NMS I cervicals

Question 1

rust’s sign positive

Answer 1

pt holds neck up

Question 2

rust’s sign meaning

Answer 2

instability

Question 3

perform libman’s

Answer 3

push on mastoids

Question 4

Libman’s positive

Answer 4

low threshold

Question 5

Libman’s meaning

Answer 5

interpreting pain threshold

Question 6

perform bakody’s

Answer 6

pt puts hand on head

Question 7

bakody’s positive

Answer 7

pain disappears

Question 8

bakody’s meaning

Answer 8

cervical NR compression

Question 9

perform reverse bakody’s

Answer 9

pt puts hand on head

Question 10

reverse bakody’s positive

Answer 10

pain

Question 11

reverse bakody’s meaning

Answer 11

interscalene compression

Question 12

perform bikele’s

Answer 12

abduct arm, extend arm posteriorly, extend elbow

Question 13

bikele’s positive

Answer 13

pain

Question 14

bikele’s meaning

Answer 14

meningitis

Question 15

perform dejerine’s

Answer 15

pt coughs, sneezes, bears down

Question 16

dejerine’s positive

Answer 16

pain

Question 17

dejerine’s meaning

Answer 17

SOL

Question 18

perform swallowing test

Answer 18

pt swallows water

Question 19

swallowing test positive

Answer 19

pain or difficulty

Question 20

swallowing test meaning

Answer 20

SOL

Question 21

perform naffziger’s

Answer 21

put pressure on jugular veins for 30-40 seconds

Question 22

naffziger’s positive

Answer 22

pain

Question 23

naffziger’s meaning

Answer 23

NR compression, strain, sprain

Question 24

perform distraction test

Answer 24

pull up on head

Question 25

distraction test positive

Answer 25

relief of pain

Question 26

distraction test meaning

Answer 26

IVF encroachment, NR compression, facet

Question 27

perform foraminal compression

Answer 27

push on head when rotated

Question 28

foraminal compression positive

Answer 28

pain

Question 29

foraminal compression meaning

Answer 29

localized: foraminal encroachment radiating: NR compression

Question 30

perform barre-lieou

Answer 30

pt rotates head side to side

Question 31

barre-lieou positive

Answer 31

dizziness, nauseam nystagmus, blurred vision, faintness, syncope

Question 32

barre-lieou meaning

Answer 32

VBAI

Question 33

perform vertebrobasilar functional maneuver

Answer 33

listen for bruits in carotid and subclavian arteries, then palpate if none

Question 34

vertebrobasiliar functional maneuver positive

Answer 34

bruit present

Question 35

vertebrobasiliar functional maneuver meaning

Answer 35

murmur

Question 36

perform dekleyn's

Answer 36

head off table, rotate and hold on each side

Question 37

dekleyn's positive

Answer 37

dizziness, nausea, nystagmus, blurred vision, faintness

Question 38

dekleyn's meaning

Answer 38

VBAI

Question 39

perform lhermitte's

Answer 39

flex head

Question 40

lhermitte's positive

Answer 40

radiating sharp pain

Question 41

lhermitte's meaning

Answer 41

cervical myelopathy

Question 42

perform o'donahue's

Answer 42

active cervical ROM then resisted cervical ROM

Question 43

o'donahue's positive

Answer 43

pain

Question 44

o'donahue's meaning

Answer 44

active: strain passive: sprain

Question 45

perform kernig

Answer 45

flex leg, extend leg

Question 46

kernig positive

Answer 46

pain, knee buckles

Question 47

kernig meaning

Answer 47

meningitis

Question 48

perform brudzinski

Answer 48

pt is laying down, flex head

Question 49

brudzinski positive

Answer 49

knees flex

Question 50

brudzinski meaning

Answer 50

meningitis

Question 51

perform shoulder depressor

Answer 51

laterally flex head and push down on shoulder

Question 52

shoulder depressor positive

Answer 52

pain

Question 53

shoulder depressor meaning

Answer 53

brachial plexitis, NR

Question 54

perform soto hall

Answer 54

hand on sternum and active flexion of head, then passive flexion of head

Question 55

soto hall positive

Answer 55

pain

Question 56

soto hall meaning

Answer 56

fx, subluxation, disc, sprain, strain