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OMM > Cervical II > Flashcards

Cervical II Flashcards

1
Q

What is the first question to ask when a pt experiences pain in a joint?

A

Where is the pain

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2
Q

Significantly decreased ROM indicates what?

A

Suspect fracture

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3
Q

What is a distraction test?

A

Separate bones to assess ligaments

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4
Q

What does resistive testing look for?

A

muscle/tendon injury

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5
Q

What does compressing bones together test?

A

Bone surfaces, menisci, disks

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6
Q

What is the neural foramen?

A

Passage for the nerve roots in the spine

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7
Q

What are the anterior borders of neural foramen?

A

Two adjacent vertebral bodies and intervertebral discs

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8
Q

What are the superior and inferior borders of the neural foramen?

A

Two adjacent pedicles

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9
Q

What is the posterior border of the neural foramen?

A

Inferior articular process of superior vertebra and superior articular process of inferior vertebra, including the synovial joint between them

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10
Q

What is the anterior border of the spinal canal?

A

Vertebral body +disc +PLL

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11
Q

What is the posterior border of the spinal canal?

A

Lamina + flava flav

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12
Q

What is the lateral border of the spinal canal?

A

Pedicles, medial aspect of the facet joints on either side

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13
Q

What happens to the body of a superior vertebra with flexion?

A

Glides anteriorly, compressing anterior portion of the disc

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14
Q

What happens to the facet joints with flexion?

A

Open on the inferior aspect

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15
Q

What happens to the neural foramen with flexion?

A

Opens posteriorly

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16
Q

What happens to the posterior elements with flexion?

A

Lengthened

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17
Q

What happens to the anterior elements with flexion?

A

compressed

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18
Q

What happens to the anterior elements with extension?

A

lengthens

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19
Q

What happens to the posterior elements with extension?

A

Shortens

20
Q

What happens to the neural foramen with extension?

A

Closes

21
Q

What happens to the body of a superior vertebra with extension?

A

Superior body glides posteriorly, compressing posterior portion of the disc

22
Q

What happens to the facet joints with extension?

A

Close on the inferior aspect

23
Q

What happens to the uncovertebral joints with side bending/rotation?

A

One side approx while other separates

24
Q

What is Wolff’s law?

A

bone is increased where needed and reabsorbed where not

25
Q

What is facet hypertrophy?

A

Increased load in facet joint can occur by decreased disc height and occupational hazards

26
Q

What happens with anterior facet joint hypertrophy?

A

Neuroforaminal stenosis

27
Q

What happens with posterior facet joint hypertrophy?

A

Central stenosis

28
Q

DJD = ? Is this an inflammatory process?

A

Arthritis–not always an inflammatory process

29
Q

What are the two components of the physical exam for the neck?

A

Neuro

Joint

30
Q

Hyperreflexia = (CNS or PNS issue)?

A

CNS issue

31
Q

Hyporeflexia = (CNS or PNS issue)?

A

PNS issue

32
Q

What is Spurlings test testing for?

A

Nerve roots

33
Q

What is Lhermitte’s test testing for?

A

Posterior columns of the spinal cord

34
Q

What is Kernigs test testing for?

A

Meningeal irritation

35
Q

What is Wallenberg’s test testing for?

A

Vertebral arteries

36
Q

What is Sperling’s test?

A
37
Q

Where does the vagus nerve exit the skull?

A

Jugular foramen

38
Q

What cervical spinal levels innervate the superior, middle, and inferior ganglia?

A

T1-T4

39
Q

Posterior cervical Tender points are associated with what?

A

Extended

40
Q

Anterior cervical Tender points are associated with what?

A

Flexed

41
Q

What is the PC3 associated with?

A

Vertigo

42
Q

What is PC4 associated with?

A

Pain radiating up the neck

43
Q

What is PC5 associated with?

A

Generalized HA

44
Q

What is PC6-8 associated with?

A

Neck pain and stiffness

45
Q

What is AC1 associated with?

A

Commonly mistaken for TMJ problems

46
Q

What is AC7 associated with?

A

Related to SCM

OMM (30 decks)

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