Lecture/Written Test 1 Flashcards
A patient complains of numbness and tingling in one hand. Which of the following things could be wrong? Choose all that apply.
A. Median nerve entrapment
B. Thoracic Outlet Syndrome
C. Intervertebral foramen stenosis
D. Herniated Disc
A. Median nerve entrapement
B. Thoracic outlet syndrome
C. Intervertebral foramen stenosis
D. Herniated Disc
Which of the following findings of the active supine occipito-atlantal cervical flexion test would indicate the lower cervical spine as being a part of the problem.
A. The patient can move their occiput 20 degrees.
B. The patient cannot move their occiput 20 degrees.
C. Both findings would indicate lower cervical involvement.
D. Neither findings would indicage lower cervical involvement.
A. The patient can move their occiput 20 degrees.
List 3 orthopedic tests that you would expect to be positive, indicating the patient’s problem was due to an intervertebral foraminal stenosis.
- Spurling’s A
- Modified Spurling’s
- Maximal cervical compression test
Which of the following problems could exists if the patent has a positive posterior Respiratory Excursion test? CHOOSE ALL THAT APPLY.
A. Pneumonia
B. Strained Intercostal Muscle
C. Collapsed Lung
D. Fractured Rib
A. Pneumonia
B. Strained Intercostal Muscle
C. Collapsed Lung
D. Fractured Rib
List 2 conditions that qualify as space occupying lesions.
- Spinal cord Tumor
- Spinal compression factor
List 3 orthopedic tests you would expect to be positive if the patient had a fractured rib.
- Lateral chest compress test
- Costovertebral Stress Test
- Sternal Compression test
What position would you place the patient’s 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
C. Scaption of 60 degrees
When performing the shoulder depression test on the patient’s left side, it produced radiating pain on the right side. What is happening to produce these results?
The facets on the right are placed in a closed packed position – which causes narrowing of the IVF resulting in radiculopathy down the right arm.
Which of the following structural characteristics limits rotation in the thoracic spine?
A. spinous imbrication
B. Rib approximation
C. Small disc to vertebral body height ratio
D. None of the above.
B. Rib approximation
Which of the following locations of compression is indicated by a positive hyperabduction test?
A. between the clavicle and first rib
B. between the anterior and middle scalene
C. between the middle and posterior scalene
D. between the pectoralis minor and rib cage.
D. between the pectoralis minor and rib cage.
What is happening to the left cervical facet joints when performing maximum cervical compression on the right side?
A. Open Packed position
B. Closed packed position
A. Open Packed position
Which of the following landmarks would be most appropriate to measure cervicothoracic flexion?
A. Occiput, L1
B. Occiput, S2
C. Occiput, T12
D. C1, L1
A. Occiput, L1
Is the term dysfunction accurate for diagnosis? why or why not?
No. Dysfunction is a finding that would lead to further testing to figure out the true diagnosis.
Which of the following findings are expected with radiculitis?
A. Sensory changes
B. Motor changes
C. Both
A. Sensory changes
Which of the following directions does the proximal clavicle move when the humerus extends (shoulder extension).
A. Anterior
B. Inferior
C. Posterior
D. Superior
A. Anterior
When performing the shoulder depression test on the patient’s left side, it produces radiating pain on the right side. What is the result of this test?
A. Positive
B. Negative
B. Negative
Which of the following would be the best diagnosis following a series of exam procedures that produce positive findings indicating the patient has facet encroachment?
A. Exostosis of DJD
B. Facet Sprain
C. Cervical Myelopathy
D. Scalene strain
A. Exostosis of DJD
Spinal percussion test of the thoracic spine is positive, what are possible diagnoses?
CHOOSE ALL THAT APPLY?
A. Herniated Disc
B. Metastatic Tumor
C. Compression Fracture
D. Integrated Dysfunction
A. Herniated Disc
B. Metastatic Tumor
C. Compression Fracture
List 3 Orthopedic tests you would expect to be positive, indicating the patient’s problems was due to a herniated disc.
- Valsalva maneuver
- Soto Hall Test
- Dejerine sign
Which of the following muscles would you target strengthening efforts to produce better upward rotation of the scapula?
A. Lower trapezius and serratus anterior
B. Levator scapulae and pectoralis minor
C. rhomboids and upper trapezius
D. Rhomboids and levator scapulae
A. Lower trapezius and serratus anterior
A patient presenting with symptoms that started after spraining their ankle while running around with their children in their backyard 6 months ago. They are refraining from running again due to fear of re-injuring themselves or exacerbating their symptoms. Which of the following categorizations is the patient most likely associated with?
A. Affective nociception
B. Peripheral neurogenic
C. Central sensitization
D. Mechanical/Inflammation nociception
C. Central sensitization
Which 2 muscles work synergistically to keep the head of the humerus centered in the glenoid fossa during shoulder abduction?
A. Supraspinatus and infaspinatus
B. Deltoid and lower trapezius
C. Infraspinatus and subscapularis
D. Supraspinatus and deltoid
C. Infraspinatus and subscapularis
A patient presents which a headache. Which of the following orthos would you choose to prove the cervical spine is the contributing factor of their headaches? CHOOSE ALL THAT APPLY?
A. Occipito-Atlantal Flexion Test
B. O’Donoghue’s
C. Cervical Flexion rotation test
D. Prone Thoracic Extension
A. Occipito-Atlantal Flexion Test
B. O’Donoghue’s
C. Cervical Flexion rotation test
