Lecture Final

Question 1

Notice that your friend is running with a gene values position. She is landing on the medial aspect of the foot. What type of gait pattern?

Answer 1

PEABED - Pronation, Eversion, ABduction, and Dorsiflexion

Question 2

Walking wider than normal width of the base during gait, what is the normal width of the base and likely presentation?

Answer 2

2-4/cerebellar dysfunction

Question 3

Your friend runs with her knees in the genu varus position. she is also landing each stride on the lateral aspect of the foot. The gait pattern of over-____ is associated w/ this and the actions of _____ and _____ occur at the ankle.

Answer 3

Supination/ Inversion/ Adduction

Question 4

The T5 spinous process has moved posterior & inferior. This is described as ____ theta ____ in the ____ plane.

Answer 4

Negative/ Z / Frontal

Question 5

The L1 vertebral body rotates to the right. This would equate to a ___ theta ___ in the ___ plane.

Answer 5

Negative / Y / Horizontal

Question 6

In a chiropractic evaluation, a left shortened quadrates lumborum will cause the lumbar curve to produce what?

Answer 6

Deviation to the strong side

Question 7

Hip flexion in a patient with a shortened piriformis will present with ___ and ___ rotation.

Answer 7

Abduction / External

?

Question 8

A patient presents in your office and you observe that as she is walking there is an excessive amount of hip rotation on right side. The normal amt of hip rotation is ___ and the ___ trochanter on the ___ would be the fulcrum.

Answer 8

40* / Greater / Left

Question 9

You are testing the left oblique muscle group. The internal oblique laterally flexes the body to the ___ side and the external oblique rotates the body to the ___ side,

Answer 9

Ipsilateral / Right

Question 10

Left lateral flexion of the T7 vertebra would be a ___ theta ___ in the ___ plane.

Answer 10

Positive / X / Median

Question 11

The ability of a muscle to assume a length back to normal after stretching it is referred to as:

Answer 11

Elasticity

Question 12

When assessing trunk flexion in infants, the lumbar should not yet be present by ___ months of age.

Answer 12

7 months

should be present by 8th

Question 13

Your patient expresses to you that they cannot walk properly due to not being able to “push-off” during gait cycle. This occurs during the ___ phase and the ___ perineal nerve and ___ muscle should be tested.

Answer 13

Stance / Deep / Extensor Hallicus Longus

Question 14

According to the adult muscle grading chart, which grade would indicate a neurogenic problem?

Answer 14

2

Question 15

The ___ muscle would be tested if you suspected your patient to have “winging” scapula and the neurological component is the ___ nerve.

Answer 15

Serratus Anterior / Long Thoracic

Question 16

Patient has difficulty keeping himself from galling forward. All tests for C.N. 8 & cerebellar tests are unremarkable. Which would most likely be the cause of patients problem?

Answer 16

Soleus tear / weakness

Question 17

Patient is experiencing mid-back discomfort. This past weekend he was doing competitive rowing with his team at school. Which muscle and innervation are the most likely cause of the patient’s discomfort?

Answer 17

Latissimus dorsi / Thoracodorsal

Question 18

You are testing a patient’s posterior neck extensor group of muscles. When testing the right side you find significant weakness. Which side is the head rotated to during a right side test and what is the muscle involved in this problem?

Answer 18

Right / Splenius capitus

Question 19

The extremes that a muscle can be stretched and shortened are referred to as:

Answer 19

Amplitude

Question 20

A spasm of the left superior trapezius will cause ___ translation w/ rotation to the ___ side and lateral flexion to the ___.

Answer 20

+Y / Left / Left

?

Question 21

When describing viscosity in muscles, when you increase the body temperature you ____.

Answer 21

Decrease the viscosity

Question 22

While examining a patient you notice that when you push the lateral thigh near the hip joint towards internal rotation against resistance the patient is unable to hold strong for the muscle test. Hip abductor and flexor muscle tests are unremarkable. The ___ muscle would be involved and its innervation is the ___ nerve.

Answer 22

Piriformis / Sacral plexus

Question 23

Pronation and supination of the forearm occur in the ___ plane around the ___ coordinate.

Answer 23

Horizontal / Y

Question 24

Which of the following is not a contraindication to muscle testing?

Answer 24

Osteoporosis

Question 25

Patient presents w/ complaint of right shoulder pain. He fell and has been a pitcher on his baseball team for many years. The ___ muscle would be suspected & its motion is in a ___ plane around the ___ coordinate.

Answer 25

Teres minor / Horizontal / Y

Question 26

A 45 YO woman presents complaining of knee and posterior ankle pain. You notice she is wearing high heel shoes. She says she has worn heels everyday for many years. Further tests reveal decreased ROM on ankle dorsiflexion and she is not able to fully extend the knee. Which muscle is most likely involved w/ this?

Answer 26

Gastrocnemius

Question 27

You are evaluating a toddler on the tilt board. If the board is tilted to the right the toddlers ___ arm & leg should ___ to the ___.

Answer 27

Left / Abduct / Left

opposite arm & leg should ABduct to counter balance

Question 28

Patient has shortened tensor fascia lata muscle on the left. Your chiropractic findings would most likely show a gene ___ with a ___ short leg.

Answer 28

Valgus / Left

Question 29

Patient presents w/ left upper trapezius spasm. He says he woke up w/ the spasm this morning. Biomechanically he would present in your office with his head in ___ lateral flexion, ___ rotation and ___ translation.

Answer 29

Left / Right / +Z

?

Question 30

You notice your patient has a hypolordosis. You would have them:

Answer 30

Stretch hamstrings / strengthen psoas

Question 31

The triceps surae muscle group refers to which of the following?

Answer 31

Gastrocnemius / Soleus

Question 32

The ability of a muscle to stretch is referred to as?

Answer 32

Extensibility

Question 33

Patient states that she is having difficulty holding a fork and the cafeteria tray w/ her food on it. She is also complaining of pain at the proximal lateral aspect of her forearm. Which muscle when evaluated would be the most likely cause of her problem?

Answer 33

Supinator

Question 34

Which of the following muscles is not involved in the action of horizontal flexion of the shoulder?

Answer 34

Biceps

Question 35

A 4 month old baby when reaching for a toy her mother is holding exhibits spastic motions. This would indicate a problem w/ which of the following?

Answer 35

Rhythm

Question 36

Abduction and adduction of the hip occur in a ___ plane around the ___ coordinate & the ___ axis.

Answer 36

Frontal / X / A-P

Question 37

Inversion and eversion of the ankle occur in a ___ plane around a ___ axis & ___ coordinate.

Answer 37

Coronal / A-P / Z

Question 38

Patient complains of pain in his knee, ankle and hip on the right. Which of the following would be the most likely indicator during your supine leg checks to indicate a gait problem?

Answer 38

Oblique shoe creases

Question 39

The insertion of the Psoas muscle is the ___ trochanter and its actions are ___ and ___.

Answer 39

Lesser / Flexion / Abduction??

I think adduction

Question 40

In a patient w/ a hyperlordosis you would find:

Answer 40

Tight quadriceps / Weak abdominals

Question 41

A patient presents w/ a severe rhomboid weakness. This indicated ___ of the scapula w/ a ___ nerve insufficiency.

Answer 41

Flaring / Dorsal scapular

Question 42

If the dorsiflexors of the foot are weak this would be most evident during ___ in the ___ phase of the gait cycle.

Answer 42

Heel strike / Stance

Question 43

Most problems during the gait cycle occur in the ___ phase because of ___.

Answer 43

Stance / Full weight bearing

Question 44

A weakened left gluteus maximus will cause a ___ leg and a genu ___ presentation.

Answer 44

Left long / Valgus

Question 45

The knee should remain ___ during all components of the stance phase except ___.

Answer 45

Flexed / Heel strike

Question 46

The components of the stance phase from beginning to end occur in which order?

Answer 46

Heel strike, foot-flat, mid stance, push-off

Question 47

A right shortened upper trapezius muscle will biomechanically cause the head to rotate to the ___ and laterally flex to the ___ with ___ translation.

Answer 47

Left / Right / +Z

Question 48

If a patient has a shortened piriformis on the right biomechanically it can cause a gene ___ deformity on the ___ side.

Answer 48

Varus / Right

Question 49

The normal width of the base during gait is ___ inches w/ a normal step length of ___ inches.

Answer 49

2-4 / 15

Question 50

The components of the swing phase from beginning to end occur in which order?

Answer 50

Acceleration, Midswing, Deceleration

Question 51

The C5 facilitating muscle is the ___ while the inhibitor is the ___.

Answer 51

Brachioradialis / Triceps