Cervical - Lecture

Question 1

How many joints in the cervical spine?

Answer 1

37

Question 2

What angle do the cervical facets lie?

Answer 2

45 degrees

Question 3

Hyoid is opposite what vbody?

Answer 3

C3

Question 4

What level does the Thyroid cartilage lie?

Answer 4

C4/C5

Question 5

What boney structure lies at C6?

Answer 5

1st Cricoid Ring

Question 6

What bony pathology can impair a person’s ability to swallow?

Answer 6

Osteophytes

Question 7

T or F

The Z joints are typical synovial joints with hyaline cartilage

Answer 7

True

Question 8

The uncovertebral joints extend from where to where?

Answer 8

C3-T1

Question 9

T or F

Uncovertebral joints are diarthrodial articulations

Answer 9

True

Question 10

What did Clausen et al. research on the cervical spine joints and their associated motions find the main function of the uncinate processes to be?

Answer 10

Effective at reducing motion coupling and primary cervical motion

Question 11

Where is the most common area for pathology in C-Spine

Answer 11

C5/C6

Question 12

Functionally the cervicothoracic junction includes what structures?

Answer 12

C7 vertbera
T1 & T2
Ribs 1 and 2
Manubrium

Question 13

T or F

The Cervicothoracic junction forms the Thoracic Outlet

Answer 13

True

Question 14

Is the PLL or ALL more susceptible to injury and pain

Answer 14

PLL

Question 15

T or F

Proprioception of the Trapezius comes fro C2-C3

Answer 15

False

C3-C4

Question 16

T or F

The Anterior Scalene insertion is the second rib

Answer 16

False

1st

Question 17

What scalene attaches to the 2nd rib

Answer 17

Posterior

Question 18

T or F

Posterior Scalene innervation is from C3-C8

Answer 18

False

C6-C8

Question 19

T or F

The superior portion of trapezius is often stretched in hyper-extension injury of the cervical spine

Answer 19

False

Hyper-flexion

Question 20

What ligament is involved in hyperextension of the neck during an CAD injury

Answer 20

ALL

Question 21

What is the largest muscle in the anterior neck. What are its proximal and distal attachments

Answer 21

SCM
Mastoid
Posterior aspect of the medial 1/3 of clavicle and the manubrium

Question 22

T or F

Proprioception of the SCM is provided by C2 C3 dorsal primary rami

Answer 22

False

VPR

Question 23

Wry Neck aka ?

Answer 23

Torticollis

Question 24

T or F

Torticollis is often associated with injury to the Scalenes on one side at the time of birth during a difficult delivery

Answer 24

False

SCM not scalenes

Question 25

Describe the head position in Torticollis

Answer 25

SCM muscle contraction causes rotation of the head to the opposite side and flexion of the neck to the same side.

Question 26

What is the function of the Levator Scapulae with the scapula stabilized?

Answer 26

Produces rotation and side bending of the neck to the same side; while acting bilaterally cervical extension is produced

Question 27

Where is the origin of the Levator Scapulae?

Answer 27

TP's of C1-C4

Question 28

The Rhomboid minor arises from where?

Answer 28

The spinous processes of C7 & T1

Question 29

The Rhomboid Major arises from where?

Answer 29

SP's of T1-T5

Question 30

T or F Clay Shoveler's Fracture is a type of hyperextension avulsion injury

Answer 30

False Hyperflexion

Question 31

Symptoms of TOS include:

Answer 31

Tingling or numbness in the fingers, hands, arm, shoulder or neck Weakness of the hand or arm Aching in the shoulder or neck Worsened when the arm is lifted above shoulder height

Question 32

T or F In the cervical spine the disc is named for the vertebra below

Answer 32

False Above

Question 33

The 1st cervical disc is between ___ and ___ and is named ____ disc

Answer 33

C2, C3 | C2

Question 34

Where does the first nerve root exit in the cervical spine

Answer 34

Between Co and C1

Question 35

The last nerve root exits between __ and __ and is named ___ nerve root

Answer 35

C7, T1 C8

Question 36

The biceps reflex primarily indicates neurological integrity of what nerve root?

Answer 36

C5 | **it also has a slight C6 component

Question 37

What dermatome supplies sensation to the lateral arm?

Answer 37

C5

Question 38

When assessing sensations do you start on the side that is affected or the opposite?

Answer 38

Opposite

Question 39

C6 muscle testing is assessing what muscles? What nerve

Answer 39

Extensor Carpi Radialis longus & Brevis Extensor Ulnaris Radial Nerve

Question 40

What is the reflex for C6 nerve root?

Answer 40

Brachioradialis

Question 41

Flexor Carpi radialis is innervated by what nerve?

Answer 41

Median

Question 42

What motions are you testing with the C& muscle testing

Answer 42

Elbow Extension Wrist Flexion Finger Extension

Question 43

The Triceps reflex is done with what nerve root?

Answer 43

C7

Question 44

The muscles tested during finger flexion and the C8 nerve root are?

Answer 44

Flexor Digitorum Superficialis Flexor Digitorum Profundus Lumbricals

Question 45

C8 dermatome supplies where?

Answer 45

The 4th and 5th digit, the ulnar side of the hand and the distal portion of the ulna.

Question 46

T or F | Segmental side bending is extension of the ipsilateral joint and flexion of the contralateral joint

Answer 46

True

Question 47

How does the inferior articular process glide on the superior during extension

Answer 47

Inferior, medial and posterior

Question 48

Jefferson Fracture aka?

Answer 48

Burst

Question 49

How does a Jefferson Fracture occur?

Answer 49

With axial load or vertebral compression

Question 50

What is a classical MOI for Hangman's Fracture

Answer 50

Blow on the forehead forcing the neck into extension

Question 51

50% of flexion and extension occur between what cervical segments?

Answer 51

C0 & C1

Question 52

Where does most of the rotation occur in the Cspine

Answer 52

C1 & C2

Question 53

What is Klippel-Feil Deformity?

Answer 53

The bodies of 2 or more vertebrae are fused together