b. Lhermittes test c. shoulder depression test d. modified spurlings test e. Wrights test.

e. Wrights test??? need follow up for claudication test

An abnormal Allen's test would indicate the likely presence of _____. a. cervical spondylosis b. compression of a spinal nerve c. compression of the spinal cord d. cervical fracture e. arterial compromise

e. arterial compromise

Which of the following cervical ranges of motion can be assessed by an inclinometer with the patient seated. a. rotation b. extension c. lateral flexion d. flexion e. b, c, d ab. all of the above

e. b, c, d rotation is done with patient supine-ash

Relief of arm pain and paresthesia when the cervical distraction test is performed is most indicative of _____ a. strain/sprain b. TOS c. cervical DJD d. meningitis e. cervical radiculopathy

e. cervical radiculopathy this is due to IVF stenosis or IVD P/P- ash

Your patient experiences aggravation of neck pain when the cervical compression test is performed. The examination finding would be most supportive of which of the following? a. cervical myelopathy b. cervical radiculopathy c. cervical DJD d. TOS e. strain/sprain

it depends if the pain is localized or in a radicular pattern- giving us either... b. cervical radiculopathy (from P/T/N) c. cervical DJD (from localized pain) -ash

Compression test Significance

the downward pressure compresses the facets, vertebral bodies, disc, and narrows the IVF.