Orthopedics Pony

 

1)      The term “Thoracic”  is of Greek Origin meaning:

-         Chest or corset.

 

2)      The term “Spine” is of Latin origin meaning:

-         Thorn.

 

3)      Thoracic ROM in Lateral Flexion is:

-         30 degrees (Rotation 30 degrees, Flexion 50 degrees, Extension 50 degrees)

 

4)      Identifiable rib motions include:

Rib

-         1-6 Pump Handle Motion

-         7-10 Bucket Handle Motion

-         11-12 Caliper Motion

 

5)      With asthma we would find numerous spinal subluxations, rib fixations and problems with:

-         Expiration.

 

6)      Ankylosing Spondylitis is a disorder that is more common in:

-         Males 15 – 20

 

7)      Manipulation should be used during inflammatory phase of Ankylosing Spondylitis:

-         False

 

8)      When evaluating Beevers sign, we see umbilical deviation to the left lower quadrant.  This would indicate nerve root lesion at:

-         T8 on the Right

 

9)      Chest expansion in the adult male should be:

-         2 inches.

 

10)   When employing the law of 13 to locate thoracic transverse processes of T9, The Chiropractor would find these at the level of:

-         T8 Spinous.

 

11)  When performing sternal compression on a patient presenting after an acute thoracic injury, lateralization of pain to the area of T7 – T10 mid-axillary on the Right may indicate:

-         Rib Fractures.

 

12)  While performing Soto Halls test on your patient you note sudden flexion of the knees and hips bilaterally.  It is imperative to rule out:

-         Spinal Meningitis.

13)  Your patient presents with an acute injury to the thoracic spine.  Previous medical history was negative for any underlying respiratory pathology.  As you perform Schepelmons sign and laterally flex your patient to the right, the patient complains of pain on the left side of the spine, and points to the area T6 – T10 paraspinal on the left.  You should suspect.

-         Paraspinal musculature.

-         If past history of Resp. Infect.  = Pleurisy.

 

14)  T10 dermatomal distribution should presents in a band distribution falling.

-         At the level of the umbilicus.

 

15)  As you carefully inspect the thoracic region of your new patient your see focalized bruising and swelling at the level of T10 Spinous process.  You next perform spinous percussion on your patient, which sends him flying off your exam table with excruciating pain.  At this point in your work up, it would be advisable to:

-         X-ray your patient to rule out the possibility of a fracture.

 

16)  When a new patient presents to your office, it is imperative to perform which is the following prior to orthopedic testing.

-         Consultation

 

17)  The costal vertebral articulation is extremely difficult to palpate.

-         True

 

18)  The Triad of Horner’s Syndrome includes:

-         Ptosis, Miosis, and Anhydrosis.

 

19)  When formulating a treatment plan for your new patient.  Your decide to use physical therapeutic modalities to decrease muscle spasm, as well as spinal manipulation to help restore normal biomechanical function to the spinal column.  After several office visits, your patient states that his/her pain has progressively worsened and that they have become essentially incapacitated.  The astute Chiropractic Physician would:

-         Re-evaluate the patient for possible mis-diagnosis.

 

20)  When documenting objective findings during examination it is important to:

            - Write down the results of orthopedic testing.

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