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Spinal Anatomy II Quizzy 2
Winter Trimester 2010 Quiz Questions unit 2 Palmer PCC
92
Anatomy
Graduate
11/30/2010

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Term
Ranges of coupled motion amont the typical cervical vertebrae will begin to decrease at what cervical vertebral couple?
Definition
the C5/C6 vertebral couple
Term
What muscle attaches to the anterior arch of C1?
Definition
The Longus Colli muscle
Term
What joint classifications are observed on the anterior arch of C1?
Definition
ampiarthrosis syndesmosis
diarthrosis trochoid
Term
What is the orientation of the superior articular facet of C1?
Definition
BUM
Backward, Upward, Medial
Term
What is the orientation of the inferior articular facet of C1?
Definition
BMD
Backward, Medial, Downward
Term
What muscles attach to the lateral mass of C1?
Definition
Levator Scapula
Splenius Cervicis
Rectus Capitis Anterior
Term
What is the distance from the posterior tubercle of the posterior arch to the skin in each gender?
Definition
Males: 50 mm
Females: 37 mm
Term
What attaches to the posterior tubercle of the posterior arch of C1?
Definition
Rectus Capitis Posterior Minor muscle
Ligamentum Nuchae
Term
Ossification of the anterior free margin of the posterior atlanto-occipital ligament forms what feature?
Definition
a partial or complete ponticulus posticus
Term
With reguard to ossification of the posterior atlanto-occipital ligament, what is the gender bias, bone classification, amount of ossification and general percent in the population?
Definition
Male: accessory bone, complete ponticulus posticus, 15%
Female: Accessory bone, partial ponticulus posticus, 26%
Term
What are the osseous parts of the transverse process of C1?
Definition
Costal element
Posterior tubercle
True Transverse process
Term
What muscles attach to the transverse process of C1?
Definition
Rectus capitis anterior
Rectus capitis lateralis
Middle scalene
levator scapula
spelius cerviciis
obliquus capitis superior
obliquus capitis inferior
intertransversarii
Term
What is the gender variation for measurements of the transverse diameter of C1?
Definition
Males: 78mm
Females: 72mm
Term
What is the distance from the posterior tubercle of the transverse process of C1 to the skin for each gender?
Definition
a little over 30 mm for both males and females
Term
What joint classifications are observed at C1?
Definition
aphiarthrosis syndesmosis
diarthrosis ellipsoidal
diarthrosis trochoid
diarthrosis arthrodia
Term
What is the name given to the odontoid process when the facet for the fovea dentis lies below the groove for the transverse atlantal ligament and the attachment sites for the apical-dental and alar ligament appear to be directed anterior
Definition
Kyphotic Dens
Term
What joint classifications are present at the vertebral body of C2?
Definition
ampiarthrosis syndesmosis
diarthrosis trochoid
modified diarthrosis sellsr
ampiarthrosis symphysis
Term
What attaches to the lamina of C2?
Definition
Obliquus capitis inferior muscle
posterior atlanto-axial ligament
ligamentum flavum
Term
What muscle attaches to the lamina of C2?
Definition
Obliquus capitis inferior
Term
What is the facet orientation of the superior articular facet of C2?
Definition
Backward, upward and lateral
(BUL)
Term
What muscle attaches to the articular process of C2?
Definition
Longissimus cervicis
Term
What is the gender variation for the transverse diameter of C2?
Definition
Males: 57 mmm
Females: 50 mm
Term
What muscles attach to the transverse process at C2?
Definition
Levator scapulae
middle scalene
splenius cervicis
longissimus cervicis
intertransversarii
Term
Whhat muscles attach to the spinous process of C2?
Definition
Rectus capitis posterior major
Obliquus capitis inferior
Spinalis cervicis
Semispinalis cervicis
multifidis
rotators
interspinalis
Term
What names may be given to C7?
Definition
Vertebra prominens
Vertebral Porminence
Term
What is the segment and gender bias for vertebrae other than C7 becoming the vertebral prominence?
Definition
C6 is more common in females
T1 is more common in males
Term
What features are typically present in the transverse foramen of C7?
Definition
Vertebral venous plexus
Postganglionic sympathetic motor fibers
Term
Which side artery is tested during the course of the vertebrobasilar artery insufficiency exam?
Definition
the ipsilateral artery on the side of rotation
Term
At what location will the vertebral artery form its first compensatory loop?
Definition
The Atlanto-Axial Interspace
Term
What is the purpose of the vertebral artery loops between C2, C1, and Occiput?
Definition
The increased length will accommodate greater rotation at these locations
Term
What happens to the vertebral artery as it enters the vertebral foramen of C1?
Definition
The adventitia of the artery blends with the dura mater and arachnoid mater; as a result the artery lies in the subarachnoid space
Term
What artery is formed by the union of the Right and Left Vertebral Arteries?
Definition
The Basilar Artery
Term
Which suboccipital muscles attach to C1?
Definition
rectus capitis posterior minor
obliquus capitis superior
obliquus capitis inferior
Term
What joint classifications are present at C2?
Definition
diarthrosis trochoid
diarthrosis arthrodia
diarthrosis modified sellar
amphiarthrosis syndesmosis
ampiarthrosis symphysis
Term
What forms the anterior boundary for the C2 nerve exit from the spinal canal?
Definition
Inferior articular process of C1, Superior articular process of C2,
Capsular Ligament
Term
What forms the posterior boundary for the C2 nerve exit from the spinal canal?
Definition
the posterior arch of C1
Lamina of C2
Posterior atlanto-axial ligament
Term
What forms the anterior boundary for the C3-C7 nerve exit from the spinal canal?
Definition
vertebral bodies
intervertebral disc
posterior longitudinal ligament
uncinate process
lateral groove
Term
What forms the anterior boundary for the C8 nerve exit from the spinal canal?
Definition
The vertebral bodies of C7 and T1
Intervertebral disc
PLL
Capsular ligament of the costocentral joint
Superior costal facet of T1
Articular surface of the first rib
Term
What features will allow discrimination between T2-T4 and T5-T8 segmental groups?
Definition
vertebral body
transverse process
articular process
spinous process
Term
What is the aortic impression?
Definition
the flattening of the superior and inferior epiphyseal rims on the left side of the vertebral body of T5-T8 which give the vertebral body a less scalloped or less indented appearance on that side
Term
What is the principal cause of the posterior curve of the thoracic spine?
Definition
the vertebral body height differences
Term
What joint classifications are identified at the vertebral body of a typical thoracic?
Definition
amphiarthrosis syndesmosis
amphiarthrosis symphysis
diarthrosis arthrodia
Term
How many joints are formed at the vertebral body of the typical thoracic?
Definition
Typically ten
Fourteen if the rib ligaments are included
Term
What ligaments support the costocentral joint?
Definition
radiate costocentral/stellate costocentral ligament
Interarticular/intra-articular ligament
Term
What is the distance between the transverse tubercles in the typical thoracic region?
Definition
below T2 each transverse diameter becomes shorter as the transvese processes angle more posteriorly
Term
What ligaments attach to the transverse process of a typical thoracic?
Definition
intertransverse
capsular costotransverse
superior costotransverse
inferior costotransverse
lateral costotransverse
Term
Which muscles may attach to the transverse process of a typical thoracic?
Definition
Longissimus thoracic
Longissimus cervicic
Longissimus capitis
semispinalis thoracis
semispinalis cervicis
semispinalis capitis
multifidis
rotator longus
rotator brevis
intertransversarii
levator costarum longus
levator costarum brevis
Term
Which of the muscles attaching to the transverse process of typical thoracics are examples of the transversospinalis muscle group?
Definition
Semispinalis
Multifidis
Rotators
Term
What is the angulation of the spinous process in the typical thoracic region?
Definition
The undersurface of T2-T4 spinous processes will angle up to forty degrees from the horizontal plane
The undersurface of T5-T8 spinous processes will angle up to sixty degrees from the horizontal plane
Term
Which muscles may attach to the spinous process of a typical thoracic?
Definition
Trapezius, latissimus dorsi, rhomboid major, serratus posterior superior, splenius cervicis, spenius capitis, spinalis thoracis, spinalis cervicis, spinalis capitis, semispinalis thoracis, multifidis, rotator longus, rotator brevis, interspinalis
Term
What muscles are associated with the five layers of the true back?
Definition
layer one consists of the trapezius and latissimus dorsi
Layer two consists of the rhomboids and levator scapulae
Layer three consists of the serratus posterior
Layer four consists of the erector spinae
Layer five consists of the transversospinalis
Term
What gender bias is associated with T1 as the vertebral prominence?
Definition
Males (9%) are more likely than females (6%) to demonstrate T1 as the vertebral prominence
Term
What muscles attach to the spinous process of T1?
Definition
The Trapezius, rhomboid minor, serratus posterior superior, splenius capitis, splenius thoracis, spinalis cervicis, spinalis capitis, semispinalis thoracis, multifidis, rotator longus, rotator brevis, interspinalis
Term
Which muscles attach to the spinous process of T9?
Definition
Longissimus thoracis, semispinalis thoracis, multifidis, rotator longus, rotator brevis, intertransversarii, levator costarum longus and levator costarum brevis
Term
Para articular processes are more commonly observed on which segment?
Definition
T10
Term
What name is given to T11
Definition
The Anticlinal vertebrae
Term
What is the outline of the vertebral body of T11 on superior view?
Definition
Kidney shaped or reniform
Term
The superior costotransverse ligament of the T11 transverse process will attach to which rib?
Definition
the twelfth rib
Term
What muscles attach to the spinous process of T11
Definition
trapezius, latissimus dorsi, serratus posterior inferior, iliocostalis lumborum, spinalis thoracis, multifidis, rotator longus, rotator brevis, interspinalis
Term
What joint classifications are identified at the vertebral body of T12?
Definition
amphiarthrosis syndesmosis
amphiarthrosis symphysis
diarthrosis arthrodia
Term
Which ligament of the costocentral joint is absent for the twelfth rib?
Definition
the interarticular AKA intra-articular ligament
Term
Which muscle(s) is attached to the vertebral body of T12?
Definition
Psoas major
Psoas minor
Term
What ligaments form the costotransverse joint of the twelfth rib?
Definition
the superior costotransverse ligament from T11 and the lumbocostal ligament from L1
Term
What muscles attach to the transverse process region of T12?
Definition
longissimus thoracis
semispinalis thoracis
multifidis
rotator longus
rotator brevis
intertransversarii
Term
What orientation of the inferior articular facets of T12?
Definition
Forward, Downward, Lateral (FoLD)
Term
What muscles attach to the spinous process of T12?
Definition
Trapezius
Latissimus dorsi
serratus posterior inferior
iliocostalis lumborum
spinalis thoracis
multifidis
rotator longus
rotator brevis
interspinalis
Term
What joint classifications are present at T12?
Definition
amphiarthrosis syndesmosis
amphiarthrosis symphysis
diarthrosis arthrodia
Term
Which muscles attach to the vertebral body of thoracic vertebrae?
Definition
longus colli
Psoas major
Psoas minor
Term
Which Thoracic segment is last to demonstrate the attachment of the levator costorum brevis?
Definition
T11
Term
WHat is the name given to ligaments which attach vertebral body to articular process?
Definition
transforaminal ligaments
Term
What is the name given to ligaments which attach the dura mater to the vertebral body or pedicle?
Definition
Hoffman ligaments
Term
What osseous conditions of lumbar vertebrae facilitate a spinal tap in this region?
Definition
Overlap of the laminae (shingling) diminishes
Overlap of spinous processes (imbrication) diminishes
Term
Congenital elongation of the lumbar accessory process results in what feature?
Definition
Styloid process
Term
What ligament will attach to the lumbar accessory process?
Definition
mammillo-accessory ligament
Term
What names are given to the condition in which the right zygapophysis of a vertebral couple lies in a plane or position different from the left zygapophysis?
Definition
joint Asymetry AKA
Joint Tropism
Term
What is the name(s) of the condition in which the typical lumbar spinous process increases in length due to the aging process?
Definition
Baastrup's syndrome or
"kissing spines"
Term
What characterisic of the L1-L4 pedicle may be used to differentiate it from the L5 segment? Be specific and complete as the difference(s) on a segment from each group
Definition
On cranial view, the lateral surface of the pedicle is apparent on a L1-L4 segment.
At L5 the transverse process originates from the vertebral body, pedicle, and lamina-pedicle region
Term
What was believed to be entrapped by the mamillo-accessory ligament?
Definition
the medial branch of the dorsal ramus of a lumbar spinal nerve
Term
What muscles will attach to the mammillary process?
Definition
multifidis
intertransversarii
Term
What is the name given to the congenital condition in which the fifth lumbar spinous process is elongated, the sacrum exhibits spina bifida, and dorsiflexion produces pain?
Definition
Knife Clasp Syndrome
Term
Lumbar spondylolysis has not been reported in what groups of individuals?
Definition
fetuses, newborns, rarely in children under five years old, patients who have never walked and in non-erect species
Term
What is the appearance of a spondylolysis in a lumbar vertebra upon oblique x-ray view?
Definition
a collared scotty dog
Term
What characteristics are associated with cervical spondylolysis?
Definition
rare, congenital, gender biased toward men, most common at C6 and linked to spondylolisthesis and spina bifida
Term
What characteristics are associated with sacral spondylolysis?
Definition
Rare in the general population, within typical percents in the native alaskan (Inuit) population, seems to be acquired, gender biased toward men, most common at S1 and linked to activities such as kayaking and harpooning
Term
What are the types/classifications of spondylolisthesis?
Definition
Type I spondylolisthesis (dysplastic spondylolisthesis, congenital spondylolisthesis)
Type II spondylolisthesis (Isthmic spondylolisthesis)
Type III spondylolisthesis (degenerative spondylolisthesis)
Type IV spondylolisthesis (traumatic spondylolisthesis)
Type V spondylolisthesis (pathologic spondylolisthesis)
Term
What gender bias, locational bias, and spinal canal dimensions are associated with type II spondylolisthesis?
Definition
Isthmic spondylolisthesis is common in men, located at the L5/S1 level and demonstrates an increase in sagittal diameter of the spinal canal
Term
What is the gender bias, locational bias, and spinal canal dimension changes often associated with type III spondylolisthesis?
Definition
degenerative spondylolisthesis is more common in women, particularly at L4/L5, and demonstrates no change in sagital diameter of the spinal canal
Term
What features may be identified along the intermediate sacral crest?
Definition
the mammillary process of S1 and the sacral cornu of S5
Term
What forms the lateral sacral crest?
Definition
the fused transverse processes and transverse tubercle from S1 to S5
Term
What is the name of the joint formed by the sacral tuberosity?
Definition
The accessory sacro-iliac joint
Term
What muscle is said to attach to the dorsal surface of sacrum?
Definition
iliacus
Term
How many synovial joints are typically present at sacrum?
Definition
Four
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