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0.04 PCM2 Test 1 > Neck Pain > Flashcards

Neck Pain Flashcards

1
Q

What is the strength test for C5?

A

Deltoid - shoulder abduction

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2
Q

What is the strength test for T1?

A

Finger abduction

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3
Q

What is the strength test for C6?

A

Biceps and wrist extension

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4
Q

What is myelopathy vs radiculopathy?

A

Myelopathy = spinal cord injury

Radiculopathy = nerve root deficit / injury

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5
Q

What is the diagnostic test for meningitis?

A

Lumbar puncture

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6
Q

What does the Nexus criteria tell us?

What is the criteria?

A

Whether or neck pain after trauma needs radiographic imaging.

Criteria:

Absence of posterior midline cirvical tenderness.

Normal level of alertness

No evidence of intoxication (even if clearly due to drugs)

No abnormal neurologic findings

No painful distracting injuries (even a non related injury)

(If the patient meets all these criteria, do not image. Otherwise apply a cervical collar and IMAGE THAT PATIENT)

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7
Q

What is SCIWORA?

A

Spinal cord injury without radiographic abnormality.

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8
Q

What is the number one cause of neck pain?

A

Cervical spondylosis.

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9
Q

What do you do for SCIWORA?

A

Keep the pt’s spine immobilized until MRI and consultation with neurology. Do not “take the collar off” if they have a neurologic complaint.

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10
Q

What should the differential include for atraumatic neck pain?

A

Musculoskeletal

  • MAJORITY of atraumatic neck pain
  • Cervical spondylosis (*most common cause of acute and chronic neck pain in adults)

Neurologic conditions

  • Radiculopathy = nerve root
  • Myelopathy = spinal cord.

Non Spinal causes

  • Think systemic disease or referred pain
  • Referred shoulder pain
  • Rheumatologic conditions
  • Fibromyalgia
  • Thoracic outlet syndrome
  • Visceral etiologies
  • Infection
  • Coronary artery disease
  • Malignancy
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11
Q

What is the strength test for C2-4?

A

Scapular elevation

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12
Q

What should the differential include for traumatic neck pain?

A

Myofascial injury (*very common!)

Cervical fracture

Ligamentous injury

Disc injury

Cord or nerve root injury

SCIWORA (“spinal cord injury w/out radiographic abnormality)

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13
Q

What is the strength test for C7?

A

Triceps and wrist flexion

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14
Q

What is the standard of care for imaging neck pain nowadays?

A

CT

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15
Q

What is the strength test for C8?

A

Finger flexion

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16
Q

What signs would we expect to see for meningitis?

A

Kernig and Brudzinski’s signs

17
Q

What is the strength test for C1?

A

Resisted rotation ROM

0.04 PCM2 Test 1 (7 decks)

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