Thoracic

Question 1

thoracic flexion

Answer 1

20-45

Question 2

thoracic extension

Answer 2

25-35

Question 3

thoracic rotation

Answer 3

35-50

Question 4

thoracic lateral flexion

Answer 4

20-40

Question 5

what is the doctor looking for when performing adam’s position

Answer 5

structural or functional scoliosis

Question 6

when the doctor observes the patient as they rise from a side lying position

Answer 6

amoss’ sign

Question 7

what is a positive amoss’ sign

Answer 7

if pain is elicited while rising from a side lined position and the patient uses upper body strength to assist them

Question 8

doctor observes the umbilicus while the patient is lying supine and does an abdominal crunch

Answer 8

beevor’s sign

Question 9

what does a positive beevor’s sign indicate

Answer 9

abdominal weakness

Question 10

when the doctor uses a tape measure and wraps it around the patient’s chest and the patient is asked to inhale; the distance is measured

Answer 10

chest expansion test

Question 11

what level on the chest is measured during the chest expansion test

Answer 11

4th intercostal space

Question 12

how much is the normal measurement for chest expansion test

Answer 12

1.5-3 inches

Question 13

what is a positive finding of the chest expansion test and what could it indicate

Answer 13

if the measurement of expansion is less than 1.25 inches it could indicate AS

Question 14

doctor observes ROM while patient laterally bends side to side in a standing position

Answer 14

forestier bowstring

Question 15

what is the doctor looking for in forestier bowstring

Answer 15

unequal ROM from one side compared to the other

Question 16

a positive forestier bowstring could indicate what

Answer 16

• AS (classic indication)
• muscle spasm
• pain inhibiting motion
• stacking of the vertebrae

Question 17

the doctor places both hands on the patient’s chest at the sternocostal angle while the patient is lying supine. the doctor is observing for movement of the ribs as the patient inhales and exhales

Answer 17

rib motion test

Question 18

what is indicated during the rib motion test if the rib has restricted motion during inhalation

Answer 18

depressed rib

Question 19

what is indicated during the rib motion test if the rib has restricted motion during exhalation

Answer 19

elevated rib

Question 20

improper rib motion during the rib motion test could indicate what

Answer 20

• rib subluxation
• muscle strain
• pleuritis
• fracture
• arthritides

Question 21

patient extends arms over their head and laterally flexes to the left and to the right while seated

Answer 21

schepelmann’s sign

Question 22

positive schepelmann’s sign

Answer 22

it is indicated by intercostal pain

Question 23

pain on the concave side during schepelmann’s sign

Answer 23

neuralgia (compression of intercostal nerve)

Question 24

pain on the convex side during schepelmann’s sign

Answer 24

myalgia or myofascitis (stretching sensitive muscle or fascia)

Question 25

segmental innervation and peripheral innervation: epigastric reflex

Answer 25

T5-T7; intercostal nerve

Question 26

segmental innervation and peripheral innervation: upper abdominal reflex

Answer 26

T7-T9; intercostal nerve

Question 27

segmental innervation and peripheral innervation: middle abdominal reflex

Answer 27

T9-T11; intercostal nerve

Question 28

segmental innervation and peripheral innervation: lower abdominal reflex

Answer 28

T11-T12; intercostal, iliohypogastric, ilioinguinal nerves

Question 29

segmental innervation and peripheral innervation: cremasteric reflex

Answer 29

L1-L2; ilioinguinal genitofemoral nerve

Question 30

segmental innervation and peripheral innervation: gluteal reflex

Answer 30

L4-S2; inferior gluteal nerve

Question 31

segmental innervation and peripheral innervation: plantar reflex

Answer 31

L4-S2; tibial nerve

Question 32

segmental innervation and peripheral innervation: anal reflex

Answer 32

S2-S5; inferior hemorrhoidal nerve