Cervical Spine (Msq Drill 173)

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  • 1/51 Questions

    Although there are 7 vertebrae in the cervical spine, there are 8 nerves. True or false?

    • True
    • False
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  • 2. 

    Most metastatic tumors are from breast, lung and prostate cancers. True or false?

    • True

    • False

    Correct Answer
    A. True
  • 3. 

    Injury between C4 and C5 vertebrae affects which nerve?

    • C4

    • C5

    Correct Answer
    A. C5
  • 4. 

    What cervical vertebrae is involved in a hangman's fracture?

    • C2

    • C3

    • C4

    • C5

    Correct Answer
    A. C2
  • 5. 

    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?

    • C4

    • C5

    • C6

    • C7

    • C8

    Correct Answer
    A. C5
  • 6. 

    So, the neurological level is the last cord level that is functioning. True or false?

    • True

    • False

    Correct Answer
    A. True
  • 7. 

    Can we cure arthritis?

    • Yes

    • No

    Correct Answer
    A. No
  • 8. 

    Almost 70% of patients presenting to primary care physicians will have a musculoskeletal disease. True or false?

    • True

    • False

    Correct Answer
    A. True
  • 9. 

    How many vertebrae are there in the cervical spine?

    • 5

    • 6

    • 7

    • 8

    Correct Answer
    A. 7
  • 10. 

    Can you have develop permanemt tetraplegia from a hematoma?

    • Yes

    • No

    Correct Answer
    A. Yes
  • 11. 

    If there is slippage of one vertebrae over another which ligament usually puts pressure on the cord?

    • Posterior longitudinal ligament

    • Anterior longitudinal ligament

    Correct Answer
    A. Posterior longitudinal ligament
  • 12. 

    To test C6 what muscle will you target?

    • Pronator teres

    • Corcobrachialis

    • Flexor carpi radialis

    • Brachialis

    • Brachioradialis

    Correct Answer
    A. Brachioradialis
  • 13. 

    What part of the isthmus tend to fracture the most?

    • Pars

    • Lamina

    • Inferior facet

    Correct Answer
    A. Pars
  • 14. 

    Can a patient that has a C3, C4 fracture dislocation survive?

    • No, this is 100% fatal

    • Yes, with very very aggressive treatment

    Correct Answer
    A. Yes, with very very aggressive treatment
  • 15. 

    What has a better recovery, a bulging disc or a herniated disc?

    • Bulging disc

    • Herniated disc

    Correct Answer
    A. Bulging disc
  • 16. 

    Do you have to surgically repair a Jefferson fracture?

    • No, treat with plastic cervical orthotics or a Halo

    • Yes, it is a medical emergency, surgery should be done right away

    Correct Answer
    A. No, treat with plastic cervical orthotics or a Halo
  • 17. 

    Damage between any 2 vertebrae affects:

    • The higher nerve

    • The lower nerve

    • Both the higher and th lower nerve

    Correct Answer
    A. The lower nerve
  • 18. 

    You would target testing to the triceps if you wanted to assess which nerve?

    • C4

    • C6

    • C7

    • C8

    Correct Answer
    A. C7
  • 19. 

    Most common cervical fracture dislocation ocur between what two levels?

    • C1-C2

    • C2-C3

    • C3-C4

    • C4-C5

    • C5-C6

    Correct Answer
    A. C5-C6
  • 20. 

    Does a large canal increases or decrease disc related symptoms?

    • Increases

    • Decreases

    Correct Answer
    A. Decreases
  • 21. 

    Your patient is complaining of cervical pain. You decide to test C5. Which of the following muscle would you target?

    • Deltoid

    • Biceps

    • Brachioradialis

    • Triceps

    Correct Answer
    A. Biceps
  • 22. 

    Most traumatic cases involve:

    • Younger patients

    • Older patients

    Correct Answer
    A. Younger patients
  • 23. 

    Where does C1 emerge from?

    • AA

    • OA

    • C2-C3

    Correct Answer
    A. OA
  • 24. 

    Does the cord have to be severed for tetraplegia to occur?

    • Yes

    • No

    Correct Answer
    A. No
  • 25. 

    Another patient who also suffered a cord lesion is able to self ambulate but with a foot orthosis. What is his functional level?

    • C6

    • T6

    • L1

    • L2

    • L3

    Correct Answer
    A. L3
  • 26. 

    What part of the vertebrae gives stability to the vertabre but can also cause nerve swelling if it develops spurs?

    • Lamina

    • Facet

    • Uncinate process

    • Spinous process

    • Transverse formaina

    Correct Answer
    A. Uncinate process
  • 27. 

    How would you treat an inflammed nerve that is due to an uncinate process spur?

    • Remove the spur

    • Antinflammatory medicatoin and PT

    Correct Answer
    A. Antinflammatory medicatoin and PT
  • 28. 

    What is weak in patients with rheumatoid arthiris, ligaments, bones or both?

    • Ligaments

    • Bones

    • Both ligaments and bones

    Correct Answer
    A. Both ligaments and bones
  • 29. 

    A C1 burst fracture is known as a :

    • Uncinate fracture

    • Klumpke fracture

    • Jefferson fracture

    • Luxatio erecta

    • Hangman's fracture

    Correct Answer
    A. Jefferson fracture
    Explanation
    Hangman's fracture is C2.

    Rate this question:

  • 30. 

    Which cervical lesion is more common, a tetraplegia or paraplegia?

    • Tetraplegia

    • Paraplegia

    Correct Answer
    A. Tetraplegia
  • 31. 

    What study would you order in order to ascertain nerve damage?

    • CT

    • MRI

    • EMG

    • Xray

    Correct Answer
    A. EMG
  • 32. 

    A patient has nerve damage, what do you order first.

    • X-ray

    • EMG

    • MRI

    • CT

    Correct Answer
    A. X-ray
    Explanation
    to see the bones.

    Rate this question:

  • 33. 

    What is the most common symptom after a disc midline herniation?

    • Pain down the arm

    • Medial scapula pain - "pain that runs down between my shoulder blades."

    • Pain sometimes to the leg

    Correct Answer
    A. Medial scapula pain - "pain that runs down between my shoulder blades."
  • 34. 

    Is a Jefferson fracture (C1 burst fx) stable or unstable?

    • Stable

    • Unstable

    Correct Answer
    A. Unstable
    Explanation
    If you have survived the initial fx, then it is stable.

    Rate this question:

  • 35. 

    Most cervical partial subluxations involve 1 facet or 2 facets?

    • 1 facet

    • 2 facets

    Correct Answer
    A. 2 facets
  • 36. 

    Most common cervical compression fractures that can lead to tetraplegia occur at what cervical level?

    • C2

    • C3

    • C4

    • C5

    • C6

    Correct Answer
    A. C5
  • 37. 

    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?

    • C2

    • C3

    • C4

    • C5

    • C6

    Correct Answer
    A. C4
  • 38. 

    Another patient is wheelchair bound but is able to self propel. He has use of his finger extensors. What is his functional level?

    • C3

    • C5

    • C6

    • C7

    • C8

    Correct Answer
    A. C7
  • 39. 

    Which cervical cord leads to a tenting of the cord?

    • Fracture dislocation

    • Hematoma

    Correct Answer
    A. Fracture dislocation
  • 40. 

    What is the most common cervical cord lesion?

    • Fracture

    • Fracture/dislocation

    • Hematoma

    Correct Answer
    A. Hematoma
  • 41. 

    Patients with down's syndrome have an unstable:

    • OA joint

    • AA joint

    • C3-C4 joint

    • C7-T1 joint

    • L2-L3

    Correct Answer
    A. OA joint
  • 42. 

    Are most tumors affecting the cervical spine benign or malignant?

    • Benign

    • Malignant

    Correct Answer
    A. Malignant
  • 43. 

    Which of the following is an uncommon cause of cervical cord lesions?

    • Fracture

    • Fracture/dislocation

    • Hematoma

    Correct Answer
    A. Fracture
  • 44. 

    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?

    • Herniated disc

    • Bulging disc

    Correct Answer
    A. Bulging disc
  • 45. 

    Which of the following are treatment modlities for cervical arthitis?

    • Anti-inflammatory medications

    • Traction

    • Antispasmodics

    • Symptomatic treatment

    Correct Answer(s)
    A. Anti-inflammatory medications
    A. Traction
    A. Antispasmodics
    A. Symptomatic treatment
  • 46. 

    You suspect a benign osteoid osteoma in the cervical region. What test do you order?

    • CT

    • MRI

    • X-ray

    • Bone scan

    Correct Answer
    A. CT
    Explanation
    A big white area on x-ray.

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  • 47. 

    In which of the following situations should you NEVER do OMM?

    • Ankylosing spondylitis

    • Rheumatoid arthritis

    • Tumors

    • Down's syndrome

    • Acondroplasia

    Correct Answer(s)
    A. Rheumatoid arthritis
    A. Tumors
    A. Down's syndrome
  • 48. 

    If this cervical nerve is damaged, the patient will NOT be able to breathe.

    • C1

    • C2

    • C3

    • C4

    • C5

    Correct Answer
    A. C2
  • 49. 

    Is the cord usually severed in a cervical cord fracture?

    • Yes

    • No

    Correct Answer
    A. Yes

Quiz Review Timeline (Updated): +

Our quizzes are rigorously reviewed, monitored and continuously updated by our expert board to maintain accuracy, relevance, and timeliness.

  • Current Version
  • Feb 16, 2019
    Quiz Edited by
    ProProfs Editorial Team
  • Apr 27, 2010
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