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Physical Medicine > Week 2 - Cervical Region > Flashcards

Week 2 - Cervical Region Flashcards

1
Q

Involved with deglutition

located at the base of the mandible at the level with the third cervical vertebra (C3)

A

Hyoid

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2
Q

the body is at the level of C4-C5

A

Thyroid Cartilage

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3
Q

At the level of C6

A

Cricoid cartilage

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4
Q

attachment site for trapezius and nuchal ligament

A

external occipital protuberance

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5
Q

just lateral ot hte EOP

attachment site for trapezius, occipitofrontalis, SCM, and splenius capitis

A

Superior nuchal line

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6
Q

Attachment site for occipitofrontalis, sternocleidomastoid and splenius capitis
Contains air cells

A

mastoid processes

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7
Q

Below the mastoid process and further midline.
Attachment site for rectus capitis lateralis, obliqus capitis superior, obliqus capitis inferior, levator scapulae muscle, splenius cervicis, medial scalene

A

Transverse Process of C1

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8
Q

Midline bony projections from C2-C7

In the cervical region the spinous process are bifid to accommodate muscle attachments

A

Spinous process

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9
Q

Longest and most prominent spinous process which is palpable from the skin surface

A

C7 - VERTEBRAL PROMINENS

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10
Q

Lateral to the spinous process.
This area contains the superior and inferior articular process and facet joints which will be the target for cervical manipulations.

A

Cervical lamina groove

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11
Q

face superior, posterior, and medially

A

superior facets

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12
Q

inferior, anterior, and laterally

A

inferior facets

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13
Q

Located superficially to the trachea on the anterior neck

A

INFRAHYOID MUSLCES

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14
Q

Antagonist to suprahyoids

Located just to the side of the trachea

A

sternohyoid

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15
Q

Antagonist to suprahyoids

Located just to the side of the trachea

A

sternothyroid

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16
Q

Antagonist to suprahyoids

Located just to the side of thyroid cartilage

A

thyrohyoid

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17
Q

Antagonist to suprahyoids
Most superficial infrahyoid
Runs from the hyoid bone, passing underneath the SCM and scalenes, to the scapula.
Aside from depressing the hyoid, the…. tightens the fascia of the neck and dilates the internal jugular vein

A

omohyoid

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18
Q

Tucked between the trachea and the anterior cervical vertebrae
Deep cervical flexors
Attaching from the anterior surface of the cervical vertebrae to the occiput and atlas
Laterally flex, rotate, and flex the head and neck
Help to reduce the lordotic curve of the cervical vertebrae
A multi-branched appearance similar to that of the erector spinae muscles.

A

LONGUS CAPITIS

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19
Q

Tucked between the trachea and the anterior cervical vertebrae
Deep cervical flexors
Attaching from the anterior surface of the cervical vertebrae
Laterally flex, rotate, and flex the neck
Help to reduce the lordotic curve of the cervical vertebrae
A multi-branched appearance similar to that of the erector spinae muscles

A

LONGUS COLLI

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20
Q

Located on the lateral and anterior aspects of the neck

Contralateral head rotator
It has a large belly with two heads: a flat, clavicular head and a slender, sternal head
Both heads merge to attach behind the ear at the mastoid process.
The carotid artery passes deep and medial to the…..; the external jugular vein lies superficial to it.

A

SCM

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21
Q

Lies partially tucked beneath the sternocleidomastoid.
Fibers begin at the side of the cervical vertebrae, dive underneath the clavicle and attach to the first rib.
During normal inhalation, elevates the upper ribs
The three …… are sandwiched between the sternocleidomastoid and the anterior flap of the trapezius on the anterior, lateral neck.

the subclavian artery also passes behind

A

ANTERIOR SCALENE

21
Q

Slightly larger and lies lateral to the anterior scalene
Fibers begin at the side of the cervical vertebrae, dive underneath the clavicle and attach to the first rib.
During normal inhalation, elevates the upper ribs

A

MIDDLE SCALENE

22
Q

Smallest muscle belly, located between the middle scalene and levator scapula. Positioned deeper than the other scalenes
Fibers begin at the side of the cervical vertebrae, dive underneath the clavicle and attach to the second rib.
During normal inhalation, elevates the upper ribs

A

POSTERIOR SCALENE

23
Q

carries neurologic information from the cervical spine to the upper extremity.
passes between the anterior and middle scalene

A

brachial plexus

24
Q

Lies superficially along the upper back and neck.
Its broad, thin fibers blanket the shoulders, attaching to the occiput lateral clavicle, scapula, and spinous processes of the thoracic vertebrae.

A

TRAPEZIUS

25
Q

upper fibers

antagonist to scapular depression

A

descending fibers

26
Q

lower fibers

antagonist to scapular elevation

A

ascending fibers

27
Q

The eight small suboccipitals are the deepest muscles of the upper posterior neck. They are involved in stabilizing the axis and atlas and in creating intrinsic movements such as rocking and tilting of the head.
Deep neck extensor and rotator
Rock and tilt the head back into extension
Rotate the head to the same side

A

Rectus Capitis Posterior Major

28
Q

Deep neck extensor

Rock and tilt the head back into extension

A

Rectus Capitis Posterior Minor

29
Q

Deep lateral flexor

Laterally flex the head to the same side

A

Oblique Capitis Superior

30
Q

Deep rotator

Rotate the head to the same side

A

Oblique Capitis Inferior

31
Q

50 – 70 degrees
Muscles activated:
SCM, longus cervicis, longus capitis, rectus capitis anterior
Tissue stretched:
Trapezius, splenius cervicis & capitis, longissimus capitis, suboccipitalis, nuchal ligament, interspinous ligament, posterior IVD, posterior facet joints
Tissue compressed:
Anterior neck muscles, trachea, esophagus, carotid arteries

A

CERVICAL FLEXION

32
Q

50 – 70 degrees

Muscles activated:
Trapezius (upper), splenius cervicis & capitis, longissimus capitis, suboccipitals

Tissue stretched:
Anterior neck muscles, anterior longitudinal ligament, anterior IVD, trachea, esophagus, carotid arteries

Tissue compressed:
Posterior neck muscles, posterior IVD, facet joints

A

CERVICAL EXTENSION

33
Q

45 – 60 degrees

Muscles activated:
Ipsilateral: trapezius (upper), splenius cervicis & capitis, longissimus capitis, levator scapulae, suboccipitals

Tissue stretched:
Contralateral: trapezius (upper), longissimus capitis, SCM, lateral IVD, carotid artery, facet joints

Tissue compressed:
Ipsilateral: trapezius (upper), longissimus capitis, SCM, lateral IVD, carotid artery, facet joints

A

CERVICAL LATERAL FLEXION

34
Q

45 – 60 degrees
Muscles activated:
Ipsilateral: trapezius (upper), splenius cervicis & capitis, longissimus capitis, levator scapulae, suboccipitals
Tissue stretched:
Contralateral: trapezius (upper), longissimus capitis, SCM, lateral IVD, carotid artery, facet joints
Tissue compressed:
Ipsilateral: trapezius (upper), longissimus capitis, SCM, lateral IVD, carotid artery, facet joints

A

CERVICAL ROTATION

35
Q

MYOTOME - CN 11

A

TRAPS

36
Q

MYOTOME - CN 11

A

SCM

37
Q

MYOTOME - C4-C6

A

SCALENES

38
Q

MYOTOME

C5 (C6)

A

DELTOID

39
Q

MYOTOME

C6 (C5)

A

BICEPS

40
Q

MYOTOMES

C7 (C6, C8)

A

TRICEPS

41
Q

MYOTOMES

C8 (T1)

A

WRIST ULNAR DEVIATION

42
Q

MYOTOME

T1 (C8)

A

FINGER ABDUCTION

43
Q

One cm lateral to the EOP

A

C2

44
Q

Apex of the supraclavicular fossa

A

C3

45
Q

: Over the acromio-clavicular joint

A

C4

46
Q

Lateral side of the anticubital fossa proximal to the elbow

A

C5

47
Q

Dorsal surface of the proximal phalanx fo the thumb

A

C6

48
Q

Dorsal surface of the proximal phalanx fo the middle finger

A

C7

49
Q

Dorsal surface of the proximal phalanx fo the little finger

A

C8

50
Q

Medial side of the anticubital fossa proximal to the medial epicondyle

A

T1

Physical Medicine (2 decks)

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