Hazzard Chapter 1

Question 1

_______ ______ ______ are the physical methods employed by the examiner. Of these the latter is most important.

Answer 1

Inspection, percussion and palpation

Palpation Most important

Question 2

What is best detected while the patient is sitting

Answer 2

Lateral deviations of vertebrae,
Departures from normal curvature of the spine

Question 3

What are most readily made out while the patient is lying upon the side?

Answer 3

Points of separation between spinous processes
Thickening of posterior spinal ligaments
Rigidity of the spine

Question 4

Inspection often reveals..

Answer 4

Inequalities of waist-lines and hips

Reveals the color of the skin; rashes
Unequal muscular development, or change of contour

Question 5

What is a frequent indication of a swerved spine?

Answer 5

A waist-line deeper cut on one side, usually accompanied by a higher or larger contour of the corresponding hip,

Question 6

_____ is our most important method of examination

Answer 6

PALPATION

Question 7

The examiner should not overlook the results of lesions which in any way alter the equilibrium of the spinal column Because… (3 points to add) Structure, Muscles, Biomechanics

Answer 7

The weight of the trunk no longer rests squarely upon the pelvis

• But drives upon it at an angle
• Unequally contracting lumbar muscles and ligaments
• Tilting the pelvis, shortening a limb,

Question 8

___,____, ___: may be employed in the examination of the spine, and may sometimes reveal deep tenderness or pain in the tissues which has escaped notice by the other methods.

Answer 8

PERCUSSION, PRESSURE AND MOTION

Question 9

Points of anatomical weakness are frequently found at the junction of the ?

Answer 9

(T12/L1) twelfth dorsal with the first lumbar vertebra, also at the junction of the fifth lumbar with the sacrum.(L5/S1)

Question 10

Students often have difficulty in distinguishing a separation of processes from an anterior displacement One may avoid such errors by remembering that the ??

Answer 10

Separation is rarely so great as the space left by a marked anterior displacement of a vertebrae.

Question 11

Lateral deviation of one or more vertebrae causes the ??? This alters the depth of the furrow running along the spine on either side of the spinous processes.

Answer 11

transverse processes to rotate slightly backward on one side and forward on the other.

Question 12

What alters the depth of the furrow running along the spine on either side of the spinous processes?

Answer 12

Lateral deviation causing transverse processes to rotate slightly backward on one side and forward on the other.