2b. OSCE Approach to Cervical Complaint Flashcards

1
Q

Landmarks to palpate on the neck

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Examination of neck lymph nodes

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Examination of the trachea

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Examination of the thyroid

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Where would you palpate the carotid pulse?

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What is central neuropathy?

A
  • nerve entrapment by musculoskeletal or myofascial tissue
  • produces parethesias in the area of the distribution of the nerve
  • creates sensory dysfunction/pain
  • may also decrease muscle strength
  • common sites: intervertebral foramen & thoracic outlet
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Compression Test & Spurling’s Test

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Neck Distraction Test

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What is thoracic outlet syndrome?

A
  • results from compression of NV bundle (subclavian a., subclavian v., and brachial plexus) through neck and shouder
  • distal pulses may be decreased or absent
  • digital cyanosis and ischemia may be present
  • some assoc. with sympathetic autonomic dysfunction > UE symptoms
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Adson’s test

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Roos Test

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What should you rule out before performing tests for subarachnoid irritation?

A

injury to C-spine or cervical cord

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Nuchal Rigidity Test

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Brudzinski’s Sign

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Kernig Sign

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

axial compression causes C1 fx

A

Jefferson fracture

17
Q

flexion and compression injury

A

Wedge fracture

18
Q

What accounts for >50% of C-spine injuries?

A

axial load (force transmitted to bone and disc)

19
Q

What happens when neck is flexed to 30 degrees?

A

Cervical lordosis is lost and protective soft tissues are no longer protective