Quiz 2 Thoracic Spine

Question 1

Components of thoracic spine examination

Answer 1

History, systems review , and tests and measures

Question 2

Scheuermanns disease

Answer 2

13-16 yrs

Question 3

Scoliosis most common in

Answer 3

Adolescent females

Question 4

AS (spine will fuse)

Answer 4

18-45 yrs

Question 5

When getting the chief complaint, need to differentiate Thorax pain

Answer 5

Thoracic back pain, rib pain, and chest pain

Question 6

Pain between scapula

Answer 6

Clear cervical spine first

Question 7

Pain that follows the path of the ribs

Answer 7

Thoracic nerve root involvement

Question 8

Localized pain

Answer 8

Is it associated with motion restriction? Facet pain can be local or referrred?

Question 9

Most intense area of pain was
1 segment inferior and slightly
lateral

Answer 9

Zygapophyseal

Question 10

Stiffness

Answer 10

Joint (often facet issue in spine)

Question 11

Through the chest , sharp or stabbing

Answer 11

Nerve root involvement

Question 12

Achy - poorly localized

Answer 12

Vascular or visceral

Question 13

Sharp, well localized

Answer 13

Musculoskeletal

Question 14

Dull and achy- well localized

Answer 14

Tendinous

Question 15

Deep and boring

Answer 15

Bone

Question 16

Mechanism of injury or mode of onset
◦ Trauma/sudden/related to specific event:

Answer 16

determine activity, position, direction, magnitude of forces related to injury

Question 17

Spinal loads with cumulative or repetitive stress and biomechanical creep loading may
cause tissues to

Answer 17

fatigue/damage

Question 18

the result of complex
beneficial). In fact, a cornerstone of TNE interaction among physiologic,
is to de-emphasize local tissue issues, psychological, and social risk factors =
but rather focus on the biological and perpetuate or ↑ pain experience
physiological processes involved in a

Answer 18

Chronic pain

Question 19

Populations reporting highest prevalence of thoracic pain

Answer 19

◦ Healthcare workers – 77% lifetime
◦ Manufacturers – 47% at 3 mo. and 38% at 1 week
◦ Manual laborers – 38% at 1 mo.
◦ Performing artists (point) – 44%

Question 20

Aggravating and/or alleviating factors
24 or 48 hour pain behavior

Answer 20

◦ Breathing (inspiration and/or expiration
◦ Activities using UEs ◦ Worsen throughout day and relieved
refers to any type of back pain with rest = mechanical pain
caused by placing abnormal stress

Question 21

refers to any type of back pain with rest = mechanical pain
caused by placing abnormal stress and strain on muscles and soft tissues of the spine

Answer 21

Mechanical back pain

Question 22

Generally musculoskeletal problems better in

Answer 22

Morning/eased by rest

Question 23

Thoracic wall pain*

Answer 23

51%

Question 24

Vertebral osteomyelitis commonly targets the

Answer 24

T-spine

Question 25

+ test helps rule in condition

Answer 25

Specificity : SpIn

Question 26

• test helps rule out condition

Answer 26

Sensitivity (snOut)

Question 27

Symptoms for cardiovascular causes

Answer 27

◦ Deep, boring pain or throbbing and pulsating
◦ Lack of aggravating factors linked to movement along with increased pain with cardiac output (exertion)

Question 28

◦ Distal to the subclavian artery
◦ Severe, acute, anterior chest pain radiating to
upper back ◦ Radial pulses may be unequal

Answer 28

Abdominal aortic aneurysm

Question 29

Can present as isolated mid-thoracic back pain
◦ Heart sympathetic innervation: T1 - T4
◦ T2-T4: intercostal nerves - the sensory component of the sympathetic supply to the heart passes to
the same sensory root as these, hence feeling a band of pain across the chest when having a heart
attack. ◦ T1 is dragged into the upper limb, hence the referred pain in the arm during a heart attack.

Answer 29

Angina and MI