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OS midterm Spring 2020 > DSA: joyful ribs > Flashcards

DSA: joyful ribs Flashcards

1
Q

Which ribs are the only ribs to articulate with their own vertebrae and NOT the one above them?

A

1 10 11 12

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2
Q

Which ribs do not have tubercles?

A

11 and 12 *** do not articulate with transverse processes

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3
Q

Which ribs are the atypical ribs?

A

1 2 11 12

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4
Q

Which ribs are typical ribs?

A

3-9

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5
Q

What is the origin of the pectorals major muscle?

A

Anterior superior surface at ribs 3, 4, 5

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6
Q

What is the insertion of the anterior scalene muscle?

A

Superior surface of the 1st rib

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7
Q

What is the insertion of the middle scalene

A

Superior surface of the 1st rib

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8
Q

What is the insertion of the posterior scalene?

A

2nd rib

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9
Q

What is the insertion of the serratus anterior muscle?

A

The superior lateral surface of ribs 2-8

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10
Q

What is the KEY origin of the latissimus dorsi muscle?

A

the lower 4 ribs

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11
Q

What is the KEY insertion of the quadrates lumborum

A

inferior aspect of rib 12

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12
Q

What are the muscles that elevate the first rib?

A

Anterior scalene Middle scalene

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13
Q

What is the action of the posterior scalene?

A

Elevates 2nd rib

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14
Q

The ______ _______ muscle starts from the spine around the costal cartilage

A

external intercostal

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15
Q

The _____ _____ muscle starts from the rib angle to the sternum

A

Internal intercostal muscle

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16
Q

The ______ _______ muscle starts from the rib angle to the costal cartilage

A

innermost intercostals

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17
Q

The ______ handle motion is synonymous with the functional anterior-posterior rib axis

A

Bucket

18
Q

The _______ handle motion is synonymous with the functional transverse rib axis

A

Pump

19
Q

What are the various types of rib motion?

A

Bucket handle Pump handle Caliper Torsional Non-physiologic

20
Q

Describe bucket handle motion. Which ribs does this involve?

A

move superiorly and laterally increases the transverse diameter ribs 1, 2 8-10

21
Q

Describe pump handle motion. What ribs does it involve?

A

moves superiorly and anteriorly increases the a/p diameter ribs 3-7

22
Q

The ribs move ______ and ______ with inhalation

A

Downward and posterior

23
Q

The ribs move ______ and ______ with exhalation

A

upward and superior

24
Q

_______ is the incomplete or partial dislocation of joint or organ

A

subluxation

25
Q

Describe what happens to the right and left sixth ribs when T5 is rotated to the RIGHT (torsional movement)

A

RIGHT 6th rib: -posterior aspect turns externally -anterior extremity of the right sixth rib becomes more flat with inferior border sharp LEFT 6th rib: -posterior aspect turns internally -anterior extremity of the left sixth rib has superior margin accentuated

26
Q

_______ ________ ______ is due to trauma or repetitive micro trauma

A

non-physiologic movement

27
Q

What happens to the ribs during non-physiologic movement

A

rib becomes subluxed anteriorly or posteriorly one or more ribs become restricted in the deformed state

28
Q

What are examples of the respiratory somatic dysfunctions?

A

Bucket handle Pump handle Caliper

29
Q

What are examples of the structural somatic dysfunctions?

A

Torsional Non-physiologic

30
Q

An inhalation dysfunction is a rib being held in a position of inhalation such that motion toward inhalation is more _____ and motion toward exhalation is _______.

A

free restricted

31
Q

An exhalation dysfunction is a rib being held in a position of exhalation such that motion toward _______ is more free and motion toward _______ is restricted.

A

Exhalation and inhalation

32
Q

The ____ ____ is the rib that maintains a group of ribs in dysfunctional motion

A

key rib

33
Q

How do you treat a somatic dysfunction of a key rib?

A

BITE Bottom Inspired If a group of ribs is found to have Inhalation Dysfunction, the Bottom of the group is the key rib Top Expired If a group of ribs is found to have Exhalation Dysfunction, the Top of the group is the key rib

34
Q

The key rib is at the ______ of the group during an inhalation dysfunction

A

bottom

35
Q

Where is the key rib in an exhalation dysfunction?

A

At the top of the group

36
Q

List the causes of rib dysfunction

A

thoracic scoliosis or hypnosis rib cage asymmetries bony diseases increased chest wall diameter abnormal muscle tension trauma lifestyle

37
Q

What is pictured?

A

Pectus excavatum

38
Q

What is pictured?

A

Pectus carinatum

39
Q

What happens where there is deteroiration of vertebral support? (like kyphosis)

A

ribs become anteriorly depressed

40
Q

COPD serves as an example of ______ ______ ______ _______ whcih can be a cause of a rib somatic dysfunction

A

increased chest wall diameter

41
Q
A

OS midterm Spring 2020 (15 decks)

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