Upper Cervical Exam 1

Upper Cervical Exam 1 Anterior tubercle of Atlas goes _____ majority of the time - ✔✔superior Normal angle for the pitch of the atlas is - ✔✔4 degrees What view gives laterality and what angle is it taken at - ✔✔Nasiu ...

Upper Cervical Exam 1 Anterior tubercle of Atlas goes _____ majority of the time - ✔✔superior Normal angle for the pitch of the atlas is - ✔✔4 degrees What view gives laterality and what angle is it taken at - ✔✔Nasium, 15 degrees Nasium view gives you the ____ of the atlas - ✔✔laterality The 2nd component of the listing, "ASRP" represents - ✔✔pitch of atlas, from LCN The 4th component of the listing, ASRP comes from the ___ view - ✔✔vertex Nasium view gives you the ____ component of the listing, and the ____ of the atlas - ✔✔3rd, laterality The first line drawn on the Nasium view is the ____ - ✔✔OOL The OOL is the beginning line for the - ✔✔SBL The OOL shows the ____ of the _____ - ✔✔attitude of the occiput Reference points for the IBL are at the _________ of the lateral masses of C1 - ✔✔Inferior lateral aspect The _____ line can measure underdeveloped occipital condyles - ✔✔SBL The side of convergence of which two lines is the side of laterality 70% of the time - ✔✔SBL IBL What line confirms the side of laterality - ✔✔VML The VML is used to find - ✔✔center of neural arc To measure atlas laterality, you measure the distances between - ✔✔VML and lateral inferior tip of C1 What view determines superior/inferior C1 - ✔✔LCN - ✔✔ Which two lines are parallel in Nasium view - ✔✔SBL, OOL Which two lines are parallel in LCN view - ✔✔APLSL, Listing line LCN view gives you ____ of atlas - ✔✔pitch What zygomatic landmark is used - ✔✔Most narrow portion, go equidistant and parallel to zygomatic arch mark reference points, draw vertical lines through points perpendicular to zyg arch. Mark MIDPOINT of BOTH LINES and connect APLSL stands for what - ✔✔A-P longitudinal skull line What line gives you the attitude of the atlas - ✔✔APL, atlas plane line What line is parallel to the APLSL - ✔✔Listing line Measure degrees between what two lines to give you the 2nd component of a listing - ✔✔LL and APL the LCN view will give the ____component of the listing - ✔✔second PSL (perpendicular skull line) is used on which view - ✔✔base posterior Another name for a base posterior view is - ✔✔vertex view Which two reference points demonstrate the attitude of the skull on the base posterior view - ✔✔two like points of ocular orbit The center of the skull will be marked on the _____ process on which view - ✔✔basilar, base posterior Base posterior view gives the ___ component - ✔✔4th What do you use to determine the major subluxation - ✔✔palpation, xray (apom) SBL of the APOM view is marked at the level of the______ - ✔✔inferior tips of jugular process C2 major, Constant, adjust - ✔✔C2 C2 major, Variable, adjust - ✔✔C1 The primary purpose of the APOM view is - ✔✔to determine if C2 is subluxated Part 1 of the interpretation comes from the ____ with respect to the _____ - ✔✔spinous, dens Part 2 of the interpretation, you only use the ____ - ✔✔dens If the C2 spinous and the entire segment has gone to the same side, this is a ____ listing - ✔✔compound T or F The SBL on the APOM is parallel to the OOL - ✔✔FALSE, only true on nasium view What is the secondary purpose of the APOM - ✔✔assume atlas laterality The vertical line on the Vertex view is called - ✔✔PSL What line is the genesis of the Listing line - ✔✔APLSL The majority of the time, the _____ will be the major subluxation - ✔✔atlas The major subluxation is - ✔✔the most misaligned vertebrae If you can't tell which is the major subluxation, assume it is the - ✔✔atlas C2 subluxates in which two directions first - ✔✔post, inf. When the body pivot and entire segment subluxation are to the same side, we have a _____ listing - ✔✔Compound When the body pivot and entire segment subluxation are to opposite sides side, we have a _____ listing - ✔✔combination To measure the amount of C2 rotational subluxation, you must use what two distances - ✔✔Subtract distance from center of dens to vml from C2 spinous to vml if they are on the same side. If opposite, add the distance from base of dens to vml and C2 spinous to vml You can adjust a _____ but not a ______at C2 - ✔✔Constant, variable When do you have a possibility of a two part toggle? - ✔✔Combination listing What two LOD will a C2 adjustment always have - ✔✔I-S, P-A How many degrees of pivot do you use to set up on an axis - ✔✔80 To rotate C2, your SCP would be - ✔✔inf. lat. tip of C2 spinous To shift an ESL or ESR, your SCP is - ✔✔Lamina-pedicle junction of C2 Where is your superior leg for an axis (not alternate) adjustment - ✔✔6 inches below the top of the body cushion Where is your ESN for an axis (not alternate) adjustment - ✔✔3 inches down on the posterior rim of the table When do we NOT have to worry about constants and variables - ✔✔When the ESR or ESL is the major subluxation How much farther up the table do we need to move the patient when adjusting C2 compared to when adjusting C1 - ✔✔1/4 inch List three reasons for an alternate atlas adjustment - ✔✔elongated mastoids, Small TVPs, Drs hands are too large What is the alternate SCP for an atlas adjustment - ✔✔post arch of atlas, 1/4 to 1/2 inch posterior to C1 TVP How many possible axis listing are there - ✔✔9 When you have a ____ listing, the major will correct the minor - ✔✔compound What is standard protocol after adjusting a patient - ✔✔let them rest ten to fifteen minutes How many readings must you get in a 24 hr period to attain a patients established pattern - ✔✔3 What set up is preferred when adjusting C2 - ✔✔alternate, behind the patient When is the ONLY time you are behind the patient while adjusting - ✔✔alternate C2 What contact point do you use for an alternate C2 adjustment - ✔✔Inf hand knife edge Where is the Drs ESN for ALL C2 adjustments - ✔✔3 inches down on the posterior rim of table When is there no torque when adjusting C2 - ✔✔alternate set up What is the line of drive for an alternate ESR - ✔✔I-S, P-A, R-L, NO TORQUE, (must write "no torque" to receive credit)