Imaging Of The Spine (Msq Drill 154)

1. 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

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

Yes

No

3. 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.

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

Yes

No

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

Yes

No

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

Locked facet

Jumped facet

Uneven facet

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

True

False

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

True

False

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

Hyperextension

Axial compression

Hyperflexion

10. 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.

11.

Extension teardrop fracture

Hangman's fracture

Burst fracture

12.

Cervical normal open mouth - atlas view

Cervical open mouth - dens view

Cervical open mouth - OA view

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

Jefferson burst

Hangman burst

14.

Cervical lateral view

Cervical oblique view

15. A burst fracture is a ____________ fracture.

Hyperflexion

Hyperextension

Axial loading

Lateral flexion

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

Herniated discs

Vertebral body osteophytes

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

At the apex of the dens

At the base of the dens

18. 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

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

Acute injury

Chronic traumatic injury

Degenerative disease

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

Medially

Laterally

21. 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

22. 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.

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

Base

Apex

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

Inwards

Outwards

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

Scoliosis

Scheuerman's disease or kyphosis

Rheumatoid arthritis

26. Is a limbus vertebra usually symptom causing?

Yes

No

27. 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.

28. This is an example of a ____________ fracture.

Hyperextension

Hypeflexion

Complex

Compression

29. 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

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

True

False

31. What does spondylolisthesis imply?

Slipped vertebral bodies

Degenerated vertebral bodies

Misaligned vertebral bodies or a body is moved forward.

32. What fracture occurs in the pedicle of C2?

Jefferson

Hangman's

Clay shoveler's fracture

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

Hyperextension

Hyperflexion

Axial compression

Lateral flexion

Complex

flexion teardrop injury

Explanation

flexion teardrop injury

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

Facet

Process

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

Widened facet

Locked facet

Missed facet

36. An odontoid fracture is a ___________ injury.

Hyperflexion

Hyperextension

Lateral flexion

Complex

37.

AP cervical

PA cervical

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

Hyperflexion

Hyperextension

Lateral flexion

Complex

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

Hyperflexion

Lateral flexion

Axial compression

Complex

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

Isthmus

Pedicle

Pars reticularis

Uncinate process

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

Spinous processes

Uncinate processes

Transverse foramina

Facets

42. Is this a CT or MRI?

CT

MRI

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

Lateral flexion

Hyperflexion

Hyperextension

Axial compression

Complex

45. 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

46. As aging occurs facets are enlarged or shortened?

Enlarged

Shortened

facet arthropathy.

Explanation

facet arthropathy.

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

2.

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

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

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

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

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

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

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

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

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

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

11.

12.

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

14.

15. A burst fracture is a ____________ fracture.

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

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

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

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

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

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

22. 80-90% cervical injuries are diagnosed in what view?

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

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

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

26. Is a limbus vertebra usually symptom causing?

27. Is a limbus vertebra a fracture?

28. This is an example of a ____________ fracture.

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

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

31. What does spondylolisthesis imply?

32. What fracture occurs in the pedicle of C2?

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

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

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

36. An odontoid fracture is a ___________ injury.

37.

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

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

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

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

42. Is this a CT or MRI?

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

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

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

46. As aging occurs facets are enlarged or shortened?

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?