Cervical Spine (Msq Drill 173)
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- 1.
Where does C1 emerge from?
- A.
AA
- B.
OA
- C.
C2-C3
Correct Answer
B. OA -
- 2.
How many vertebrae are there in the cervical spine?
- A.
5
- B.
6
- C.
7
- D.
8
Correct Answer
C. 7 -
- 3.
Although there are 7 vertebrae in the cervical spine, there are 8 nerves. True or false?
- A.
True
- B.
False
Correct Answer
A. True -
- 4.
Damage between any 2 vertebrae affects:
- A.
The higher nerve
- B.
The lower nerve
- C.
Both the higher and th lower nerve
Correct Answer
B. The lower nerve -
- 5.
Injury between C4 and C5 vertebrae affects which nerve?
- A.
C4
- B.
C5
Correct Answer
B. C5 -
- 6.
Your patient is complaining of cervical pain. You decide to test C5. Which of the following muscle would you target?
- A.
Deltoid
- B.
Biceps
- C.
Brachioradialis
- D.
Triceps
Correct Answer
B. Biceps -
- 7.
You would target testing to the triceps if you wanted to assess which nerve?
- A.
C4
- B.
C6
- C.
C7
- D.
C8
Correct Answer
C. C7 -
- 8.
If there is slippage of one vertebrae over another which ligament usually puts pressure on the cord?
- A.
Posterior longitudinal ligament
- B.
Anterior longitudinal ligament
Correct Answer
A. Posterior longitudinal ligament -
- 9.
If this cervical nerve is damaged, the patient will NOT be able to breathe.
- A.
C1
- B.
C2
- C.
C3
- D.
C4
- E.
C5
Correct Answer
B. C2 -
- 10.
To test C6 what muscle will you target?
- A.
Pronator teres
- B.
Corcobrachialis
- C.
Flexor carpi radialis
- D.
Brachialis
- E.
Brachioradialis
Correct Answer
E. Brachioradialis -
- 11.
A C1 burst fracture is known as a :
- A.
Uncinate fracture
- B.
Klumpke fracture
- C.
Jefferson fracture
- D.
Luxatio erecta
- E.
Hangman's fracture
Correct Answer
C. Jefferson fractureExplanation
Hangman's fracture is C2.Rate this question:
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- 12.
Is a Jefferson fracture (C1 burst fx) stable or unstable?
- A.
Stable
- B.
Unstable
Correct Answer
B. UnstableExplanation
If you have survived the initial fx, then it is stable.Rate this question:
-
- 13.
Do you have to surgically repair a Jefferson fracture?
- A.
No, treat with plastic cervical orthotics or a Halo
- B.
Yes, it is a medical emergency, surgery should be done right away
Correct Answer
A. No, treat with plastic cervical orthotics or a Halo -
- 14.
What cervical vertebrae is involved in a hangman's fracture?
- A.
C2
- B.
C3
- C.
C4
- D.
C5
Correct Answer
A. C2 -
- 15.
What part of the isthmus tend to fracture the most?
- A.
Pars
- B.
Lamina
- C.
Inferior facet
Correct Answer
A. Pars -
- 16.
Which cervical lesion is more common, a tetraplegia or paraplegia?
- A.
Tetraplegia
- B.
Paraplegia
Correct Answer
A. Tetraplegia -
- 17.
Which of the following is an uncommon cause of cervical cord lesions?
- A.
Fracture
- B.
Fracture/dislocation
- C.
Hematoma
Correct Answer
A. Fracture -
- 18.
Is the cord usually severed in a cervical cord fracture?
- A.
Yes
- B.
No
Correct Answer
A. Yes -
- 19.
Which cervical cord leads to a tenting of the cord?
- A.
Fracture dislocation
- B.
Hematoma
Correct Answer
A. Fracture dislocation -
- 20.
What is the most common cervical cord lesion?
- A.
Fracture
- B.
Fracture/dislocation
- C.
Hematoma
Correct Answer
C. Hematoma -
- 21.
Does the cord have to be severed for tetraplegia to occur?
- A.
Yes
- B.
No
Correct Answer
B. No -
- 22.
Can you have develop permanemt tetraplegia from a hematoma?
- A.
Yes
- B.
No
Correct Answer
A. Yes -
- 23.
You are assessing a patient that suffered a cervical cord injury. C5 is intact, but C6, C7, C8 etc.. are gone. What is the neurological level?
- A.
C4
- B.
C5
- C.
C6
- D.
C7
- E.
C8
Correct Answer
B. C5 -
- 24.
So, the neurological level is the last cord level that is functioning. True or false?
- A.
True
- B.
False
Correct Answer
A. True -
- 25.
A patient suffered a cervical cord injury and is now in a wheelchair, unable to self propel, he also does not have to use a ventilator. What is his functional level?
- A.
C2
- B.
C3
- C.
C4
- D.
C5
- E.
C6
Correct Answer
C. C4 -
- 26.
Another patient who also suffered a cord lesion is able to self ambulate but with a foot orthosis. What is his functional level?
- A.
C6
- B.
T6
- C.
L1
- D.
L2
- E.
L3
Correct Answer
E. L3 -
- 27.
Another patient is wheelchair bound but is able to self propel. He has use of his finger extensors. What is his functional level?
- A.
C3
- B.
C5
- C.
C6
- D.
C7
- E.
C8
Correct Answer
D. C7 -
- 28.
What part of the vertebrae gives stability to the vertabre but can also cause nerve swelling if it develops spurs?
- A.
Lamina
- B.
Facet
- C.
Uncinate process
- D.
Spinous process
- E.
Transverse formaina
Correct Answer
C. Uncinate process -
- 29.
How would you treat an inflammed nerve that is due to an uncinate process spur?
- A.
Remove the spur
- B.
Antinflammatory medicatoin and PT
Correct Answer
B. Antinflammatory medicatoin and PT -
- 30.
What study would you order in order to ascertain nerve damage?
- A.
CT
- B.
MRI
- C.
EMG
- D.
Xray
Correct Answer
C. EMG -
- 31.
A patient has nerve damage, what do you order first.
- A.
X-ray
- B.
EMG
- C.
MRI
- D.
CT
Correct Answer
A. X-rayExplanation
to see the bones.Rate this question:
-
- 32.
Can we cure arthritis?
- A.
Yes
- B.
No
Correct Answer
B. No -
- 33.
Can a patient that has a C3, C4 fracture dislocation survive?
- A.
No, this is 100% fatal
- B.
Yes, with very very aggressive treatment
Correct Answer
B. Yes, with very very aggressive treatment -
- 34.
Most common cervical fracture dislocation ocur between what two levels?
- A.
C1-C2
- B.
C2-C3
- C.
C3-C4
- D.
C4-C5
- E.
C5-C6
Correct Answer
E. C5-C6 -
- 35.
Most common cervical compression fractures that can lead to tetraplegia occur at what cervical level?
- A.
C2
- B.
C3
- C.
C4
- D.
C5
- E.
C6
Correct Answer
D. C5 -
- 36.
Most cervical partial subluxations involve 1 facet or 2 facets?
- A.
1 facet
- B.
2 facets
Correct Answer
B. 2 facets -
- 37.
What is the most common symptom after a disc midline herniation?
- A.
Pain down the arm
- B.
Medial scapula pain - "pain that runs down between my shoulder blades."
- C.
Pain sometimes to the leg
Correct Answer
B. Medial scapula pain - "pain that runs down between my shoulder blades." -
- 38.
Does a large canal increases or decrease disc related symptoms?
- A.
Increases
- B.
Decreases
Correct Answer
B. Decreases -
- 39.
What has a better recovery, a bulging disc or a herniated disc?
- A.
Bulging disc
- B.
Herniated disc
Correct Answer
A. Bulging disc -
- 40.
A patient complains of pain to their medial scapula, scapula spine and down their arm. Do they have a herniated disc or a bulging disc?
- A.
Herniated disc
- B.
Bulging disc
Correct Answer
B. Bulging disc -
- 41.
Which of the following are modalities used in the treatment of bulging discs?
- A.
Medications
- B.
PT
- C.
Epidurals
- D.
Excision of disc
- E.
Anterior fusion
Correct Answer(s)
A. Medications
B. PT
C. Epidurals
D. Excision of disc
E. Anterior fusion -
- 42.
Almost 70% of patients presenting to primary care physicians will have a musculoskeletal disease. True or false?
- A.
True
- B.
False
Correct Answer
A. True -
- 43.
Most traumatic cases involve:
- A.
Younger patients
- B.
Older patients
Correct Answer
A. Younger patients -
- 44.
Which of the following are forms of cervical arthritis?
- A.
AVN of the occiput
- B.
Spurs
- C.
Degenerative discs
- D.
Uncinate process
- E.
Bulging discs
Correct Answer(s)
B. Spurs
C. Degenerative discs
D. Uncinate process -
- 45.
Which of the following are treatment modlities for cervical arthitis?
- A.
Anti-inflammatory medications
- B.
Traction
- C.
Antispasmodics
- D.
Symptomatic treatment
Correct Answer(s)
A. Anti-inflammatory medications
B. Traction
C. Antispasmodics
D. Symptomatic treatment -
- 46.
In which of the following situations should you NEVER do OMM?
- A.
Ankylosing spondylitis
- B.
Rheumatoid arthritis
- C.
Tumors
- D.
Down's syndrome
- E.
Acondroplasia
Correct Answer(s)
B. Rheumatoid arthritis
C. Tumors
D. Down's syndrome -
- 47.
Patients with down's syndrome have an unstable:
- A.
OA joint
- B.
AA joint
- C.
C3-C4 joint
- D.
C7-T1 joint
- E.
L2-L3
Correct Answer
A. OA joint -
- 48.
What is weak in patients with rheumatoid arthiris, ligaments, bones or both?
- A.
Ligaments
- B.
Bones
- C.
Both ligaments and bones
Correct Answer
C. Both ligaments and bones -
- 49.
You suspect a benign osteoid osteoma in the cervical region. What test do you order?
- A.
CT
- B.
MRI
- C.
X-ray
- D.
Bone scan
Correct Answer
A. CTExplanation
A big white area on x-ray.Rate this question:
-
- 50.
Are most tumors affecting the cervical spine benign or malignant?
- A.
Benign
- B.
Malignant
Correct Answer
B. Malignant -
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Feb 16, 2019Quiz Edited by
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Apr 27, 2010Quiz Created by
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