Exam 1 Flashcards

1
Q

Impressions/Diagnosis

A

listed numerically in order of clinical significance. brief short statements

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2
Q

Findings

A

written description of what you see in full sentence paragraph. Utilizing ABCS

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3
Q

Odontoid Mach Affect

A

Looks like a transverse fracture

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4
Q

Diagnosis: Burst (bursting) Fracture
Finding:

A

Lateral mass of atlas sits over the margin of C2 on both sides in A-P open mouth film. (four fractures)

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5
Q

Cervical films are taking at either 72” or 40”. Which are the only two that are taking at 72”?

A

(Any film taken where there is an airgap between the patient and the film)
Lateral Cervical and Oblique Cervical

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6
Q

On lateral cervical films we should be able to draw a line from the Clivus to:

A

Harris’ Ring

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7
Q

Uncinate should not project superiorly beyond which part of the segment above?

A

Inferior margin (would indicate arthritic changes)

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8
Q

Oblique films are named by:

A

The patient’s position against the box

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9
Q

The ideal oblique film is which?

A

Anterior oblique for cervical (want to shoot into the concavity of the curve and the x-ray diverges)

Anterior recumbent for lumber

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10
Q

Primary anatomy desired to see in Oblique film?

A

Pedicles and IVF: Cervical

Scotty Dog: Lumbar

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11
Q

CAOS

A

Cervical anterior oblique same side

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12
Q

2 things that can narrow IVF in cervicals

A

uncinate, superior articular process

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13
Q

Cervical IVF is seen on:

Thoracic/Lumber IVF is seen on:

A

Oblique

Lateral

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14
Q

If we cannot see T1 what should we name the vertabra that we think is T6 on the exam

A

mid thoracic

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15
Q

Diagnosis/ Impression: Arthritic Changes

Findings:

A

Example.. Decreased in body height. Loss of definition of superior cortico bone and increased whiteness on anterior portion.

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16
Q

Oblique Lumber Point of Interest

A

Scotty Dog

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17
Q

Oblique Lumbar Patient Position

A

Anterior recumbent

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18
Q

Scotty Dog Eyes

A

pedicle

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19
Q

scotty dog ear

A

superior articular facet

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20
Q

scotty dog nose

A

transverse process

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21
Q

scotty dog neck

A

pars interarticularis

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22
Q

scotty dog body

A

lamina

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23
Q

scotty dog front leg

A

inferior articular process

24
Q

Normal Sella Turcica Measurements

A

16mm across, 12mm deep

25
Q

Martin’s basilar angle reference points

A

nasion to center of sella to the basion

26
Q

Martin’s Basilar Angle normal degree range

A

137-152 degrees

27
Q

What does a Martin’s Basilar Angle detect if greater than 152 degrees?

A

Platybasia (flat base)

Congenital mal development of the sphenoid and/or occipital bones, bone softening disease

28
Q

Chamberlain’s Line reference points:

A

Hard palate to the opisthion

29
Q

Chamberlain’s Line detects:

A

basilar impression

30
Q

Basilar impression is detected with Chamberlain’s line if the odontoid extends more than ____mm above this line

A

7

31
Q

McGregor’s Line reference points:

A

hard palate to inferior occiput (longer than Chamberlain’s)

32
Q

The odontoid should not extend _____mm-____mm above McGregor’s line.

A

8-10

33
Q

Reasons for Basilar Invagination

A

Paget’s disease
Osteomalacia
Fibrous dysplasia
Rheumatoid arthritis

34
Q

When a segment is posterior relative to the segment below

A

Retrolisthesis

35
Q

When a segment is anterior relative to the segment below

A

Anterolisthesis aka spondylolesthis

36
Q

Normal measurement of ADI in adults

A

3 mm

37
Q

Normal measurement of ADI in children

A

5 mm

38
Q

Reference points for measuring the Atlantodental Interspace

A

posterior surface of anterior tubercle to anterior surface of odontoid

39
Q

MC cause of weak ADI

A

Rheumatoid Arthritis

40
Q

Causes of irregular measurement of ADI

A
Rheumatoid Arthritis
Down Syndrome 
Trauma 
Inflammation
Arthritis 
(Also consider flexion/extension views)
41
Q

Atlantoaxial “overhang” is common in _____, but suggests a fracture of atlas in ______

A

1 year old child

adults

42
Q

A burst fracture will injure which ligament

A

Transverse Ligament

43
Q

Cervical Lordosis depth Method average measurement

A

8-12 mm

44
Q

What reference points do we measure in the cervical lordosis depth method?

A

tip of odontoid to posterior surface of C7 (then measure the depth of C4) 8-10mm= hyperlordotic

45
Q

Normal measurement for Harrison posterior tangent method

A

34 degrees with 9 degrees of deviation. Measurement of hypo/hyperlordosis

46
Q

Ruth Jackson Stress lines should intersect at which levels during flexion?

A

C5/C6

47
Q

Ruth Jackson Stress Lines should intersect at which levels during extension?

A

C4/C5

48
Q

Ruth Jackson Stress Lines are drawn from the posterior aspects of which two vertebra?

A

C2 and C7

49
Q

Sagittal Canal Measurement
Anterior line:
Posterior line:

A

posterior vertebral body

spinolaminar line

50
Q

Sagittal Canal normal measurement

A

12-16mm

stenosis

51
Q

Retropharyngeal space normal measurement (at C2):

A
52
Q

Retrotracheal space normal measurement (at C6)

A
53
Q

Significance of pre-vertebral soft tissue spaces (retropharyngeal and retrotracheal spaces)

A

edema
hemorrhage
pus
tumor

54
Q

How to find angle of thoracic spine kyphosis

A

2 lines drawn from superior endplate of T1 & inferior endplate of T12
Vertical perpendicular lines are then drawn and the angle of intersection should be near 30 degrees.

55
Q

How to figure out the angle of lumbar spine lordosis:

A

lateral lumbar film: 2 lines drawn along superior endplate of L1 and base of sacrum.
Vertical perpendicular lines are then drawn to form an angle (normal 50-60 degrees

56
Q

How to find lumbosacral (Ferguson’s Angle)

A

First line drawn across sacral base. Second line parellel to ground (or bottom of film) Angle 26-57 degrees.