30 Questions
What does 'wrap around pain' typically indicate?
A rib issue
If a patient reports sharp pain with each inhalation, what should be ruled out first?
A lung issue
Which of the following is NOT a recommended observation when assessing a patient's musculoskeletal condition?
Level of sweating
If a patient cannot elevate their ribs when breathing in, what does this suggest?
A rib expansion issue
What is the purpose of observing a patient's position of comfort and ease?
To identify potential guarding behaviors
Which of the following behaviors may indicate pain and dependency?
All of the above
What is the primary reason for considering the shape of a patient's back when performing the spring test?
To ensure the force is applied perpendicular to the spine
When should the spring test be performed in relation to the patient's breathing cycle?
Halfway through exhalation
What potential complication is mentioned when performing the spring test?
Triggering muscle spasms
What factor needs to be considered when performing the spring test on a patient?
The patient's breathing pattern
What should be done to ensure accurate spring testing?
Ensure the patient is relaxed to avoid muscle guarding
How should the spring test be performed initially when learning the technique?
Test one segment per exhalation
What is a potential indicator of a lack of wellbeing in the tissues?
Dry, smooth, shiny skin
Which of the following is NOT a common region for lipomas to occur?
Forearm
What is a potential indicator that a lipoma may be a liposarcoma (malignancy)?
It becomes non-movable and firm
What should be done when palpating the supraspinous ligament?
Bounce on it to check for recoil
Which vertebral levels are mentioned as being easy to palpate the supraspinous ligament?
T3-T12
What is the primary indication of an unstable spinal segment?
The spinous process moves anteriorly away from the examiner's finger
What is the primary purpose of assessing active range of motion (AROM) during a physical examination?
To assess the ease and symmetry of spinal movement
What is recommended when palpating the supraspinous ligament?
Place a pillow under the thorax
What is the primary concern with a patient using a posterior pelvic tilt during a forward bending test?
It opens up the L5-S1 segment and takes up available motion
Which of the following is NOT considered a key sign of spinal instability during active movement testing?
Ease of movement
Why is it important to assess segmental range of motion rather than just total joint range of motion during active movement testing?
All of the above
What is the primary purpose of observing for "trick movements" during active movement testing?
To identify compensatory movement patterns
What is the primary purpose of the Valsalva Maneuver?
To identify space-occupying lesions or intrathecal pathologies
What is the positive sign that may be observed during the Valsalva Maneuver?
Pain, either in the back or legs
What is the patient instructed to do during the Valsalva Maneuver?
Take a deep breath and then hold it while bearing down
Why is the Valsalva Maneuver not typically performed for suspected disc herniation?
It can further herniate the disc
What types of pathologies may cause a positive Valsalva Maneuver result?
Meningiomas and syrinxes
Why is the Valsalva Maneuver not typically performed routinely?
It is reserved for unusual or atypical cases
This quiz covers the assessment of rib and breathing issues in patients. It includes identifying symptoms like wrap around pain, sharp pain while breathing in, and limitations in rib expansion. Topics also include differentiating between lung and rib issues, evaluating chest movements, and understanding the relationship between rib function and breathing.
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