UCS

Question 1

Lateral masses of the atlas connect which two arches?

Answer 1

Anterior and posterior

Question 2

At the A-A joint, what are the two articulating joints?

Answer 2

Median atlantoaxial joint of C1 + dens of C2
Lateral atlantoaxial joints of superior and inferior facets

Question 3

Transverse ligament stabilizes what structure against the atlas?

Answer 3

Dens

Question 4

What motions does the transverse ligament of the median joint control?

Answer 4

Anterior and Posterior

Question 5

How do the alar ligaments attach?

Answer 5

Axis (C2) to occiput, dens to foramen magnum

Question 6

What motions do the alar ligaments resist?

Answer 6

flexion, contralateral SB and rotation

Question 7

How is the atlas attached to occiput?

Answer 7

ALL to AAO membrane
Ligament Flavum to PAO

Question 8

How is the axis attached to the occiput?

Answer 8

PLL to tectorial membrane

Question 9

List the posterior craniocervical muscles

Answer 9

Rectus Capitis Posterior Major
Rectus Capitis Posterior Minor
Superior Oblique
Inferior Oblique

Question 10

Attachment of RCP Major

Answer 10

C2 spinous process to lateral aspect of nuchal line

Question 11

Motions controlled RCP Major

Answer 11

EXT, ipsilat SB + ROT

Question 12

Attachment of RCP Minor

Answer 12

C1 to medial aspect of nuchal line

Question 13

Attachment of Superior Oblique

Answer 13

C1 transverse process to lateral aspect of nuchal line

Question 14

Motions controlled by Superior Oblique

Answer 14

EXT, ipsilat SB + ROT

Question 15

Motions controlled by RCP minor

Answer 15

EXT

Question 16

Attachments of Inferior Oblique

Answer 16

C2 spinous process to C1 transverse process

Question 17

List the anterior craniocervical muscles

Answer 17

Rectus Capitis Anterior
Rectus Capitis Lateralis

Question 18

Attachments of Rectus Capitis Anterior

Answer 18

Lateral mass of C1 to base of occiput

Question 19

Motions controlled by Rectus Capitis Anterior

Answer 19

Flex

Question 20

Attachments of Rectus Capitis Lateralis

Answer 20

C1 transverse process to jugular process

Question 21

Motions controlled by Rectus Capitis Lateralis

Answer 21

Ispilat SB

Question 22

What anterior muscle controls segmentally and eccentrically?

Answer 22

Longus colli

Question 23

What anterior muscle is important for neck and postural control?

Answer 23

Longus colli

Question 24

Longus colli is inhibited in response to _____?

Answer 24

Pain

Question 25

Longus colli is injured during?

Answer 25

MVA

Question 26

Cervical spine have an [increased or decreased] density of muscle spindles

Answer 26

Increased

Question 27

Cervical spine muscles are important for ________ of head position on neck

Answer 27

proprioception

Question 28

What structures do the dorsal and ventral rami of C1-3 innervate?

Answer 28

Muscles, OA, AA, C2-3 Z joints, ligaments, vertebral arteries

Question 29

Osteokinematics of OA joint

Answer 29

Flex/Ext

Question 30

Osteokinematics of AA joint

Answer 30

Rot

Question 31

Arthrokinematics: Flex - OA

Answer 31

Occipital condyles glide posteriorly on atlas (convex on concave)

Question 32

Arthrokinematics: Flex - AA

Answer 32

C1 moves inferiorly on C2 C2 glides fwd on C3

Question 33

Arthrokinematics: Ext - OA

Answer 33

Occipital condyles glide anteriorly on atlas (convex on concave)

Question 34

Arthrokinematics: Ext - AA

Answer 34

C1 moves superiorly on C2, C2 glides backward on C3

Question 35

Arthrokinematics: SB - OA

Answer 35

Ipsilateral condyle glides anteriorly

Question 36

Arthrokinematics: ROT - OA

Answer 36

Ipsilateral condyle glide posteriorly

Question 37

Arthrokinematics: ROT - AA

Answer 37

Ipsilateral facet moves posteriorly Contralateral facet moves anteriorly Atlas translates to opposite sides

Question 38

Coupled Motions

Answer 38

SB and Rot = Opposite directions

Question 39

Causes of injury to vertebral artery

Answer 39

MVA (ext) trauma (osteophytic/disc compression, stretching, kinking) cervical instability and fractures manipulation or sudden neck movements disease

Question 40

Motions that occlude contralateral vertebral artery

Answer 40

Rot Rot + Ext Rot + Ext + Traction

Question 41

5 D's

Answer 41

Drop attack Dizziness Dipoplia Dysarthria Dysphagia

Question 42

3 N's

Answer 42

Nausea Numbness Nystagmus