Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

MM1 Leesy > B6.032 - Preworks 1-3 Lower Back Paim > Flashcards

B6.032 - Preworks 1-3 Lower Back Paim Flashcards

1
Q

number of cervical spine vertebrae

A

7

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

number of thoracic spine vertebrae

A

12

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

number of lumbar spine vertebrae

A

5

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

number of sacral vertebrae

A

5

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

parts of vertebrae

A

body and arch

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

what is the body of the vertebrae

A

has cortical and trabecular bone health of trabeculae is important

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

factors that can compromise trabeculae health

A

smoking obesity osteoporosis age lack of physical activity

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

compression fracture

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

spondylolysis

partial or complete fracture of pars interarticularis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q
A

spondylolithesis

pars interarticularis complete fracture where the vertebrae moves forward

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

describe the pain associated with compression fracture, spondylolysis or spondylolithesis

A

central back pain

point tenderness

requires plain radiograph

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

what are facet joints

A

synovial joints beteween the superior and inferior articular processes on each side of spine

hyaline cartilage, joint capsule, meniscoid

allow gliding motion

nerve innervation; medial branch

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

describe facet joint issues/pain

A

arthritis (DJD); meniscoid displacement causing facet lock

sharp unilateral paraspinal pain

no imaging is indicated

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

describe intervertebral joints

A

pseudo joints: discs and vertebral bodies

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

describe the disc of the spine

A

nucleus puplosis: deforms under pressure

annulus fibrosis: resists tensile forces

allow weight bearing and stability

nerve innervation: outer 1/3 annulus by sinuvertebral nerve

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

describe DDD pain

A

arthritis, disc herniation

back or back and leg pain

MRI indicated

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

describe ligaments of spine role

A

collectively stabilize vertebral colum and resist sagittal motion

subject to injuriy and arthritic changes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

describe ligament pain dx

A

central

no imaging necessary

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

describe superficial and deep muscles

A

superficia/interm - prime movers, increase activity in response to pain/injury

deep - stabilize each vertebral segment

decreases activity in response to pain/injury

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

describe the role of transverse abdomini

A

deepes of all abdominal muslce

attaches to thoracolumbar fascia, stabilizes spain

creates natural corset to stabilize spine

can be compromised

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

what can a spinal tumor cause

A

leg sx

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

what can a spinal infection cause

A

severe back pain

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

what houses CSF

A

subarachnoid space, ends at L2 so an LP lower than L2 can get the fluid

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

what level is epidural given to

A

subdural space

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

all 3 meninges surround nerver roots, why is this important

A

you can place tension on nerve root or dura matter to assess pain

26
Q

what do the dorsal/ventral horns have extending from them

A

dorsal - sensory neurons

ventral - motor neurons

27
Q

describe where nerves exit in each part of the spine

A

cervical - nerves exit above vertebral level till T1 (C8 exits below C7)

thoracic - nerves exit below

lumbar - nerves exit below

sacrum - nerves exit below

28
Q

radicular sx

A

leg pain > back pain

pain (sharp pain distal to injury)

parasthesia

weakness

29
Q

clinical exam for back pain

A

neuro

electrophysiology

imaging

30
Q

neuro exam

A

myotomes - muscle motor roots (key muscle testing)

dermatomes - sensory, cutatenous light touch

reflexes - L3, L4, L5, S1, babinski

31
Q

nerve root injury will result in what

A

sensory and motor changes in specific dermatome and myotomeand hypo reflexes

32
Q

spinal cord injury will result in what

A

symptons of non dermatome and non myotome pattern of multiple segments and hyper reflexes

33
Q

nerve root L1, L2

A

groin

anterior proximal thigh (hip flexion psoas)

34
Q

nerve root L3, L4

A

L3 - medial aspect of distal thigh and knee, Knee extensions (quads)

L4 - lateral aspect of knee or medial distal leg, DF/Inv (ant tibialis)

reflex = patellar tendion

35
Q

nerve root L5

A

dorsum of foot

toe extension (EHL and EDL)

proximal hamstring tendon reflex

36
Q

S1

A

lateral foot

gastoroc/soleus

eversion (peroneals)

achilles tendon reflex

37
Q

S2

A

medial aspect of heel

toe flexion (FDL)

38
Q

lumbar plexus

A

L2-L4

terminates into femoral n, obturator n, lateral femoral cutaneous

39
Q

lumbar plexus provides motor and sensory contributions to what

A

anterior and medial compartments of the leg

40
Q

lumbar plexus peripheral nerves for neuro exam

A

femoral (L1-L4)

obturator (L2-L4)

41
Q

femoral sensory comp

A

medial side fo thigh and leg

42
Q

motor and reflexes for femoral nerve

A

motor - hip flexion: iliacus, psoas, sartorius, pectineus, quadriceps

patellar reflex

43
Q

sensory obturator comp

A

middle thigh on anterior aspect

44
Q

obturator motor and reflex areas

A

hip add and ER: adductor brevis, adductor magnus, adductor longus, obturtor externus

no reflex

45
Q

sacral plexus components

A

sciatic (L4-S3)

superficial peroneal (L4-S2)

Deep peroneal (L4-S2)

Tibial (L4-S3)

46
Q

sciatic sensory

A

post thigh and leg, whole foot exept instep and medial malleolus

47
Q

sciatic motor

A

knee flexion: semitendinous, semimembraneosus, bicepts femoris and adductor magnus

48
Q

sciatic reflex

A

medial hamstrings, achilles

49
Q

superficial peroneal sensory

A

lateral calf and dorsum of foot

50
Q

motor superficial peroneal

A

eversion of foot: peroneus longus, peroneus brevis

51
Q

deep peroneal sensory

A

cleft between 1st and 2nd toe

52
Q

motor of deep peroneal

A

dorsiflexion of foot: tibialis anterior, EDL, EDB, EHL, peroneus tertius

53
Q

tibial sensory

A

heel

54
Q

tibial motor

A

plantarflex, adduction of foot: gastroc, soleus, plantaris, tibialsi posterior, FDL, FHL, abductor digiti minimi, flexor digiti minimi , lumbricales, interosseiu, adductor hallucis, abductor hallucis, flexor digitorum brevis. flexor hallucis brevis

55
Q

reflex tibial

A

achilles

56
Q

sacral plexus overall provides what

A

L4-S4

sacral plexus provides motor and sensory contributions to gluteal and parts of pelvic region, posterior thigh, most of lower leg, entire foot

57
Q

what can a tight piriformis do

A

cause compression of sciatic nerve and give posterior leg sx of pian and parasthesia

inn all 3 knee muscles

then branches into tibial and common peroneal nerve

58
Q

what can be caused by prolonged crossing leg

A

common peroneal nerve neuropathy - foot drop

59
Q

what can be caused by hip arthroplasty

A

sup gluteal nerve leadin gto pelvic drop opposite (trendelenburg gait)

60
Q

injury to lateral femoral cutaneous neuropathy

A

inguinal area from wearing heavy belt or overweight

sensory loss to lateral thigh

61
Q

discuss saphenous nerve entrapment

A

from medial knee injury/surgery leads to pain medial distal knee

62
Q

sural nerve entrapment

A

from recurrent ankle problesm leading to pain post lateral lower 1/3 leg or lateral foot

MM1 Leesy (6 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions