Module 1: RIbs

Question 1

where does sympathetic ganglia lie on top of

Answer 1

rib necks

Question 2

Sharpless showed that the weight of a dime on a spinal root reduces impulse by

Answer 2

50%

Question 3

recurrent vertebral nerve motor branch controls

Answer 3

blood supply to meninges

Question 4

recurrent vertebral nerve sensory branch supplies

Answer 4

vertebrae

Question 5

RMT for costosternal/costochonral joints

Answer 5

pectoralis major sternal division

Question 6

RMT for pectoralis major sternal division is used for

Answer 6

upper 6 ribs

Question 7

indicator for anterior constosternal rib

Answer 7

tender and prominent rib
difficult breathing
chronic recurrent subluxation of same vertebrae

Question 8

costo-sternal and costo-chondral rib indicator

Answer 8

chest pain
difficulty breathing
tender and prominent at costo-chondral space

Question 9

costochondral line is through

Answer 9

nipple line

Question 10

what muscle is responsible for balancing thoracic curve lost by anterior dorsals

Answer 10

serratus anterior

Question 11

upper 6 ribs move like

Answer 11

bucket handle

Question 12

lower 6 ribs move like

Answer 12

calipers/pincers

Question 13

indicators for posterior costals angle adjustment

Answer 13

intercostal neuritis (rule out rib fx)
ache along rib
narrow space, difficulty breathing, reaching laterally over arm chair

Question 14

ribs move towards side of

Answer 14

pain

Question 15

how long does infrascapular pain feel better for after adjustment

Answer 15

2 minutes

Question 16

what may occur after rib angle adjustment

Answer 16

“warm flush” in chest, shoulder, and arm

Question 17

how do you check 1st rib

Answer 17

rotate with C-spine flex, restriction indication fixation opposite of rotation

Question 18

what subluxations cause intercostal neuralgia

Answer 18

costovertebral, costotransverse, costal angles, anterior dorsalis

Question 19

may stimulate intercostal nerves creating false angina with stabbing chest pains

Answer 19

rib heads

Question 20

how long does it take to strengthen serratus anterior

Answer 20

at least a month

Question 21

height differences of how much indicates separation of SC joint

Answer 21

more than 5mm

Question 22

joint with cartilage pad between clavicle and sternum

Answer 22

enarthrosis

Question 23

most common MOI for SC and AC joint

Answer 23

lateral impact or compression

Question 24

3 common directions of SC separation

Answer 24

superior, inferior, anterior

Question 25

RMT for SC joint

Answer 25

pectoralis major, clavicular branch

Question 26

stress test for SC joint

Answer 26

push up

Question 27

if SC joint is unstable, how to tape?

Answer 27

“X” over the joint

Question 28

how long to tape joint

Answer 28

3-6 weeks, refer to ortho after 6 weeks

Question 29

how big of a space between coracoid process and clavicle indicates ligamentous disruption?

Answer 29

space more than 1.3cm

Question 30

with injury, distal clavicle goes in what direction

Answer 30

superior

Question 31

horizon sign indicates

Answer 31

grade 2 or more separation at some point in time

Question 32

AC issues can be due to

Answer 32

lateral compresion or FOOSH injury

Question 33

superficial pain in crossover sign can indicate

Answer 33

AC issue

Question 34

deep pain during crossover sign indicates

Answer 34

labrum

Question 35

RMT for AC joint

Answer 35

coracobrachialis

Question 36

height difference of what for scapula indicates instability

Answer 36

15mm

Question 37

scapula is high on side of involvement

Answer 37

cervicobrachial compression syndrome

Question 38

scapula is low on the side of involvement

Answer 38

cervicobrachial traction syndrome