toggle exam Flashcards

1
Q

C2 torque corrects which two misalignments in axis subluxation?

A

posteriority

inferiority

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2
Q

the superior to inferior line of drive necessary for all atlas listings can be easily explained using the

A

A-P openmouthed x-ray

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3
Q

an axis listing is found by comparing the position of the axis with ______?

A

the center of the neural canal of atlas

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4
Q

what information below is consistent with adjusting an AILA listing?

A

episternal notch one inch anterior to the top of the ear

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5
Q

what information below is consistent with an adjustment of an ESL listing?

A

tissue pull is I-S and P-A

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6
Q

indicate on which patient, adjusting the axis vertebra is a viable option.

A

Pt. # 3 ASRA, SpR

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7
Q

spinal mechanics. which one of the following statements is correct?

A

head rotation appears to reduce the cervical curve on x-ray

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8
Q

spinal mechanics. which one of the following statements is correct?

A

rotation of the cervical spine is mechanically linked with lateral bending

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9
Q

the large interodontoid space on the side of C1 laterality will be negated by posterior rotation on the same side

A

false

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10
Q

the tip of the lateral mass below the posterior arch will appear larger on the side of posterior rotation

A

true

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11
Q

the C-0 and C-1 joint space is wedged closed not he side of atlas laterality

A

true

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12
Q

a thicker posterior arch and a C1 tp closer to the mastoid process are indicators of anterior rotation

A

false

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13
Q

visualization of all X-rays is done before the line draeing analysis takes place

A

true

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14
Q

which of one of the following is properly matched?

A

balance, posture and coordination-spinocerebellar tract

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15
Q

the anatomical structure of the spinal cord as demonstrated in class from cunning ham’s anatomy text infers that an atlas subluxation impacting the lateral aspect of the cord would most likely produce what type of patient symptoms?

A

low back pain

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16
Q

which one of the following is correctly matched?

A

vertebral artery-forament magnum

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17
Q

because of the predicable movement of all axis listings, the odontoid process could by implication effect which one of the following functions?

A

autonomic breathing

18
Q

what tract of the spinal column when traction by the dentate ligaments affects the muscles of the pelvic girdle to produce a continual short leg?

A

spinocerebellar tract

19
Q

the primary role of the dentate ligament in the upper cervical area is to

A

restrict axial forces of the spinal cord

20
Q

which of the following is correctly paired?

A

AILP, SpL-variable

21
Q

All of the following statements concerning the medulla oblongata are true except:

A

according to Dr. BJ Palmer it’s transmitted by the foramen magnum

22
Q

in determining the presence of head rotations on the A-P open mouth which statement below is true for left head rotation?

A

less mastoid is showing on the left side, compared to the right side

23
Q

along with the direct traction on the cord by the dentate ligaments, what other factor produces a neurological deficit, as described by Dr. John Dr. Grostic?

A

ischemia to the lateral cords

24
Q

what tract of the spinal cord when affected by the dentate ligament would produce low back pain and or sciatica?

A

spinothalmic tract

25
Q

John F Grostic observed that as a rule, the patient must have only _____ mm of misalignment to have neurological manifestations.

A

0.75

26
Q

in grostic’s experience caring for patients with trigeminal neuralgia, what did he consider to be the most important factor in the relief of the condition?

A

atlas rotation

27
Q

Lhermittes sign, according to JD Grostic is

A

a common sensation felt by patients considered indicative of spinal cord involvement

28
Q

tic douloureaux is the principal disease of affecting which of the following:

A

sensory portion of CN V

29
Q

Choose the incorrect statement below:

A

site of maximum mechanical irritation = spinothalmic tract

30
Q

To help to exacerbate the possibility of a functional short leg, a patient should have their head in at lease 20 degrees of extension while performing a supine leg check

A

false

31
Q

The x-ray was taken without any compensation for head rotation

A

the spinous process of C2-C7 are off the midline, C2 being further off the median line with each successive spinous getting closer to the median line

32
Q

the x-ray was taken with the proper compensation made for head rotation.

A

the spinous processes of C2-C7 are vertically in line, slightly off the median line

33
Q

the x-ray was taken properly, there is evidence of a C2 misalignment

A

the spinous process of C2 is off the median line and with the other spinous’s are on the median line

34
Q

ASRP/ BdR/ SpL

A

Constant
Yes you can adjust C2
atlas and axis rotated clockwise

35
Q

ASLP/ SpR

A

neither constant or variable
yes you can adjust C2
atlas moved left
atlas and c2 rotated counter clockwise

36
Q

ASRA/ ESL

A

neither
cannot adjust C2 because atlas and axis have moved in opposite directions, any adjustment of C2 would exacerbate the misalignment of C1

37
Q

AIL/ BdL/ SpR

A

neither
you can consider adjusting C2
both c1 and c2 have moved in the same direction

38
Q

AIRP/ SpL

A

constant
yes you can adjust c2
clockwise rotation of both c1,c2

39
Q

AIRA/ BdL

A

constant
no cannot adjust C2
both c1/c2 have counterclockwise however they have moved laterally in opposite directions

40
Q

ASL/ ESL

A

constant

yes you can adjust c2

41
Q

AIRP/ BdL/ SpR

A

variable

no you cannot adjust c2

42
Q

AILP/ SpR

A

constant
yes you can adjust c2
both c1/c2 have rotated counter clockwise