C-Spine

Question 0

what C-spine pos will you see the zygapophyseal joints?

Answer 0

lat

Question 1

What pos do you see the intervertebral foramina on C-Spine?

Answer 1

45 degree obl (w head lat)

Question 2

mastoid tip located at?

Answer 2

C1

Question 3

Gonion located at?

Answer 3

C3

Question 4

thyroid cartilage located at?

Answer 4

C4-5

Question 5

Vertebra prominens located at?

Answer 5

C7-T1

Question 6

an LPO of C-spine demonstrates what?

Answer 6

R foramina

Question 7

an RAO of C-spine demonstrates what?

Answer 7

R foramina

Question 8

posterior obl’s of C-spine, what angle is used?

Answer 8

15 degrees cephalad

Question 9

ant obl’s of C-spine, what angle is used?

Answer 9

15° caudad

Question 10

CR angle and centering for AP “open mouth” C1/C2

Answer 10

CR perpendicular to open mouth (upper incisors and base of skull should be perpendicular to IR)

Question 11

CR angle and centering for AP Axial C-Spine?

Answer 11

CR 15-20 degrees cephalic to C4 (thyroid)

*make sure pt raises chin

Question 12

CR angle and centering for post. obl. c-spine

Answer 12

CR 15-20 degrees cephalic to C4 (w MSP 45 degrees and skull lat)

Question 13

CR angle and centering for ant. obl. C-spine

Answer 13

CR 15-20 degrees caudad to C4 (thyroid)

w MSP 45 degrees and skull lat

Question 14

CR angle and centering for lat C-spine? (and other MAJOR important pt instruction….)

Answer 14

CR perpendicular to C4 (SID 72”)

EXPIRATION! RELAX AND DROP SHOULDERS!

Question 15

CR angle and centering for swimmer’s C-spine/Twining method?

Answer 15

CR perpendicular to T1 (1” above jugular notch) @ SID 72” EXPIRATION
arm closest to IR up and out of the way, other arm down and the out of the way opp to other arm
…may be angled 5 degrees cephalic/caudad

Question 16

What XR should be done first w C-spine?

Answer 16

If trauma - cross-table lat; if not, just lat - check for subluxation/fractures