Rib and Breathing Issues Assessment
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Questions and Answers

What does 'wrap around pain' typically indicate?

  • A rib issue (correct)
  • A lung problem
  • A spinal cord injury
  • A muscular strain
  • If a patient reports sharp pain with each inhalation, what should be ruled out first?

  • A lung issue (correct)
  • A rib expansion issue
  • A muscular strain
  • A spinal cord injury
  • Which of the following is NOT a recommended observation when assessing a patient's musculoskeletal condition?

  • Guarded motions or leaning
  • Position of comfort and ease
  • Level of sweating (correct)
  • Pain and dependency behaviors
  • If a patient cannot elevate their ribs when breathing in, what does this suggest?

    <p>A rib expansion issue</p> Signup and view all the answers

    What is the purpose of observing a patient's position of comfort and ease?

    <p>To identify potential guarding behaviors</p> Signup and view all the answers

    Which of the following behaviors may indicate pain and dependency?

    <p>All of the above</p> Signup and view all the answers

    What is the primary reason for considering the shape of a patient's back when performing the spring test?

    <p>To ensure the force is applied perpendicular to the spine</p> Signup and view all the answers

    When should the spring test be performed in relation to the patient's breathing cycle?

    <p>Halfway through exhalation</p> Signup and view all the answers

    What potential complication is mentioned when performing the spring test?

    <p>Triggering muscle spasms</p> Signup and view all the answers

    What factor needs to be considered when performing the spring test on a patient?

    <p>The patient's breathing pattern</p> Signup and view all the answers

    What should be done to ensure accurate spring testing?

    <p>Ensure the patient is relaxed to avoid muscle guarding</p> Signup and view all the answers

    How should the spring test be performed initially when learning the technique?

    <p>Test one segment per exhalation</p> Signup and view all the answers

    What is a potential indicator of a lack of wellbeing in the tissues?

    <p>Dry, smooth, shiny skin</p> Signup and view all the answers

    Which of the following is NOT a common region for lipomas to occur?

    <p>Forearm</p> Signup and view all the answers

    What is a potential indicator that a lipoma may be a liposarcoma (malignancy)?

    <p>It becomes non-movable and firm</p> Signup and view all the answers

    What should be done when palpating the supraspinous ligament?

    <p>Bounce on it to check for recoil</p> Signup and view all the answers

    Which vertebral levels are mentioned as being easy to palpate the supraspinous ligament?

    <p>T3-T12</p> Signup and view all the answers

    What is the primary indication of an unstable spinal segment?

    <p>The spinous process moves anteriorly away from the examiner's finger</p> Signup and view all the answers

    What is the primary purpose of assessing active range of motion (AROM) during a physical examination?

    <p>To assess the ease and symmetry of spinal movement</p> Signup and view all the answers

    What is recommended when palpating the supraspinous ligament?

    <p>Place a pillow under the thorax</p> Signup and view all the answers

    What is the primary concern with a patient using a posterior pelvic tilt during a forward bending test?

    <p>It opens up the L5-S1 segment and takes up available motion</p> Signup and view all the answers

    Which of the following is NOT considered a key sign of spinal instability during active movement testing?

    <p>Ease of movement</p> Signup and view all the answers

    Why is it important to assess segmental range of motion rather than just total joint range of motion during active movement testing?

    <p>All of the above</p> Signup and view all the answers

    What is the primary purpose of observing for "trick movements" during active movement testing?

    <p>To identify compensatory movement patterns</p> Signup and view all the answers

    What is the primary purpose of the Valsalva Maneuver?

    <p>To identify space-occupying lesions or intrathecal pathologies</p> Signup and view all the answers

    What is the positive sign that may be observed during the Valsalva Maneuver?

    <p>Pain, either in the back or legs</p> Signup and view all the answers

    What is the patient instructed to do during the Valsalva Maneuver?

    <p>Take a deep breath and then hold it while bearing down</p> Signup and view all the answers

    Why is the Valsalva Maneuver not typically performed for suspected disc herniation?

    <p>It can further herniate the disc</p> Signup and view all the answers

    What types of pathologies may cause a positive Valsalva Maneuver result?

    <p>Meningiomas and syrinxes</p> Signup and view all the answers

    Why is the Valsalva Maneuver not typically performed routinely?

    <p>It is reserved for unusual or atypical cases</p> Signup and view all the answers

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