Ch 12 Physical Exam of the Spine Flashcards

1
Q

C6 is parallel to the:

A

Cricoid cartilage

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2
Q

C4 is parallel to the:

A

Thyroid cartilage

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3
Q

Vertebrae - Strength

Heel walking, Dosiflexes

A

L4/L5

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4
Q

Vertebrae - Strength

Toe walking, plantar flexes

A

S1

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5
Q

Vertebrae - Strength

Deltoid

A

C5

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6
Q

Vertebrae - Strength

Biceps Brachii

A

C5

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7
Q

Vertebrae - Strength

Wrist Extensors

A

C6

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8
Q

Vertebrae - Strength

Triceps Brachii

A

C7

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9
Q

Vertebrae - Strength

Flexor Carpi Radialis

A

C7

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10
Q

Vertebrae - Strength

Flexor Digitorum Superficialis

A

C8

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11
Q

Vertebrae - Strength

Quadriceps

A

L3/L4

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12
Q

Vertebrae - Strength

Extensor Hallucis Longus

A

L5

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13
Q

Vertebrae - Strength

Tibialis Anterior

A

L4

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14
Q

Vertebrae - Strength

Peroneus Longus/Brevis

A

S1

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15
Q

Vertebrae - Sensation

Lateral shoulder

A

C5

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16
Q

Vertebrae - Sensation

Volar/palmar thumb

A

C6

17
Q

Vertebrae - Sensation

Volar/palmar middle finger

A

C7

18
Q

Vertebrae - Sensation

Volar/palmar little finger

A

C8

19
Q

Vertebrae - Sensation

Medial Distal arm

A

T1

20
Q

Vertebrae - Sensation

Lateral thigh to medial femoral condyle

A

L3

21
Q

Vertebrae - Sensation

Medial leg and ankle

A

L4

22
Q

Vertebrae - Sensation

Lateral leg and dorsum of foot

A

L5

23
Q

Vertebrae - Sensation

Lateral ankle and sole of foot

A

S1

24
Q

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

A

Seated Straight-Leg Raise

25
Q

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

A

Supine Straight-Leg Raise

26
Q

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

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

A

Reverse Straight-Leg Raise

27
Q

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

A

Spurling

28
Q

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

A

Babinski Sign