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MS II > Cervical lab > Flashcards

Cervical lab Flashcards

1
Q

The c-spine functions as type _ mechanics

A

II

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2
Q

What are the differentiating tests?

A

sustained movements
combined movements
compression
distraction

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3
Q

This movement may produce referred symptoms

a. combined movements
b. sustained movements
c. distraction
d. compression

A

sustained movements

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4
Q

What are the combined movements for differentiating tests?

A

upper quadrant

lower quadrant

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5
Q

Combined movement testing can be done if

A

all physiological movement testing is clear

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6
Q

This differentiating test is done with the patient seated, pt goes into ext of upper c-spine and maintains then adds rotation toward painful side then SB

A

upper quadrant

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7
Q

This differentiating test is with the patient seated, have them tilt their head back into full extension, SB to painful side, then rotate

A

lower quadrant

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8
Q

This test is done by compressing the top of the head down for 30 seconds

A

compression

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9
Q

This test is done by distracting the head via the mastoid process and holding it for 30 seconds

A

distraction

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10
Q

What neurological testing needs to be done for clearance?

A

dermatomes
myotomes
reflexes
CN screen

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11
Q

Dermatome: bilateral on head, next to midline

a. C1
b. C2
c. C3
d. C4

A

C1

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12
Q

Dermatome: cheek bone

a. C1
b. C2
c. C3
d. C4

A

C2

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13
Q

Dermatome: anterior aspect of neck

a. C1
b. C2
c. C3
d. C4

A

C3

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14
Q

Dermatome: on top of shoulder to deltoid insertion

a. C2
b. C3
c. C4
d. C5

A

C4

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15
Q

Dermatome: lateral aspect of shoulder, following lateral aspect of arm to radial styloid process

a. C2
b. C3
c. C4
d. C5

A

C5

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16
Q

Dermatome: distal segment I thumb and index finger

a. C5
b. C6
c. C7
d. C8

A

C6

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17
Q

Dermatome: middle 3 fingers

a. C5
b. C6
c. C7
d. C8

A

C7

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18
Q

Dermatome: ring finger and pinkie up to wrist

a. C5
b. C6
c. C7
d. C8

A

C8

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19
Q

Dermatome: medial aspect of arm, beginning of wrist and extending up to shoulder

a. C7
b. C8
c. T1
d. T2

A

T1

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20
Q

Dermatome: from the elbow, medial aspect through axilla over the chest

a. C7
b. C8
c. T1
d. T2

A

T2

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21
Q

Myotome: neck flexion

a. C1
b. C2
c. C3
d. C4

A

C1

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22
Q

Myotome: neck extension

a. C1
b. C2
c. C3
d. C4

A

C2

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23
Q

myotome: neck SB
a. C1
b. C2
c. C3
d. C4

A

C3

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24
Q

myotome: elevation of shoulder blades - shrug
a. C1
b. C2
c. C3
d. C4

A

C4

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25
Q

myotome: shoulder abduction
a. C5
b. C6
c. C7
d. C8

A

C5

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26
Q

myotome: elbow flexion, supination, wrist extension
a. C5
b. C6
c. C7
d. C8

A

C6

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27
Q

myotome: elbow extension, pronation, wrist flexion
a. C5
b. C6
c. C7
d. C8

A

C7

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28
Q

myotome: long finger flexors and thumb extension
a. C5
b. C6
c. C7
d. C8

A

C8

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29
Q

myotome: lumbricales and interossei
a. C6
b. C8
c. T1
d. T2

A

T1

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30
Q

Biceps reflex

a. C4, C5
b. C5, C6
c. C7, C8
d. C8, T1

A

C5,6

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31
Q

triceps reflex

a. C4, C5
b. C5, C6
c. C7, C8
d. C8, T1

A

C7, 8

32
Q 
Romberg
close and open eye
eye tracking
finger rustle 
peripheral vision 
tongue out
A

CN screen

33
Q

VA testing

A

Rotation right then left to end range; count from 15 down to 1

Observe for loss of count, confusion, dizziness, nystagmus, fluttering, voice changes, nausea

34
Q

How do you take the middle ear out from VA testing?

A

turn shoulders dont move head

35
Q

trigger points show what kind of pain

A

refer pain

36
Q

ULNT 1 is testing

a. radial nerve
b. ulnar nerve
c. median nerve

A

median nerve

37
Q

ULNT 2a is testing

a. radial nerve
b. ulnar nerve
c. median nerve

A

median nerve

38
Q

ULNT 2b is testing

a. radial nerve
b. ulnar nerve
c. median nerve

A

radial neve

39
Q

ULNT 3 is testing

a. radial nerve
b. ulnar nerve
c. median nerve

A

ulnar nerve

40
Q

CCFT is used to test which muscle

A

longus collis

41
Q

what is key with CCFT?

A

head nod

42
Q

how do you do CCFT

A

head nod then lift

43
Q

This test measures errors viewed in return from extension and rotation (can also do flexion and sidebending)

A

cervical joint position sense

44
Q

How do you complete the cervical joint position sense?

A

Mark starting position, close eyes, move into extension or rotation and return to start
then
Measure difference in marks in centimeters and not over/undershoot

45
Q

What is normal joint position sense

A

less than or equal to 7cm from starting mark

46
Q

Slide glides, side bending and PA in prone can be used to test

A

segmental mobility

47
Q

What are you looking for with side glide testing

A

see if its stiff at end range

48
Q

What happens when you do segmental mobility side bending?

A

SB closes and slides down

49
Q

PA in prone assess _

A

extension

50
Q

What percentage of rotation occurs at C1/C2?

A

60-70%

51
Q

What are you looking for with cervical-flexion rotation test?

A

how much rotation and flexion they have

52
Q

Spurling test is used to test for

A

cervical radiculopathy

53
Q

This test is compression to close down the facet with the head side bent

a. Brachial plexus compression test
b. distraction test
c. spurling test
d. Sharp pusher test

A

spurling test

54
Q

This test is compressing just above the clavicle and putting traction on the nerve root

a. Brachial plexus compression test
b. distraction test
c. spurling test
d. Sharp pusher test

A

brachial plexus compression test

55
Q

The brachial plexus test compression test is testing for

A

cervical radiculopathy

56
Q

This test is cupping of neck around mastoid process and other hand on top of chin, fulling with cupping hand

a. Brachial plexus compression test
b. distraction test
c. spurling test
d. Sharp pusher test

A

distraction test

57
Q

The distraction test is used to test for

A

cervical radiculopathy

58
Q

A positive distraction test is indicated by

a. pain provocation
b. nerve pain
c. shooting pain
d. symptoms made better

A

symptoms made better

59
Q

Patient brings shoulder up into abduction with elbow flexion to see if there’s pain

a. Brachial plexus compression test
b. distraction test
c. spurling test
d. abduction test

A

abduction test

60
Q

A positive shoulder abduction test is indicated by

A

making symptoms better

61
Q

Cervical rotation less than 60 degrees to involved side, Positive spurlings, positive distraction and positive ULNT is what prediction rule

A

Wainer for cervical radiculopathy

62
Q

What is the Wainners CPR for cervical radiculopathy?

A

Cervical rotation less than 60 degrees to involved side, Positive spurlings
positive distraction
positive ULNT

63
Q

ULNT 1 has high (sensitivity/specificity)

A

sensitivity

64
Q

The modified sharp pusher test, alar ligament stability, anterior shear/transverse ligament test are used to test for

A

upper cervical instability

65
Q

this test is pinching the spinous process of C2 and flex head with applied force to the forehead

A

modified sharp pusher test

66
Q

cervical flexion rotation test and joint mobility assessment assess for

A

cervicogenic headache

67
Q

cervical flexion rotation test is used to

A

check mobility of C1 and C2

68
Q

what CPR is used to see if the c-spine radiographs are needed

A

Canadian c-spine rules

69
Q

AA joint does

A

rotation

70
Q

AA muscle energy technique

A

flexion then rotation and hold against resistance

71
Q

What grades should you do for cervical slide glide mobilization?

A

grade 3 and 4

72
Q

cervical side bending mobilization is used to treat

A

radiculopathy

73
Q

How do you do splenius capitis soft tissue release

A

extend neck with contact on occipital then lengthen under fingers and hold, drag superiorly

74
Q

Prone PA mobs work on

A

extension

75
Q

this mobilization is stand on side of pt, cup hand under c2, stack fingers and take up slack with soft tissue then rotate head with hand on top of forehead and feel C2 in your fingers

A

AA mobilization

76
Q

How do you do an upslope manipulation?

A

rotation
side bend
extend

MS II (17 decks)

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