comquest

Question 1

C7 impingement (C6-C7 herniation)

Answer 1

numbness at middle finger, weakness of finger/elbow extensor muscles and diminished triceps reflex

Question 2

C5 impingement (C4-C5 herniation)

Answer 2

diminished biceps reflex, numbness at lateral elbow

Question 3

T1 nerve impingement (T1-T2 or C7-T1 herniation)

Answer 3

weakness of finger abductors (and finger adduction)

weakness of finger abduction may also be seen with C8 impingement

Question 4

C6 impingement

Answer 4

numbness at thumb, wrist extensor weakness, diminished brachioradialis reflex

Question 5

C8 impingement (C7-T1)

Answer 5

weakness with handgrip, numbness at little finger and medial forearm

Question 6

external rotators of arm: infraspinatus vs teres minor

Answer 6

infraspinatus more active with arm at the side

teres minor more active with shoulder at 90 degrees

Question 7

upper inner arm: dermatome?

Answer 7

T2 (compressed by T2-T3 herniation)

Question 8

middle finger: dermatome?

Answer 8

C7

Question 9

little finger: dermatome?

Answer 9

C8

Question 10

inner forearm: dermatome?

Answer 10

T1

Question 11

thumb dermatome

Answer 11

C6 (also part of forearm)

Question 12

superior facet orientation

Answer 12

cervical: BUM
thoracic: BUL
lumbar: BUM
(inferior are opposite)

Question 13

backward torsion, position for muscle energy

Answer 13

lateral recumbent face up (“backwards on back”) with axis side down

Question 14

forward torsion, position for muscle energy

Answer 14

lateral Sims position: patient lies on side, face down

axis side down

Question 15

what does rib raising do to sympathetic tone?

Answer 15

decreases it (brief initial increase) 
increases lymphatic return
increases chest wall motion

Question 16

Chapman’s point for gall bladder

Answer 16

6th intercostal

Question 17

chapman’s reflex for heart, thyroid, esophagus, bronchi

Answer 17

2nd intercostal space

Question 18

chapman’s reflex for upper lung and UE

Answer 18

3rd intercostal space

Question 19

chapman’s reflex for spleen (L) and pancreas (R) (counterintuitive!)

Answer 19

7th intercostal space

Question 20

5 parts of PRM

Answer 20

inherent motion of brain and spinal cord
fluctuation of CSF
mobility of intracranial and intraspinal membrane
articular mobility of cranial bones
involuntary mobility of sacrum between ilia

Question 21

in craniosacral flexion the paired bones ?? while the non-paired bones ??

Answer 21

paired bones externally rotate

non-paired bones flex

Question 22

chapman’s point prostate

Answer 22

lateral and posterior margin of IT band

Question 23

chapman’s point rectum

Answer 23

lesser trochanter

Question 24

genu valgus knee (“knock-kneed”) does what to the Q angle?

Answer 24

increases Q angle

Question 25

ant chapman's for eyes

Answer 25

surgical neck of right humerus

Question 26

ant chap for tonsils

Answer 26

1st intercostal space

Question 27

ant chap for middle ear

Answer 27

clavical, lateral to where cross 1st rib (some say on 1st rib)

Question 28

unilateral flexions/extensions are on the same or opposite side of + flexion test

Answer 28

same side

Question 29

+Adson's test

Answer 29

thoracic outlet syndrome (C8-T1 (ulnar) distribution of pain and paresthesia) -weakened or absent radial pulse denotes +

Question 30

the prostate, penis and lower extremities are innervated by ??

Answer 30

the T12-L2 segment and pelvic splanchnic nerve (parasympathetic also via pelvic splanchnic)

Question 31

posterior chapman's appendix

Answer 31

tip of the transfers process of T11

Question 32

posterior chap adrenals

Answer 32

btw spinous and transverse processes of T11 and T12

Question 33

post chap kidneys

Answer 33

btw spinous and transverse processes of T12 and L2

Question 34

sympathetic inn. for middle GI/GU

Answer 34

btw T10-T11 | +adrenals, kidneys, upper ureters, gonads

Question 35

symp. inn. lower GI/GU

Answer 35

T12-L2 | +lower ureter and bladder

Question 36

``` V/S: stomach/prox duodenum/spleen liver pancreas small intestine (j/i) kidney/gonads uterus bladder LE +penis prostate ```

Answer 36

``` S 5-9 L 6-9 P 5-11 S 9-11 K/G 10-11 U 10-2 B 11-2 L 11-2 P 12-2 ```

Question 37

SBS flexion

Answer 37

midline bones flex, paired externally rotate, sacrum counternutates/extends

Question 38

contractions

Answer 38

isotonic: constante tension, change in length- concentric: shortening, eccentric: controlled lengthening isolytic: operators force>muscle-->lengthens isometric: no shortening or lengthening isokinetic: shortens and lengthens at constant speed

Question 39

Fryette's 3rd law

Answer 39

when motion is introduced into spine in 1 direction, motion in other directions is reduced -higher risk for this if non-neutral (f/e)

Question 40

ant chap tongue

Answer 40

second rib

Question 41

ant chap sinuses

Answer 41

1st rib (some say this is middle ear too)

Question 42

ant chap stomach hyperacidity

Answer 42

5 intercostal space left

Question 43

ant chap liver

Answer 43

5th intercostal space right

Question 44

ant chap liver+GB

Answer 44

6th intercostal space right

Question 45

ant chap stomach peristalsis/hypercongestion

Answer 45

6th intercostal left (btw 6th and 7th ribs)

Question 46

ant chap pancreas

Answer 46

7th intercostal space right

Question 47

ant chap small intestine

Answer 47

8-10th intercostal space

Question 48

lungs symp innervation

Answer 48

T1-T6

Question 49

ant chap lower lungs

Answer 49

4th intercostal space | 2nd is for bronchi, heart, thyroid, and esophagus

Question 50

ant chap umbilicus and pubic symphysis

Answer 50

bladder

Question 51

if the ankle plantar flexes, the talus moves ??

Answer 51

anterior

Question 52

foregut midgut hindgut

Answer 52

T5-9 T10-11 T12-L2

Question 53

pump handle ribs

Answer 53

1-5, move about a transfers axis

Question 54

bucket handle ribs

Answer 54

6-10, move about an AP axis

Question 55

caliper

Answer 55

11, 12 around a vertical axis

Question 56

if the occiput resists flexion and the sphenoid resists extension

Answer 56

superior vertical strain, commonly due to a centrally located blow to the frontal bone

Question 57

vertical strain motions

Answer 57

2 parallel transverse axes, sphenoid and occiput move in "same" direction -sphenoid base will deviate cephalic (sup) or caudad (inf) in relation to occiput

Question 58

SB-rotation strain

Answer 58

1 AP axis, sphenoid and occiput move in same direction, and 2 parallel vertical axes, sphenoid and occiput move in opposite directions (physiological)

Question 59

torsion strain pattern

Answer 59

1 AP axis, sphenoid and occiput move in opposite directions (physiological)

Question 60

anterior thoracic tender points 1-6 (AT1-6)

Answer 60

on the sternum

Question 61

anterior thoracic tender points 7-12

Answer 61

in the abdominal wall about 1-2" lateral to midline

Question 62

AT2

Answer 62

angle of Louis

Question 63

how to treat ATs

Answer 63

flexion w. sidebending and rotation towards the TP to maximize relief, held for 90 seconds

Question 64

AC7

Answer 64

anterior cervical tender point 7- on the left SC joint | tx: flexion, SB towards, rotation away (action of SCM)

Question 65

necessary qualifiers for negligence

Answer 65

Duty owed to patient Duty was breached (Dereliction) Damage to the patient Direct causation

Question 66

L5-S1 disc herniation

Answer 66

compresses S1 decreased Achilles reflex dec. sensation over lateral malleolus and toes 4,5 decreased ankle plantar flexion

Question 67

L3-L4 disc herniation

Answer 67

compresses L4 decreased patellar reflex decreased sensation over medial malleolus decreased ankle dorsiflexion

Question 68

L4-L5 disc herniation

Answer 68

compresses L5 decreased sensation over dorsum of foot and toes 1-3 decreased big toe extension

Question 69

lateral strain pattern

Answer 69

2 parallel vertical axes, sphenoid and occiput move in same direction

Question 70

torsion strain pattern

Answer 70

1 AP axis, sphenoid and occiput move in opposite directions