AAT II quizzes for exam 1

In the T1 - T4 area, which of the following orthogonal designations would be considered correct coupled motion?

+θY & -θZ

Choose the correct plane in figure B.

coronal

Antalgic posture to the same side of the herniation is frequently observed in patients with which type of disc herniation?

lateral or posterolateral

How should the right sacral base move during right sacroiliac extension?

posterior-superior

Choose the correct plane in figure C.

transverse

In a static model, we are simply saying that the segment is stuck in postion

true

Since there are no movable joints within a normal adult sacrum, a posterior apex should also palpate as a base anterior sacrum.

true

Select all that apply to the weekly quizzes.

-Weekly quizzes are due by midnight of each week -I have 2 attempts to pass the weekly quiz -The lowest weekly quiz grade of the trimester will be dropped. -My highest grade out of the 2 attempts will be used

Match the weight of each category to the assessments. 1.Lecture Exam 1 2.Midterm Lab Practical Exam 3.Skills Checks 4.Weekly Quizzes 5.Final Lab Practical Exam 6.Final Lecture Exam 7.Physical Clearance Form

1. 10% (Exam 1) 2. 25% (MT Practical) 3. 15% 4. 10% 5. 25% (Final Practical) 6. 10% (Final Lecture Exam) 7. 5%

What is the correct disc height-to-body height ratio in the thoracic spine?

1:5

Select the correct answer for how your midterm lab practical is setup.

2 setups & 1 muscle palpation in 5 minutes and FSTT body drop with Dr, McClendon

According to the power point information, what is the optimal number of vantage points that should be utilized to evaluate a patient's posture?

4

How many listing sytems are you required to know in this course?

5

After performing the physical exam, you have determined that your patient has clinical spinal motion segment instability. Which of the following are appropriate?

A trial of proprioceptive exercises with gentle manipulation/mobilization if tolerated.

A patient presents to your office complaining of "right hip pain" that has been constant for the past few days. When asked to point to the pain, she places her hand over her right sacroiliac joint. Upon visual inspection/static palpation, you notice that the left leg is long compared to the right leg and the right PSIS is tender and more prominent than the left. Motion palpation reveals a right sacroiliac extension restriction with a hard end-feel when motioning the right ilium P-A. Which of the following is the most likely listing for these findings?

AGR R-Ilium

Mrs. Smith arrives at your office with an exacerbation of right sacro-iliac pain. During motion palpation you detect a hard end-feel when palpating P-A on the right PSIS as compared to the left. Which of the following is the correct motion restriction listing? Choose the best answer.

AGR R-Ilium

Please choose the signs and symptoms of joint dysfunction, MACA (partial credit given).

Aberrant/painful joint play Aberrant joint motion Altered end-feel Muscle hypertonicity

Which of the following can be effectively utilized as an outcome measure?

Activities of daily living

Identify the secondary finding associated with the presence of a joint subluxation/dysfunction syndrome.

Alterations in global range of motion

Which of the following conditions require referral to a vascular surgeon?

Aneurysm

movement pattern exhibits the normal pattern of coupling in which is associated with to the side.

Type I/lateral flexion/axial rotation/opposite

Which of the following describes the best way to differentiate mechanical from non- mechanical LBP?

By performing an evidence-based clinical exam with thorough history & localized physical exam (PE)

Which of the following conditions are not appropriate to treat with adjustive therapy?

CES

Which of the following is consistent with a sacroiliac extension restriction?

CRRLOA or CRRROA

Forceful manipulation is contraindicated in patients with ________. Mark All Correct Answers

Clotting disorders Osteoporosis

Which of the following best fits the definition ...a problem that occurs after the application of a procedure?

Complication

As you evaluate a patient's lumbar spine for left lateral flexion, you would expect the spinous process to go towards the ______ as the vertebral bodies go towards the _________.

Convexity/Concavity

A Posterior apex misalignment would probably have which of the following palpable restrictions?

Counternutation restriction

Which is of the following is not an absolute contraindication listed in the presentation?

Diabetes

Which of the following are characteristics of a "specific" spinal adjustment (versus a "general" spinal adjustment)?

Usually short-lever

When is adjustive therapy NOT appropriate? Choose the best answer

When the patient has bilateral paresthesia of the lower limbs with concurrent onset of bowel incontinence

A new patient, Mr. Jones, presents with bilateral LBP from L3-L5 and tenderness over the SI joints bilaterally. Upon examination/palpation of the sacrum, you detect a RRLOA. How might you have detected this motion restriction?

While palpating P-A on the right sacral base

Which of the following tests would be utilized to diagnose Thoracic Outlet Syndrome?

Wrights Test

Information concerning family history is documented in which part of a SAMPLE HISTORY?

L - lineage

Right Sacroiliac flexion occurs about the __________ axis.

Left oblique axis

Where should the doctor be positioned for a T6 RRR supine ipsilateral thenar transverse drop?

Left side of the patient

Which 2 are examples of listings that are based on a static model?

Malposition PL- posterior left

Which of the following techniques mobilizes articular tissues by sustained or intermittent separation of joint surfaces to restore normal painless ROM.

Manual traction-distraction

Choose the correct plane in figure A.

Mid- Sagittal

Which of the following are potential complications from manipulating a patient with late stage osteoarthritis according to table 4-1 from the textbook?

Neurological compromise

Which acronym is specifically utilized to complete the history of present illness?

OPQRST

Pair the acronym P.A.R.T.S to what each letter stands for.

P.pain/tenderness A.Asymmetry/alignment R.Range of motion abnormality T.Tone/texture/temperature of soft tissues S.Special tests

What is the acronym for the system of documenting a subluxation?

PART

When you set up for an adjustment with preload in the direction of the restriction and manipulation, it causes the patient pain and they are protective guarding (they seem to be actively resisting the positioning for side posture) and they are unable to relax. Which of the following is the most appropriate action for you to take?

Perform mobilization in the direction of restriction (no thrust) as tolerated/ treat surrounding soft tissues.

Which of the following listings requires a closed hand contact in the supine position?

Posterior

Select all that apply. Select all the muscles that you can be tested on the midterm lab practical.

Q.L. Muscle B. Erector Spinae E. Quadratus Femoris

Patient history and examination reveal pain in the lower half of the SI joint, a right short leg and more prominent PSIS on the right. Although motion palpation is always necessary, your initial clinical impression based on your knowledge of lumbopelvic kinematics is that this patient may have a(n) _________.

R-PI Ilium or a L-AS Ilium

Which of the following is consistent with a sacroiliac flexion restriction?

RRROA or RRLOA

All of the following are typical self-reported outcome measures used in chiropractic EXCEPT?

Range of Motion Disability Index

Conditions that have the potential to contraindicate manual adjusting depending on the severity/stage of the condition are called _______.

Relative contraindications

What is the most appropriate patient position to assess both joint play and end feel in the thoracic spine?

Seated

Which of the following procedures involves lateral or linear stretching, deep pressure, and/or separation of connective tissue?

Soft tissue manipulative procedures

Which of the following is not a diagnostic category utilized to justify the presence of a subluxation?

Spinal lab findings

What are your landmarks when performing thoracic inclinometry?

T1 & T12

What is the first procedure in the examination process?

Take history

Joint manipulation can be broken down into two categories; thrust and non-thrust techniques. Thrust techniques are characterized by a low amplitude thrust with controlled velocity, amplitude, and direction directed at specific joints/anatomic regions.

True

In a motion model we are simply saying that the segment cannot go in that direction or motion

True

Match the correct assessment with minimum standard expectations. 1.Which minimum standard expectations goes with flexion assesment. 2.Which minimum standard expectations goes with extension assesment. 3.Which minimum standard expectations goes with rotation assesment.

1. I. The patient does not shift weight from side to side The patient has an even distribution of movement throughout the spine. The patient can touch the toes without flexing the knees. The patient has a posterior weight shift. 2. II. The patient's pelvis moves anteriorly (ASIS in front of toes). The patient's upper back shifts posteriorly (Scapulae behind heels). The patient has an even distribution of movement throughout the spine. The patient does not shift weight from side to side. 3. III. The patient can rotate their shoulders 90 degrees from the start position. (Can see opposite shoulder from the posterior view.) The patient can rotate their hips/pelvis to contribute about 45 degrees. The patient has an even distribution of movement throughout the spine. The patient has symmetrical rotation on each side.

Match correctly 1.Type I movement pattern 2.Type II movement pattern 3.Type III movement pattern 4.Type IV movement pattern

1.Normal movement pattern in the lumbars 2.Abberant movement pattern caused by muscular imbalance of the erector spinae muscles. 3.Abberant movement pattern caused by faulty disc mechanics or overdominance of the qudratus lumborum or transverse muscles. 4.Abberant movement pattern caused by faulty disc mechanics or imbalance in the psoas or multifidus muscles.

Match the correct listings. 1. -0Y 2. Flexion malposition 3. -0Z 4. Right rotation malposition 5. flexion restriction

1.PR 2.-0Z 3.Match the correct listings. 4.+0Y 5.Posterior

Match the reference point used in the listing 1.What reference point used in a motion listing? 2.What reference point used in a static listing begining with the letter P? 3.What reference point used in a static listing begining with the letter LP ?

1.Veterbral Body 2.Spinous Process 3.Left Verterbal Body

Which part of the sacrum articulates with the ilium?

Auricular surface

During a trial of adjustive therapy, you must monitor your patients progress. If they are not responding as expected, you must terminate chiropractic treatment and refer out.

False

Regarding informed consent: Prior to any evaluation or treatment, a doctor must always inform patients of potential complications and of risk of any harm, only if that risk is significant, from said evaluation or treatment.

False

The coupled rotation with right lateral flexion of L2/L3 causes the vertebral body to rotate to the right.

False

Which acronym is specifically utilized to complete the examination?

HIPPIRONEL

Which of the following is not considered a related area of examination in relation to the thoracic spine?

Hip

Which of the following is not part of the daily patient assessment?

Imaging

What instrument do we use to measure spinal ranges of motion?

Inclinometer

A sacral base angle of 50 degrees would __________ lumbar lordosis leading to increased loading of the __________.

Increase, facets

Identify the primary curve of the spine.

Thoracic

Nutation/Counternutation occurs around the _____ axis?

Transverse

What is the plane of motion for thoracic rotation?

Transverse

During lumbosacral extension, the sacral base should glide _________.

anterior-inferior

How should the right sacral base move during right sacroiliac flexion?

anterior-inferior

How should the left ilium move during left sacroiliac extension?

anterior-superior

MACA. To demonstrate a subluxation, based on the physical examination, two of the four PART criteria (pain/tenderness, asymmetry/misalignment, range-of-motion abnormality and tissue, tone changes) are required, one of which must be either or . Select the two correct answers.

asymmetry/misalignment range-of-motion abnormality