Midterm

Question 1

A common observation seen when a patient is tryin gto recruit during the SC joint relative muscle test is

Answer 1

Elbow flexion

Question 2

When challenging the AC joint, the ___ places the patients hand on top of the AC joint applying ___ pressure

Answer 2

Doctor, superior to inferior

Question 3

When adjusting the biceps tendon how many times does the intern impulse and in which direction

Answer 3

2, lateral to medial

Question 4

Altered joint dysfunction after an acute traumatic injury will produce pain, if left uncorrected produces

Answer 4

Chronic asymptomatic stressors into the spine and extremities

Question 5

When mentioning extremity management criteria, position of the joint falls into which category

Answer 5

Safety

Question 6

Scapular stabilizer exercises will help the scapulae sit which way

Answer 6

Posterior and medial making the glenoid cavity deeper

Question 7

The mechanoreceptor receptor theory states that a muscle functioning across a misaligned joint will be ___ by a reflex signal originating from mechanoreceptors surrounding that joint

Answer 7

Inhibited

Question 8

The reason for re-injury of a tissue is most commonly due to

Answer 8

Specific adaptation to imposed demand

Question 9

The injured GH joint is complicated due to the anatomical configuration of the joint. When the joint swells it can contain a tremendous amount of fluid in the joint and still display very little evidence of joint effusion. How much fluid does this joint normally have within it?

Answer 9

0.5-1.5cc

Question 10

After a patient has had everything up to the scapulothoracic articulation cleared, according to lab class which subluxation/malalignment is chekc next

Answer 10

GH distraction

Question 11

Plastic deformation found in a ligament is considered which grade of injury

Answer 11

2

Question 12

Which adjustment would be MOST contra-indicated wiht a pt that has been diagnosed with sub-acromial bursitis

Answer 12

Anterior/inferior humerus joint subluxation

Question 13

The AC joint is checked with which relative muscle test ____ and the most common compensation/cheat by the patient is ____

Answer 13

Coracobrachialis, humeral abduction

Question 14

In the case of acute macro trauma, which is the most common subluxation of the SC joint

Answer 14

Anterior, superior and medial

Question 15

Under the Life U radiology guidlines, which of the following is NOT considered an important reason for taking radiographs of an extremity

Answer 15

Chief complaint less than 2 weeks

Question 16

A measurement between the SC joint of more than ___ mm on an AP thoracic x-ray could indicate an unstable shoulder

Answer 16

5

Question 17

Biomechanically when the scapula drops inferior to give the appearance of a raised scapula, this is called

Answer 17

Horizon sign

Question 18

Exertional hydrodynamica in a joint occur during

Answer 18

Running

Question 19

The goal for the GH distraction adjusting move it

Answer 19

To open up the joint stimulating the mechanoreceptors and improving proprioception

Question 20

The injured GH joint is complicated due to the anatomical configuration of the joint. When teh joint swells,…great amount of fluid within the joint and still display very little evidence of joint effusion. What is the maximum amount of fluid the joint can contain

Answer 20

30cc

Question 21

Scapular stabilizer exercises will help the scapula sit which way

Answer 21

Posterior and medial making the glenoid cavity deeper

Question 22

Secondary rotator cuff tears are differentiated from primary tears by

Answer 22

The tear is found extracapuslar

Question 23

Which subluxation …can mimic angina or rneuritis symptoms

Answer 23

Posterior rib angles

Question 24

Within the TMJ, a patient that has problems where they are unable to close the mouth is known as a

Answer 24

Open lock

Question 25

When a patient udner the age of 29 years has a previous GH dislocation, the chance of having another dislocation is greater than

Answer 25

96%

Question 26

Pronating the forearm while testing opponens policis relative muscle test, could uncover a pronator teres syndrome which subluxation should you check or recheck on your patient

Answer 26

PM ulna

Question 27

Normal opening of the jaw could be measured as ___ fingers wide. Which is equivalent to ___

Answer 27

3

50-65mm

Question 28

Biomechanically, when the scapula drops inferior to give the appearance of a raised scapula, this is called

Answer 28

Horizon sign

Question 29

The segmental contact point for a posterior superior costovertebral rib is

Answer 29

Just lateral to the TP of the vertebrae on the involved rib

Question 30

Loose packed position for the elbow is what position

Answer 30

Flexion and supinatoin of the forearm

Question 31

The 10th costochondral rib junction is found approx where

Answer 31

Lateral aspect of the abdomen

Question 32

Which muscles listed are primarily responsible for retraction of the mandible

Answer 32

Temporalis, masseter, geniohyoid, digastric

Question 33

When a patient complains of biting the inside cheek of their mouth, which subluxation listing is the complaint most commonly associated with

Answer 33

Superior/posterior condyle

Question 34

Pathogenesis pain tolerance and dislocations are classified under which management criteria category

Answer 34

Safety

Question 35

According to lec assessment notes of the wrist and hand, when there is a decrease motion and pain in full wrist extension, your initial assessment is to

Answer 35

Check posterior to anterior restriciton of the radio-lunate joint

Question 36

A measurement between teh SC joints of more than ___ mm on an AP thoracic x-ray could indicate an unstable shoulder

Answer 36

5

Question 37

Which structure is a compensatory stabilizer of the scapula

Answer 37

Supraspinatus

Question 38

Full recovery in a tendinitis issue is how long

Answer 38

4 weeks

Question 39

The GH joint is in 90 shoulder flexion, 90 horizontal adduction and full radio-ulnar pronation, the elbow is in extention; this describes the starting position for the muscle test for which misalignment

Answer 39

Costo-sternal

Question 40

Cervicobrachial sompression syndrome, represents a scapula that is ____ which contributes to shoulder instability

Answer 40

High on the side of involvement measured at the inferior angle

Question 41

In lec we had Emily show us an excellent exercise called the ___ used to help weakness of which muscle

Answer 41

Pushup plus, serratus anterior

Question 42

Which description is correct for the order of the evaluation procedure when addressing carpal issues

Answer 42

Motion, pinch, distract/shear, opponens pollicis RMT, palpation to compare bilaterally, adjust

Question 43

Which relative muscle test is used to test for the costal chondral rib subluxation

Answer 43

Pec major sternal division

Question 44

After adjusting a costosternal, chondrosternal rib sublux, how long may the patient continue to feel pain upon palpation

Answer 44

48 hours

Question 45

When assessing extremity injuries in teh chiro office most of the injuries will require a medical referral at which minimum grade

Answer 45

2

Question 46

If on assemssment you find a posterior SC joint, what is your initial management step

Answer 46

Call 911

Question 47

Following the adjustment protocols taught in class, could these protocols improve the neurological and biomechaniacal components of the vertebral subluxation and associated extra spinal articular misaligmentnts

Answer 47

Yes