Biel Quiz: Spine and Thorax

As you palpate medially toward the spine, you may lose contact with the 12th rib because it is deep to which muscle group?

Erector Spinae group

The thoracic transverse processes are located deep to the ______________ muscles and superficial to the ____________________

Erector spinae, connecting aspects of the ribs

The thoracocolumbar aponeurosis serves as an attachment site for which two muscles?

Latissimus Dorsi, erector spinae group

Name tow large muscles through which you would have to palpate to access portions of the intercostals.

Latissimus dorsi, pectorals major or external oblique

Rotating the head of the left demands the contraction of which splenius captious- the left or right?

Left

Which band of connective tissue lies superficial to the cervical spinous processes?

Ligamentum Nuchae

Your partner is supine and you passively rotate the head 45 degrees away from the side you are palpating. This position places the cervical transverse processes in a line running between which two bony landmarks?

Mastoid process, Center of shaft of clavicle

The abdominal aorta is located where in relationship to the psoas major?

Medial

When is it best to move your fingers as you curl them underneath the rib cage to feel the diaphragm?

Only as your partner exhales

Although the entire rib cage is deep to muscle tissue, which portion is easily accessed?

Sides of the trunk

The most medial branch of the erector spine group is the ________, while the most lateral is the __________

Spinalis, iliocostalis

What two bony landmarks and one region can be helpful to isolate the location of the sub occipitals?

Spinous process C-2, TVPs of C-1, and space between superior nuchal line of the occiput and C-2

The lamina groove is located between which two bony landmarks of the vertebrae?

Spinous process and transverse process

The Thorax is comprised of which two structures?

Sternum, rib cage

what superficial ligament can be felt between the spinous processes of the thoracic and lumbar vertebrae?

Supraspinous

When the diaphragm muscle fibers contract, what connective tissue structure is pulled inferiorly?

The central tendon

Which abdominal muscle runs vertically from the raib cage to the pubic crest

Rectus abdominus

Which 3 bony landmarks can help you isolate the borders of the quadrates laborum?

12th rib, posterior iliac crest, transverse process of lumbar vertebrae

To avoid the thick erector spine muscles overlying the lumbar transverse processes, it is best to slide your fingers roughly how far laterally form the spinous process?

2 inches

Which rib attaches to the sternum at the level of the sternal angle?

2nd

The 11th and 12th ribs lie at approximately what angle on the body?

45 degrees

The angles of the scapula and the corresponding spinous process do not always line up. Name two factors that might affect the position of the scapula.

Body type, muscular contraction

Which two cervical vertebrae have spinous processes that protrude further posteriorly and are more distinct than other cervical vertebrae?

C-2 and C-7

Which section of the vertebral column is capable of the most movement?

Cervical Vertebrae

The first rib is deep to which bone along the anterior thorax?

Clavicle

What action could your partner to perform to feel the first rib move?

Deep breath under upper chest

You are palpating lateral to the edge of rectus abdomens and the fibers you feel are superficial and running at an angle. Which muscle is this?

External oblique

To feel the ligamentum niche change tension underneath your fingers, what two passive movements can you perform at the head?

Flexion and extension

With your partner seated, what two movements at the spine could you ask your partner to perform to feel the movement of the spinous processes?

Flexion and extension

Which muscles are located between the ribs?

Intercostals

As a group, the transversospinalis muscles can be easily located along the ____________ of the thoracic and lumbar vertebrae.

Lamina Grooves

which edge of the quadratus lumborum is accessible form the side of the torso?

Lateral edge

To contract the lower fibers of the erector spine group in a prone position, you could ask your partner to perform what action?

Raise and lower feet

Rotating your trunk to the right would engage your left or right internal oblique muscle?

Right

To distinguish the trapezius fibers from the splines capitis fibers, you could ask your partner to perform what action?

Rotate the head towards side you are palpating

Exploring just posterior to the clavicle, through which muscle muscle group must you palpate to access the first rib?

Scalenes

How can the upper fibers of the trapezius be helpful in locating the suboccipitalis?

The trapezius lateral edge is the same width as suboccipitalis

In the lumbar region, the erectors lie deep to what connective tissues structure?

Thoracocolumbar oponeurosis

The Splenius capitis is a deep muscle except on the lateral side of the neck where it is superficial between which two muscles?

Trapezius, sternocleidomastoid

When exploring between the scapulae, can you name two muscles through which you will have to palpate to access the deeper erector spine fibers?

Trapezius; phomboids or serratus posterior superior

In which 3 directions are the ribs ideally designed to move?

anterior/posterior, lateral, and superior

What is the structure that extends off the ribs and attaches to the sternum?

costal cartilage

What is the primary muscle of respiration?

diaphragm

What action could you ask your partner to perform to feel the quadrates lumborum contract

elevate the hip

The ligament niche spans between which two bony landmarks?

external occipital protuberance, spinous process of C-7

Unlike the long, vertical erector fibers, the branches of the transversospinalis group consist of many _______,______ fibers

short, diagonal

The visible row of bumps running down the center of the back are the...

spinous process

Many of the cervical transverse processes are deep to which neck muscle?

sternocleidomastoid