Ribs I

Question 1

The ribs that attach via costal cartilage to the sterum are known as what type of rib?

Answer 1

True Rib

Question 2

Which ribs are true ribs?

Answer 2

1 through 7

Question 3

Veterbrochondral ribs are known as what type of ribs?

Answer 3

False Ribs

Question 4

Which ribs are known as False Ribs?

Answer 4

8 through 12

Question 5

What defines a typical rib? Which ribs are typical?

Answer 5

TWO demifacets on the rib head articulate with TWO vertebrae. Ribs 3-10

Question 6

Floating ribs are known as true ribs or false ribs?

Answer 6

False ribs; because it doesn’t directly connect to the sterum

Question 7

Which ribs are atypical ribs?

Answer 7

1, 2, 11, 12

Question 8

Which rib has a synchondrosis with the manubrium? What does this in effect do?

Answer 8

Rib 1! Makes the 1st rib, T1, and manubrium act as one unit.

Question 9

Which rib is attached anteriorly at the angle of louis via two demifacets? Typical or atypical?

Answer 9

Rib 2; atypical.

Question 10

Rib 11 articulates with which vertebrae?

Answer 10

T11 ONLY no anterior articulation and only 1 posterior articulation

Question 11

Rib 12 articulates with which vertebrae?

Answer 11

T12 ONLY no anterior articulation and only 1 posterior articulation

Question 12

Which ribs attach to gladiolus (body) of sternum via synovial joint?

Answer 12

Ribs 3-7

Question 13

Which of the following diameters enlarge during inhalation?a) cephalad - caudadb) anterior - posteriorc) right - left (transverse)

Answer 13

ALL of them! We need more room for all the air.

Question 14

During inspiration, the thoraco-abdominal diaphragm moves in what direction to increase the cephalad-caudad diameter?

Answer 14

inferiorly

Question 15

Pump handle ribs motion is analogous to what typical motions?

Answer 15

flexion/extension

Question 16

Which ribs have bucket handle motion?

Answer 16

ALL of them, though predominantly ribs 6-10.

Question 17

Bucket handle ribs motion is analogous to what typical motions?

Answer 17

Abduction/adduction

Question 18

Which ribs have caliper rib motion? What typical movement are caliper ribs analogous to?

Answer 18

ALL OF THEM! (all ribs have all motions) They move like an ice tongs (internal/external rotation)

Question 19

What does “PUMP water into a BUCKET and lift the bucket with CALIPERS mean?

Answer 19

Mnemonic to remember the order of predominance motion.

Question 20

Rib 1 is characterized by what motions?

Answer 20

50% pump / 50% bucket

Question 21

Ribs 6-10 are predominantly characterized by what motions?

Answer 21

Bucket Handle

Question 22

What type of restriction is an inhalation somatic dysfunction?

Answer 22

an exhalation restriction

Question 23

What type of restriction is an exhalation somatic dysfunction?

Answer 23

inhalation restriction

Question 24

True or False: Assessment of rib dysfunctions are done only statically.

Answer 24

False. Assessment of rib dysfunctions are done statically and dynamically.

Question 25

Static assessment is assessed as being what?

Answer 25

prominent/recessed and tender

Question 26

Pump handle assessment of rib dysfunction will result in the rib being ______ on the front of the chest with the ______ border being prominent on the front of the chest and ________ on the back of the chest.

Answer 26

Pump handle assessment of rib dysfunction will result in the rib being _prominant_____ on the front of the chest with the __inferior____ border being prominent on the front of the chest and ____recessed____ on the back of the chest.

Question 27

When assessing for bucket handle rib motion, inhaled ribs will be what laterally?

Answer 27

more prominent laterally

Question 28

When assessing for bucket handle rib motion, exhaled ribs will be what laterally?

Answer 28

more recessed laterally

Question 29

True or false: Lack of rib motion infers the side of dominance?

Answer 29

True. side of dominance = side of dysfunction

Question 30

True or False: A rib dysfunction is conclusively determined by dynamic motion assessment.

Answer 30

True

Question 31

In an inhalation somatic dysfunction, the anterior end of single or multiple ribs move in what direction on exhalation?

Answer 31

Nowhere! it’s restricted on exhalation.

Question 32

In an exhalation somatic dysfunction, the anterior end of single or multiple ribs move in what direction on exhalation?

Answer 32

caudal on exhalation

Question 33

When you push down on the right first rib, you notice resistance to springing and a slight elevation compared to the opposite side. In a dynamic test, it does not move inferiorly on exhalation. What somatic dysfunction do you have?

Answer 33

Inhalation somatic dysfunction of the right first rib.

Question 34

When you statically test a patient’s right first rib, it is depressed compared to the other side. What would you notice during the dynamic test if this side had an exhalation somatic dysfunction?

Answer 34

No resistance to springingMoves inferiorly on exhalation; no superioer movement on inhalation