Imaging Of The Spine (Msq Drill 154)

1.

Cervical normal open mouth - atlas view

Cervical open mouth - dens view

Cervical open mouth - OA view

2. A patient has just had a cervical impact on the floor. What view will you order first?

Lateral c-spine

AP regular

Oblique c-spine

AP open mouth

3. If the superior facet is not tucked underneath the inferior process it is called a:

Locked facet

Jumped facet

Uneven facet

4. Should the holes of the foramina in an anterior oblique view of the cervical spine have to be somewhat equal in size?

Yes

No

5. As facets enlarge due to aging do they encroach into the intervetebral formaina?

Yes

No

6. The vertebral bony spurs are the most frequent cause of cervical radiculopathy?

Yes

No

7. When assessing the c-spine you want to assess for stability vs instability. True or false

True

False

8. This anterior subluxation is an example of what type of injury?

Hyperextension

Axial compression

Hyperflexion

9.

Extension teardrop fracture

Hangman's fracture

Burst fracture

10. If a burst fracture involves C1 what is it known as?

Jefferson burst

Hangman burst

11. Which of the following is a grade 2 spondylolisthesis?

Less than 25 degrees

25-50 degrees

> 50 degrees

These are the classifications for the grading system for spondylolithesis.

Explanation

These are the classifications for the grading system for spondylolithesis.

12. The breakage in the pars reticularis that leads to spondylolisthesis is known as spondylolysis. True or false?

True

False

13. What is the neck of the scutty dog in the diagnosis of spondylolysis?

The pedicle

The vertebra

The pars reticularis

the pedicle are the eyes, the snout is the transverse process, ear is superior articulating facet, neck is the front legs.

Explanation

the pedicle are the eyes, the snout is the transverse process, ear is superior articulating facet, neck is the front legs.

14.

Cervical lateral view

Cervical oblique view

15. 80-90% cervical injuries are diagnosed in what view?

AP cervical

Lateral view cervical

Oblique view cervical

2nd critical view is a chest x-ray then KUB.

Explanation

2nd critical view is a chest x-ray then KUB.

16. Most odontoid fractures occur at the base or the apex?

Base

Apex

17. In a C1 burst fracture the lateral mass will move inwards or outwards?

Inwards

Outwards

18. When looking at a cervical open mouth view, the lateral mass of C1 should align with the lateral mass of:

The occiput

C2

The dens

19. The lateral mass of C1 can be pushed laterally or medially in a C1 ring fracture?

Medially

Laterally

20. When the holes of the foramina are not equal it is usually due to:

Acute injury

Chronic traumatic injury

Degenerative disease

21. What is the most common cause of radiculopathy in the c-spine?

Herniated discs

Vertebral body osteophytes

22. A burst fracture is a ____________ fracture.

Hyperflexion

Hyperextension

Axial loading

Lateral flexion

23. Where do you see the lucency in this dens fracture?

At the apex of the dens

At the base of the dens

24. Why do you order a swimmer's view?

To view the the junction between the OA & AA

To view the cervicothoracic juction - between C7-T1

To get a complete view of the thoracic spine

25. Each superior facet is tucked underneath the inferior facet or process?

Facet

Process

26. When a superior facet does not fully jump out of the inferior process it is known as a:

Widened facet

Locked facet

Missed facet

27. This is an example of what type of injury?

Hyperextension

Hyperflexion

Axial compression

Lateral flexion

Complex

flexion teardrop injury

Explanation

flexion teardrop injury

28. What fracture occurs in the pedicle of C2?

Jefferson

Hangman's

Clay shoveler's fracture

29. Most times the swimmer's view is ordered for most thoracic and cervical spine imaging.

True

False

30. This fracture usually occurs in people who have had what type of traumatic event?

Fall from height

Slip while on ice

Motor vehicle accel & decel

This is the chance fracture or seat belt fracture

Explanation

This is the chance fracture or seat belt fracture

31. Is a limbus vertebra a fracture?

Yes

No

The vertebral disc pushes into the vertebral body.

Explanation

The vertebral disc pushes into the vertebral body.

32. Is a limbus vertebra usually symptom causing?

Yes

No

33. Osteochondritis leading to secondary center ossification of the vertebral bodies leads to this condition.

Scoliosis

Scheuerman's disease or kyphosis

Rheumatoid arthritis

34. This is an example of a ____________ fracture.

Hyperextension

Hypeflexion

Complex

Compression

35. What does spondylolisthesis imply?

Slipped vertebral bodies

Degenerated vertebral bodies

Misaligned vertebral bodies or a body is moved forward.

36. An odontoid fracture is a ___________ injury.

Hyperflexion

Hyperextension

Lateral flexion

Complex

37.

AP cervical

PA cervical

38. This view is best for looking at the relationships of the:

Spinous processes

Uncinate processes

Transverse foramina

Facets

39. An atlantooccipital injury is an example of what type of injury?

Hyperflexion

Lateral flexion

Axial compression

Complex

40. This is a clay shoveler's fracture which is an example of what type of injury?

Hyperflexion

Hyperextension

Lateral flexion

Complex

41. Most of the time spondylolisthesis occurs as a result of a fracture to the:

Isthmus

Pedicle

Pars reticularis

Uncinate process

42. What is the most common mechanism of injury in the c-spine?

Lateral flexion

Hyperflexion

Hyperextension

Axial compression

Complex

43. A hangman's fracture is a _________ injury.

Hyperflexion

Hyperextension

Lateral flexion

Complex

It usually involves the pars of C2.

Explanation

It usually involves the pars of C2.

44. Is this a CT or MRI?

CT

MRI

45. As aging occurs facets are enlarged or shortened?

Enlarged

Shortened

facet arthropathy.

Explanation

facet arthropathy.

46. The c-spine is very prone to fractures because of the following factors:

Hyper mobile

Small size of the spine

Length of the spine

The fact that it is a lever for a heavy head

Submit

47. What is the mechanism of injury?

Hyperflexion

Hyperextension

Axial compression

Lateral flexion

48. What lines have to remain in column when viewing a cervical x-ray?

Line behind the vertebral bodies

The posterior spinous line

I'm sorry I did not pick up the third line on mediasite.

Explanation

I'm sorry I did not pick up the third line on mediasite.

Submit

49. What two components make up the chance fracture?

Vertebral body fracture

Spinous process fracture

Pedicle or facet joint fracture

Usually at L1 or L2

Explanation

Usually at L1 or L2

Submit

Imaging Of The Spine (Msq Drill 154)

1.

2.

What first name or nickname would you like us to use?

2. A patient has just had a cervical impact on the floor. What view will you order first?

3. If the superior facet is not tucked underneath the inferior process it is called a:

4. Should the holes of the foramina in an anterior oblique view of the cervical spine have to be somewhat equal in size?

5. As facets enlarge due to aging do they encroach into the intervetebral formaina?

6. The vertebral bony spurs are the most frequent cause of cervical radiculopathy?

7. When assessing the c-spine you want to assess for stability vs instability. True or false

8. This anterior subluxation is an example of what type of injury?

9.

10. If a burst fracture involves C1 what is it known as?

11. Which of the following is a grade 2 spondylolisthesis?

12. The breakage in the pars reticularis that leads to spondylolisthesis is known as spondylolysis. True or false?

13. What is the neck of the scutty dog in the diagnosis of spondylolysis?

14.

15. 80-90% cervical injuries are diagnosed in what view?

16. Most odontoid fractures occur at the base or the apex?

17. In a C1 burst fracture the lateral mass will move inwards or outwards?

18. When looking at a cervical open mouth view, the lateral mass of C1 should align with the lateral mass of:

19. The lateral mass of C1 can be pushed laterally or medially in a C1 ring fracture?

20. When the holes of the foramina are not equal it is usually due to:

21. What is the most common cause of radiculopathy in the c-spine?

22. A burst fracture is a ____________ fracture.

23. Where do you see the lucency in this dens fracture?

24. Why do you order a swimmer's view?

25. Each superior facet is tucked underneath the inferior facet or process?

26. When a superior facet does not fully jump out of the inferior process it is known as a:

27. This is an example of what type of injury?

28. What fracture occurs in the pedicle of C2?

29. Most times the swimmer's view is ordered for most thoracic and cervical spine imaging.

30. This fracture usually occurs in people who have had what type of traumatic event?

31. Is a limbus vertebra a fracture?

32. Is a limbus vertebra usually symptom causing?

33. Osteochondritis leading to secondary center ossification of the vertebral bodies leads to this condition.

34. This is an example of a ____________ fracture.

35. What does spondylolisthesis imply?

36. An odontoid fracture is a ___________ injury.

37.

38. This view is best for looking at the relationships of the:

39. An atlantooccipital injury is an example of what type of injury?

40. This is a clay shoveler's fracture which is an example of what type of injury?

41. Most of the time spondylolisthesis occurs as a result of a fracture to the:

42. What is the most common mechanism of injury in the c-spine?

43. A hangman's fracture is a _________ injury.

44. Is this a CT or MRI?

45. As aging occurs facets are enlarged or shortened?

46. The c-spine is very prone to fractures because of the following factors:

47. What is the mechanism of injury?

48. What lines have to remain in column when viewing a cervical x-ray?

49. What two components make up the chance fracture?