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