lab: screening spinal/dx Flashcards Preview

OPP III > lab: screening spinal/dx > Flashcards

Flashcards in lab: screening spinal/dx Deck (19)
Loading flashcards...
1
Q

components of brief screening exam

A
  1. posture: assess major landmarks (shoulder heights, iliac crest heights, popliteal creases, arches, thoracic kyphosis, lumbar lordosis)
  2. TART changes and vertebral SD
  3. standing flexion test; if positive, check for pelvis SD
  4. seated flexion test; is positive, check for sacrum SD
2
Q

C1 landmarks

A
  • no spinous process

- posterior to the angle of the mandible

3
Q

C3 landmark

A

posterior to hyoid bone

4
Q

C4 and C5 landmark

A

posterior to thyroid cartilage

5
Q

C6 landmark

A

posterior to cricoid cartilage

6
Q

motion of OA

A
  1. flexion and extension (major motion)
  2. rotating (minor motion)
  3. sidebending (minor motion)
7
Q

SD of OA

A

rotation and sidebending in opposite direction

8
Q

motion of AA

A
  1. rotation (major motion)
  2. flexion and extension (minor motion)
  3. sidebending (minor motion)
9
Q

SD of AA

A

rotation only

10
Q

how to dx OA (finger placement)

A

middle fingers posterior to occipital condyles to monitor motion and index fingers on articular pillars of C1 to stabilize and isolate motion to OA joint

11
Q

how to dx AA (finger placement)

A

middle fingers over the articular pillars of the atlas to monitor motion and index fingers over the articular pillars of the axis to stabilize it and help isolate motion. flex lower C-spine to limit rotation of these joints

12
Q

orientation of cervical superior facet

A

BUM:

  1. backward
  2. upward
  3. medial
13
Q

what does the bodies of typical vertebraes have?

A

uncinate process that allow for more stability during movement

14
Q

SD of typical vertebraes

A

rotation and sidebending same side with flexion/extension

15
Q

T2 spinous process landmark

A

level of superior angle of the scapula

16
Q

T3 spinous process landmark

A

level of scapular spine

17
Q

T7 spinous process landmark

A

level of inferior angle of scapula

18
Q

L4 spinous process landmark

A

level of superior aspect of the iliac crests

19
Q

rule of 3s

A
  1. T1-3: spinous same level as transverse
  2. T4-6: spinous 1/2 step below transverse
  3. T7-9: spinous full step below transverse
  4. T10-12: spinous full, 1/2, same level as transverse