Practice Questions Flashcards

1
Q

You diagnose a patient with T3 E SR RR. What muscle do you expect is responsible for this SD?

A. Longissimus m.
B. Rotatores m.
C. Semispinalis m.
D. Multifidus m.
E. Trapezius m.
F. Iliocostalis m.
A

B. Rotatores m.

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2
Q

A 54 y/o female presents to the office complaining of pain all over. After 2 OMT treatments a week apart, she complains of localized pain in her low back. On PE, a slight step-off is noted in her lumbar region. An XR is ordered bc which of the following is suspected?

A. Spondylolysis
B. Scoliosis
C. DDD
D. Spondylolisthesis
E. Meningocele
A

D. Spondylolisthesis

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3
Q

Which of the following is always due to trauma or microtrauma?

A. Inhalation SD
B. Exhalation SD
C. Torsional movement
D. Non-physiologic movement
E. Pump-handle motion
A

D. Non-physiologic movement

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4
Q

Which of the following organs (may be multiple answers) may have reflexes to the low back T10-L5?

A. Heart
B. Lungs
C. Kidneys
D. Pancreas
E. Colon
A

C, D, and E

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5
Q

Which of the following is not a seronegative spondyloarthropathy?

A. Psoriatic arthritis
B. Ankylosing spondylitis
C. Rheumatoid arthritis
D. IBD
E. Reiter syndrome
A

C. RA

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6
Q

A 65 y/ofemale is brought to the ED with insidious onset of weakness in her legs and decreased sensation in her inner thighs bilaterally. On further questioning she reveals that she has been diagnosed with stage 4 renal cell carcinoma and that she has not urinated in nearly 20 hours. On PE, you are unable to elicit patellar or Achilles reflexes.

What is your next step in management?

A. MRI
B. OMT to LE's
C. XR of thoracic spine
D. Administer chemotherapy
E. General surgery consult
A

A. MRI

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7
Q

Which of the following is true regarding torsional movement of the ribs?

A. Torsional movement is a normal, physiologic occurence in rib motion
B. It is caused by subluxation of rib either anteriorly or posteriorly
C. It occurs at ribs 1, 2, 8-10
D. It increases the transverse diameter
E. It occurs d/t positioning of the nerve, artery, and vein

A

A. Torsional movement is a normal, physiologic occurence in rib motion

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8
Q

At what location would you expect to find TART changes related to nephrolithiasis (kidney stones)?

A. T1-4
B. T5-9
C. T10-11
D. T12-L2
E. L2-5
A

C. T10-11

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9
Q

Vertebral segments corresponding to viscerosomatics of upper GI (mouth –> ligament of Treitz)

A

T5-9

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10
Q

Vertebral segments corresponding to viscerosomatics of Mid GI (Ligament of Treitz –> ileocecal valve)

A

T10-11

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11
Q

Vertebral segments corresponding to viscerosomatics of lower GI (iliocecal valve –> anus)

A

T12-L2

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12
Q

Vertebral segments corresponding to viscerosomatics of upper GU (kidney –> upper 1/3 of ureter)

A

T10-T11

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13
Q

Vertebral segments corresponding to viscerosomatics of lower GU (lower 2/3 of the ureter, urethra)

A

T12-L2

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14
Q

Vertebral segments corresponding to viscerosomatics of bladder

A

T11-L2

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15
Q

At what level would you expect to find TART changes related to sympathetic innervation of the heart?

A. OA (vagus n.)
B. T1-T5
C. T5-T9
D. T10-T11
E. T12-L2
F. Sacrum
A

B. T1-T5

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16
Q

At what level would you expect to find TART changes related to the sympathetic innervation of the prostate?

A. OA (vagus n.)
B. T1-T5
C. T5-T9
D. T10-T11
E. T12-L2
F. Sacrum
A

E. T12-L2

17
Q

At what level would you expect to find TART changes related to sympathetic innervation of the jejunum?

A. OA (vagus n.)
B. T1-T5
C. T5-T9
D. T10-T11
E. T12-L2
F. Sacrum
A

D. T10-T11

18
Q

How many times does rib 3 articulate with the thoracic vertebrae?

A. 0
B. 1
C. 2
D. 3
E. 4
A

D. 3

19
Q

Which of the following is true regarding rib 12?

A. It is a true rib
B. It moves using primarily bucket handle motion
C. It articulates with tranverse process of T11
D. It articulates with the transverse process of T12
E. The same muscle is used to treat inhalation and exhalation SD’s

A

E. The same muscle is used to treat inhalation and exhalation SD’s

20
Q

Which of the following is true regarding the diaphragm?

A. It attaches to the manubrium of the sternum
B. It attaches to the middle 6 ribs
C. It ascends during inspiration
D. It attaches to the quadratus lumborum tendon
E. Its innervation is the phrenic n. Derived from C3-5

A

E. Its innervation is the phrenic n. derived from C3-5