Cervical Flashcards

(64 cards)

1
Q

The cervical spine consists of how many joints

A

37

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2
Q

T/F
Surgical scars that irregular, pitted in the anterior triangular could be thyroid surgery while a scar in the anterior portion of the neck would be from previous tuberculous adenitis

A

False

it is the opposite

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3
Q

T/ F Zygapophyseal facets provides bony stability

A

False

it provides very little stability

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4
Q

How many times of weight would it be for anterior head carriage

A

2 times

head would be 10 pounds per inch

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5
Q

what vertebral body is the hyoid bone located

A

C3

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6
Q

1st Cricoid ring is at what vertebral body level

A

C6

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7
Q

What is used as an anatomical landmark for anterior

A

Carotid tubercle

at level of C6 body

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8
Q

What test would be appropriate to perform on someone to confirm for possible osteophytes
state the positive and indicators

A

Swallowing test

  • difficult swallowing
  • indicates space occupying lesion on anterior portion of cervical spine , possible pharyngeal or esphagphogeal injury , myospam or osteophytes
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9
Q

T/F
In a unilateral facet disclocation
The inferior facet of the contralateral side moves anterior- superior and over the tip of the inferior articular facet of the involved side

A

False

the superior facet

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10
Q

name the associated injuries they may occur from unilateral facet dislocation

A
  • disruption of the non dislocated joint
  • concomitant fracture of either facet or the complete lateral mass
  • partial tearing of the PLL
  • addition bony fractures of cervical spine
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11
Q

T/F

there are 20 Zygapophyseal Joints in the cervical joints

A

14 from C0 - T1

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12
Q

what is average horizontal angle of the joint plane

A

45 degrees

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13
Q

Name the most common area for pathology in C- spine

A

C5/C6

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14
Q

Which segments does the Cervicothroacic junction functionally include

A

C7- T1, T2 / ribs 1+2 and manubrium

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15
Q

T/F
The ALL ligament is wider in there upper cervical spine but is narrower in the lower cervical spine than the thoracic region

A

False

narrower in the upper cervicals but wider in the lower cervical

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16
Q

T/F

The PLL is broader and thicker in the cervical region compared in the thoracic and lumbar regions

A

True

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17
Q

Name the nerve innervation for the trapezius

A

spinal accessory nerve XI and fibers from ventral rami of C4 & C3

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18
Q

T/F

The Superior portion of the trapezius is frequently stretched in extension

A

False

its is flexion

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19
Q

Name the AKAs for whiplash injuries that affect the trapezius

A

CAD
MVC
MVA

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20
Q

T/F

the most common type of collision for whiplash injuries is front collisions

A

False

rear collisions is more common

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21
Q

which muscles and ligaments are involved in hyperextension in the cervical region

A
  • Scalenes and SCM

- ALL ligament

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22
Q

Name the muscles that are involved in hyper flexion and the ligaments

A
  • trapezius
  • splenius capitis
  • rectus capitis
    ligaments = PLL, Superior nuchal ligament
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23
Q

What is the motor innervation and sensory innervation of the SCM

A
  • Spinal accessory

- ventral rami of C2 and C3

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24
Q

Enlarged lymph nodes of the cervical region may indicate what

A
  • infection

- torticollis

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25
what is the AKA for torticollis
Wry Neck
26
In adults, when is it most frequently for torticollis to occur
between 3rd and 6th decades
27
which muscle is considered the major stabilizer and elevator of the superior angle of the scapula
Levator Scapulae
28
T/F | the Rhomboid minor is inactive during isolated head and neck movements
False that is major minor has slight association with the cervical spine
29
Clay Shoveler's Fracture is what type of avulsion injury
hyperflexion | fracture of spinous process at base
30
T/F | the scalenes extend obliquely and share a critical relationship with the external carotid artery
False | subclavian artery
31
which muscle can be implicated in the thoracic outlet syndrome
Scalenes
32
thyroid gland line in line with what vertebral level
C4/C5
33
when Parotid Gland is swollen what can it indicate
possible mumps
34
T/F | the upper 3 cervical nerves can refer to symptoms to the shoulder, anterior chest, upper limb and scapular area
False the upper 3 can cause neck and head pain the lower cervicals can refer to those symptoms
35
Name the C5 muscle testing
- Deltoid Muscle - axillary nerve / shoulder abduction | - Biceps muscle- musculocutaneous nerve, forearm flexion
36
What is C5 Reflex testing
Biceps Reflex- indicates neurological integrity of C5 | - also has slight involvement of C6
37
C5 Dermatome
Supplies sensation to the lateral arm
38
C6 Muscle testing
wrist extension - extensor carpi radialis longus and brevis - extensor carpi ulnaris - Radial Nerve
39
C6 Reflex Testing
Brachioradialis Reflex | proximal to radial styloid process
40
C6 dermatome
- supplies sensation to lateral forearm , thumb, and 2nd digit
41
C7 Muscle testing
- Elbow Extension - triceps - Radial nerve - Wrist Flexion - flexor carpi radialis ( median Nerve) Flexor carpi ulnari (Ulnar Nerve) - Finger extension - extensor digitorum communis, extensor indicis profundus, extensor digiti minimi ( radial nerve)
42
C7 reflex testing
Triceps reflex
43
C7 Dermatome
supplies middle finger and middle of the palm of the hand unto the flexor wrist creases
44
C8 Dermatome
Finger flexion: flexor digitorum superficialis | flexor digitorum profundus, lumbricals ( median and ulnar nerve)
45
C8 Reflex Testing
No reflex
46
Where does C8 supply sensation
the 4th and 5th digit , the ulnar side of the hand and the distal portion of the ulna
47
T1 muscle Testing
Finger abduction: dorsal interossei (ulnar nerve) | Finger adduction: palmer interossei ( ulnar nerve)
48
T1 reflex testing
no reflex
49
T1 sensation is located where
is the medial side of the forearm and - 2" above and below the elbow joint
50
name the location of the T2 dermatome
supplies the medial upper arm and the axillary region - 2" above the elbow upwards to the axilla
51
T/f the significant arthrokinematic available to the z- joint in the cervical is inferior, medial and posterior glide of the inferior articular process of the superior facet during flexion
False it is during extension ( is a superior, lateral and anterior glide during flexion )
52
T/F | Rotation coupled with ipsilateral joint and flexion of the contralateral joint
True
53
Describe a Jefferson Fracture
moderately unstable burst fracture | occurs at the axial load or vertebral compression
54
what type of fractures can occur in patients with down's syndrome, rheumatoid arthritis, and other destructive processes
Jefferson fracture
55
What type of injuries may occur in a Jefferson's Fracture?
- diving into shallow water - head strikes an obstacle - may occur in MVA - (hyperextension and compression) - falling on head from height
56
what happens in a Hangman's Fracture
Fracture of pars interarticularis of C2 and disruption of C2- C3 junction
57
T/F | In Hangman's fracture, the MOI is from large traction force present in judicial hangings
False usually will be significant horizontal translation w/ accompanying damage to PLL w/ or w/o damage of the C2-C3 interspace
58
What is classic MOI of a Hangman's fracture
blow on the forehead into extension - produces fractures thru the pedicles of C2 known as traumatic spondyloslisthesis of C2
59
name the clinical signs and symptoms of serious pathology
- unexplained weight loss - night pain - involvement of more than 1 nerve root - expanding pain - weak and painful resisted testing - spasm with PROM - T1 palsy
60
T/F | 50% flexion occurs at C4- C5
false | between C0-C1
61
T/F | 50% rotation occurs between C1 - C2
True
62
T/f Klippel- Feil Deformity occurs where the bodies of 3 or more vertebras are fused
False | 2 or more bodies are fused
63
Motor loss to spinal ner root involves what nerve roots
- Long thoracic - thoracodorsal - Subscapular - Suprascapular - Dorsal Scapular - Medial pectoral - Lateral pectoral - Axillary - Musculocutaneous - Radial - Median - Ulnar
64
Sensory loss at the spinal nerve root involves which nerves
- musculocutaneous - axillary - radial - median - ulnar