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 (D)</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 (D)</p> Signup and view all the answers

Which of the following behaviors may indicate pain and dependency?

<p>All of the above (D)</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 (C)</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 (A)</p> Signup and view all the answers

What potential complication is mentioned when performing the spring test?

<p>Triggering muscle spasms (A)</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 (C)</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 (B)</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 (A)</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 (C)</p> Signup and view all the answers

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

<p>Forearm (A)</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 (B)</p> Signup and view all the answers

What should be done when palpating the supraspinous ligament?

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

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

<p>T3-T12 (B)</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 (A)</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 (B)</p> Signup and view all the answers

What is recommended when palpating the supraspinous ligament?

<p>Place a pillow under the thorax (A)</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 (B)</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 (C)</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 (D)</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 (D)</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 (A)</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 (D)</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 (B)</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 (B)</p> Signup and view all the answers

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

<p>Meningiomas and syrinxes (A)</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 (C)</p> Signup and view all the answers

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