AAT
exam 1
問題一覧
1
When your patient is in RSP, they are laying on their ______.
right side
2
When setting the pelvis for a lumbar rotation restriction, which of the following is true?
You should let the patients' leg slide across your thigh as you rotate their pelvis anteriorly preventing abduction and adduction of the patient's hip.
3
What does LRR stand for?
Left rotation restriction
4
You have detected an RRR-L3, which of the following is the correct SCP, as taught in Diversifed 1?
Left mammillary of L3
5
When you find a RRR L3, you would expect to feel more joint restriction when palpating ________ on the spinous process.
right to left
6
When performing a Hypothenar - Ischium - Sacral Base Push prone adjustment for the indicated left sacroiliac restriction, the doctor's right hand should contact the patient's __________.
left sacral base
7
When performing a Hypothenar - Ischium - Sacral Base Push prone adjustment for the indicated right sacroiliac restriction, the doctor's right hand should contact the patient's __________.
right ischial tuberosity
8
When performing the Hypothenar-Ilium Sacral Apex Push prone adjustment for the indicated left sacroiliac restriction, the appropriate segmental contact points are the patient's ________.
left PSIS & right sacral apex
9
When performing a Hypothenar - Ischium - Sacral Base Push prone adjustment for the indicated right sacroiliac restriction, which of the following are the appropriate segmental contact points_________.
right sacral base & right ischial tuberosity
10
When performing the Hypothenar-Ilium Sacral Apex Push prone adjustment for the indicated right sacroiliac restriction, the doctor's right hand should contact the patient's ________.
left sacral apex
11
When performing the Hypothenar-Ilium Sacral Apex Push prone adjustment for the indicated left sacroiliac restriction, the doctor's right hand should contact the patient's ________.
left PSIS
12
When should you pull your patient off of their shoulder (the one contacting the table)?
after you set the pelvis
13
What does LRR stand for?
left rotation restriction
14
When your patient is in RSP, they are laying on their ______.
right side
15
When you find a RRR L3, you would expect to feel more joint restriction when palpating ________ on the spinous process.
right to left
16
How should the right sacral base move during right sacroiliac flexion?
anterior-inferior
17
During lumbosacral extension, the sacral base should glide _________.
anterior-inferior
18
Upon examination/palpation of your patient's sacrum, you detect a RRROA. What is the correct contact point for correction of this restriction using the side posture set up taught in lab?
R-pisiform/hypothenar
19
*A patient presents to your office complaining of "left hip pain" that has been constant for the past few days. When asked to point to the pain, she places her hand over her sacroiliac joints bilaterally. Upon visual inspection/static palpation, you notice that the right leg is long compared to the left leg and the PSIS's are tender bilaterally. Motion palpation reveals a left sacroiliac extension restriction with a hard end-feel when motioning the left ilium P-A. Which of the following is the most likely listing for these findings?
AGR L-Ilium
20
How should the left ilium move during left sacroiliac extension?
anterior-superior
21
When a patient has contraindications to HVLA adjusting/manipulation, you may still be able to mobilize the joint.
true
22
Mobilization occurs between which two barriers?
Physiologic and Elastic
23
Regarding coefficients of friction of synovial joints, the kinetic coefficient of friction is _______ the static coefficient of friction.
much lower than
24
PROM should always be _____________ AROM
greater than
25
The adjustment occurs in the ___________.
paraphysiological space
26
Which of the following are not consistent with complications from adjustive therapy?
Serious injuries are fairly common
27
Which of the following conditions require referral to a vascular surgeon?
Aneurysm
28
Which of the following are potential complications from manipulating a patient with late stage osteoarthritis according to table 4-1 from the textbook?
Neurological compromise
29
Conditions that have the potential to contraindicate manual adjusting depending on the severity/stage of the condition are called _______.
Relative contraindications
30
Regarding informed consent: Prior to any evaluation or treatment, a doctor must always inform patients of potential complications and any risk of significant harm from said evaluation or treatment.
true
31
One of the main differences between "acceptable" and "exceeding reactions" is that exceeding reactions _____.
Interfere with work/ADL's
32
Which of the following describes a transient episode of an increase in a patients symptoms that later resolve spontaneously?
Reaction
33
Since it is safe to adjust a healthy joint, once you have correctly identified a subluxation/motion restriction, it is safe to adjust that subluxation/motion restriction.
false
34
Which of the following are NOT among the most common reactions to adjustive therapy (according to the study referenced in your text and the notes)?
radiating numbness
35
Patient history and examination reveal pain in the lower half of the SI joint, a right short leg and more prominent PSIS on the right. Although motion palpation is always necessary, your initial clinical impression based on your knowledge of lumbopelvic kinematics is that this patient may have a(n) _________.
R-PI Ilium or a L-AS Ilium
36
Local pain and tenderness, leg length inequality, possible guarded gait, palpation of restricted end-feel, and postural abnormalities are all typical findings of ________.
Sacroiliac Joint Syndrome
37
When performing a Hypothenar - Ischium - Sacral Base Push prone adjustment for the indicated left sacroiliac restriction, the doctor's left hand should contact the patient's _________.
left ischial tuberosity
38
*A patient presents to your office complaining of "left hip pain" that has been constant for the past few days. When asked to point to the pain, she places her hand over her sacroiliac joints bilaterally. Upon visual inspection/static palpation, you notice that the right leg is long compared to the left leg and the PSIS's are tender bilaterally. Motion palpation reveals a left sacroiliac extension restriction with a hard end-feel when motioning the left ilium P-A. Which of the following is the most likely listing for these findings?
AGR L-Ilium
39
When performing a Hypothenar - Ischium - Sacral Base Push prone adjustment for the indicated right sacroiliac restriction, the doctor's left hand should contact the patient's _________.
right sacral base
40
Which of the following are not indicative of sacroiliac joint syndrome?
Pain arising from the lumbar region
41
Upon examination/palpation of your patient's sacrum, you detect a RRROA. What is the correct contact point for correction of this restriction using the side posture set up taught in lab?
R-pisiform/hypothenar
42
A counter-rotation malposition of the sacral base may lead to __________.
decreased lordosis and separation of the facets
43
Which of the following is consistent with a sacroiliac flexion restriction?
PSIS less prominent on the side of restriction
44
Which of the following is consistent with a sacroiliac extension restriction?
CRRLOA or CRRROA
45
Which of the following is true regarding musculoligamentous injuries?
All of the choices are correct.
46
Pain originating from the lumbar facets _________.
may cause referred pain into the buttocks and thighs
47
A new patient, 52 years of age, arrives at your office complaining of local LBP which began one week ago after carrying 12 pieces of plywood up the attic stairs to deck his attic. When asked to point to the location of pain, he covers his low back bilaterally with both both hands and explains that he only gets relief when he lays down. Patient examination reveals lumbar hypolordosis, and taut and tender fibers bilaterally L1-L5 with bilateral erector spinae spasm in the lumbar region. Based on this information, you are thinking this patient may have a ______(most likely diagnosis).
d. Lumbar sprain strain injury
48
Which of the following represents appropriate treatment for a mild to moderate musculoligamentous injury?
Gentle stretches and/or exercises as long as they do not exacerbate the patient's symptoms
49
The knee flexors are a group of muscles stimulated by a single spinal nerve, ____.
L5
50
A new patient presents to your office with chronic LBP (VAS 8/10) which began approximately 3 months ago and has been getting worse since it began. The patient is a 38 year old female with a history of breast cancer. She has been seeing a massage therapist for the past 6 weeks and although she experiences a slight decrease in pain (from VAS 8/10 to VAS 7/10) following a massage, the relief only lasts 1-2 hours. You should be suspect that ______ may be causing your patient’s pain. Choose the best answer.
a malignant neoplasm
51
A test with high specificity means that __________.
Patients who test positive for a condition are more likely to have the condition.
52
Mrs. Jones, an otherwise healthy 32 year old female, returns to your office 6 weeks after delivering a healthy baby boy. She explains that she had a c-section procedure to deliver the baby after 18 hours of difficult labor. She reports mid line back pain at the thoracolumbar junction which began a few hours after giving birth and has been getting worse since it began. Her pain is currently 7/10 on a pain scale. She also reports that she thinks she may have a sinus infection since she has been running a low grade fever for the past few weeks. Upon examination, you detect severe muscle spasm and tenderness from T8 to L5 bilaterally. Given this patient's history, which of the following is the most appropriate diagnosis?
Spinal infection
53
A new patient presents to your office reporting bilateral LBP L1-L2 which began one week ago immediately after he fell off of a step ladder (from two feet off the ground) while replacing a light bulb. He describes landing on his feet as if he had jumped off the ladder. He immediately felt a sharp pain in his low back which has been getting worse since it began. He cannot find any positions which afford him any comfort. The patient is a well nourished 48 year old male with a history of diabetes and prostate cancer. He reports that he was given a cancer-free diagnosis following the removal of his prostate 5 years ago. Which of the following is the most appropriate action following examination, given this patients history?
Order imaging to assess for a malignant neoplasm.
54
A new patient reports to your office complaining of constant LBP bilaterally L1-L5 with pain in both SI joints which began approximately one year ago insidously. She also reports bilateral thoracic pain and pain that travels from her low back up into her thoracic spine and into both arms. When you attempt to palpate the lumbar spine your patient cannot tolerate light pressure stating that it is too painful and jumping off the table with even light pressure. Taking this into consideration, you should consider _______.
your patient may be experiencing psychological distress that may be causing/amplifying her pain.
問題一覧
1
When your patient is in RSP, they are laying on their ______.
right side
2
When setting the pelvis for a lumbar rotation restriction, which of the following is true?
You should let the patients' leg slide across your thigh as you rotate their pelvis anteriorly preventing abduction and adduction of the patient's hip.
3
What does LRR stand for?
Left rotation restriction
4
You have detected an RRR-L3, which of the following is the correct SCP, as taught in Diversifed 1?
Left mammillary of L3
5
When you find a RRR L3, you would expect to feel more joint restriction when palpating ________ on the spinous process.
right to left
6
When performing a Hypothenar - Ischium - Sacral Base Push prone adjustment for the indicated left sacroiliac restriction, the doctor's right hand should contact the patient's __________.
left sacral base
7
When performing a Hypothenar - Ischium - Sacral Base Push prone adjustment for the indicated right sacroiliac restriction, the doctor's right hand should contact the patient's __________.
right ischial tuberosity
8
When performing the Hypothenar-Ilium Sacral Apex Push prone adjustment for the indicated left sacroiliac restriction, the appropriate segmental contact points are the patient's ________.
left PSIS & right sacral apex
9
When performing a Hypothenar - Ischium - Sacral Base Push prone adjustment for the indicated right sacroiliac restriction, which of the following are the appropriate segmental contact points_________.
right sacral base & right ischial tuberosity
10
When performing the Hypothenar-Ilium Sacral Apex Push prone adjustment for the indicated right sacroiliac restriction, the doctor's right hand should contact the patient's ________.
left sacral apex
11
When performing the Hypothenar-Ilium Sacral Apex Push prone adjustment for the indicated left sacroiliac restriction, the doctor's right hand should contact the patient's ________.
left PSIS
12
When should you pull your patient off of their shoulder (the one contacting the table)?
after you set the pelvis
13
What does LRR stand for?
left rotation restriction
14
When your patient is in RSP, they are laying on their ______.
right side
15
When you find a RRR L3, you would expect to feel more joint restriction when palpating ________ on the spinous process.
right to left
16
How should the right sacral base move during right sacroiliac flexion?
anterior-inferior
17
During lumbosacral extension, the sacral base should glide _________.
anterior-inferior
18
Upon examination/palpation of your patient's sacrum, you detect a RRROA. What is the correct contact point for correction of this restriction using the side posture set up taught in lab?
R-pisiform/hypothenar
19
*A patient presents to your office complaining of "left hip pain" that has been constant for the past few days. When asked to point to the pain, she places her hand over her sacroiliac joints bilaterally. Upon visual inspection/static palpation, you notice that the right leg is long compared to the left leg and the PSIS's are tender bilaterally. Motion palpation reveals a left sacroiliac extension restriction with a hard end-feel when motioning the left ilium P-A. Which of the following is the most likely listing for these findings?
AGR L-Ilium
20
How should the left ilium move during left sacroiliac extension?
anterior-superior
21
When a patient has contraindications to HVLA adjusting/manipulation, you may still be able to mobilize the joint.
true
22
Mobilization occurs between which two barriers?
Physiologic and Elastic
23
Regarding coefficients of friction of synovial joints, the kinetic coefficient of friction is _______ the static coefficient of friction.
much lower than
24
PROM should always be _____________ AROM
greater than
25
The adjustment occurs in the ___________.
paraphysiological space
26
Which of the following are not consistent with complications from adjustive therapy?
Serious injuries are fairly common
27
Which of the following conditions require referral to a vascular surgeon?
Aneurysm
28
Which of the following are potential complications from manipulating a patient with late stage osteoarthritis according to table 4-1 from the textbook?
Neurological compromise
29
Conditions that have the potential to contraindicate manual adjusting depending on the severity/stage of the condition are called _______.
Relative contraindications
30
Regarding informed consent: Prior to any evaluation or treatment, a doctor must always inform patients of potential complications and any risk of significant harm from said evaluation or treatment.
true
31
One of the main differences between "acceptable" and "exceeding reactions" is that exceeding reactions _____.
Interfere with work/ADL's
32
Which of the following describes a transient episode of an increase in a patients symptoms that later resolve spontaneously?
Reaction
33
Since it is safe to adjust a healthy joint, once you have correctly identified a subluxation/motion restriction, it is safe to adjust that subluxation/motion restriction.
false
34
Which of the following are NOT among the most common reactions to adjustive therapy (according to the study referenced in your text and the notes)?
radiating numbness
35
Patient history and examination reveal pain in the lower half of the SI joint, a right short leg and more prominent PSIS on the right. Although motion palpation is always necessary, your initial clinical impression based on your knowledge of lumbopelvic kinematics is that this patient may have a(n) _________.
R-PI Ilium or a L-AS Ilium
36
Local pain and tenderness, leg length inequality, possible guarded gait, palpation of restricted end-feel, and postural abnormalities are all typical findings of ________.
Sacroiliac Joint Syndrome
37
When performing a Hypothenar - Ischium - Sacral Base Push prone adjustment for the indicated left sacroiliac restriction, the doctor's left hand should contact the patient's _________.
left ischial tuberosity
38
*A patient presents to your office complaining of "left hip pain" that has been constant for the past few days. When asked to point to the pain, she places her hand over her sacroiliac joints bilaterally. Upon visual inspection/static palpation, you notice that the right leg is long compared to the left leg and the PSIS's are tender bilaterally. Motion palpation reveals a left sacroiliac extension restriction with a hard end-feel when motioning the left ilium P-A. Which of the following is the most likely listing for these findings?
AGR L-Ilium
39
When performing a Hypothenar - Ischium - Sacral Base Push prone adjustment for the indicated right sacroiliac restriction, the doctor's left hand should contact the patient's _________.
right sacral base
40
Which of the following are not indicative of sacroiliac joint syndrome?
Pain arising from the lumbar region
41
Upon examination/palpation of your patient's sacrum, you detect a RRROA. What is the correct contact point for correction of this restriction using the side posture set up taught in lab?
R-pisiform/hypothenar
42
A counter-rotation malposition of the sacral base may lead to __________.
decreased lordosis and separation of the facets
43
Which of the following is consistent with a sacroiliac flexion restriction?
PSIS less prominent on the side of restriction
44
Which of the following is consistent with a sacroiliac extension restriction?
CRRLOA or CRRROA
45
Which of the following is true regarding musculoligamentous injuries?
All of the choices are correct.
46
Pain originating from the lumbar facets _________.
may cause referred pain into the buttocks and thighs
47
A new patient, 52 years of age, arrives at your office complaining of local LBP which began one week ago after carrying 12 pieces of plywood up the attic stairs to deck his attic. When asked to point to the location of pain, he covers his low back bilaterally with both both hands and explains that he only gets relief when he lays down. Patient examination reveals lumbar hypolordosis, and taut and tender fibers bilaterally L1-L5 with bilateral erector spinae spasm in the lumbar region. Based on this information, you are thinking this patient may have a ______(most likely diagnosis).
d. Lumbar sprain strain injury
48
Which of the following represents appropriate treatment for a mild to moderate musculoligamentous injury?
Gentle stretches and/or exercises as long as they do not exacerbate the patient's symptoms
49
The knee flexors are a group of muscles stimulated by a single spinal nerve, ____.
L5
50
A new patient presents to your office with chronic LBP (VAS 8/10) which began approximately 3 months ago and has been getting worse since it began. The patient is a 38 year old female with a history of breast cancer. She has been seeing a massage therapist for the past 6 weeks and although she experiences a slight decrease in pain (from VAS 8/10 to VAS 7/10) following a massage, the relief only lasts 1-2 hours. You should be suspect that ______ may be causing your patient’s pain. Choose the best answer.
a malignant neoplasm
51
A test with high specificity means that __________.
Patients who test positive for a condition are more likely to have the condition.
52
Mrs. Jones, an otherwise healthy 32 year old female, returns to your office 6 weeks after delivering a healthy baby boy. She explains that she had a c-section procedure to deliver the baby after 18 hours of difficult labor. She reports mid line back pain at the thoracolumbar junction which began a few hours after giving birth and has been getting worse since it began. Her pain is currently 7/10 on a pain scale. She also reports that she thinks she may have a sinus infection since she has been running a low grade fever for the past few weeks. Upon examination, you detect severe muscle spasm and tenderness from T8 to L5 bilaterally. Given this patient's history, which of the following is the most appropriate diagnosis?
Spinal infection
53
A new patient presents to your office reporting bilateral LBP L1-L2 which began one week ago immediately after he fell off of a step ladder (from two feet off the ground) while replacing a light bulb. He describes landing on his feet as if he had jumped off the ladder. He immediately felt a sharp pain in his low back which has been getting worse since it began. He cannot find any positions which afford him any comfort. The patient is a well nourished 48 year old male with a history of diabetes and prostate cancer. He reports that he was given a cancer-free diagnosis following the removal of his prostate 5 years ago. Which of the following is the most appropriate action following examination, given this patients history?
Order imaging to assess for a malignant neoplasm.
54
A new patient reports to your office complaining of constant LBP bilaterally L1-L5 with pain in both SI joints which began approximately one year ago insidously. She also reports bilateral thoracic pain and pain that travels from her low back up into her thoracic spine and into both arms. When you attempt to palpate the lumbar spine your patient cannot tolerate light pressure stating that it is too painful and jumping off the table with even light pressure. Taking this into consideration, you should consider _______.
your patient may be experiencing psychological distress that may be causing/amplifying her pain.