final

Question 1

Active supine occipito-atlantal cervical flexion

Answer 1

Passive ROT Active FLEX
20 FLEX=lower cervical
Cannot get 20= upper cervical

Question 2

Cervical flexion rotation test

Answer 2

Passive FLEX active ROT
Pain with first 45=upper cervical
Successful 45=lower cervical
Cannot ROT 45= upper cervical
**C1-2 dysfunction with headaches typically only get 17

Question 3

O’Donoghue maneuvere

Answer 3

AROM, PROM, RROM
Sprain or strain

Question 4

Cervical/Axial Compression test

Answer 4

radiating pain to arms or local pain in spine
nerve root compression due to foraminal stenosis, osteophytes, lesion, or facet encroachment

Question 5

Jacksons cervical compression test

Answer 5

LAT FLEX with compression
radiating pain to arms or local pain in spine
nerve root compression due to foraminal stenosis, osteophytes, lesion, or facet encroachment

Question 6

Modified Spurlings

Answer 6

EXT and LAT FLEX
Nerve root compression with pain or radiculopathy

Question 7

Maximum Cervical compression

Answer 7

EXT LAT FLEX and ROT with NO compression
Concave side= nerve root compression or facet involvement
Convex side=muscular strain

Question 8

upper limb tension test

Answer 8

SH depression, SH ABDuct, supination, finger EXT, SH EXT ROT, elbow EXT With neck side bend
Median Nerve entrapment C5-7

Question 9

Cervical distraction test

Answer 9

increased pain= mm spasm or sprain/strain
pain relief= intervertebral foraminal encroachment or facet capsulitis

Question 10

Cervical radiculopathy cluster

Answer 10

Spurlings
upper limb tension test
distraction test
less than 60 degrees of cervical ROT towards involved side

Question 11

Foraminal compression

Answer 11

ROT with compression
Nerve root compression

Question 12

Shoulder abduction relief or Bakody’s sign

Answer 12

hand on head
pain decreased= suprascapular nerve compression

Question 13

Shoulder depression test

Answer 13

Adhesions of dural sleeves, spinal roots or joint capsule

Question 14

Spinal percussion

Answer 14

localized pain= fracture
radicular pain= disc lesion
ligamentous sprain

Question 15

Rust sign

Answer 15

need to support head
sprain, rheumatoid arthritis, fracture or sever cervical subluxation

Question 16

Valsalva maneuver

Answer 16

Bearing down
space occupying lesion (herniated disc, tumor, osteophytes)

Question 17

Dejerine sign

Answer 17

Cough, sneeze, defecation
spinal compression fracture, space occupying lesion

Question 18

Lhermitte sign

Answer 18

Over pressure with FLEX
radicular pain
cord pathology, dural irritation, tumor, dens fracture

Question 19

Brudzinski sign

Answer 19

supine, passive cervical FLEX
BL knees flex
meningitis

Question 20

Soto-hall sign

Answer 20

passive cervical FLEX with pressure on sternum
vertebra fracture, subluxation, disc lesion, sprain/strain, meningeal irritation

Question 21

Deep neck flexor endurance test

Answer 21

chin tuck and FLEX
hold for 39 seconds male, 29 seconds female
deep neck flexors

Question 22

Allens

Answer 22

Radial or Ulnar disruption

Question 23

TOS orthopedic cluster

Answer 23

Roos test
adsons test
wrights test
costoclavicular maneuver

Question 24

Scalenus anticus/adsons test

Answer 24

SH EXT ROT and EXT
Head EXT ROT and hold breath
decreased pulse= ANT Middle scalene compression

Question 25

Wrights/hyperabduction maneuver

Answer 25

arm over head
decreased pulse= Pec minor compression

Question 26

costoclavicular maneuver

Answer 26

BL SH EXT ROT and EXT with cervical FLEX
Clavicular/1st rib compression