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Tech V > \FInal > Flashcards

\FInal Flashcards

1
Q

Cluneal Nerve entrapment can occur with which of the following?

Psoas trigger points
Facet syndrome
Psoas major tightness
Thoracolumbar dysfunction

A

Thoracolumbar dysfunction

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2
Q

Which of the following is the most common site for thoracic disc herniations?

T11-T12
C7-T1
T7-T8
T5-T6

A

T11-T12

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3
Q

Which of the following is true for T4 syndrome?

The patient often complains of generalized dull headaches
It is cause by joint dysfunction of the T4/T5 motion segment only
It is very resistant to chiropractic adjustments and will need motion oriented therapy
Symptoms will progress throughout the day, will be better during evenings and mornings

A

The patient often complains of generalized dull headaches

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4
Q

Patient is right side down. Your superior hand contacts the ______ and your inferior hand contacts the ______ in order to correct for a right SI extension restriction.

Left shoulder creating rotation and distraction of the torso: right PSIS
left shoulder creating distraction of the torso: right PSIS
left shoulder creating distraction of the torso: sacral base
left shoulder creating distraction of the torso: sacral Apex

A

left shoulder creating distraction of the torso: sacral Apex

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5
Q

In a prone hypothenar transverse process push with a head assist adjustment to correct for T1/T2 left rotation restriction, which of the following is the correct vector of correction?

Left to right to the T1 spinous process,
P to A to the left transverse process,
P to A to the right transverse process,
lateral to medial to the right side of the T1 SP

A

P to A to the right transverse process,

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6
Q

Upper thoracic pain lateralized to one side that is exacerbated by shoulder motion and not provoked by thoracic or cervical spine motion is strongly suggestive of what diagnosis?

Scapula costal syndrome,
T4 syndrome,
thoracic spine disc herniation,
cervical spine disc herniation

A

T4 syndrome,

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7
Q

Which of the following is not associated with ankylosing spondylitis?

Positive HLA B27 and negative rheumatoid factor lab tests,
acute uveitis,
progressive pain and stiffness of the thoracic spine,
positive rheumatoid factor upon lab testing

A

positive rheumatoid factor upon lab testing

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8
Q

A patient presents with pain at the medial scapular border on the right pain can be reproduced by shoulder movement, but does not change with a cervical or thoracic range of motion test. It does not change with coughing sneezing or eating fried foods. Pick to your top differential diagnoses.

Cervical disc referral,
thoracic disc referral,
scapular costal syndrome,
dorsal scapular nerve entrapment

A

scapular costal syndrome,

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9
Q

Thoracic intravertebral disc herniations can cause myeolonpathic syndromes

True/false

A

True

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10
Q

What muscles are often tight and shortened in patients with scheurmanns disease?

Sub occipitals
Scalenes
SCM and traps
Hamstrings and pectorals

A

Hamstrings and pectorals

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11
Q

The supine index costal push adjustment for an elevated Rib is performed mainly on which rib?

Ribs 2-3
Ribs 1-2
Rib 1 only
Rib 2 only
All ribs

A

Rib 1 only

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12
Q

Which of the following conditions must be considered and ruled out before making a diagnosis of T4 syndrome?

Thoracic outlet syndrome
Cervical disc disease
Diabetes neuropathy
All of the above

A

All of the above

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13
Q

Low back pain that does not respond to usual and customary localized treatment but response to chiropractic manipulation of the motion segment between T10 and T12 strongly suggest which diagnosis?

Lower thoracic spine disc herniation,
T4 syndrome,
thoracolumbar dysfunction,
all of the above

A

thoracolumbar dysfunction,

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14
Q

What is the most prominent postural disorientation associated with scheurermanns disease?

Cervical hyperlordosis with head carriage
Thoracic hyperkyphosis
Posterior pelvic tilt
There are no significant disorientations, but mainly muscle imbalances throughout the cervical region

A

Thoracic hyperkyphosis

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15
Q

Tight and shortening scalene muscles are most closely associated with which of the following?

Thoracolumbar syndrome
Ankylosing spondylitis
Depression restriction of ipsilateral rib 1
Upper cervical joint restriction with occipital neuralgia

A

Depression restriction of ipsilateral rib 1

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16
Q

Costochondritis and tietze syndrome can be differentiated by the fact that costochondritis involves palpable swelling and involvement of the sternocostal joints

True
False

A

False

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17
Q

Your patient presents with right AI sacrum. Which of the following would correct this listing?

Patient is sideline with the right side down: thenar contact is applied to the left aspect of the sacral Apex: P-A, L-M, and S-I force is applied with clockwise torque

Patient is sideline with the right side down: thenar contact is applied to the left aspect of the sacral Apex: P-A, L-M, and S-I force is applied with counterclockwise torque

Patient is sideline with the left side down: thenar contact is applied to the left aspect of the sacral Apex: P-A, L-M, and S-I force is applied with clockwise torque

Patient is sideline with the left side down: thenar contact is applied to the left aspect of the sacral Apex: P-A, L-M, and S-I force is applied with counterclockwise torque

A

Patient is sideline with the right side down: thenar contact is applied to the left aspect of the sacral Apex: P-A, L-M, and S-I force is applied with counterclockwise torque

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18
Q

The pain of a thoracic disc herniation can be exacerbated by which of the following:

neck extension,
trunk rotation
coughing or sneezing
all of the above

A

coughing or sneezing

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19
Q

Patient is laying prone on the table. Well palpating the mid thoracics you find a decrease range of motion pressing on the right transverse process of T7. Which of the following is correct in terms of Doctor position in contact points?

Doctor will stand on the left side of the table: left hand hypothenar will contact the right transverse process of T7: right hand hypothenar will contact the left transverse process of T8: a P-A thrust will be delivered through both contacting hands

Doctor will stand on the left side of the table: right hand hypothenar will contact the left transverse process of T7: left hand hypothenar will contact the right transverse process of T8: a A-P thrust will be delivered through both contacting hands

Doctor will stand on the right side of the table: left hand hypothenar will contact the right transverse process of T7: right hand hypothenar will contact the left transverse process of T8: a P-A thrust will be delivered through both contacting hands

Doctor will stand on the right side of the table: left hand hypothenar will contact the right transverse process of T8: right hand hypothenar will contact the left transverse process of T7: a P-A thrust will be delivered through both contacting hands

A

Doctor will stand on the left side of the table: left hand hypothenar will contact the right transverse process of T7: right hand hypothenar will contact the left transverse process of T8: a P-A thrust will be delivered through both contacting hands

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20
Q

Which of the following is correctly for a side lying hypothenar spinous push adjustment to correct for an L3/L4 left rotation restriction?

Left side up, contact L3 spinous, left to right vector

Left side up, contact L4 spinous, right to left vector

Right side up, contact L3 spinous, left to right vector

Right side up, contact L4 spinous, right to left vector

A

Left side up, contact L3 spinous, left to right vector

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21
Q

With a right thoracic curve the vertebral body will rotate to the _____, the spinous process will rotate to the _____rib humping will be noted on the _______and an elevated _____shoulder will likely be noted.

Left, right, left, left
Right, left, right, right
Right, left, left, left
Right, left, left, left

A

Right, left, right, right

22
Q

In a prone thumb spinous push with head assist adjustment to correct a transverse 1 transverse 2 left rotation restriction, which of the following is the correct vector correlation?

Left to right to the T1 spinous process,
medial to lateral on T1 spinous process,
P to A to the right transverse process,
lateral to medial onto the right side of the T1 spinous process

A

Left to right to the T1 spinous process,

23
Q

You perform a prone unilateral reinforced hypothenar TP push adjustment where you stand on the left of your patient and contact the Left TP of T2 to and thrust with a a P to A vector. Which of the following listings are you corrected?

T2 left rotation Mal-position,
T2 PL,
T1/T2 right rotation restriction,
T2 to T3 left rotation restriction

A

T2 left rotation Mal-position,

24
Q

Upon orthopaedic and neurological examination of a patient, it is determined that the patient has a disarrangement at L5 to S1. You also determine that there is compression of the sural nerve at the biceps femoris muscle due to the hypersensitivity of the lumbosacral plexus. What is the syndrome?

Thoracic outlet syndrome,
facet syndrome,
double crush syndrome,
disarrangement

A

double crush syndrome,

25
Q

Which of the following is true about Tietze’s syndrome and costochondroritis?

HVLA adjustments to the affected side will speed recovery
Usually resolves on its own in 7-10 days
The two disorder have different presentations which assist in DDx
Diagnoses require imaging for confirmation

A

The two disorder have different presentations which assist in DDx

26
Q

Which of the following sites is not one of the three major locations for neurovascular trapment in the ideology of thoracic outlet syndrome?

The scaling muscles,
behind the pectoralis muscles,
between the acromion in humeral head,
between the clavicle and first rib

A

between the acromion in humeral head,

27
Q

Thoracolumbar dysfunction can refer pain to which of the following areas?

Ovaries
Low back
Inguinal area
All of the above

A

All of the above

28
Q

Which of the following adjustive setups would correct for an AI body listing of T5?

Patient prone using a bilateral thenar contact of the TPs of T5 with a P to A and I to S thrust

Patient prone using a bilateral 5th MCP contact of the TPs of T5 with a P to A and I to S thrust

Patient supine using a digital contact of the TPs of T5 with a P to A and I to S thrust

Patient prone using a bilateral crossed hypothenar contact of the TPs of T5 with a P to A thrust

A

Patient prone using a bilateral crossed hypothenar contact of the TPs of T5 with a P to A thrust

29
Q

A 34-year-old male presents with pain along the superior border of the right gluteal area and right side testicular pain. The neurological exam is unremarkable and there are no changes with repetitive and range loading exams. There are no changes in bowel or bladder infection, there’s an examination of the kidneys and it is perfect. The pain is not reproduce by coughing or sneezing but can be reproduced by lumbar spine range of motion. The pain is not reproduce with any motion of the SI joints. Which of the following conditions would you suspect?

Sciatic nerve entrapment
Maignes syndrome
L5/S1 disc referral
Kidney stones

A

Maignes syndrome

30
Q

In the following named adjustment, prone T2 T3 thumb spinous push with her assist for right rotation, which way are you pushing the spinous process?

Right to left,
left to right,
P-A
M-L

A

Right to left,

31
Q

A patient presents with chest pain near the sternum. When I ask them to point they use one finger pointing to the right costaosternal junction of the fourth rib. You asked about shortness of breath sweating palpation and nausea to which the patient responds I have not experienced any of these. Which of the following is at the top of your differential diagnosis?

Cervical angina
Myocardial infarction
Subclavian entrapment
The old spaghetti factory has a half price deal on Tuesday’s

A

Myocardial infarction

32
Q

The pathological changes associated with AS may eventually involve the entire spine and pelvis but most notably begin in which region?

SI joints/pelvis,
lumbar spine,
thoracic spine,
cervical spine

A

SI joints/pelvis,

33
Q

Which of the following should be included in your DDx of TOS?

Cervical Radiculopathy
Cervical ribs
Shoulder arthropathy
All of the above

A

All of the above

34
Q

Upon palpation you determine your patient has an elevated restriction of the six rib on the right. Which of the following set ups with correctly address the findings?

Standing on the right side of the patient with a right hand reinforced hypothenar contact, applying an S to I and P to A impulse

Standing on the right side of the patient with a left hand reinforced hypothenar contact, applying an I S to I and P to A impulse

Standing on the left side of the patient with a left hand reinforced hypothenar contact, applying an I to I and P to A impulse

Standing on the left side of the patient with a left hand reinforced hypothenar contact, applying a P to A impulse

A

Standing on the left side of the patient with a left hand reinforced hypothenar contact, applying an I to I and P to A impulse

35
Q

Neurovascular entrapment involving the thoracic outlet may occur at all of the following anatomical areas except:

Anterior and middle scalene

Between middle and posterior scalene

Between clavicle and 1st ribs

Deep to pectoralis minor

A

Between middle and posterior scalene

36
Q

Under palpation you determine your patient has a depression restriction in the left different. Which of the following set ups would correctly address the finding?

Standing on the left side of the patient facing caudad with a left handed reinforce hypothenar contact, applying an S to I and P to A impulse

Standing on the left side of the patient facing cephalad with a left handed reinforce hypothenar contact, applying an S to I and P to A impulse

Standing on the right side of the patient facing caudad with a left handed reinforce hypothenar contact, applying an S to I and P to A impulse

Standing on the right side of the patient facing cephald with a left handed reinforce hypothenar contact, applying an S to I and P to A impulse

A

Standing on the left side of the patient facing caudad with a left handed reinforce hypothenar contact, applying an S to I and P to A impulse

37
Q

You were standing behind a standing patient and you observed rib humping on the right. You asked the patient have been forward and the humping straightens out. Which of the following correctly indicates the convexity of the curve, the orthopaedic test performed, and the type of scoliosis they have?

Right convexity, belt test, structural scoliosis

Right convexity, adams test, functional scoliosis

Right convexity, adams test, structural scoliosis

Left convexity, belt test, functional scoliosis

A

Right convexity, adams test, functional scoliosis

38
Q

Which of the following is not a feature of scapulocostal syndrome?

Difficulty distracting the scapula from the posterior chest wall

Upper extremity dermatomal pattern parasthesis

Symtoms seem, to worsen as the day progresses

Main cause thought to be postural, most likely due to upper crossed syndrome

A

Upper extremity dermatomal pattern parasthesis

39
Q

Upon palpation you determine there is a poster articular pillar on the right at C3. What listing and adjusted set ups with correct for this presentation?

C3/C4 right rotation restriction: prone articular pillar push
C3 LP: prone articular pillar push,
C3 RI: supine articular push,
C3 right rotation malpositioned: supine articular pillar push

A

C3 right rotation malpositioned: supine articular pillar push

40
Q

Patient is left side down. Your superior hand contacts the ______and you’re inferior hand contacts the ______in order to correct for a PRS of L3

Right shoulder creating rotation and distraction of the torso; right side of L3 spinous process

Right shoulder creating rotation and distraction of the torso; interspinous space of L2/L3

Right shoulder lifting the torso into right lateral flexion; left sided of L3 spinous process

Right shoulder lifting the torso into right lateral flexion; right side of L3 spinous process

A

Right shoulder lifting the torso into right lateral flexion; right side of L3 spinous process

41
Q

T1 PR is the same as which of the following motions listed?

Left rotation restriction
Right rotation restriction
Right lateral flexion restriction
Right rotation misalignment

A

Right rotation restriction

42
Q

During an exam of a patient with scoliosis, you observe that the right convexity straightens out upon forward bending. How would you categorize this?

Congenital scoliosis
Functional scoliosis
Structural scoliosis
Neuromuscular scoliosis

A

Functional scoliosis

43
Q

Scheurmanns disease is most commonly affecting what type of population?

10-20 year olds ?

21-30 year olds ?

31-40 year olds ?

41- 50 year olds ?

A

10-20 year olds

44
Q

A patient is position lateral recumbent on the table with their left side up. The doctor superior hand is contacting the upside of the T12 spinous process. The doctors inferior of hand is contacting the downside of the L1 spinous process. What is this adjust a procedure called and what is the listing?

Sideline bilateral digital/adjacent spinous process block pull. Correcting a T12/L1 right rotation restriction.

Sideline bilateral digital/adjacent spinous process block pull. Correct and T12/L1 left rotation restriction.

Sideline digital spinous process pull. Correct in the T12 to L1 right rotation restriction

Sideline digital spinous process pull. Correct in the L2 to L1 right rotation restriction

A

Sideline bilateral digital/adjacent spinous process block pull. Correct and T12/L1 left rotation restriction.

45
Q

In order to define the direction of curvature in a scoliosis, this is based on the ______ of the curve

Convexity
Concavity
Mediocrity
Convex tilt

A

Convexity

46
Q

Thoracolumbar dysfunction often involves trigger points in the quadratus lumborum muscles requiring soft tissue manipulation of these areas

True
False

A

True

47
Q

Which of the following is the most common direction of of curvature in scoliosis?

Right
Left
Supervisor
Inferior

A

Right

48
Q

Ankylosing spondylitis presents with the distinguish radiograph feature known as bamboo spine

True
False

A

True

49
Q

Which of the following tests are considered the gold standard for evaluation of scoliosis measurement?

Adams test
Palpation
Diagnosis ultrasound
Cobb angle

A

Cobb angle

50
Q

Sensory evaluation reveals decreased sensation along the medial forearm. Do you want to differentiate between cervical radiculopathy and TOS. Cervical distraction and compression tests are negative. Repetitive injury and range loading exams of the cervical spine are negative. There are no changes to the muscle strength or reflexes. Orthopaedic testing was performed the following findings, negative atoms test, positive rights test, negative traction test and positive hospice position. Based on the findings what is your diagnosis?

TOS- entrapment at the cervical rib

TOS- entrapment at the anterior scalene

TOS- entrapment at the pec minor

TOS- entrapment at the acromion

A

TOS- entrapment at the pec minor

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