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Part 2 boards > Practices > Flashcards

Practices Flashcards

1
Q

Gonstead listings are named how?

A

how the subluxated segment misaligns to the segment below

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2
Q

first letter of a Gonstead listgin

A

P

refers to the posteriority

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3
Q

second letter of a Gonstead listing?

A

R or L

spinous rotation

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4
Q

third letter of a Gonstead listing?

A

S or I

refers to lateral flexion/wedging of a segment on the side of spinous rotation

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5
Q

if the wedge is on the right, what is torque?

A

clockwise

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6
Q

if the wedge is on the left, what is torque?

A

counterclockwise

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7
Q

national listings refer to?

A

body rotation

first letter is R or L

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8
Q

second letter of national listings?

A

P

for posteriority

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9
Q

third letter of national listings?

A

S or I

refers to lateral flexion or wedging on the side of body rotation

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10
Q

dynamic listings

A

from motion palpation

also called kinetic listings

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11
Q

dynamic listings always reference what?

A

vertebral body

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12
Q

fixated

A

segment is STUCK IN THAT POSITION being described

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13
Q

restricted/decreased

A

segment CAN’T MOVE TO THE POSITION being described

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14
Q

malposition

A

what is seen off of xray

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15
Q

flexion malposition

A

increased interspinous space between teh involved semgnet and the segment below with decreased interspinous space between the involved segment and the segment above

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16
Q

extension malposition

A

decreased interspinous space between the involved segment and the segment below with increased interspinous space between teh invovled segment and the segment above

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17
Q

what is referenced in an adjusting question unless otherwise noted?

A

body
“L5 is rotated to the right”
=
“L5 BR”

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18
Q

what side do you contact?

A

side of open wedge

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19
Q

if scoliosis is present, where do you contact?

A

side of convexity

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20
Q

where does doctor stand for an adjustment?

A 
on the side of contact except:
seated cervical (depending on if Gonstead or Diversified)
Diversified: doctor stands opposite side of contact
Gonstead: doctor stands behind patient
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21
Q

If the Gonstead listing is PRS, this correlates to what Dynamic listing?

A

restricted R rotation and fixated L lateral flexion

fixated L rotation and restricted R lateral flexion

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22
Q

Restricted L body of L2 also has fixation in R lateral flexion. What is the Gonstead listing?

A

PLS

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23
Q

R laterally flexed vertebral body with L body rotation. What is the Dynamic listing?

A

PRI-M
L lateral flexion restriction with L body rotation fixation
R lateral flexion fixation with R body restriction

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24
Q

Palpation of the vertebra shows R TVP is posterior and inferior and spinous is L and superior. Static body listing?

A

PLS

R rotation and R lateral fexion malposition

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25
Q

What is the static listing of superior vertebra in this drawing?
(o )
( o )
>

A

R rotation malposition, R lateral flexion malposition

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26
Q

If T9 and T10 internspinous space is increased, then T8 and T9 interspinous space is what?

A

decreased

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27
Q

Segmental fixation in L rotation and Left lateral bend. Listing?

A

PRS
RPI
left rotation and left lateral flexion malposition

28
Q

What is the SCP for a thoracic vertebra in L lateral flexion and R spinous rotation?

A

PRS

spinous right

29
Q

Dynamic listing: L3 body fixated in L lateral flexion with R body rotation. What is the SCP for side posture?

A

PLI-M

right mamillary

30
Q

Prominent L mamillary at L2 in L sectional convexity is corrected by using side posture push. The ___side of patient should be up, doctor’s CH is ____ and ____ is contacted.

A

PR-T
patient’s left side is up
doctor’s CH: right
SCP: L mamillary

31
Q

Restriction in R body rotation and L thoracic convexity. What is the CH, SCP, and DS if you are doing DTV?

A

CH: R
SCP: L TVP
DS: L

32
Q

Dynamic listing: T8 restricted L body rotation. Reinforced pisiform spinous contact with patient prone, doctor stands on ___side and utilizes a ___line of contact.

A

stand on L

L-R line of drive

33
Q

Correct PRS at C5, patient seated, doctor stands posterior to patient. SCP=?

34
Q

C6 prominent L articular pillar. Seated, doctor stands posterior to patient. CP?

A

index contact on R spinous

35
Q

Doctor’s stance in front of and slightly R. SCP- L lamina of C2, CP= R index, LOD=?

36
Q

Dynamic listing: restricted R body rotation with restricted R lateral flexion in lumbar spine is best corrected with lumbar push. SCP=, CH=, TQ=

A 
SCP= R spinous
CH= L
thigh= R
TQ= CW
37
Q

Patient is on the L side, doctor contacts L spinous of L4 with digital contact and pulls L-R with CCW TQ. Procedure would be used for?

A

R rotation, R lateral flexion

PLS

38
Q

when sacrum drops anterior and inferior on L, the L5 spinous will do what according to the Lovett positive classification?

A

rotate to the R

39
Q

Lovett Positive Classification of Scoliosis

A

Normal compensatory deviation
the side of anterior sacrum is on the same side as the PI ilium (short leg)
spinouses deviate away from the convexity

40
Q

which side should a heel lift be used according to the lovett positive classification?

A

on the side of PI

41
Q

Lovett Negative Classification of Scoliosis

A

simple scoliosis

spinouses rotate toward the convexity

42
Q

absolute contraindicatioins to adjusting

A 
malignancies
tumors
infections
fracture (except Clay Shoveler's)
AAA
recent surgery
43
Q

relative contraindications to adjusting

A 
osteoporosis
spondylolisthesis
RA
cardiovascular predisposing factors
congenital anomalies
acute spastic muscle region
44
Q

balanced pelvis

A

the ASISs are in the same vertical plane as the symphysis pubis

45
Q

anterior pelvic tilt

A

ASISs move anterior to the pubic symphysis

hyperlordosis

46
Q

lengthened/inhibited muscles in an anterior pelvic tilt

A

hamstrings
gluteals
abdominals

47
Q

hypertonic/facilitated muscles in an anterior pelvic tilt

A

psoas
quadriceps
erector spinae

48
Q

should you use a heel life or a sole lift for anterior pelvic tilt?

49
Q

posterior pelvic tilt

A

ASISs move posterior to the pubic symphysis

hypolordosis

50
Q

lengthened/inhibited muscles in a posterior pelvic tilt

A

psoas
quadriceps
erector spinae

51
Q

hypertonic/facilitated muscles in a posterior pelvic tilt

A

hamstrings
gluteals
abdominals

52
Q

hypertonic/facilitated muscles in upper cross syndrome

A 
levator scapulae
pectoralis major
upper trap
SCM
scalenes
suboccipitals
teres major
subscapularis
anterior deltoid
53
Q

lengthened/inhibited muscles in upper cross syndrome

A 
rhomboids
lower and middle traps
serratus anterior
teres minor
longus coli
longus capitus
54
Q

closed packed position occurs when..

A

the joint capsule and ligaments are maximally tightened

“strongest position”

55
Q

closed packed position for fingers

A

DIP, PIP- maximal extension

MCP- maximal flexion

56
Q

closed packed position for hands

A

intermetacarpal joints-maximal opposition

57
Q

closed packed position for wrist

A

intercarpal joints- maximal dorsiflexion

58
Q

closed packed position for forearm

A

radio-ulnar joint- 5 degrees of supination

59
Q

closed packed position for elbow

A

ulno-humeral joint- extension in supination

radio-humeral joint- flexion in supination

60
Q

closed packed position for shoulder

A

glenohumeral- abduction and external rotation
AC joint- 90 degrees of abduction
sternoclavicular joint- maximal elevation

61
Q

closed packed position for toes

A

DIP, PIP, MTP- maximal extension

62
Q

closed packed position for foot

A

intermetatarsal joints- maximal opposition

63
Q

closed packed position for ankle

A

tarso-metatarsal- maximal inversion

tibio-talar- maximal dorsiflexion

64
Q

closed packed position for knee

A

tibiofemoral joint- maximal extension and external rotation of tibia

65
Q

closed packed position for hip

A

coxafemoral joint- maximal extension, internal rotation and abduction

Part 2 boards (19 decks)

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