Test 1

Question 1

C6-L5

sympathetic or Para?

Answer 1

Sympathetic

Question 2

C0 to C5, sacral segmetns & ilium

Para or Sympathetic?

Answer 2

Parasympathetic

Question 3

High systolic: How do we adjust?

Answer 3

adjust sympathetic first—
T1 to T3 for heart
or
T10-L2 for kidney

Question 4

High diastolic: How do we adjust?

Answer 4

adjust upper cervicals

Question 5

High Both dia and systolic:

Answer 5

adjust sympathetic first—wait one week—then adjust parasymp.

Question 6

Headaches Upon waking- causes?

Answer 6

Chemistry problem C6 - T3 (thyroid hormone) 
T12 to L3 (adrenal dysfunction). 
Alcohol intake the night before. 
Strained sleeping
positions.

Question 7

Cluster Headaches -

Answer 7

trigeminal nerve dysfunction- atlas/ occiput/ axis

Question 8

Digestive Headaches-

Answer 8

Occur 1 hour after eating it is upper cervical.

1-2 hours after eating is T4 to L3.

Question 9

Classic/ Common Migraines-

Answer 9

Sympathetic C6 - T3, T12 - L3.

Dietary Considerations.

Question 10

TMJ Headaches -

Answer 10

correct the cervical curve, atlas subluxation or TMD

Question 11

Disc lesions

 Lateral:

Answer 11

pt. leans away from side of pain (2 weeks to heal)

Question 12

Disc lesions

 Medial:

Answer 12

pt. leans towards the side of pain (4 weeks to heal)

Question 13

Disc lesions

 Central: bilateral pain/ switching leans (6 weeks to heal)

Answer 13

 Central: bilateral pain/ switching leans (6 weeks to heal)

Question 14

D1:

Answer 14

acute: disc level is parallel endplate

Question 15

D2:

Answer 15

sub-acute : retrolisthesis/ slightly posterior thin disc

Question 16

D3:

Answer 16

chronic: very thin posterior disc, normal disc height anterior

Question 17

D4:

Answer 17

whole disc thinned—Disc lost 1/3 height

Question 18

D5:

Answer 18

degeneration of vertebral body begins- disc lost 2/3 height

Question 19

D6:

Answer 19

no evident disc space- disc is completely lost here

Question 20

Management for acute low back pain

Answer 20

1. pt. on hi-lo table- distorted to their antalgia
2. ice over disc/ analegesic
3. Pump ABOVE disc: contact SP (30-40 lbs pressure) 3-5 mins (pelvis piece
   up- thoracic drop is locked)
4. repeat pumping until pt. can tolerate it well
5. raise Hi-Lo table
6. side posture adjustment- contact SP BELOW affected disc (PULL
   Move=faster & better)
7. walk 5 minutes

Question 21

Contraindications:

Knee Chest

Answer 21

 Pain on extension (acute low back, facet syndrome)
 Very flexible patient
 Knee/hip problems
 Spondylolisthesis
 Knife clasp
 Scoliosis
 Emotionally unable to handle the table

Question 22

Indications:

Knee chest

Answer 22

 Pregnancy
 Elderly (rigid)
 Osteoporosis
 Patient is larger, especially if larger than doctor
 Children
 Straightened lumbar spine

Question 23

Single hand: Knee chest

Answer 23

 Levels: C2, C6, C7, T1-L5, sacrum
 Use your fleshy pisiform with flat hand
 “Super 42”
Above T4 and below L2, use the inferior hand
 “T5-T9 long spine”
Move 2 interspinous spaces up
 “T4-T8 adjust straight”
Episternal notch should be right
above the contact point
 Use a scoop motion before feeding in to clear the facets
 For rotatory component: hand shouldn’t contact or the spinous

Question 24

Double thenar: Knee chest

Answer 24

 ROTATORY ONLY

 Levels: T3-L5

Question 25

Thumb pisiform

Knee chest

Answer 25

 Levels: T10-T12
 Used for small TP’s
 Contact hand should be flat
 Stand down towards the patient’s knees
 The contact hand pushes the spine into extension

Question 26

Double thumb

Answer 26

 Levels: C3-C5 (spinous or lamina contact)
 Levels: T10-T12 (spinous contact only)
 Can be used for the lowest lumbar for a “p” listing
 Good for tiny spinouses children
 The thumb that does the tissue pull is the thumb that is on top

Question 27

Double lamina

Answer 27

 Levels: C3-C5
 The stabilization thumb contacts the opposite lamina
 Curl the fingers around the patient’s traps
 This is good to use for a patient with a laminectomy

Question 28

C2 Special Consideration

Answer 28

 Use a lot of I-S, you must stand down towards the patient’s
knees
 Contact with your superior hand
 C2 has a 60 degree facet angle