Cervical Examination & Intervention

Question 0

neck pain is almost as prevalent as blank

Answer 0

low back pain

Question 1

neck pain affects blank percent of individuals in their lifetime

Answer 1

70

Question 2

neck pain makes up about blank percent of patients seen in pt

Answer 2

25

Question 3

like low back pain, the origin of pain is often blank

Answer 3

indefinablee

Question 4

some elements of subjective exam

Answer 4

nature of disorder, area of symptoms, behavior of symptoms, questionnaires

Question 5

pain that is constant and high level… recent onset

Answer 5

chemical pain

Question 6

pain that is intermittent, variable levels of pain, usually local, can be chronic

Answer 6

mechanical pain

Question 7

mechanical pain can be reduced by blank

Answer 7

changes in position

Question 8

some special questions for cervical pain

Answer 8

dizziness? trouble talking/swallowing? change in vision? change in gait? hard to hold onto small objects?

Question 9

5 d special questions

Answer 9

double vision, dysarthria (difficulty speaking), dizziness, dysphagia (difficulty swallowing), drop attacks

Question 10

10 item condition specific self report questionnaire

Answer 10

neck disability index (NDI)

Question 11

ndi is on a scale of

Answer 11

0-50

Question 12

minimal detectable change with ndi

Answer 12

5 points

Question 13

blank scores on ndi are more desirable

Answer 13

lower

Question 14

concordant sign is the patients blank

Answer 14

chief complaint

Question 15

normal AROM of cervical flexion

Answer 15

45 degrees

Question 16

normal arom cervical extension

Answer 16

45

Question 17

normal lateral flexion cervical

Answer 17

45

Question 18

normal arom rotation cervical

Answer 18

60

Question 19

movements used for the purpose of assessment and management of pain

Answer 19

repeated movement testing

Question 20

three types of repeated movement testing

Answer 20

postural, dysfunction, derangement

Question 21

pain during movement is characteristic of blank

Answer 21

derangement

Question 22

pain at end range is more characteristic of blank

Answer 22

dysfunciton

Question 23

repeated movements have no effect on this syndrome

Answer 23

postural

Question 24

PROM cervical is usually performed in the blank position for relaxation

Answer 24

supine

Question 25

PROM examiner uses blank hold or blank hold to move patient's head into desired ROM

Answer 25

chin cradle, cradle

Question 26

during cervical PROM, examiner is looking for whether or not blank is present

Answer 26

gapping

Question 27

this test provides clinician with information regarding tissue reactivity

Answer 27

resisted isometric testing

Question 28

this test provides clinician with information regarding strength

Answer 28

MMT

Question 29

most people with cervical pain have weakness in blank

Answer 29

neck flexors

Question 30

special UMN lesion tests

Answer 30

babinski, hoffman, rhomberg, lhermitte

Question 31

rhomberg is a blank test

Answer 31

balance

Question 32

lhermittes sign is a blank pain down spine with blank cervical movement

Answer 32

lightning, retraction

Question 33

ULNT is a special test that looks at the blank and physiologic ability of the blank system

Answer 33

mechanical, nervous

Question 34

ULNT results that reproduce pain, alters pain, difference from side to side in ROM

Answer 34

positive results

Question 35

three peripheral nerves tested by ULNT testing

Answer 35

median, radial, ulnar

Question 36

alar ligament test, transverse ligament test, modified sharp pursers, aspinalls, tectorial membrane tests are provocative for blank

Answer 36

cervical instability

Question 37

these tests test for vascular signs and consist of different movements of the neck to see if there is dizziness

Answer 37

vertebral artery tests

Question 38

how many visits for appreciable change observation

Answer 38

6

Question 39

following a MVA or a fall from a height or down stairs, the clinician should be suspicious of serious injury in the presence of blank sings

Answer 39

vague

Question 40

canadian c spine rules are supposedly blank

Answer 40

100% sensitive

Question 41

pt should determine if headaches are blank or blank

Answer 41

cervicogenic, icad

Question 42

icad means

Answer 42

internal carotid artery dissection

Question 43

pts can treat this headache

Answer 43

cervicogenic

Question 44

cervicogenic headaches originate from cervical spine and symptoms change with blank testing, and symptoms in the suboccipital region, temporal, frontal, or orbital region

Answer 44

movement

Question 45

icad is a sudden intense headache in the blank region unilaterally

Answer 45

temporal

Question 46

icad also presents blank pain on the same side of headache

Answer 46

neck pain

Question 47

icad may present with blank signs and as the worst headache of a patient's life

Answer 47

upper motor neuron (check CN)

Question 48

an icad is a medical blank

Answer 48

emergency

Question 49

cervical radiculopathy is blank by pt but blank thoracic outlet syndrome

Answer 49

treatable, not

Question 50

cervical radiculopathy is usually blank pain

Answer 50

referred

Question 51

thoracic outlet syndrome have symptoms with blank and is characterized by blank arms or blank hands

Answer 51

activity, heavy, cold

Question 52

four criteria to identify Wainners CPR for cervical radiculopathy

Answer 52

c spine rotation less than 60 degrees, spurlign's test, distraction test, upper limb nerve tension test

Question 53

three of five basic managing principles

Answer 53

stage of recovery, exam findings, patient beliefs, evidence to support what you're doing, test then treat then retest then treat

Question 54

intervention when patient responded favorably to repeated movement testing

Answer 54

directional preference

Question 55

directional preference should use movements in the blank direction of pain

Answer 55

opposite?

Question 56

directional preference should always exhaust movements in this plane

Answer 56

sagittal

Question 57

directional preference should ideally be performed in this position

Answer 57

sitting

Question 58

evidence for thoracic manipulation is blank

Answer 58

weak

Question 59

manual therapy that controls inflammation/pain should be blank cervical traction for less than five mins

Answer 59

intermittent

Question 60

this intervention is used in the presence of radicular symptoms or peripheral neurogenic symptoms

Answer 60

neuromobilization

Question 61

neuromobilization, the test is the blank

Answer 61

treatment

Question 62

passive neuromobilizations should be blank

Answer 62

graded

Question 63

neuromobilizations can be done blank or blank depending on the nature of the disorder

Answer 63

active, manually