game day 3

Question 1

deaths in auto accidents down, neck injuries up why

Answer 1

seatbelt stops torso, head still moves - better chest restraint

Question 2

MC sports condition after lat flex of neck

Answer 2

burner/stinger

Question 3

contrast rlsp bt cord sz and area of sc in UCS and LCS

Answer 3

less space for cord in LCS, cord is bigger in UCS

[stenosis MC @ LCS]

Question 4

infant torticollis type

Answer 4

congenital

Question 5

neuro dz caused by stenotic encroachment of SC resulting in neuro isch or mech compression

Answer 5

CSM - cord/blood supply is compressed

Question 6

T/F >40yo cervical disc hern inc

Answer 6

false, nucleus wears out, mc age is 20-40

Question 7

syndrome with same side motor signs, opp side pain

Answer 7

brown sequard syndrome

Question 8

if a disc hern causes myelop, describe and name some common sx you may see, if NR comp, describe and name cond

Answer 8

• cord: bilat/UMNL signs

- NR: unilat/LMNL signs

Question 9

reported to cause dysphagia due to form of large anterior osteophytes

Answer 9

ant disc hern

Question 10

controversial trash can dx, poss cause of vertigo

Answer 10

barre leiou

Question 11

ortho MC used to tx TOS

Answer 11

roos

Question 12

inner ear d/o that resp on apley’s maneuver

Answer 12

BPPV - benign paroxysmal positional vertigo

Question 13

type of force placed on cord when vert displace a/p over e/o

Answer 13

shearing

Question 14

dmg to this sc is why we mc see LE sx in CSM

Answer 14

lateral corticospinal tract, damaged fist

Question 15

3 spaces resp of UE neurovasc comp sx of TOS

Answer 15

interscalene triangle, costoclav sp, retropec sp

Question 16

define disc bulge, protrusion, extrusion, sequestration

Answer 16

• bulge: lg area 50% disc bulges
• protrusion: part of NP pushed out
• extrusion: NP separated from disc
• sequest: fragmentation of NP

Question 17

intial sx for sting/burn last ____, motor sx last ____

Answer 17

few mins / delayed

Question 18

4 types of cervical ribs, which is MC symptomatic

Answer 18

5, largest, most fully formed/cartilage

Question 19

cervical ribs, if sx, typically present which dermatome

Answer 19

c8/t1

Question 20

poss cause of cervical vertigo is assoc witha tear in a cervical NR sleeve and hearing sx

Answer 20

leakage of CSF

Question 21

c4/5 disc hern causes what level radic

Answer 21

c5

Question 22

pt find some relief from this condition by holding their hand behind their head

Answer 22

cervical disc hern / bakody

Question 23

CSM is typically seen in what age group, why

Answer 23

> 50, stenotic chagnes

Question 24

classic presentation of CSM

Answer 24

urinary dysfx, bilat hand clumsiness, difficulty walking, shooting arm pn

Question 25

mc form of disc dz, results from rep mech stress and altered disc nutrition

Answer 25

DDD

Question 26

disc degen shifts weight bearing in what direction to what struct

Answer 26

post/to facets

Question 27

torticollis pt wakes up with, no trauma/cause

Answer 27

pseudo

Question 28

what happens to cord during flex/ext

Answer 28

flex: thin/lengthen &
ext: short/fatten

Question 29

2 types of TOS

Answer 29

neurogenic 90%, vasc 10%

Question 30

3 major nerv/vasc struct thru thoracic outlet

Answer 30

SCA
SCV
brachial plexus