Phys Med- Cervical Spine
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Questions and Answers

What is the acronym used to remember the components of the clinical encounter when assessing orthopedic conditions?

  • OHIPMNRS (correct)
  • LO DR FICARA
  • AROM/PROM/RROM
  • ADLs

    • When assessing the history of a patient's orthopedic condition, what aspect should be considered in terms of severity?

  • Duration of symptoms
  • Prior treatment or injuries
  • Location of the problem
  • Scale from 0-10 (correct)

    • What aspect should be observed during the inspection phase of assessing orthopedic conditions?

  • Pulses, capillary refill, temperature
  • Posture, gait, bony deformity (correct)
  • Temperature, Texture, Tone, Tenderness
  • Dermatomes and myotomes

    • What are the areas covered in the palpation phase when assessing orthopedic conditions?

    <p>Footwear, bony &amp; soft tissues, pain in other areas</p> Signup and view all the answers

    What is assessed during the motion phase of evaluating orthopedic conditions?

    <p>AROM/PROM/RROM</p> Signup and view all the answers

    Which components are covered in the neurovascular screening when evaluating orthopedic conditions?

    <p>Deep tendon reflexes and pulses</p> Signup and view all the answers

    What is considered during the assessment of referred pain in orthopedic conditions?

    <p>Pain in other areas and nerve referral pathways</p> Signup and view all the answers

    During the special tests phase of evaluating orthopedic conditions, what should be kept in mind regarding nerve referral pathways?

    <p>Tests for specific area of pain/concern</p> Signup and view all the answers

    What does AROM stand for in the context of motion assessment for orthopedic conditions?

    <p>(Active Range of Motion)</p> Signup and view all the answers

    Which of the following is a common symptom of cervical degenerative joint disease?

    <p>Neck muscle spasm and torticollis</p> Signup and view all the answers

    During the neurological testing for dermatomes, which spinal level is associated with resistance to shoulder elevation?

    <p>C4</p> Signup and view all the answers

    What is the spinal level associated with resisted action for hip extension and ankle plantar flexion in the lower limbs myotomes?

    <p>L5</p> Signup and view all the answers

    Which test results in local pain with compression and is positive for cervical radiculopathy?

    <p>Spurlings test</p> Signup and view all the answers

    What is a characteristic of neurological findings associated with cervical radiculopathy?

    <p>Possible muscle splinting and guarded ROM</p> Signup and view all the answers

    Which spinal level is associated with reflex testing at the biceps tendon?

    <p>C5-C6</p> Signup and view all the answers

    What is a common differential diagnosis for cervical degenerative joint disease?

    <p>Meniscoid, instability</p> Signup and view all the answers

    Which action is associated with the resisted action at the spinal level C8 in the upper limbs myotomes?

    <p>Thumb extension</p> Signup and view all the answers

    What is a common history reported by patients with cervical radiculopathy?

    <p>Deep aching to burning neck pain &amp; radicular arm pain</p> Signup and view all the answers

    What is a likely physical finding associated with cervical degenerative joint disease?

    <p>Increased pain on extension &amp; rotation</p> Signup and view all the answers

    Which ligament weakens or ruptures in rheumatoid arthritis?

    <p>Transverse ligament</p> Signup and view all the answers

    What is the principle motion of the Atlanto-occipital joints (C0-C1)?

    <p>Flexion/extension</p> Signup and view all the answers

    What is the main supporting ligament of the Atlanto-axial joints (C1-C2)?

    <p>Transverse ligament</p> Signup and view all the answers

    Which muscle is involved in torticollis and may show discrepancies in size or tone when damaged?

    <p>Sternocleidomastoid (SCM)</p> Signup and view all the answers

    What type of movement does the trapezius muscle perform?

    <p>Elevate, retract, and depress shoulders</p> Signup and view all the answers

    What muscle originates from the upper cervical TVP's and inserts into the superior angle of the scapulae?

    <p>Levator scapulae</p> Signup and view all the answers

    What action is performed by the scalene muscles?

    <p>Shrug shoulders</p> Signup and view all the answers

    What is the range of flexion for the cervical spine?

    <p>$45-50$ degrees</p> Signup and view all the answers

    What movement can be achieved by bringing the chin to the chest?

    <p>$C0-C2$ gives nodding, $C2-C7$ gives flexion</p> Signup and view all the answers

    What is the primary observation related to cervical radiculopathy?

    <p>Head tilt away from the side of injury and stiff neck</p> Signup and view all the answers

    Which physical test is used for cervical radiculopathy that results in DECREASED radicular symptoms?

    <p>Cervical Distraction Test</p> Signup and view all the answers

    What is the most likely diagnosis when a patient presents with jaw or facial pain, limited jaw opening, and clicking or popping of TMJ?

    <p>Myofascial pain dysfunction</p> Signup and view all the answers

    Which disorder involves small calcified otolith moving around loose in the inner ear, leading to symptoms such as spinning sensation (vertigo) and nausea/vomiting?

    <p>Benign Paroxysmal Positional Vertigo (BPPV)</p> Signup and view all the answers

    What type of injury to the neck results from sudden acceleration or deceleration and can lead to symptoms like neck pain, soreness, stiffness, fatigue, and nausea?

    <p>Whiplash injury</p> Signup and view all the answers

    Which test is used to diagnose Benign Paroxysmal Positional Vertigo (BPPV) by observing nystagmus?

    <p>Dix-Hallpike Test</p> Signup and view all the answers

    Which type of whiplash involves lateral deformation from right to left?

    <p>Lateral (right to left)</p> Signup and view all the answers

    What is a common symptom associated with TMJ Syndrome?

    <p>Pain with mastication (chewing) and jaw locking/clicking</p> Signup and view all the answers

    Which condition is characterized by a problem in the inner ear resulting in symptoms like spinning sensation (vertigo) and nausea?

    <p>Labyrinthinitis</p> Signup and view all the answers

    What is the purpose of the Valsalva Test in cervical spine assessment?

    <p>To assess the integrity of the vertebral artery</p> Signup and view all the answers

    What is the primary indication of a positive result in the Chvostek’s Test during cervical spine assessment?

    <p>Facial muscle twitching indicating CN 7 injury or low blood calcium</p> Signup and view all the answers

    Which test is used to diagnose Benign Paroxysmal Positional Vertigo (BPPV) by observing nystagmus?

    <p>Maximal foraminal compression Test</p> Signup and view all the answers

    What is the main indication of a positive result in the Shoulder Depression Test during cervical spine assessment?

    <p>Increased pain to compressed or stretched side, suggesting specific pathology</p> Signup and view all the answers

    What does a positive response in the Brachial Stretch Tests/Upper Limb Tension Tests (ULTT) indicate when assessing cervical spine conditions?

    <p>Increased pain radiating to the arm indicating specific pathology</p> Signup and view all the answers

    What does the '360 Degrees around the joint' palpation in orthopedic assessment primarily aim to assess?

    <p>Tenderness, texture, and temperature</p> Signup and view all the answers

    In the context of orthopedic assessment, what is the purpose of the neurovascular screen?

    <p>To check for pulses, capillary refill, and temperature</p> Signup and view all the answers

    What is the main focus of the special tests phase in orthopedic assessment?

    <p>Assessing nerve referral pathways</p> Signup and view all the answers

    What do AROM, PROM, and RROM stand for in the context of motion assessment for orthopedic conditions?

    <p>Active Range of Movement, Passive Range of Movement, Resisted Range of Movement</p> Signup and view all the answers

    During the inspection phase of orthopedic assessment, what should be observed with regard to footwear?

    <p>Wear patterns on shoes and use of orthotics or braces</p> Signup and view all the answers

    In the ULTT - Median Nerve Dominant test, what is the purpose of abducting the shoulder to 90 degrees while maintaining shoulder depression?

    <p>To increase nerve root irritation</p> Signup and view all the answers

    In the ULTT - Radial Nerve Dominant test, what is the action performed by the examiner's right hand?

    <p>Flexes the patient's hand, wrist, thumb, and fingers</p> Signup and view all the answers

    What is the reason behind holding the patient's superior right shoulder against the table in the ULTT - Ulnar Nerve Dominant test?

    <p>To prevent elevation of the patient's shoulder</p> Signup and view all the answers

    During an OHIPMNRS assessment, what does a positive finding for ULTT - Median Nerve Dominant test indicate?

    <p>Irritation or compression of C6 and C7 nerve roots</p> Signup and view all the answers

    In the context of J.D's symptoms, which special test from today's practical session would be most relevant to perform?

    <p>Spurling's test</p> Signup and view all the answers

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