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PTRS 845 Final > Question Bank > Flashcards

Question Bank Flashcards

1
Q

When is neck pain most common?

A

In the 5th decade of life

Neck pain increases with age

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2
Q

What percent of the population reports neck pain, LBP?

A

neck: 20-30%

LBP: 80%

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3
Q

T/F: Dorsal nerve root pain presents with sensory alteration and mm spasm.

A

False, just sensory alteration

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4
Q

T/F: Ventral root stimulation is associated with muscle spasm

A

True

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5
Q

What is the typical age of onset for cervical disc herniation?

A

20-30 yo

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6
Q

What are the differences between DDD and DJD?

A

They don’t occur simultaneously

DDD occurs earlier (~35 yo), by 55 the discs are dried out

DJD onset occurs after DDD

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7
Q

T/F: All degeneration leads to instability

A

True

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8
Q

The nucleus polposus disappears by what age in the c-spine?

A

40-45 yo

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9
Q

T/F: Cervical Spondylosis can present with either median or ulnar neural tension

A

True: as well as radial nerve tension

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10
Q

What condition is associated with cervical myelopathy

A

Cervical stenosis

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11
Q

Approximately what percent of back pain is thoracic?

A

15%

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12
Q

How are ribs named?

A

For the lower vertebra

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13
Q

T/F: Most of the muscles in the T-spine have specific thoracic functions

A

False: not many have pure action in the T-spine

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14
Q

T/F: The thoracic dermatomes follow their nerve root level more closely than any other dermatomal area

A

True

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15
Q

What nerve rami becomes the intercostal nerve?

A

Anterior rami

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16
Q

What is innervated by the recurrent branch of the sinuvertebral nerve?

A

Facet joints

Annulus

Proximal ribs

Multifudus

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17
Q

T/F: The bimechanics of the T-spine are the same throught the whole section.

A

False: depends on the region

C/T junction, Mid Thoracic, T/L junction

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18
Q

What motions put the sympathetic chain in tension?

A

Flexion

Contralateral Rotation

Contralateral SB

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19
Q

What typically causes thoracic outlet syndrome?

A

Elevated 1st rib or repeatative OH activity

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20
Q

What condition can be ruled out if a spurling’s test is negative?

A

Cervical radiculopathy

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21
Q

What is the standard operation for cervical radiculopathy?

A

Discectomy

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22
Q

What is the standard operation for cervical stenosis?

A

Laminectomy

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23
Q

The following is the ideal patient for what procedure?

  • normal sagittal alignmet
  • compression at disc level only
  • no posterior compression
  • no axial neck pain
  • non smoker
  • negative spurling’s
A

Disc replacement

24
Q

What is key to cervical pain?

A

Shoulder girdle alignment

25
Q

T/F: Alignment of the thorax affects alignment of the c-spine

A

True

26
Q

What could be the 1st indicatory of ankylosing spondylitis?

A

Marked morning stiffness

27
Q

T/F: While surgical and conservative tx options for L-spine conditions have similar long term outcomes, those who receieve surgery have lower satisfaction.

A

False: higher satisfaction

28
Q

T/F: While disc protrusions have less severe sx, they are more likely to require surgical revisions following their initial discectomy.

A

True

29
Q

What condition causes grocery cart syndrome?

A

Neurogenic claudication/spinal stenosis

30
Q

Spondylolisthesis occurs in what % of the population?

A

5%

31
Q

What is the success rate of lumbar fusion?

A

50%

32
Q

T/F: Indiscriminate stabilization exercises can be just as damaging as poor body mechanics.

A

True

33
Q

What is the most used joint in the body in daily function?

A

TMJ

34
Q

Most pt. with TMD have a hx of?

A

Cervical whiplas injury

35
Q

T/F: If you TMD no longer clicks your condition is improving.

A

False: progressing

36
Q

What is maximal and function jaw depression/opening?

A

Max = 4 fingers; 40-50 mm

Functional = 3 fingers; 35 mm

37
Q

What is the amount of protrusion and retrusion at the TMJ?

A

Protrustion = 6-9 mm

Retrusion = 3 mm

38
Q

What is the amount of lateral deivation at the TMJ?

A

1/4 of the opening range

39
Q

If a mm is short, how will it test in test position?

A

Strong

40
Q

If a mm is long, how will it test in test position?

A

Weak

BUT it can produce the most torque

41
Q

Do you need to make a lengthened mm stronger?

A

No, you need to teach it use be used in a midrange position to improve posture

42
Q

T/F: The medial pterygoid has a small deep head ans large superificial head

A

False: Large deep, Small superficial

43
Q

Cervical distraction primarily tests which ligament?

A

Tectorial membrane

44
Q

T/F: Lack of the Alar ligament would allow the dens process to compress the spinal cord.

A

False: transverse ligament

Cord compression sx with 50% rupture of ligament and at least 8 mm of posterior displacement of dens

45
Q

How do you test the alar ligament?

A

With the spine in neutral, flex, and ext

Laxity in all 3 positions = + test

46
Q

The USC is coupled in the ___________ direction, the LCS is coupled in the _________ direction

A

OPPOSITE, SAME

47
Q

How long should you wait post trauma to test VA?

A

6 weeks (the time it takes to heal the VA)

48
Q

Why are we worried about a USC pt. having RA?

A

Because it’s likley to compromise the ligaments of the USC

As will anticoagulants and steroids

49
Q

T/F: With a trauma or MVA you must clear the LCS.

A

False: UCS

50
Q

How do you screen for CNS issues in those with USC issues?

A

Tone: spasticity and clonus

DTR

Babinski reflex (+ = toe ext)

Hoffman reflex (- = finger flex)

51
Q

What is the key to cervicogenic HA tx?

A

Whole body integration (at least trunk up)

52
Q

What does onset of sx following an MVA tell you about the pt. prognosis

A

Those who feel pain immediately have a worse prognosis than those you feel pain the next day or a few days after the accident

53
Q

Which direction of force from an MVA is most detrimental?

A

AP force (head on collision)

54
Q

What is the impact of decreased cervical lordosis in an MVA

A

Can’t tolerate forces as well

55
Q

T/F: If your head is neutral you are more likely to damage the alar ligament

A

False:

Rot = alar damage

Neutral = transverse damage (with head on)

56
Q

T/F: You should perform palpation in the acute stage of MVA/whiplash injuries

A

False

57
Q

How much translation is available at each level of the C-spine?

A

3.5 mm (1.9 mm anteriorly, 1.6 mm posteriorly)

PTRS 845 Final (11 decks)

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