Practice Questions Flashcards
You diagnose a patient with T3 E SR RR. What muscle do you expect is responsible for this SD?
A. Longissimus m. B. Rotatores m. C. Semispinalis m. D. Multifidus m. E. Trapezius m. F. Iliocostalis m.
B. Rotatores m.
A 54 y/o female presents to the office complaining of pain all over. After 2 OMT treatments a week apart, she complains of localized pain in her low back. On PE, a slight step-off is noted in her lumbar region. An XR is ordered bc which of the following is suspected?
A. Spondylolysis B. Scoliosis C. DDD D. Spondylolisthesis E. Meningocele
D. Spondylolisthesis
Which of the following is always due to trauma or microtrauma?
A. Inhalation SD B. Exhalation SD C. Torsional movement D. Non-physiologic movement E. Pump-handle motion
D. Non-physiologic movement
Which of the following organs (may be multiple answers) may have reflexes to the low back T10-L5?
A. Heart B. Lungs C. Kidneys D. Pancreas E. Colon
C, D, and E
Which of the following is not a seronegative spondyloarthropathy?
A. Psoriatic arthritis B. Ankylosing spondylitis C. Rheumatoid arthritis D. IBD E. Reiter syndrome
C. RA
A 65 y/ofemale is brought to the ED with insidious onset of weakness in her legs and decreased sensation in her inner thighs bilaterally. On further questioning she reveals that she has been diagnosed with stage 4 renal cell carcinoma and that she has not urinated in nearly 20 hours. On PE, you are unable to elicit patellar or Achilles reflexes.
What is your next step in management?
A. MRI B. OMT to LE's C. XR of thoracic spine D. Administer chemotherapy E. General surgery consult
A. MRI
Which of the following is true regarding torsional movement of the ribs?
A. Torsional movement is a normal, physiologic occurence in rib motion
B. It is caused by subluxation of rib either anteriorly or posteriorly
C. It occurs at ribs 1, 2, 8-10
D. It increases the transverse diameter
E. It occurs d/t positioning of the nerve, artery, and vein
A. Torsional movement is a normal, physiologic occurence in rib motion
At what location would you expect to find TART changes related to nephrolithiasis (kidney stones)?
A. T1-4 B. T5-9 C. T10-11 D. T12-L2 E. L2-5
C. T10-11
Vertebral segments corresponding to viscerosomatics of upper GI (mouth –> ligament of Treitz)
T5-9
Vertebral segments corresponding to viscerosomatics of Mid GI (Ligament of Treitz –> ileocecal valve)
T10-11
Vertebral segments corresponding to viscerosomatics of lower GI (iliocecal valve –> anus)
T12-L2
Vertebral segments corresponding to viscerosomatics of upper GU (kidney –> upper 1/3 of ureter)
T10-T11
Vertebral segments corresponding to viscerosomatics of lower GU (lower 2/3 of the ureter, urethra)
T12-L2
Vertebral segments corresponding to viscerosomatics of bladder
T11-L2
At what level would you expect to find TART changes related to sympathetic innervation of the heart?
A. OA (vagus n.) B. T1-T5 C. T5-T9 D. T10-T11 E. T12-L2 F. Sacrum
B. T1-T5