Cervical Spine Flashcards

1
Q

which is the key ligament in maintaining stability of atlanto-axial articulation and restricts flexion and anterior displacement of the atlas

A

transverse atlantal ligament

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2
Q

which vertebrae cause 80% of cervical flexion and extension

A

C3-C7

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3
Q

which vertebrae cause 50% of cervical rotation

A

occiput, C1, and C2

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4
Q

where to palpate the hyoid bone

A

below mandible, proximal to thyroid, pincer grip, translate laterally and instruct to swallow

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5
Q

where to palpate thyroid cartilage

A

level of c4 and c5, V-shaped notch, raises and lowers during swallowing

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6
Q

where to palpate cricoid cartilage

A

level of C6, thickened rink along anterior surface

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7
Q

which spinous process is located b/w angle of mandible and mastoid process

A

C1

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8
Q

which spinous process is located at the angle of the mandible

A

C2

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9
Q

which spinous process is located at the hyoid

A

C3

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10
Q

which spinous process is located at the thyroid cartilage

A

C4/C5

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11
Q

which spinous process is located at the first cricoid ring

A

C6

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12
Q

which spinous process is located at the cartilage below the cricoid ring

A

C7

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13
Q

which transverse process is located finger width below mastoid process

A

C1

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14
Q

which transverse process is located at the carotid tubercle

A

C6

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15
Q

most commonly injured vertebrae

A

C2, C6,C7

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16
Q

c-spine injuries account for how much of all spinal injuries

A

1/3

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17
Q

most risk for c-spine injuries sports

A

diving, equestrian, football, gymnastics, skiing, and hang gliding

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18
Q

hyperflexion mechanisms

A

tackling by face guard, head-butting, MVA

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19
Q

hyperextension mechanisms

A

striking head against object and MVA

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20
Q

axial loading mechanisms

A

spearing and diving into shallow water

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21
Q

hyperflexion injuries

A

cervical cord neuropraxia, wedge fx, flexion teardrop, clay-shovelers, and facet dislocation

22
Q

hyperextension injuries

A

cervical cord neuropraxia, handmans, and extension teardrop

23
Q

axial loading injuries

A

tetraplegia, occipital condyle fx, atlas/jefferson fx, C2 dens fx, and burst fx

24
Q

acute transient neurologic episode from hyperextension/flexion with compression

A

cervical cord neurapraxia

25
neurogenic shock presents with
hypotension, bradycardia, flaccid praralysis distal, warm,flushed skin, loss of bladder/bowel control, and loss of thermoregulation
26
what level of c-spine injury will require external breathing device
C1-C3
27
which level of injury requires assistance with respiration
C4
28
MOI for atlanto-occipital dislocation
extreme hyperextension with distraction
29
type 1 occipital condyle fx
MOI axial loading
30
type 2 occipital condyle fx
fx is an extension of cranial basilar fx
31
type 3 occipital condyle fx
avulsion of condyle during rotation, lateral bending or a combination
32
most common C1 fx
jefferson fx
33
most common axis injury
C2 dens fx
34
type 1 dens fx
oblique fx through upper portion of dens process
35
type 2 dens fx
across base of dens process at junction with axis body 50-75%
36
type 3 dens fx
through dens extending into C2 body 15-25%
37
bilateral C2 pars fx
C2 hangman's fx
38
compression fx resulting from flexion (stable)
wedge fx
39
similar to flexion teardrop fx (axial loading with neck in neutral or hyperflexion)
burst fx
40
most severe c-spine fx
flexion teardrop
41
teardrop avulsion fx of anterior-inferior corner of vertebral body
extension teardrop
42
most common level for flexion teardrop
C5-C6
43
most common level for extension teardrop
C2
44
oblique spinous process fx
clay-shovelers
45
most common level for clay-shovelers
C6,C7,T1
46
what torg ration indicated spinal stenosis
<0.80
47
normal spinal canal diameter
15mm
48
C2-C3 pain patterns (CR)
headaches
49
C3-C4 pain patterns (CR)
neck pain
50
C4-C5 pain patterns (CR)
neck pain and shoulder pain
51
C5-C6 pain patterns (CR)
shoulder pain
52
C6-C7 pain patterns (CR)
shoulder and back pain