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Irene Gold Part 2 – Practices – Questions With Solutions
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Irene Gold Part 2 – Practices – Questions WithSolutions
How are gonstead listings named ✔️Ans - By how the subluxated segment
misaligns to the segment below
How to describe gonstead listings ✔️Ans - First letter = P which refers to
posteriority
Second letter refers to spinous rotation (R/L)
Third letter refers to the lateral flexion
How to perform gonstead adjustments ✔️Ans - Contact on the side of the
open wedge
National listings ✔️Ans - First letter = R/L
Second letter will always be P (posterior)
Third letter is S/I which refers to lateral flexion or wedging on the side of
body rotation
Dynamic listings ✔️Ans - From motion palp listings
Always refers to vertebral body
Fixated = segment is stuck in the position described
Restricted/decreased = Segment can't move to the position that is described
Medicare listings ✔️Ans - Malpositions (same as fixation)
What is a flexion malposition ✔️Ans - Increased interspinous space
between the involved segment and the segment below with decreased
interspinous space between the involved segment and the segment above
, Extension malposition ✔️Ans - Decreased interspinous space between the
involved segment and the segment below with increased interspinous space
between the involved segment and the segment above
What are the 6 rules for adjusting ✔️Ans - The vertebral body is the
reference structure unless otherwise stated
Contact side of open wedge
If scoliosis is present, contact side of convexity
Doctor stands on the side of contact
Seated cervical moves may differ depending on whether or not it is gonstead
or diversified (diversified - doctor on opposite side of contact)
Torque is to close open wedges. Open wedge on the right is CW torque. Open
wedge on the left is CCW torque
Lovett positive classification of scoliosis ✔️Ans - Right convex scoliosis is
least offending and normal compensatory deviation
Side of the anterior inferior sacrum is on the same side as the PI ilium (short
leg)
Convex side of the scoliosis is towards the side of the AI sacrum/PI ilium
Spinouses will deviate away from the convexity
Heel lift should be used on the side of the PI ilium and a sole lift on the
opposite side (AS ilium)
What are the 6 absolute contraindications to adjust ✔️Ans - Malignancies
Tumors
Infections
Fractures (except clay shoveler's)
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