Midterm Flashcards
A common observation seen when a patient is tryin gto recruit during the SC joint relative muscle test is
Elbow flexion
When challenging the AC joint, the ___ places the patients hand on top of the AC joint applying ___ pressure
Doctor, superior to inferior
When adjusting the biceps tendon how many times does the intern impulse and in which direction
2, lateral to medial
Altered joint dysfunction after an acute traumatic injury will produce pain, if left uncorrected produces
Chronic asymptomatic stressors into the spine and extremities
When mentioning extremity management criteria, position of the joint falls into which category
Safety
Scapular stabilizer exercises will help the scapulae sit which way
Posterior and medial making the glenoid cavity deeper
The mechanoreceptor receptor theory states that a muscle functioning across a misaligned joint will be ___ by a reflex signal originating from mechanoreceptors surrounding that joint
Inhibited
The reason for re-injury of a tissue is most commonly due to
Specific adaptation to imposed demand
The injured GH joint is complicated due to the anatomical configuration of the joint. When the joint swells it can contain a tremendous amount of fluid in the joint and still display very little evidence of joint effusion. How much fluid does this joint normally have within it?
0.5-1.5cc
After a patient has had everything up to the scapulothoracic articulation cleared, according to lab class which subluxation/malalignment is chekc next
GH distraction
Plastic deformation found in a ligament is considered which grade of injury
2
Which adjustment would be MOST contra-indicated wiht a pt that has been diagnosed with sub-acromial bursitis
Anterior/inferior humerus joint subluxation
The AC joint is checked with which relative muscle test ____ and the most common compensation/cheat by the patient is ____
Coracobrachialis, humeral abduction
In the case of acute macro trauma, which is the most common subluxation of the SC joint
Anterior, superior and medial
Under the Life U radiology guidlines, which of the following is NOT considered an important reason for taking radiographs of an extremity
Chief complaint less than 2 weeks
A measurement between the SC joint of more than ___ mm on an AP thoracic x-ray could indicate an unstable shoulder
5
Biomechanically when the scapula drops inferior to give the appearance of a raised scapula, this is called
Horizon sign
Exertional hydrodynamica in a joint occur during
Running
The goal for the GH distraction adjusting move it
To open up the joint stimulating the mechanoreceptors and improving proprioception
The injured GH joint is complicated due to the anatomical configuration of the joint. When teh joint swells,…great amount of fluid within the joint and still display very little evidence of joint effusion. What is the maximum amount of fluid the joint can contain
30cc
Scapular stabilizer exercises will help the scapula sit which way
Posterior and medial making the glenoid cavity deeper
Secondary rotator cuff tears are differentiated from primary tears by
The tear is found extracapuslar
Which subluxation …can mimic angina or rneuritis symptoms
Posterior rib angles
Within the TMJ, a patient that has problems where they are unable to close the mouth is known as a
Open lock
When a patient udner the age of 29 years has a previous GH dislocation, the chance of having another dislocation is greater than
96%
Pronating the forearm while testing opponens policis relative muscle test, could uncover a pronator teres syndrome which subluxation should you check or recheck on your patient
PM ulna
Normal opening of the jaw could be measured as ___ fingers wide. Which is equivalent to ___
3
50-65mm
Biomechanically, when the scapula drops inferior to give the appearance of a raised scapula, this is called
Horizon sign
The segmental contact point for a posterior superior costovertebral rib is
Just lateral to the TP of the vertebrae on the involved rib
Loose packed position for the elbow is what position
Flexion and supinatoin of the forearm
The 10th costochondral rib junction is found approx where
Lateral aspect of the abdomen
Which muscles listed are primarily responsible for retraction of the mandible
Temporalis, masseter, geniohyoid, digastric
When a patient complains of biting the inside cheek of their mouth, which subluxation listing is the complaint most commonly associated with
Superior/posterior condyle
Pathogenesis pain tolerance and dislocations are classified under which management criteria category
Safety
According to lec assessment notes of the wrist and hand, when there is a decrease motion and pain in full wrist extension, your initial assessment is to
Check posterior to anterior restriciton of the radio-lunate joint
A measurement between teh SC joints of more than ___ mm on an AP thoracic x-ray could indicate an unstable shoulder
5
Which structure is a compensatory stabilizer of the scapula
Supraspinatus
Full recovery in a tendinitis issue is how long
4 weeks
The GH joint is in 90 shoulder flexion, 90 horizontal adduction and full radio-ulnar pronation, the elbow is in extention; this describes the starting position for the muscle test for which misalignment
Costo-sternal
Cervicobrachial sompression syndrome, represents a scapula that is ____ which contributes to shoulder instability
High on the side of involvement measured at the inferior angle
In lec we had Emily show us an excellent exercise called the ___ used to help weakness of which muscle
Pushup plus, serratus anterior
Which description is correct for the order of the evaluation procedure when addressing carpal issues
Motion, pinch, distract/shear, opponens pollicis RMT, palpation to compare bilaterally, adjust
Which relative muscle test is used to test for the costal chondral rib subluxation
Pec major sternal division
After adjusting a costosternal, chondrosternal rib sublux, how long may the patient continue to feel pain upon palpation
48 hours
When assessing extremity injuries in teh chiro office most of the injuries will require a medical referral at which minimum grade
2
If on assemssment you find a posterior SC joint, what is your initial management step
Call 911
Following the adjustment protocols taught in class, could these protocols improve the neurological and biomechaniacal components of the vertebral subluxation and associated extra spinal articular misaligmentnts
Yes
