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Answer Key |
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Vertebral biomechanics |
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Your score: 100% (35 points out of 35) |
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Question #1 (1 point) |
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Which of the following is not a mechanism involved in counterstrain? |
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Your answer: |
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active shortening of muscles Wrong Correct |
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Question #2 (1 point) |
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The key difference between trigger points and tender points is that |
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Your answer: |
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a trigger point elicits a radiating pain pattern when pressed Wrong Correct |
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Question #3 (1 point) |
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A serratus posterior superior trigger point may be confused with |
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Your answer: |
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tender points along the shoulder and arm due to referred pain Wrong Correct |
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Question #4 (1 point) |
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When treating patients using counterstrain, you should always start with |
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Your answer: |
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the most tender point Wrong Correct |
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Question #5 (1 point) |
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The primary function of the vertebral body is concerned with |
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Your answer: |
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load bearing Wrong Correct |
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Question #6 (1 point) |
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Which of the following would cause excessive lumbar lordosis? |
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Your answer: |
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excess abdominal adipose tissue, pregnancy, decrease in abdominal muscle |
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tone Wrong Correct |
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Question #7 (1 point) |
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A scoliotic patient will display a rib hump during Adam's test because |
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Your answer: |
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rotation and sidebending are coupled Wrong Correct |
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Question #8 (1 point) |
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Each zygophophyseal joint is innervated by |
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Your answer: |
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posterior rami from two spinal nerves Wrong Correct |
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Question #9 (1 point) |
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Generally, spinal ligaments limit |
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Your answer: |
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flexion Wrong Correct |
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Question #10 (1 point) |
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The ligamentum flavum is found |
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Your answer: |
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on the medial side of the lamina Wrong Correct |
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Question #11 (1 point) |
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Which of the following ligaments serves as an attachment site for the |
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trapezius muscle? |
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Your answer: |
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nuchal ligament Wrong Correct |
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Question #12 (1 point) |
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The iliolumbar ligament attaches to |
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Your answer: |
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the transverse processes of L4 and L5 Wrong Correct |
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Question #13 (1 point) |
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Which of the following muscles resist flexion of the spine? |
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Your answer: |
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splenius, longissimus, transversospinalis Wrong Correct |
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Question #14 (1 point) |
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The nucleus pulposus is deformed by all of the following except: |
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Your answer: |
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rotation Wrong Correct |
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Question #15 (1 point) |
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A patient is suffering from a herniated nucleus pulposus in the L2/L3 |
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disc. Which spinal nerve is most likely affected? |
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Your answer: |
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L3 Wrong Correct |
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Question #16 (1 point) |
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Uncovertebral joints serve to limit |
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Your answer: |
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sidebending and rotation of the cervical spine Wrong Correct |
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Question #17 (1 point) |
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Which of the following is true concerning the erector spinae muscles? |
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Your answer: |
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they contract during extension and are stretched during flexion Wrong |
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Correct |
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Question #18 (1 point) |
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A vertebral unit is |
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Your answer: |
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two adjacent vertebrae and all associated elements between them Wrong |
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Correct |
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Question #19 (1 point) |
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You suspect a somatic dysfuction in a patient with mechanical back pain. |
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What should you look for first? |
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Your answer: |
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a rotated vertebral segment Wrong Correct |
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Question #20 (1 point) |
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Rotation of a vertebral segment can most easily be confused with |
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Your answer: |
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fullness of the erector spinae muscles Wrong Correct |
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Question #21 (1 point) |
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Which of the following correctly summarizes Fryette's laws |
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Your answer: |
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I: neutral position, group of vertebrae, opposite directions Wrong Correct |
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Question #22 (1 point) |
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You discover that your patient exhibits both Type I and Type II somatic |
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dysfunctions. You should: |
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Your answer: |
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treat the Type II first, as the Type I is likely compensatory Wrong Correct |
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Question #23 (1 point) |
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You have determined that your patient has a facet that is locked in the |
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open position. How would you arrive at this conclusion? |
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Your answer: |
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There would be noticeable sidebending and rotation when the patient |
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leans backward, toward the closed facet. Wrong Correct |
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Question #24 (1 point) |
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A patient exhibits sidebending to the right in the L1-L4 region in the |
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neutral position. How would you record this finding in her chart |
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according to the position of ease? |
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Your answer: |
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L1-L4 NSrRl Wrong Correct |
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Question #25 (1 point) |
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When examining a patient, you observe that the transverse processes of |
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L2-L5 are all posterior on the right. How would you record this finding |
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in his chart according to its motion restriction? |
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Your answer: |
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L2-L5 RNSrRl Wrong Correct |
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Question #26 (1 point) |
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You notice that your patient's L1 vertebra appears to be rotated to the |
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right. The rotation is not noticeable when she leans forward. How would |
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you record this finding in her chart? |
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Your answer: |
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L1 FRrSr Wrong Correct |
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Question #27 (1 point) |
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When testing a patient's range of motion, you discern that his rotation |
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is restricted both left and right. This condition |
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Your answer: |
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is likely a capsular pattern and warrants further diagnosis Wrong Correct |
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Question #28 (1 point) |
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Which of the following correctly describes Type II somatic dysfunctions? |
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Your answer: |
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facets engaged, single units, primary, requires first treatment Wrong |
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Correct |
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Question #29 (1 point) |
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Which of the following are useful in diagnosing thoracolumbar somatic |
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dysfunctions? |
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Your answer: |
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paraspinal palpation, postural exam, motion testing, location of tender |
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points Wrong Correct |
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Question #30 (1 point) |
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Which of the following correctly associates a plane of vertebral motion |
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with its corresponding type of motion and its axis of rotation? |
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Your answer: |
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sagittal plane, flexion/extension, transverse axis Wrong Correct |
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Question #31 (1 point) |
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Which of the following apply to the thoracic region of the spine? |
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Your answer: |
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kyphosis, relative flexion, coronal intervertebral facets Wrong Correct |
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Question #32 (1 point) |
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**YOUR HONOR, PLEASE STRIKE THIS QUESTION FROM THE RECORD.** |
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Dr. Beatty sent out an email saying that this slide was ambiguous and |
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that we wouldn't be tested on it. |
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---- |
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Which of the following is true? |
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Your answer: |
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The coronal facets of thoracic vertebrae limit rotation. Wrong Correct |
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Question #33 (1 point) |
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You observe that your patient has pronounced neutral sidebending left |
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from L1-L5. Where would you expect to find a Type II somatic dysfunction? |
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Your answer: |
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any of the above Wrong Correct |
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Question #34 (1 point) |
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When performing segmental motion testing in the lumbar region of your |
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prostrate patient, you encounter resistance when applying pressure in |
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the posterior->anterior direction to the right transverse process of L2. |
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You do not note any other remarkable findings. What should you do next? |
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Your answer: |
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retest L2 in flexion and extension Wrong Correct |
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Question #35 (1 point) |
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Which of the following applies to single segment motion testing? |
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Your answer: |
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rotation decreases in the direction of ease Wrong Correct |
