PC: Lecture 5

Question 1

reasons to perform a scanning exam

Answer 1

• no obvious MOI
• proximal cause for distal symptoms
• non MSK symptoms

Question 2

order of UQ scan

Answer 2

observation (sitting, standing)
vital signs
gait
cranial nerve screen
cervical ROM (active, passive, overpressure)
UE ROM (active, overpressure)
cervical compression and distraction
myotomes
dermatomes
DTRs
UMN testing
upper limb tension testing
palpation

Question 3

normal resting BP

Answer 3

90/60 - 120/80

Question 4

normal RR

Answer 4

12-18

Question 5

why is it important to observe gait when scanning the UQ?

Answer 5

cervical SC issues affect the LE

Question 6

uncompensated response to weak hip abductors

Answer 6

opposite side pelvis drop

Question 7

compensating response to weak hip abductors

Answer 7

torso lean to the side of weakness

Question 8

what should you observe in sitting?

Answer 8

posture
head, face, and neck

Question 9

what should you look for when observing the eyes?

Answer 9

pupils
ptosis
visual gaze

Question 10

what should you look for when observing facial contour?

Answer 10

eyes/mouth (CN VII)
cheeks (CN V)

Question 11

what should you look for when observing the mouth?

Answer 11

teeth
gingiva
tongue/other soft tissues
anterior neck (thyroid, lymph nodes)

Question 12

facial contour of eyes/mouth area is CN

Answer 12

VII

Question 13

facial contour of cheeks is CN

Answer 13

V

Question 14

do you screen cranial nerves on everyone?

Answer 14

no, only if you see something suspicious in your seated observation

Question 15

CN 1

Answer 15

smell

Question 16

CN 2

Answer 16

vision

Question 17

CN 3

Answer 17

eye movement, pupil contraction, eyelid elevation

Question 18

CN 4

Answer 18

eye movement

Question 19

CN 5

Answer 19

facial sensation, mm of mastication

Question 20

CN 6

Answer 20

ocular movement

Question 21

CN 7

Answer 21

facial expression, secretions, taste

Question 22

CN 8

Answer 22

hearing, equilibrium

Question 23

CN 9

Answer 23

taste, glandular secretions, swallowing

Question 24

CN 10

Answer 24

involuntary mm and gland control.
swallowing and phonation, taste

Question 25

CN 11

Answer 25

movement of head and shoulders

Question 26

CN 12

Answer 26

movement of tongue

Question 27

clearing the spine: positive sign

Answer 27

pain with compression pain relieved with distraction

Question 28

when do you maintain end ROM (10-30 seconds) when assessing cervical ROM

Answer 28

if dizziness, dysarthria, dysphagia, nausea, visual disturbances, or extremity sensory loss is mentioned in the subjective (NOT PAIN)

Question 29

what are the motions associated with shoulder functional ROM

Answer 29

hand behind head (ER, flex) hand behind back (IR, ext, add) horizontal abd

Question 30

C5 Myotome muscle and action

Answer 30

biceps, elbow flexion

Question 31

C6 mm and action

Answer 31

extensor carpi radialis, wrist extensors

Question 32

C7 mm and actions

Answer 32

triceps, elbow extensors

Question 33

C8 mm and action

Answer 33

flexor digitorum profundus, finger flexion

Question 34

T1 mm and action

Answer 34

abductor digiti minimi finger abduction

Question 35

peripheral nerve testing by ULTT

Answer 35

median nerve

Question 36

steps of ULTT

Answer 36

shoulder depression GH abduction wrist/finger extension forearm supination GH ER elbow extension C spine contra side bend

Question 37

(+) findings of an ULTT

Answer 37

- difference in limbs in elbow ROM - reproduction of symptoms with distance movement - different symptoms between 2 extremities