MJ CT Midterm Content

does not include setup info

T/F: We can view the IVF from a neutral lateral cervical film.

False - cannot be seen

What is the term for a straight line that can be drawn up the posterior aspect of 3+ vertebral bodies?

Stacking

What is the term for bony projections usually off the anterior superior/inferior aspect of vertebral bodies?

Spurring

What is the term for more than one adjacent vertebral bodies that exhibit visible posteriority?

Stair-stepping

What is the term for a fracture of the vertebral end plate, and features nodes that invaginate nuclear material into the vertebral body?

Schmorl’s node

With Schmorl’s nodes, which segment is listed?

Segment on top of involved disc

What is the listing if FML and APL diverge?

Occiput - PS

What is the listing if FML and APL converge?

Occiput - AS

What is the listing if OPL and APL diverge?

Atlas - AS

What is the listing if OPL and APL converge?

Atlas - AI

What is the listing if ADI is inverted?

AS

What is the listing if ADI is normal?

Atlas - AI

What is the listing if TCL and TAL diverge to the right?

RS - occiput

What is the listing if TCL and TAL diverge to left?

PS - occiput

What is the listing if TAL and AxPL diverge to the right?

R - atlas

What is the listing if TAL and AxPL diverge to the left?

L - atlas

If the lateral mass is larger on the right, what is the conclusion?

Anterior atlas rotation

Posterior occiput rotation

Both on right!

What is the listing if the spinous appears on the right side and listing line and BL diverge to the left?

PRI-L

What can a nervoscope tell us?

When to adjust (we evaluate for the ‘where’)

Where is the location of a break at the occiput-C1 level?

between segments

Where is the location of a break between C2-T3?

interspinous space below

Where is the location of a break at T4?

T4 spinous level

Where is the location of a break between T5 and T8?

interspinous space above

Where is the location of a break between T10 and T12?

own spinous level

Where is the location of a break between L1 and L5?

lower 25% of spinous involved segment

Which part of the 5 Component Model involves abnormal motion/alignment?

Kinesiopathology

Which part of the 5 Component Model involves abnormal nervous system function?

Neuropathophysiology

Which part of the 5 Component Model involves abnormal muscle function?

Myopathology

Which part of the 5 Component Model involves abnormal soft tissue findings?

Histopathology

Which part of the 5 Component Model involves abnormal bony changes?

Arthropathophysiology

How is kinesiopathology assessed?

Motion palpation, ROM, videofluoroscopy

How is neuropathophysiology?

skin/infrared temperature devices, thermography, nerve conduction studies

How is myopathology assessed?

static palpation, surface EMG, electric muscle testing

How is histopathology assessed?

Static palpation and MRI

How is arthropathophysiology assessed?

Spinography, MRI, CT

Is lean regional or global?

Regional

What part of the hand is used to assess skin temp?

Back of hand

What is the skin like in chronic conditions?

Dry and cool

What is the skin like in acute conditions?

Sweaty, clammy, warm

What is indicated when the edema feels like the thumb web of open hand?

Flaccid - means healing!

What is indicated when the skin feels like the web of a relaxed fist?

Edema

What is the difference in palpable tenderness between acute and chronic presentations?

Acute - tender

Chronic - scleratogenous

What are some contraindications to adjustments?

Hypermobility

Bone destructive pathology - fresh fracture, malignancies, etc.

Inability of pt to assume adjustment position

What are some cautions for adjusting?

Cardiovascular insufficiency

Systemic arthridities

detached retina

congenital anomalies

foraminal spurring

degenerative joint disease

disc herniation/rupture

prostheses

recent surgery

What is the order of the initial patient encounter?

1. Case history

2. physical exam, visualization, posture, ROM, leg check, ortho/neuro, x-ray

3. instrumentation

4. Static/motion palpation

5. Diagnostic imaging (if warranted)

6. Diagnosis/prognosis

7. Care plan

What is the expected ROM for the cervical region?

Extension/flexion - 45 degrees

Rotation - 80

Lateral flexion - 45

What is the expected ROM for the thoracic region?

Extension - 30

Flexion - 90

Lateral flexion - 30

Rotation - 30

What is a positive test for Soto-hall?

Localized/diffuse pain on active/passive motion

What is a positive test for shoulder depressor?

Radiating pain

What is a positive test for foraminal compression?

Radiating pain

What is a positive test for Adson’s test?

diminished pulse

What is indicated by a positive Soto-hall test/

Fracture - localized

Strain - active diffuse

Sprain - passive diffuse

What is indicated by a positive shoulder depressor?

C-spine nerve compression

What is indicated by a positive foraminal compression?

Radiculopathy C spine nerve compression

What is indicated by a positive Adson’s test?

Thoracic outlet syndrome

Scaleneus anticus

What is the value of theta z with an open wedge on the left?

+ theta Z

What is the value of theta z with an open wedge on the right?

- theta Z

How much of the population has a leg length inequality?

50-80%

What is the name for the cervical syndrome in which the doctor palpates the patient’s left side of neck after the patient turns their head to the right?

Right cervical syndrome

With a PRS pr PLI-L listing, what direction is the torque?

Clockwise

With a PLS and PRI-L listing, what direction is the torque?

Counterclockwise

T/F: All occiput and diversified setups have NO torque.

True!

With a P, PL, PR, PL-L, or PR-L listing, what direction is the torque?

No torque!

With ASL and AIR listings, what direction is the torque?

Counterclockwise

With AIL and ASR, what direction is the torque?

Clockwise

With atlas listings, what letters give the torque direction?

Middle 2!