Diversified II Midterm Flashcards

1
Q

what are the typical vertebrae in the thoracic region?

A

T2 to T8

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2
Q

describe the surfaces of a typical thoracic vertebrae.

A

anterior is convex and posterior is concave

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3
Q

what are short in a thoracic vertebrae?

A

the pedicles and the laminae

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4
Q

what are long in a thoracic vertebrae?

A

the spinous process

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5
Q

which direction are the TVPs in relation to the sup. articular process?

A

behind

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6
Q

articular facets lie at?

A

60 degrees to the transverse plane and 20 to the coronal plane

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7
Q

what is the disc height to body height ratio?

A

1:5 which doesn’t allow for flexibility

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8
Q

what is the anterior TVP called?

A

costotransverse joint

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9
Q

which are the atypical vertebrae in the thoracic?

A

T1 and T9-T12

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10
Q

which thoracic vertebrae has a whole facet?

A

T1

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11
Q

which thoracic vertebrae have the characteristics of a lumbar vertebrae?

A

T11 and below

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12
Q

what type of curve does the thoracic spine have?

A

kyphotic

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13
Q

what is the average measurement of the thoracic spine?

A

45 degrees, accepted is 20-50 degrees

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14
Q

where is the apex of the thoracic curve?

A

T6-T7

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15
Q

what is juvenile kyphosis called?

A

scheuermann disease

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16
Q

what is the most restricted ROM in the thoracic?

A

flexion and extension

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17
Q

what is the coupled motion with lateral flexion in the thoracic?

A

rotation

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18
Q

which muscles cause concentric and eccentric flexion of the thoracic?

A

rectus abdominis is concentric and erector spine is eccentric

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19
Q

what can flexion be limited by?

A

ligamentum flavum, PLL, posterior IVD, elastic limits of tissue

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20
Q

what muscles cause eccentric extension in the thoracic?

A

rectus abdominis, erector spinae causes concentric

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21
Q

what is extension limited by>

A

ALL, anterior IVD, elastic limits of tissue

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22
Q

what causes concentric and eccentric action lateral flexion in the thoracic?

A

concentric: ipsilateral ES and QL
eccentric: contralateral ES and QL

23
Q

what are the characteristics cs of costovertebral joints?

A

rib heads connect to vertebral body

contain a capsular ligament and a radiate ligament

24
Q

what is similar is a costotransverse and costovertebrae joint?

A

they are both synovial

25
which ribs are considered true and which are false?
1-7 are true and 8-10 are false
26
which respiration movement is greater in the lower thoracic spine?
bucket handle which elevates the ribs and increases transverse diameter
27
which respiration movement is greater in the upper thoracic spine?
pump handle, elevates the anterior rib cage and increases A-P diameter
28
what is the main muscle in quite respiration?
the diaphragm, the intercostal muscles are slight
29
the QL fixes what in quiet respiration?
12th rib
30
what muscles cause the most movement in forced expiration?
scalene, pec minor, serratus anterior, ilicostalis cervicis
31
what muscles act the most in forced expiration?
abdominals, iliocostalis lumborum, longissimus, and QL
32
what are the segments in the thoracocervical junction?
C6-T3
33
what is the significance of the thoracocervical junction?
related to the neruovascular structures of the upper extremities and difficult area to apply manipulative therapy
34
where is the thoracolumbar junction?
T10-L1
35
how does the facet plane change in the thoracolumbar area?
from coronal to sagittal
36
what can be mistaken disorders in the thoracolumbar junction?
lumbosacral or SI regions
37
what does HIPPIRONEL stand for?
``` history inspection palpation percussion instrumentation range of motion orthopedic testing neurological testing examination lab, x-ray, special test ```
38
what are the signs and symptoms of OPQRST
``` onset palliative/provocative quality radiation/referred site/severity timing ```
39
what is DABS and DOTS?
``` discoloration abrasions blebs/blisters scars deformities open wounds tumors swelling ```
40
how many lobes of the lung on the right and left side?
right 3 and left 2
41
what are the measurements that should be on a dual inclinometer?
F: 60 E: 25 LF: 35 ROT: 50
42
what are the test for TOS?
adson's, roo's, eden's, wright's
43
what is the deep tendon reflex for the biceps located?
C5/C6
44
what is the deep tendon reflex for the brachioradilais?
C6
45
what is the reflex for the triceps?
C7
46
what does babinski's sign test?
lower extremity
47
what are the test for the upper extremity?
tromner's and hoffman's
48
what is used to test grip strength?
dynamometer
49
where can you take pulse readings?
radial and brachial
50
what are the station and gait tests?
Romberg's and tandem gait
51
what are some absolute contraindications?
``` acute fracture malignancy acute spine infection rods or screws decreased mental function ```
52
describe PARTS
``` Pain Asymmetry Range of motion Tissue changes Special tests ```
53
how do we determine a subluxation using parts?
must have findings in 2 of the listed categories