C-SPINE

Anatomy

100

What is the name of C1

Atlas

200

How many vertebrae are in the C-Spine

7

300

What ligament begins at C2 superiorly and ends at S1 inferio

Ligamentum Flavum

400

What nerve roots form the brachial plexus?

C5-C8 and T1 nerve roots.

(according to the book C4, T2 or both also may contribute)

500

What are the 5 segmental areas of the brachial plexus?

HINT* Roots is one of the 5

1. Roots

2. Trunks

3. Divisions

4. Cords

5. Branches

My Neumonic "Round Trunks Dont Collapse or Brake"

Getting On My Nerves

100

Which nerves keep the diaphragm alive?

C3 C4 C5

200

What is the name of the area where a "burner" or "stinger" occurs? 

HINT* represents the most superficial passage of the brachial plexus

Erbs point

300

The majority of cervical disc herniations involve what nerve roots?

C6 or C7

400

What nerve root is being tested when you resist a shoulder shrug.

C4

500

What do you do if you want to test C7 for sensory?

Middle finger 

Special Tests

100

This test is used to find if there is an occlusion(blockage) of the cervical vertebral arteries. 

HINT* A positive sign would be Nystagmus in the eyes.

Vertebral Artery Test 

200

You would perform this test if you suspected hyperirritability of the peripheral nerve due to adaptive shortening, entrapment, or impingement.

HINT* You hold each position for 6 sec after the addition of each sequential position.

Upper Limb Tension Test (ULTT)

300

This test is positive when the big toe is extended and the rest of the toes splay out. 

HINT* this is done on the bottom of the foot.

Babinski Test

400

What is the name of the test where the AT moves the patient's head into extension then into lateral flexion and adds axial compression to the cervical spine?

Spurling test

500

This test, IF POSITIVE implies that there is either a compression of the cervical facet joint and or stenosis of the neural foramina.

Cervical Distraction Test

Injuries/Medical Conditions

100

This injury is common with rapid extension followed by flexion. Most common in high-contact sports like Hockey, football, basketball, and soccer.

Whiplash (sprain/strain)

200

This condition occurs when the spinal canal narrows.

Cervical Spinal Stenosis

300

This condition happens when there is a fracture on both sides of the vertebrae at the pars.

HINT* "Scotty Dog Fx"

Spondylolisthesis

400

This is a burst fracture that only occurs at C1 (Atlas only)

Jefferson Fracture

500

This injury is when compression or irritation of the associated nerve root or roots.

HINT* Brachial Traction Test (+)

Cervical Nerve Root Compression

RANDOM DANCING

100

This condition happens when the brachial plexus is stretched or compressed, causing paresthesia along the distribution of the involved nerve(s). 

Brachial Plexus Neurapraxia

200

What nerve root is being tested when testing the Triceps reflex.

C7

300

Where do you test C5 Reflex?

Biceps Brachii

400

What is the name of the following cranial nerve being tested:

Test: 

Identify touch to face and mastication: mouth open and resist.

Trigeminal (V)

500

The Glossopharyngeal nerve tests what?

Swallow and taste