Cervical II Flashcards

1
Q

What is the first question to ask when a pt experiences pain in a joint?

A

Where is the pain

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

Significantly decreased ROM indicates what?

A

Suspect fracture

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

What is a distraction test?

A

Separate bones to assess ligaments

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

What does resistive testing look for?

A

muscle/tendon injury

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

What does compressing bones together test?

A

Bone surfaces, menisci, disks

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

What is the neural foramen?

A

Passage for the nerve roots in the spine

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

What are the anterior borders of neural foramen?

A

Two adjacent vertebral bodies and intervertebral discs

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

What are the superior and inferior borders of the neural foramen?

A

Two adjacent pedicles

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

What is the posterior border of the neural foramen?

A

Inferior articular process of superior vertebra and superior articular process of inferior vertebra, including the synovial joint between them

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

What is the anterior border of the spinal canal?

A

Vertebral body +disc +PLL

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

What is the posterior border of the spinal canal?

A

Lamina + flava flav

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

What is the lateral border of the spinal canal?

A

Pedicles, medial aspect of the facet joints on either side

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

What happens to the body of a superior vertebra with flexion?

A

Glides anteriorly, compressing anterior portion of the disc

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

What happens to the facet joints with flexion?

A

Open on the inferior aspect

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

What happens to the neural foramen with flexion?

A

Opens posteriorly

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

What happens to the posterior elements with flexion?

A

Lengthened

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

What happens to the anterior elements with flexion?

A

compressed

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

What happens to the anterior elements with extension?

A

lengthens

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

What happens to the posterior elements with extension?

20
Q

What happens to the neural foramen with extension?

21
Q

What happens to the body of a superior vertebra with extension?

A

Superior body glides posteriorly, compressing posterior portion of the disc

22
Q

What happens to the facet joints with extension?

A

Close on the inferior aspect

23
Q

What happens to the uncovertebral joints with side bending/rotation?

A

One side approx while other separates

24
Q

What is Wolff’s law?

A

bone is increased where needed and reabsorbed where not

25
What is facet hypertrophy?
Increased load in facet joint can occur by decreased disc height and occupational hazards
26
What happens with anterior facet joint hypertrophy?
Neuroforaminal stenosis
27
What happens with posterior facet joint hypertrophy?
Central stenosis
28
DJD = ? Is this an inflammatory process?
Arthritis--not always an inflammatory process
29
What are the two components of the physical exam for the neck?
Neuro | Joint
30
Hyperreflexia = (CNS or PNS issue)?
CNS issue
31
Hyporeflexia = (CNS or PNS issue)?
PNS issue
32
What is Spurlings test testing for?
Nerve roots
33
What is Lhermitte's test testing for?
Posterior columns of the spinal cord
34
What is Kernigs test testing for?
Meningeal irritation
35
What is Wallenberg's test testing for?
Vertebral arteries
36
What is Sperling's test?
***
37
Where does the vagus nerve exit the skull?
Jugular foramen
38
What cervical spinal levels innervate the superior, middle, and inferior ganglia?
T1-T4
39
Posterior cervical Tender points are associated with what?
Extended
40
Anterior cervical Tender points are associated with what?
Flexed
41
What is the PC3 associated with?
Vertigo
42
What is PC4 associated with?
Pain radiating up the neck
43
What is PC5 associated with?
Generalized HA
44
What is PC6-8 associated with?
Neck pain and stiffness
45
What is AC1 associated with?
Commonly mistaken for TMJ problems
46
What is AC7 associated with?
Related to SCM