Thoracic Cage, Lumbar Somatic Dysfunction and Vertebral Mechanics Flashcards
A 96 year old female presents to the family medicine clinic for her yearly wellness exam. She has remained active for her age and takes medication for only her hypertension and osteoporosis. On physical exam, you note that she appears to be hunched over. This reflects an increase in what curvature of the patients spine? A. Thoracic kyphosis in the sagittal plane B. Thoracic kyphosis in the coronal plane C. Thoracic lordosis in the sagittal plane D. Thoracic lordosis in the coronal plane
A
A 96 year old female presents to the family medicine clinic for her yearly wellness exam. She has remained active for her age and takes medication for only her hypertension and osteoporosis. On physical exam, you note that she appears to be hunched over. This reflects an increase in thoracic kyphosis in the sagittal plane. The motion occurs about which of the following axis? A. Superior–inferior B. Anterior – posterior C. Horizontal D. Sagittal E. Coronal
C. Horizontal
Two days after winning a bodybuilding competition, a 28 year old male presents to the clinic with symptoms of mid back pain. He states that it began one day ago and it has kept him from continuing his fitness routine. He denies numbness and tingling of his legs and has no change in bowel or bladder habits. On physical exam you determine that his 7-9th thoracic vertebra are rotated to the right. There is no change in flexion or extension. What direction would you expect sidebending to occur in? A. Right B. Left C. Anterior D. Posterior
B. Left
On physical exam you determine that his 7-9th thoracic vertebra are rotated to the right. There is no change in flexion or extension. At what level would you expect to find the spinous processes associated with the affected vertebra? A. The level of the 6-8th thoracic vertebral bodies B. The level of the 7-9th thoracic vertebral bodies C. The level of the 8-10th thoracic vertebral bodies D. A half segment below the corresponding vertebral bodies
C. The level of the 7-9th thoracic vertebral bodies
On physical exam you determine that his 7-9th thoracic vertebra are rotated to the right and sidebent to the left. There is no change in flexion or extension. How would you document the patients somatic dysfunction? A. T7-9 N RLSL B. T7-9 F RRSL C. T7-9 N RRSR D. T7-9 E RRSL E. T7-9NRRSL
E. T7-9NRRSL
You diagnose a patient with T3 E SRRR. What muscle do you expect is responsible for the above somatic dysfunction? A. Rotatores m. B. Longissimus m. C. Semispinalis m. D. Multifidus m. E. Trapezius m. F. Iliocostalis m.
A. Rotatores
A patient presents with a chief complaint of tightness in their back muscles. On physical exam, you note that the vertebral segment at the level of the inferior angle of the scapula is rotated to the left. What spinous process is located at the same level? A. T5 B. T6 C. T7 D. T8 E. T9
C. T7
A patient presents with a chief complaint of tightness in their back muscles. On physical exam, you note that the vertebral segment at the level of the inferior angle of the scapula is rotated to the left. What transverse process is located at the same level? A. T5 B. T6 C. T7 D. T8 E. T9
D. T8
A prenatal ultrasound is performed that shows an abnormality of the spine in the fetus. An outpouching is noted at the base of the spine. It seems to contain neural tissue. What is this name of this condition? A. Meningocele B. Meningomylocele C. Spina bifida occulta D. Congenital scoliosis E. Achondroplasia
B. Meningomylocele
Which of the following organs may have reflexes to the low back ( T10-L5)? A. Heart B. Lungs C. Kidneys D. Pancreas E. Colon
C and E
Which of the following abnormalities is this XR most consistent with? A. Scoliosis B. Spondylosis C. Spondylolysis D. Spondylolisthesis E. Spina bifida
D.
Which of the following abnormalities is this XR most consistent with?
A. Scoliosis
B. Spondylosis
C. Spondylolysis
D. Spondylolisthesis
E. Spina bifida
C.
Which of the following abnormalities is this XR most consistent with?
A. Scoliosis
B. Spondylosis
C. Spondylolysis
D. Spondylolisthesis
E. Spina bifida
A. Scoliosis
Which of the following abnormalities is this XR most consistent with?
A. Scoliosis
B. Spondylosis
C. Spondylolysis
D. Spondylolisthesis
E. Spina bifida
E. Spina bifida
A 24 year old female soccer player presents to the urgent care clinic with a chief complaint of sharp back pain that she experienced at practice today. She notes that it has been slowly getting worse over the past several weeks and resolves if she stops participating in practices, but returns when she returns to play. She is able to point to a location on her low back that she states has pain with extension. The pain radiates throughout her lumbar region.
A. Anterior-posterior, lateral and oblique plain films
B. MRI
C. OMT for the lumbar spine
D. Hamstring stretching bilaterally
E. Thorough physical exam
E. Thorough physical exam
