Chapter 3

Question 1

What is a good example of a need to have X rays before adjusting a patient?

Answer 1

they could have fractures, tumors or irregular bony growths

Question 2

What does the analytical workup of an X ray allow the doctor to do?

Answer 2

substantiate the acutal spinal misalignment as it appears on the film

Question 3

What does the doctor determine from X rays?

Answer 3

He/she can determine listings, not subluxations

Question 4

What does instrumentation say?

Answer 4

It tells us when to and when not to adjust, NEVER where

Question 5

What are leg checks used for?

Answer 5

monitor the patient between adjustments

Question 6

What does thedoctor use static palpation for?

Answer 6

structure recognition and muscle tonicity

Question 7

What does the doctor use motion palpation for?

Answer 7

a comparative study between the vertebra in question to the vertebra above, below or itself

Question 8

Do we use motion palpation for upper cervical?

Answer 8

no

Question 9

What is the least important in a workup of a patient?

Answer 9

symptomatology

Question 10

PP

Answer 10

patient placement

Question 11

DS

Answer 11

doctor stance

Question 12

CP

Answer 12

contact point

Question 13

SCP

Answer 13

segmental contact point

Question 14

CH

Answer 14

contact hand

Question 15

SH

Answer 15

stabilization hand

Question 16

TQ

Answer 16

torque

Question 17

TP

Answer 17

tissue pull

Question 18

RI

Answer 18

roll in

Question 19

LOC

Answer 19

line of correction

Question 20

What is CP 1? What is it used for?

Answer 20

Pisiform, used in toggle recoil technique

Question 21

What is CP 2 and 3? What is it used for?

Answer 21

CP 2: padded portion of 5th metacarpal
CP 3: distal bony aspect of 5th metacarpal

used as a knife edge in posterior axis listings

Question 22

What is CP 4? What is it used for?

Answer 22

middle and proximal joints of the 3rd phalange

used in diversified technique

Question 23

What is CP 5? What is it used for?

Answer 23

tip of 3rd phalange

used as a CP for child toggle adjusting and commonly as a palpating finger

Question 24

what is CP 6? What is it used for?

Answer 24

distal end of the 2nd phalange

used for gonstead chair adjusting

Question 25

What is CP 7? What is it used for?

Answer 25

thumb side of the proximal phalynx of the 2nd phalange | used in diversified techniques

Question 26

What is CP8? What is it used for?

Answer 26

just proximal to CP7 | used in diversified technique

Question 27

What is CP9? What is it used for?

Answer 27

tip of 1st phalange used as a child CP for toggle CP for gonstead atlas cervical chair CP for full spine adjusting

Question 28

What is CP 10?

Answer 28

thenar eminence

Question 29

What is CP 11?

Answer 29

non-padded area between thenar and hypothenar

Question 30

Name the different exercises to do before a toggle adjustment day?

Answer 30

``` hamstring and quadricep exercise shoulder roll thumb web stretch exercise wrist exercises arched hand exercise (count 1,2,3,4,5) torque pectoralis triceps ```

Question 31

How many atlas listings are there?

Answer 31

12

Question 32

How many axis listings are there?

Answer 32

8

Question 33

What are the 4 films required for upper cervical analysis?

Answer 33

lateral, nasium, base posterior, A-P open mouth

Question 34

What is the reason for the lateral film?

Answer 34

obtain the first and second letter of an atlas listing

Question 35

What is the secondary reason for the lateral film?

Answer 35

evaluate the C1/C2 relationship

Question 36

What are the 3 lines required to interpret a lateral film?

Answer 36

Occipital condyle line atlas plane line listing line

Question 37

Where do you place the dots for the occipital condylar line?

Answer 37

anterior and posterior parts of the occipital condyle

Question 38

Where do you place the dots for atlas plane line on the lateral film?

Answer 38

base of the anterior tubercle of C1 and narrowest part of the posterior arch

Question 39

Where do you place the dots for the listing line on the lateral film?

Answer 39

make sure the line is parallel to the occipital condylar line

Question 40

How do you determine the number of degrees on a lateral film?

Answer 40

Atlas plane line is normally 4 degrees above the listing line. The further away they get, substract 4 from what the degree is. If the atlas plane line is below the listing line, you add 4 to however many degrees you measure.

Question 41

How do you determine a listing on the lateral film?

Answer 41

if listing line is below atlas plane line, it is AS | if listing line is above atlas plane line, it is AI

Question 42

What is the alternate name for the lateral film?

Answer 42

longitudinal

Question 43

What are the 4 lines on the nasium?

Answer 43

Ocular orbit line superior basic line inferior basic line vertical median line

Question 44

How do you draw the ocular orbit line on the nasium?

Answer 44

place as many dots on the ocular orbit as possible and draw a line through one of the two sets that match up

Question 45

How do you draw the superior basic line on the nasium?

Answer 45

parallel to the ocular orbit line

Question 46

How do you draw the inferior basic line of the nasium?

Answer 46

dots on the lateral inferior tips on the occpital condyle

Question 47

How do you draw the vertical median line on the nasium?

Answer 47

draw a plus sign using the foramen magum line, make sure when you draw the line it is perpendicular to the ocular orbit line

Question 48

What is the 70% rule for the nasium film?

Answer 48

if the superior basic line and inferior basic line converge, this will check the laterality you found on the longitudinal film

Question 49

What are the 2 lines for the base posterior film?

Answer 49

atlas plane line | perpendicular skull line

Question 50

What is the other name for the base posterior film?

Answer 50

vertical film

Question 51

How do you draw the atlas plane line for the base posterior film?

Answer 51

put a dot in the middle of the transverse foramina and draw a line through both of them

Question 52

How do you draw the perpendicular skull line on the base posterior film?

Answer 52

put a dot in the center of the nasium and draw a plus sign and draw a line that goes through both points

Question 53

How do you draw the plus sign for the base posterior?

Answer 53

draw as many dots as possible in the ocular orbit | find two sets that match, line up with them and drag it down to the basilar process to draw the line

Question 54

What part of the listing does the nasium give?

Answer 54

left or right laterality

Question 55

What part of the listing does the base posterior give?

Answer 55

rotation

Question 56

What is the other name for A-P open mouth?

Answer 56

vertico-horizontal

Question 57

What are the 4 lines that go with the A-P open mouth?

Answer 57

ocular orbit line superior basic line inferior basic line vertical median line

Question 58

How do you draw the ocular orbit line for the A-P open mouth?

Answer 58

put as many dots as possible in the orbit and draw a line through a set of dots that matches another set of dots

Question 59

How do you draw the superior basic line for the A-P open mouth?

Answer 59

put dots on jugular processes and draw a line through both dots

Question 60

How do you draw the inferior basic line for the A-P open mouth?

Answer 60

dots on lateral inferior tips of atlas lateral mass and draw through both dots

Question 61

How do you draw the vertical median line on the A-P open mouth?

Answer 61

connect dots at medial inferior tips of condyle and make a plus sign draw vertical median line perpendicular to the ocular orbit line

Question 62

What part of the listing does the A-P open mouth give?

Answer 62

axis, check for last 2 letters of atlas listing

Question 63

How do you determine an axis subluxation?

Answer 63

spinous to body, body to line

Question 64

What is the 70% rule for the A-P open mouth film?

Answer 64

if the superior basic line and inferior basic line converge on the side of anterior rotation