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MM III > cervical > Flashcards

cervical Flashcards

1
Q

what is cranial nerve 1? How do you test?

A

olfactory, assess ability to smell common scents

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2
Q

what is cranial nerve 2? How do you test?

A

optic, read eye chart

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3
Q

what is cranial nerve 3? How do you test?

A

oculomotor, assess pupil contraction

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4
Q

what is cranial nerve 4? How do you test?

A

trochlear, have patient follow an H with eyes, assessing to see if eyes can go inward and downward

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5
Q

what is cranial nerve 5? How do you test?

A

trigeminal, test sensation of face and cheeks, clinch teeth

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6
Q

what is cranial nerve 6? How do you test?

A

abducens, follow H pattern with eyes, assessing to see if eyes go past midline

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7
Q

what is cranial nerve 7? How do you test?

A

facial, have patient smile

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8
Q

what is cranial nerve 8? How do you test?

A

vestibulocochlear, rub fingers by ear

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9
Q

what is cranial nerve 9? How do you test?

A

glossopharyngeal, gag reflex

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10
Q

what is cranial nerve 10? How do you test?

A

vagus, say ah and look for elevation of soft palate

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11
Q

what is cranial nerve 11? How do you test?

A

accessory, MMT traps

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12
Q

what is cranial nerve 12? How do you test?

A

hypoglossal, stick tongue straight out, look for deviations

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13
Q

what are the CPRs for a cervial spinal myelopathy?

A

age over 45, positive test on hoffmanns, inverted supinator, babinski, and gait abnormality

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14
Q

what is a positive test on sharp purser?

A

symptoms go away

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15
Q

what ligament is tested during the sharp purser?

A

transverse

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16
Q

what does the waiter test?

A

median

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17
Q

what does the tip begger test?

A

radian

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18
Q

what does batman glasses test?

A

ulnar

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19
Q

at what degree of difference between sides do you start to get concerned with upper limb nerve testing?

A

greater than 10 degrees

20
Q

what age is the peak for the prevalence for neck pain?

A

increases with age, peaks at 35-49,

21
Q

Is cycling a risk factor for neck pain?

A

yes

22
Q

do we normally know the pathoanatomical cause of neck pain?

A

nope

23
Q

what is no disability on the NDI?

A

0-4

24
Q

what is mild disability on NDI?

A

5-14

25
Q

what is moderate disability on NDI?

A

15-24

26
Q

what is severe disability on NDI?

A

25-34

27
Q

what is complete disability on NDI?

A

35 or greater

28
Q

what nerve roots supply the diaphragm?

A

C3-C5, phrenic nerve

29
Q

what are some issues that a patient may present with that are not musculoskeletal in nature?

A

dyspnea, dysphasia, fever/chills, sore throats, UMN signs

30
Q

what are the signs of osteomyelitis?

A

neck pain even at night, stiffness, may have fever

31
Q

what is stage I classification?

A

higher disability score, mod-severe pain

32
Q

what is stage II classification?

A

moderate disability, mild-moderate pain

33
Q

what is stage III classification?

A

nil-minimal disability score, nil-minimal pain

34
Q

what are some guideline for the canada cervical spine rules?

A

age 65 or older, dangerous mechanism of injury, able to rotate neck less than 45 degrees

35
Q

what group is least likely to seek care for neck pain?

A

old males

36
Q

what does severity refer to?

A

intensity of the pain provoking activity

37
Q

what does irritability refer to?

A

how far into a movement pain is provoked, how long it takes for pain to subside after the movement is withdrawn

38
Q

what does nature refer to?

A

refers to the type of tissue that is causing the symptoms

39
Q

what does stage refer to?

A

the stage of healing that the patient is in. Acute, subacute, chronic

40
Q

what does stability refer to?

A

is the problem: worsening, improving, stabilizing

41
Q

what are the 5 D’s of vertebrobasilar insufficieny?

A

dizziness, diplopia, dysarthria, dysphasia, drop attacks

42
Q

what are the cluster tests for radiculopathy?

A

ULNT (median), cervical rotation (<60 degrees), cervical distraction test, spurlings test

43
Q

what would you test in a patient who has neck pain with mobility deficits?

A

cervical AROM, cervical/thoracic segmental mobility

44
Q

what would you test in a patient who has neck pain with a headache?

A

cervical AROM, cervical/thoracic segmental mobility, cranial cervical flexion test

45
Q

what would you test in a patient who has neck pain with movement coordination impairments?

A

cranial cervical flexion test, deep flexor endurance test, flexibility deficits of UQ muscles

46
Q

what would you test in a patient who has neck pain with radiating pain?

A

cervical AROM, spurlings test, ULTT, neck distraction

MM III (2 decks)

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