The Neck Included in this printout are four documents: Cover Page (this page), Exam, Answer Sheet, & Course Evaluation.

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1 The Benjamin Institute of Advanced Studies 175 Richdale Avenue, Suite 106 Cambridge, MA Phone (617) Fax (617) The Neck Included in this printout are four documents: Cover Page (this page), Exam, Answer Sheet, & Course Evaluation. Step 1: Study the course materials provided. Then take the exam, reviewing the DVD program as needed. Mark your answers on the Answer Sheet and write your name on that sheet. Step 2: Complete the Candidate Information on this page (including your license information) and the Course Evaluation. Step 3: Return this page, the Answer Sheet, and the Course Evaluation either by regular mail or by fax, as listed below. Or, if you prefer, you can type your answers in an or Word document and them to We recommend you keep a copy of your answer sheet just in case. The Benjamin Institute of Advanced Studies 175 Richdale Ave., Suite 106 Cambridge, MA FAX: admin@benbenjamin.com Candidate Information Name: License # Address: Phone: When you have passed the exam, you will receive a certificate of successful completion to be used for your CEUs or Contact Hours.

2 Neck Video CE Examination The Neck 1. (True or False) Whiplash is not a specific injury, but rather a forward to back violent motion that can cause ligament tears and sprains in the neck ligaments as well as other structures. 2. (True or False) The ligamentum nuchae is superficial to the supraspinous ligaments at the cervical level. 3. (True or False) Neck ligament injuries usually cause specific muscle weakness in the arm, corresponding to the nerve level of the injured ligament. 4. Friction therapy is performed at what angle to the injured fibers? a. 180º b. 90º c. 45º d. none of the above 5. The interspinous ligaments are continuous from one vertebra to the next. 6. Which ligament causes pain down the front of the chest and also down the medial border of the scapula? a. C7 supraspinous b. C5 supraspinous c. The intertransverse TP7 ligament d. C3 intertransverse ligament e. All of the above 7. Which is the most common level that the nuchal ligaments in the neck are sprained? a. C4 b. C5 c. C7 d. C2 and C3 8. To create pressure for friction therapy, you must press the structure against the bone. True or False? 9. When a person s head is fixed in rotation to the right and cannot be held straight this condition is referred to as. 10. Hyper (greatly increased) reflexes are a sign of. 11. If you perform the passive neck rotation tests with the head tilted in slight extension, you are putting more stress on the ligaments of: a. C1-C3 b. C4 c. C5-C7 d. All of the above

3 12. How many cervical nerves are there? a. 7 b. 8 c. 6 d If resisted extension of the elbow is weak what would you suspect is the cause? a. A ligament injury b. A radiculopathy c. C7 nerve root compression d. A problem with the elbow 14. To what part of the vertebrae are the scalene muscles attached? a. The facet joints b. The transverse processes c. The spinous processes d. The vertebral bodies 15. What cervical joint allows the most rotation? a. C1 and C2 b. C3 and C4 c. C5 d. C7 16. The nerve root is: a. The junction of the spinal cord and the exiting nerve b. Any portion of the nerve after it exits the cord that is not covered by the dural sleeve c. The first half inch or so of the nerve as it branches off the cord d. The portion of the exiting nerve covered by the dural sleeve e. c and d 17. History The client is 23 years-old and was formerly very athletic. He used to row every day in high school and college, but two years ago he couldn t row consistently. A few months later, his neck began to hurt all the time when he rowed. Six months later his neck way painful when he was studying. Now the pain is very intense when he does any physical work and it s hard for him to sleep at night because of the pain. The pain is very sharp at times, but most of the time, it s a dull, constant ache. Whenever he does anything physical it s much worse for several days. On assessment the following is found. Passive rotation of the neck to the right is limited by 35 degrees and very painful in the neck and medial scapula area on the right. Passive side flexion to the left is painful in the neck and right scapula area in the same place. Passive flexion is painful in the neck and scapula area on the right side. Passive extension is limited by 70 degrees and is painful in the neck and scapula area on the right. Resisted lateral rotation, medial rotation and abduction of the right shoulder are weak. There are 4-5 ankle beats during the clonis test of the ankle on both feet. Palpation of supraspinous ligaments at C5 and C6 are painful.

4 What structures are likely to be injured? a. Spinal cord pressure b. Cancer or some other serious medical condition c. Spinal cord pressure, a C5 disc protrusion and ligament sprains at C5 and C6 d. A C5 disc protrusion e. Ligament sprains at C5 and C6 18. History A 45 year old an engineer was in a car accident and suffered a whiplash type injury 10 years ago. He has pain in his neck most of the time, but the pain isn t the worst part. He says over the last six months his right arm doesn t feel right and wonders if you could give him some exercises that could build him up to his normal strength. Occasionally he will have some pain down his arm, but not very often. The following are the results of the assessment tests. Passive rotation of the neck to the right is painful in the right side of the neck and limited by 45 degrees. Passive neck rotation to the left is painful on the right side of the neck but not limited. Passive extension is limited by 10 degrees and is painful at the back of the neck. Resisted extension on the right elbow is extremely weak. Resisted flexion of the right wrist is weak. Resisted radial deviation of the right wrist is also weak. Palpations of the supraspinous ligaments at C4 through C7 are painful. What structures are likely to be injured? a. Multiple ligament sprains at C4 through C7 b. C6 disc protrusion with multiple ligament sprains c. A C5 disc protrusion d. C7 disc protrusion with multiple ligament sprains at C4 through C7 19.History A 27 year-old woman with a two and a half year old child comes to see you for a headache problem. For the past 2 years she has had a headache that has been almost constant. It hurts at the back of her head and neck but especially behind her left eye and at the left cervical and occipital region. She goes to sleep in some pain most nights and wakes up in worse pain most mornings. Sometimes the days activities will distract her from the pain. At times it will not be painful for a couple of days. The headaches began when she was pregnant. She has had periods of pain every day and has had weeks when she didn t have pain in her head at all, only pain in her neck on the left side. She has been to several doctors who had given her headache medications that did not to help. Her neck feels stiff a lot of the time. She reports that the back of her head, eye and temple areas oftentimes feel sore to the touch. The following are the results of the assessment tests. Passive rotation to the right is painful in the upper part of the neck right over the spine. Passive rotation to the left is painful in the same place but less so. Passive extension of the neck is painful in the neck and the occipital muscles are painful when palpated. Palpation of supraspinous ligaments at C2 and C3 are very painful as well at just below the occipital protuberance.

5 Palpation of intertransverse ligaments at C2, C3, and C4 are painful on the left. What is the problem and/or what structures are likely to be injured? a. Spinal cord pressure b. Ligament sprains at supraspinous C2 and C3 causing headache like symptoms c. A C5 disc protrusion and ligament sprains d. Ligament sprains at C2 through C4 causing neck pain e. b and d 20. History This client s neck became painful when he woke up and found that he couldn t turn his head to the right without a great deal of pain. This happened once or twice a few years ago and lasted for a week or so. The following are the results of the assessment tests. Passive rotation to the right is limited by 80 degrees and very painful at the right side of the neck. Passive side flexion to the right is very painful on the right and limited by 70 degrees. Extension is painful and limited by 10 degrees. Palpation of TP7 on the right is very painful. Palpations of C7 through C3 supraspinous ligaments are tender. What structure(s) is/are injured? a. Multiple ligament injuries b. Ligament sprain at TP 7 on the right c. A disc injury d. Ligament sprains at C3 through C7 causing neck pain e. b and d

6 Neck Final Exam Answer Sheet Name

7 The Benjamin Institute of Advanced Studies 175 Richdale Avenue, Suite 106 Cambridge, MA Phone (617) Fax (617) Name: Course Evaluation Please circle the number that corresponds to your opinion of the program. 5 Agree 4 Agree Somewhat 3 Neither Agree nor Disagree 2 Disagree Somewhat 1 Disagree 1. I found the content of this program helpful to me in my career The content of this program updated my knowledge The quality of the program met my expectations This program was easy to follow and understand The format of this program was very effective The content was clear and well organized I found the information up-to-date Video Program Completed The Knee The Low Back The Neck Common Injuries 5-Program Set The Essential Principles Only Subscapularis Tendon Injuries Tennis Elbow Patella Tendon Injuries Lateral Ankle Sprain Achilles Tendon Injuries