neck

Question 1

The ______joint is between the spinour processes

Answer 1

facet

Question 2

the ____ of the _____ provides the ability to rotate the head

Answer 2

dens of the axis

Question 3

the _____ provides the ability to flex and extend the head

Answer 3

atlas

Question 4

the ________ligament connects one spinous process to the next

Answer 4

interspinous ligament

Question 5

the ___________ ligament is deep to the interspinous ligament, and runs along the anterior portion of the spinous processes

Answer 5

ligamentum flavum

Question 6

the ______ ligament prevents the vertebral bodies from slipping forward.

Answer 6

anterior longitudinal ligament

Question 7

a herniation of an intervertebral disc occurs when the _______ ruptures through the __________

Answer 7

nucleus ruptures thru the annulus

Question 8

Term for injury to the actual spinal cord.

Answer 8

myelopathy

Question 9

cervical nerve roots exit the spinal column above or below the vertebra?

Answer 9

above.

the C2 nerve root exits between C1 and C2, etc.

Question 10

True/False: there is a C8 nerve root

Answer 10

true, b/t C7 and T1

Question 11

RED FLAGS of neck pain. (3 constitutional, 6 neuro, 1 general)

Answer 11

1) wt loss
2) fever/chills
3) night sweats
4) numbness/paresthesia
5) weakness
6) gait disturbance
7) bowel incont
8) bladder retention
9) sexual dysfunction
10) fracture

Question 12

reflexes are increased for pathology in the upper or lower motor neuron?

Answer 12

upper

Question 13

what nerve? elbow flexion

Answer 13

C5

Question 14

what nerve? finger abduction

Answer 14

T1

Question 15

what nerve? finger flexion

Answer 15

C8

Question 16

what nerve? elbow extension

Answer 16

C7

Question 17

what nerve? wrist extension

Answer 17

C6

Question 18

you want to check sensory in C5, what dermatome will you touch?

Answer 18

deltoid area

Question 19

you want to check sensory in C6, what dermatome will you touch?

Answer 19

thumb

Question 20

you want to check sensory in C7, what dermatome will you touch?

Answer 20

tip of middle finger

Question 21

you want to check sensory in C8, what dermatome will you touch?

Answer 21

tip of pinky

Question 22

you want to check sensory in T1, what dermatome will you touch?

Answer 22

between biceps tendon and medial epicondyle

Question 23

what nerve controls the triceps reflex?

Answer 23

C7

Question 24

what nerve controls the brachioradialis reflex?

Answer 24

C6

Question 25

what nerve controls the biceps reflex

Answer 25

C5

Question 26

what nerve controls the abduction of the fingers?

Answer 26

T1

Question 27

What nerve controls the extension of the wrist?

Answer 27

C6

Question 28

what nerve controls the extension of the elbow?

Answer 28

C7

Question 29

what nerve controls the flexion of the elbow?

Answer 29

C5

Question 30

what nerve controls the flexion of the fingers?

Answer 30

C8

Question 31

You extend the middle finger of a patient and flick down on his DIP. This elicits a small flexion in the thumb and pointer finger of the left hand only. This is called the ________ reflex and is concerning for ___________

Answer 31

Hoffmann’s reflex, concerning for upper motor neuron problem

Question 32

You extend your patient’s head, turn it to the side and push down on the top of the head. What is this test? What are you looking for?

Answer 32

Spurling’s sign, looks for RADICULAR pain that shoots down an arm.
(neck pain without radiation is a negative test)

Question 33

what 3 structures in the neck are not innervated and therefore cannot cause pain?

Answer 33

1) nucleus pulposis
2) inner annulus fibrosis
3) ligamentum flavum

Question 34

what are the 3 types of neck pain?

Answer 34

1) axial
2) axial with red flags
3) radicular/nerve root

Question 35

shatter fracture of the atlas from axial compression on top of the head

Answer 35

Jefferson fx

Question 36

what is broken in hangman’s fracture?

Answer 36

spinous process of C2