Ch 12 Physical Exam of the Spine

Question 1

C6 is parallel to the:

Answer 1

Cricoid cartilage

Question 2

C4 is parallel to the:

Answer 2

Thyroid cartilage

Question 3

Vertebrae - Strength

Heel walking, Dosiflexes

Answer 3

L4/L5

Question 4

Vertebrae - Strength

Toe walking, plantar flexes

Answer 4

S1

Question 5

Vertebrae - Strength

Deltoid

Answer 5

C5

Question 6

Vertebrae - Strength

Biceps Brachii

Answer 6

C5

Question 7

Vertebrae - Strength

Wrist Extensors

Answer 7

C6

Question 8

Vertebrae - Strength

Triceps Brachii

Answer 8

C7

Question 9

Vertebrae - Strength

Flexor Carpi Radialis

Answer 9

C7

Question 10

Vertebrae - Strength

Flexor Digitorum Superficialis

Answer 10

C8

Question 11

Vertebrae - Strength

Quadriceps

Answer 11

L3/L4

Question 12

Vertebrae - Strength

Extensor Hallucis Longus

Answer 12

L5

Question 13

Vertebrae - Strength

Tibialis Anterior

Answer 13

L4

Question 14

Vertebrae - Strength

Peroneus Longus/Brevis

Answer 14

S1

Question 15

Vertebrae - Sensation

Lateral shoulder

Answer 15

C5

Question 16

Vertebrae - Sensation

Volar/palmar thumb

Answer 16

C6

Question 17

Vertebrae - Sensation

Volar/palmar middle finger

Answer 17

C7

Question 18

Vertebrae - Sensation

Volar/palmar little finger

Answer 18

C8

Question 19

Vertebrae - Sensation

Medial Distal arm

Answer 19

T1

Question 20

Vertebrae - Sensation

Lateral thigh to medial femoral condyle

Answer 20

L3

Question 21

Vertebrae - Sensation

Medial leg and ankle

Answer 21

L4

Question 22

Vertebrae - Sensation

Lateral leg and dorsum of foot

Answer 22

L5

Question 23

Vertebrae - Sensation

Lateral ankle and sole of foot

Answer 23

S1

Question 24

Evaluate sciatic tension

While seated, lift the foot and extend the knee while distracting patient away from the back problem

Positive is leaning back or pain to back

Answer 24

Seated Straight-Leg Raise

Question 25

Passive raise leg until knee bends or pain to buttock or back is reported

Pain on symptomatic side when leg on asymptomatic side is raised in highly suggestive of lumbar HNP

Answer 25

Supine Straight-Leg Raise

Question 26

With patient prone, lift the hip into extension while keeping the knee straight

Pain over anterior thigh suggests upper lumbar disc pathology (L1-L4)

Answer 26

Reverse Straight-Leg Raise

Question 27

While seated, have patient rotate and laterally flex the head to unaffected side first, then to affected side

Slowly compress downward to axial load the C-spine

If tolerated, repeat but add extension

Answer 27

Spurling

Question 28

Stroke lightly upward (like an upside-down J) on plantar foot

Positive is great toe extension or fanning of lesser toes

Sign of spinal tract pathology

Answer 28

Babinski Sign