MSK Cervical/Thoracic Quiz Questions

Question 1

Ribs 1-7 exhibit what kind of motion with respiration?

Answer 1

Pump handle

Question 2

In treating a patient with external torsion at the 5 th rib, which interventions may be useful in improving pain and disability?
A. a supine opening thoracic manip
B. supine opening thoracic manip with rib bias
C. a prone thoracic manip targeting the 5th thoracic vertebra and rib
D. All of the above

Answer 2

D. Any of the above could be used as long as reassessment was performed after

Question 3

t/f- The risks associated with thoracic spine manipulation are higher than the risks of lumbar manipulation

Answer 3

FALSE

Question 4

t/f- Vertebral artery testing is highly specific

Answer 4

False

Question 5

List the 5 proposed neck pain classification categories and their matched interventions as described by Childs et all

Answer 5

1. Mobility- mobilization and manipulation
2. Head ache- thoracic manip, cervicospinal ex, cervical mobs
3. Pain control- pain free AROM, postural ed
4. Exercise and Conditioning- DNF ex, thoracic manip
5. Centralization- cervical traction, specific ex

Question 6

If a patient was just in a MVA 3 days ago and has 8/10 pain at rest, what classification would they fall in?

Answer 6

Pain control

Question 7

If you have a patient with radiating arm pain that peripheralizes with flexion and centralizes with extension what classification would you put them in?

Answer 7

Centralization

Question 8

The outcome measure most commonly used in patients with neck pain is:

Answer 8

Neck disability index

Question 9

If you flex a patients head on their neck and side bend the head to the right and it feels restricted as compared to the other side, where might the restriction be?
A. The right OA joint
B. the Left OA joint
C. The left AA joint
D. The right AA joint

Answer 9

C. The left OA Joint

Question 10

T/F- the interrater reliability for the neck pain classification decisions is high

Answer 10

True

Question 11

Which of the following is NOT one of the items in the CPR for diagnosing cervical radiculopathy?
A. + spurlings test
B. + distraction test
C. less than 60 degrees of rotation to the ipsilateral side
D. + UNLT 1
E. All of the above

Answer 11

E.

Question 12

T/F- Thoracic manipulation has been show to increase cervical ROM and decrease pain and disability in patients with neck pain

Answer 12

True!

Question 13

Which of the following would NOT lead you to suspect cervical myelopathy?
A. + Hoffman's reflex
B. Hyperreflexia
C. Hyporeflexia
D. Unsteady gait
E. Bilateral weakness or paresthesias

Answer 13

C. Hyporeflexia

Question 14

Which of the following are characteristics of a cervicogenic headache?
A. unilateral headache
B. bilateral headache
C. symptoms start in the neck and progress to head
D. A + C
E. B+ C

Answer 14

D. A + C

Question 15

Which of the following have been shown to reduce symptoms associated with cervicogenic headache? indicate all that apply
A. cervical manipulation
B. cervical mobilization
C. Deep neck flexor training
D. Scapular Muscle strengthening

Answer 15

All of them!