AAT Exam Questions Solved 100%
Correct (A Graded)
Mrs. Covidia presents to your office complaining of "right hip pain" that has been constant for
the past few days. When asked to point to the pain, she places her hand over her right
sacroiliac joint. Upon visual inspection/static palpation, you notice that the left leg is long
compared to the right leg and the right PSIS is tender and more prominent than the left. Motion
palpation reveals a right sacroiliac extension restriction with a hard end-feel when motioning
the right ilium P-A. Which of the following is the most likely listing for these findings?
a. AGR R-Ilium
b. L-SB-P
c. AGR L-Ilium
d. R-SB-P - Answer a. AGR R-Ilium
Mr. Smith arrives to your office complaining of bilateral low back pain (LBP). When asked to
point to the pain, he places both of his hands on his low back covering the entire lumbar spine.
Upon visual inspection/static palpation of the lumbar spine, you observe a hypolordosis with
an increase in muscle tonicity bilaterally. The patient's right leg appears short as compared to
the left leg when lying prone. Motion palpation reveals a hard end feel when palpating right to
left on the spinous process of L2, while motioning the spinous left to right reveals a springy
end-feel. Which of the following is the most likely listing?
a. LRR-L2
b. LP-L3
c. RP-L3
d. RRR-L2 - Answer d. RRR-L2
Mrs. Covidia 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 left sacroiliac
joint. Upon visual inspection/static palpation, you notice that the right leg is long compared to
the left leg and the left PSIS is tender and more prominent than the right. 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?
a. AGR L-Ilium
,b. AGR R-Ilium
c. R-SB-P
d. L-SB-P - Answer a. AGR L-Ilium
Your patient is complaining of local "right hip pain" which is exacerbated by sitting for more
than 30 minutes. When asked to point to the pain, the patient places their hand over their
right sacroiliac joint. Inspection/static palpation reveals tenderness around the entire right SI
joint and a left short leg as compared to the right. You also detect a hard end-feel when
palpating the right sacral base anteriorly. Which of the following is the most likely listing?
Make sure your answer has the correct letters for the abbreviated listing.
a. RRRROA
b. RRRLOA
c. RRLOA
d. RRROA - Answer c. RRLOA
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)?
a. radiating discomfort
b. mild increase in local pain
c. fatigue
d. radiating numbness - Answer d. radiating numbness
Which of the following are potential complications from manipulating a patient with late
stage osteoarthritis according to table 4-1 from the textbook?
a. Wallenberg syndrome
b. Neurological compromise
c. Vertebral artery dissection
d. Unresponsiveness to pain
e. Hemorrhage - Answer b. Neurological compromise
,Which of the following are not consistent with complications from adjustive therapy?
a. Misdiagnosis/improper technique is a common cause of complications from adjustive
therapy
b. Complications range from mild increase in local pain to permanent neurological deficits
and in rare cases even death.
c. Serious injuries are fairly common
d. May be associated with new tissue damage - Answer c. Serious injuries are fairly common
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.
a. True
b. False - Answer a. True
Conditions that have the potential to contraindicate manual adjusting depending on the
severity/stage of the condition are called _______.
a. Actual contraindications
b. Relative contraindications
c. Real contraindications
d. Absolute contraindications - Answer b. Relative contraindications
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.
a. True
b. False - Answer b. False
Which of the following conditions require referral to a vascular surgeon?
a. Aneurysm
, b. Osteopenia
c. Tumors
d. Space occupying lesions - Answer a. Aneurysm
Which of the following describes a transient episode of an increase in a patients symptoms
that later resolve spontaneously?
a. Relative Contraindication
b. Reaction
c. Absolute Contraindication
d. Complication - Answer b. Reaction
Forceful manipulation is contraindicated in patients with ________.
a. Osteoporosis
b. Sacroiliac syndrome
c. Clotting disorders
d. Facet syndrome - Answer a. Osteoporosis
c. Clotting disorders
One of the main differences between "acceptable" and "exceeding reactions" is that
exceeding reactions _____.
a. Do not resolve spontaneously
b. Interfere with work/ADL's
c. Have a shorter duration
d. Have a more rapid onset - Answer b. Interfere with work/ADL's
Mrs. Smith arrives at your office with an exacerbation of right sacro-iliac pain. During motion
palpation you detect a hard end-feel when palpating P-A on the right PSIS as compared to the
left. Which of the following is the correct motion restriction listing? Choose the best answer.
a. AGR R-Ilium
Correct (A Graded)
Mrs. Covidia presents to your office complaining of "right hip pain" that has been constant for
the past few days. When asked to point to the pain, she places her hand over her right
sacroiliac joint. Upon visual inspection/static palpation, you notice that the left leg is long
compared to the right leg and the right PSIS is tender and more prominent than the left. Motion
palpation reveals a right sacroiliac extension restriction with a hard end-feel when motioning
the right ilium P-A. Which of the following is the most likely listing for these findings?
a. AGR R-Ilium
b. L-SB-P
c. AGR L-Ilium
d. R-SB-P - Answer a. AGR R-Ilium
Mr. Smith arrives to your office complaining of bilateral low back pain (LBP). When asked to
point to the pain, he places both of his hands on his low back covering the entire lumbar spine.
Upon visual inspection/static palpation of the lumbar spine, you observe a hypolordosis with
an increase in muscle tonicity bilaterally. The patient's right leg appears short as compared to
the left leg when lying prone. Motion palpation reveals a hard end feel when palpating right to
left on the spinous process of L2, while motioning the spinous left to right reveals a springy
end-feel. Which of the following is the most likely listing?
a. LRR-L2
b. LP-L3
c. RP-L3
d. RRR-L2 - Answer d. RRR-L2
Mrs. Covidia 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 left sacroiliac
joint. Upon visual inspection/static palpation, you notice that the right leg is long compared to
the left leg and the left PSIS is tender and more prominent than the right. 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?
a. AGR L-Ilium
,b. AGR R-Ilium
c. R-SB-P
d. L-SB-P - Answer a. AGR L-Ilium
Your patient is complaining of local "right hip pain" which is exacerbated by sitting for more
than 30 minutes. When asked to point to the pain, the patient places their hand over their
right sacroiliac joint. Inspection/static palpation reveals tenderness around the entire right SI
joint and a left short leg as compared to the right. You also detect a hard end-feel when
palpating the right sacral base anteriorly. Which of the following is the most likely listing?
Make sure your answer has the correct letters for the abbreviated listing.
a. RRRROA
b. RRRLOA
c. RRLOA
d. RRROA - Answer c. RRLOA
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)?
a. radiating discomfort
b. mild increase in local pain
c. fatigue
d. radiating numbness - Answer d. radiating numbness
Which of the following are potential complications from manipulating a patient with late
stage osteoarthritis according to table 4-1 from the textbook?
a. Wallenberg syndrome
b. Neurological compromise
c. Vertebral artery dissection
d. Unresponsiveness to pain
e. Hemorrhage - Answer b. Neurological compromise
,Which of the following are not consistent with complications from adjustive therapy?
a. Misdiagnosis/improper technique is a common cause of complications from adjustive
therapy
b. Complications range from mild increase in local pain to permanent neurological deficits
and in rare cases even death.
c. Serious injuries are fairly common
d. May be associated with new tissue damage - Answer c. Serious injuries are fairly common
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.
a. True
b. False - Answer a. True
Conditions that have the potential to contraindicate manual adjusting depending on the
severity/stage of the condition are called _______.
a. Actual contraindications
b. Relative contraindications
c. Real contraindications
d. Absolute contraindications - Answer b. Relative contraindications
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.
a. True
b. False - Answer b. False
Which of the following conditions require referral to a vascular surgeon?
a. Aneurysm
, b. Osteopenia
c. Tumors
d. Space occupying lesions - Answer a. Aneurysm
Which of the following describes a transient episode of an increase in a patients symptoms
that later resolve spontaneously?
a. Relative Contraindication
b. Reaction
c. Absolute Contraindication
d. Complication - Answer b. Reaction
Forceful manipulation is contraindicated in patients with ________.
a. Osteoporosis
b. Sacroiliac syndrome
c. Clotting disorders
d. Facet syndrome - Answer a. Osteoporosis
c. Clotting disorders
One of the main differences between "acceptable" and "exceeding reactions" is that
exceeding reactions _____.
a. Do not resolve spontaneously
b. Interfere with work/ADL's
c. Have a shorter duration
d. Have a more rapid onset - Answer b. Interfere with work/ADL's
Mrs. Smith arrives at your office with an exacerbation of right sacro-iliac pain. During motion
palpation you detect a hard end-feel when palpating P-A on the right PSIS as compared to the
left. Which of the following is the correct motion restriction listing? Choose the best answer.
a. AGR R-Ilium
