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NMS > Examination 1 > Flashcards

Examination 1 Flashcards

1
Q

Shoulder abduction occurs in which plane?
A. Transverse plane
B. Frontal Plane
C. Sagittal Plane
D. Horizontal Plane

A

B. Frontal Plane

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2
Q

The strategy of combining several orthopaedic procedures together to provide confident _________
A. Pairing
B. Grouping
C. Gaggle
D. Clustering

A

D. Clustering

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3
Q

Which of the following exam procedures is considered a qualitative measure
A. Measured ROM
B. Postural Assessment
C. Blood Pressure
D. Weight Bearing Wall Lunge Test

A

B. Postural Assessment

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4
Q

Which of the following muscles acts to flex the lower cervical spine and extend the occiput?
A. Longus colli
B. Sternocleidomastoid
C. Longus Capitis
D. Rectus Capitis posterior major

A

B. Sternocleidomastoid

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5
Q

Rotation of the vertebrae in the lower cervical spine occurs in what plane?
A. Sagittal plane
B. Frontal Plane
C. A plane equal with the facet planes
D. A plane equal with the vertebral

A

C. A plane equal with the facet planes

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6
Q

Which of the following incidents reported by the patient would NOT warrant radiographs prior to the treatment?
A. A motor vehicle accident less than 50mph
B. Fall from a height greater than 1m
C. Unable to achieve 45 degrees of cervical rotation
D. Parenthesis in the extremities

A

A. A motor vehicle accident less than 50mph

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7
Q

Which 2 muscles work together to create a force couple to correct anterior scapular tilt?
A. Subscapularis and Infraspinatus
B. Pec Minor and Serratus Anterior
C. Levator Scapulae and Serratus Anterior
D. Upper and Lower Fibers of the Trapezius

A

B. Pec Minor and Serratus Anterior

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8
Q

Which of the following muscles are responsible for downward rotation of the scapula? (Can be multiple)
A. Subscapularis
B. Serratus Anterior
C. Levator Scapulae
D. Supraspinatus
E. Rhomboids

A

C. Levator Scapulae, E. Rhomboids

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9
Q

What position would you place the patients arm to place the shoulder in the open packed position?
A. Extension and internal rotation
B. Protraction and internal rotation
C. Scaption of 60 degrees
D. Abduction and external rotation

A

C. Scaption of 60 degrees

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10
Q

Scapular Downward Rotation: Movement and Muscles Involved

A

-Return the arms downward from the overhead
-Pectoralis minor, Levator scapulae, and rhomboids

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11
Q

Scapular Elevation: Movement and Muscles involved

A

-Glide the shoulders toward the ears
-Upper trapezius, Levator scapulae, rhomboids

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12
Q

Scapular Depression: Movement and Muscles Involved

A

-Glide the shoulders forward
-Lower trapezius, Pectoralis minor, latissimus dorsi

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13
Q

Scapular protraction: Movement and muscles involved

A

-Rounding the shoulders forward
-Serratus anterior and Pectoralis major/minor

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14
Q

Scapular retraction: Movement and Muscles Involved

A

-Pinch the shoulder blades toward each other
-Rhomboids and Trapezius

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15
Q

Anterior tilt is accomplished by

A

Pectoralis minor and spinal flexion

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16
Q

Posterior tilt of the scapula is accomplished by:

A

Serratus anterior, spinal extension and thoracic extension*

17
Q

Scapular Upward Rotation: Movement and Muscles Involved

A

-Lifting the arms overhead
-Upper and Middle Trapezius

18
Q

What happens to the upper and lower segments of the cervical spine during retraction?

A

-Upper segments flex
-Lower segments extend

19
Q

Types of Pain

A

-Mechanical, Ischema, Peripheral neurogenic, central sensitization, affective nocioception, motor/autonomic

20
Q

Mechanical/Inflammatory Pain

A

-Imrpoves with changes in movements and positioning
-May have movement-based cause or solution
-Inflammatory pain: Made worse with most movements

21
Q

Ischemic Pain

A

-Lack of oxygen/nutrient rich blood causes tissue degeneration
-TX: Remodelling (Patient education/exercise)
-

22
Q

Peripheral Pain

A

-Entrapment: Adjacent tissue traps and compresses the nerve
-Extensibility: Lacks extensibility, loading properties and functional ability

23
Q

Central Sensitization

A

-Patient beliefs of perceived threat of injury
-Overprotective mode
-Chronic (>12 weeks)
-Pain=Harm

24
Q

Affective Pain

A

Inadequate ability to psychologically cope, causing the unconscious mind to use the body in manifesting physical symptoms

25
Q

Motor/Autonomic Pain

A

-Fear avoiding behaviours leads to neuroplasticity and possible cortical smudging
-Pain = Harm

26
Q

Which of the following muscles is considered as a “major extensor of the thoracolumbar spine?
A. Rotators
B. Multifidus
C. External Oblique
D. Iliocostalis

A

D. Iliocostalis

27
Q

Direction of Humerus Head during: Internal Rotation and Flexion

A

Posterior

28
Q

Direction of Humerus Head during:External Rotation and Extension

A

Anterior

29
Q

Direction of the head of the humerus during abduction and adduction

A

Abduction: Inferior
Adduction: Superior

30
Q

What direction is the sternoclavicular joint expected to move during abduction?

A

-Proximal Clavicle Depresses

31
Q

Which direction is the sternoclavicular joint expected to move during shoulder horizontal abduction

A

Clavicle moves anteriorly

32
Q

Muscles that flex the occiput

A

-RCA
-RCL
-Longus Capitis
-Hyoid muscles inferior
-Obliquus capitis superior

33
Q

Muscles that flex the neck

A

-Longus Colli
-Scalenus Anterior
-Scalenus Medius
-Scalenus posterior
-Infrahyoid muscles
-Suprahyoid muscles
-Sternocleidomastoid

34
Q

Muscles that extend the occiput

A

-Splenius capitis
-Semispinalis capitis
-Longissimus capitis
-Spinalis capitis
-Trapezius accessory
-RCPM
-OCS
-OCI
-SCM

35
Q

Muscles that extend the neck

A

-Splenius Capitis
-Semispinalis Capitis
-Longissimus Cervicis
-Levator Scapulae
-Iliocostalis cervicis
-Spinalis cervicis
-Multifidus
-Interpsinalis Cervicis
-Trapezius
-RCPM
-Rotatores

36
Q

Cervical Radiculopathy Cluster

A

-Spurling’s Test
-Upper limb tension test 1/a
-Distraction Test
-<60 degrees of cervical rotation towards the involved side

NMS (2 decks)

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