Cervical Assessment Flashcards

1
Q

When looking at shoulders, which shoulder is usually lower

A

Dominant hand

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2
Q

What are all the special tests

A

1) transverse ligament test
2) alar ligament stress test
3) distraction/compression
4) spur kings compression test
5) upper limb tension test
6) Bakodys sign
7) Hautants test
8) vertebral artery testing/Dekleyn-nieuwenhuyse
9) Hoffmans sign

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3
Q

What is the spurlings compression test testing

A

Vasette joints

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4
Q

What is the upper limb test testing

A

Dural tones (provoke nerves)

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5
Q

Which nerve for ULTT1

A

Median/ anterior interosseous nerve

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6
Q

Which nerve for ULTT2

A

Median/musculocutaneous/axillary nerve

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7
Q

which nerve for ULTT3

A

Radial nerve

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8
Q

Which nerve for ULTT 4

A

Ulnar nerve

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9
Q

Which part of the cervical spine does the Bakodys sign test

A

C5/6

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10
Q

What are you looking for with the Hautants test

A

Differentiate dizziness, vascular VS non-vascular

*test non-vascular first

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11
Q

What are you testing with the vertebral artery test

A

Cranial nerves…all except olfactory

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12
Q

What are the things you ask the patient do to when testing the vertebral artery test

A

1) count down from 20= speech
2) eye accommodation= dilation/contraction
3) eye tracking
4) stigmas= eyes jolting
5) stick out tongue
6) clench jaw
7) smile
8) frown

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13
Q

Which positions of the cervical spine are tested in the vertebral artery test

A

1) neutral
2) rotation
3) extension and rotation

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14
Q

What are the Sx of cervical involvement

A

1) headaches and dizziness
2) trouble speaking/swallowing
3) changes in hearing
4) visual defects
5) vertigo

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15
Q

What are the signs of a cervical headache

A

1) occipital/suboccipital
2) altered by neck movement
3) painful limited ROM
4) abnormal head/neck posture
5) suboccipital tenderness
6) abnormal mobility at joints
7) sensory abnormalities

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16
Q

What is C1/2 myotomes

A

Neck flexion

17
Q

What is C3/CN XI myotomes

A

Neck side flexion

18
Q

What is C4/CN XI myotomes

A

Shoulder elevation

19
Q

What is C5 myotomes

A

Shoulder abduction

20
Q

What is C6 myotomes

A

Elbow flexion/wrist extension

21
Q

What is C7 myotomes

A

Elbow extension/wrist flexion

22
Q

What is C8 myotomes

A

Thumb extension, ulnar deviation

23
Q

What is T1 myotomes

A

Abduction/addiction hand intrinsics

24
Q

What are the 3 reflexes

A

1) bicep- C5/C6
2) brachioradialis- C5/C6
3) tricep- C7/C8

25
Q

Which dermatome goes to the thumb

A

C6

26
Q

Which dermatome goes to the ring/pinky finger

A

C8

27
Q

Which dermatome goes to pointer/middle finger

A

C7