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Q5 PHMD Final Exam Questions And Answers

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Q5 PHMD Final Exam Questions And Answers...

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  • October 21, 2024
  • 21
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • Q5 PHMD
  • Q5 PHMD
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Easton
Q5 PHMD Final Exam Questions And Answers


Adam's Test - ANSWER ****Test for scoliosis

-Patient standing - leans forawrd at the waist until back is horizontal

Observe spine and scapular asymmetry, non-level shoulders/hips/humps

(+ ) Rib hump = Adam's sign

- if curve DISAPPEARS when bending forward - could be acquired from muscular
tightness

-if curve STAYS - then its congenital



Spinal Percussion - ANSWER Patient seated or standing

-with flat hand along spine, percuss with fist along spine

(+) local pain = fracture, local sprain, strain, disc pathology



Valsalva Maneuver - ANSWER Patient seated

-have them strain while holding breath

(+) local/radicular pain = Space occupying lesions, disc herniation, IVF encroachment



Dejerine's Traid. = Cough, sneeze, strain



Derjerine's Triad - ANSWER Pain while Coughing, Sneezing, Straining (positive in
Valsalva Maneuver)

-measures local/radicular pain (SOL, disc herniation, IVF encroachment)



Soto Hall Test - ANSWER local=S/S, bone path./injury, cord disease

radiating=disc lesion

,Patient lying supine, passively flexing the patient's neck chin to chest - if there''s pain =
indicates cervical pathology



Static Palpation with a patient prone, you're observing and looking for: - ANSWER
Alignment

Rotations

SP spacing - Extension (Flat) vs Flexion (curved)

Pain

Anteriority vs Posteriority

Antiorlisthesis vs Posteriorlisthesis - if vertebrae shifted/slide



Motion Palpation with a patient prone you're applying pressure - ANSWER Posterior to
anterior:

-along each segment

-assessing flexibility of the spine



Pushing into the TP = P-A pressure

-restricted

-mobility

Motion Palpation with the thumb (hypothenal) pinky side (hyperthenar)



Thoracic Manipulation techniques should not be used forcefully - ANSWER Older
individuals,

people with an out-flare to the lower rib cage

Or calcified costal cartilages

Or osteoporosis



All techniques stress the rib cage and the costo-chondral junction

, Contraindications for thoracic manipulations include - ANSWER Fractures

Underlying genetic conditions (osteomyelitis, EDS, osteochonritis, osteopenia,
osteoporosis, vein issues),

Joint fractures/dislocations

More complicated S-Curves



Prone: Bilateral Ulnar Technique - ANSWER Can correct almost any thoracic restriction

Works best for extension restriction below the apex of the thoracic kyphosis
(underscoop)

Release of flexion restrictions - best done Above the apex of the thoracic kyphosis
(overscoop)



PP - Prone, flat, or with headpiece in slight flexion

DP - fencer stance facing cephalad



Bilateral Ulnar Technique - ANSWER Both hands form a bilateral ulnar contact (Prayer
position)

-this is a straight edge contact using the ulnar side of both hands, which are held
parallel to each other with palms facing inward and thumbs crossed for added support

-the contact is on the = Patient's TP's & Laminae (medial to the angle of the ribs

The exact spot along edge of hands used for contact varies - more proximal pisiform -
used to facilitate extension

-more distal aspect of 5th metacarpal - used to facilitate flexion



Prone Bilateral Ulnar Technique Double Blade I to S - ANSWER The restricted vertebra
receives the thrust and moves forward causing the verteb



Risk factors for cervical Manipulation - ANSWER Trauma, car accident, falling, head
injury

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