Setup Questions Flashcards

1
Q

Patient is prone and you are contacting the right articular pillar of C3 while standing on the left side of the table. Upon delivering a P-A thrust with a lateral index contact, what listing would you be correcting for?

  • RP body of C3
  • LP body of C3
  • C3 fixed in left rotation
  • LI body of C3
A

RP body of C3

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2
Q

Upon palpation, you determine there is a posterior articular pillar on the right at C3.
What listing and adjustive setup would be correct for this presentation?

A

C3 right rotation malposition and supine articular pillar push

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3
Q

Patient presents with a right AI sacrum.
What setup would correct for this listing?

A

Patient is side lying with their right side down; thenar contact is applied to the left aspect of the sacral apex; a P-A, L-M, and S-I force is applied with counterclockwise torque

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4
Q

A flexion malposition is most likely associated with which listing?

A

Extension restriction

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5
Q

Which listing below is the best fit for a vertebrae that palpates as having a posterior TP on the right?

  • PR
  • RRR
  • RRM
  • LP body
A

RRM

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6
Q

Upon prone motion palpation of the thoracic spine, you determine an increase in stiffness in the mid thoracic spine. You proceed to end feel palpation and determine that there is an extension restriction at the T4/T5 motion segment.
Which adjustive setup (supine) is correct based on these findings?

A

Supine open hand (possibly thenar digital contact) TP push, contacting TPs of T5

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7
Q

Which of the following adjustive setups would correct for a PI body listing of T8?

  • Patient supine, using a thenar digital contact of the TPs of T9 with a P-A thrust
  • Patient prone, using a bilateral 5th MCP contact of the TPs of T8 with P-A thrust
  • Patient supine, using thenar/digital contact of the TPs of T8 with a P-A and S-I thrust
  • Patient prone using a bilateral crossed hypothenar contact of the TPs of T8 with a P-A thrust
A

Patient supine, using thenar/digital contact of the TPs of T8 with a P-A and S-I thrust

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8
Q

Your patient presents with radiating right arm pain that travels to the tip of the thumb and index finger. The patient states that the pain comes and goes but tends to be worse with various arm and hand movements. Upon examination, you find positive cervical neutral, lateral, and rotary compression tests that all reproduced the right arm pain. Active and passive lateral flexion to the right also reproduces that right arm pain. Upon palpation you note various restrictions in the cervical spine.
Which adjustment would most likely reduce the likelihood of an exacerbation of symptoms based on the clinical presentation?

A

Prone index articular pillar push that produces left lateral flexion and right rotation

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9
Q

Patient is right side lying (right side down). Your superior hand contacts the ___ and your inferior hand contacts the ___ in order to correct for a right SI extension restriction

A

superior hand contacts the left shoulder creating distraction of the torso and your inferior hand contacts the sacral apex

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10
Q

Given an AI sacrum on the right, what would be the most appropriate contact and vector for correction?

A

Left sacral apex; L-M, P-A, and S-I with torque

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11
Q

What is the setup and contact for a side lying hypothenar spinous pull adjustment to correct for an L3/L4 left rotation restriction?

A

Right side up; contact L3 spinous process

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12
Q

In a prone thumb spinous push with head assist adjustment to correct for a T1/T2 left rotation restriction, what is the correct vector of correction?

A

Left to right to the T1 spinous process

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13
Q

What is the correct setup, contact, and vector for a side lying hypothenar spinous push adjustment to correct for an L3/L4 left rotation restriction?

A

Left side up; contact the L3 spinous; left to right vector

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14
Q

A right lateral flexion restriction is most likely associated with which static listing?

A

LI

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15
Q

T9 PR is the same as which motion listing?

A

Right rotation restriction

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16
Q

Your patient is seated at the foot of the table with one leg on either side of the table facing the head piece. With your hypothenar you contact the left transverse process of T5 and apply P-A force while inducing flexion and rotation of the patient’s torso.
Which of the following is correct for this setup?

  • Right rotation malposition
  • PL
  • T5 fixed in left rotation
  • T3 fixed in right rotation
A

T5 fixed in left rotation

17
Q

Patient is lying prone on the table. While palpating the mid thoracic spine, you find a decrease in motion upon pressing on the right TP of T7.
What are the doctor’s position and contact points?

A

Doctor will stand on the left side of the table; left hand hypothenar will contact the right TP of T7; right hand hypothenar will contact the left TP of T8; a P-A thrust will be delivered through both contact hands

18
Q

A side lying digital spinous pull adjustment with forearm assist is applied with an L1 spinous contact and the patient lying on their left side.
What listing is being corrected?

A

L1 PL spinous