Dpt 2 - MSK - thoracic spine Exam Questions With Correct Answers

Dpt 2 - MSK - thoracic spine Exam Questions With Correct Answers What are medical screening questions for the T spine - answerdo you have a hx of heart problems? have you had recent surgery? have you recently noticed that it is difficult for you to breathe, laugh, sneeze, or cough? are you sx relieved after eating? how could the diaphragm contribute to thoracic pain - answerpain with breathing refers to yoke area - across top of shoulder how could the GI system contribute to thoracic pain? - answerrefers to midscapular region or anterior xiphoid region or into left upper abdominal quadrant how could the liver contribute to thoracic pain - answerrefers to R posterior thoracic wall (above kidney and gallbladder, below inferior angle of scapula) refers to costovertebral angle in mid thorax how could the pleura contribute to thoracic pain - answerpain over area of irritation refers to scapula *sx brought on by coughing or deep breath* how can the heart contribute to thoracic pain - answerrefers to upper and/or mid thoracic spine refers to mid-sternum, pectoral region, axilla, arm, TMJ note pt's HR if elevated/depressed how can the aorta contribute to thoracic pain - answerAAA - refers to the thoracolumbar region "deep boring pain" EXAM STUDY MATERIALS July 29, 2024 12:59 PM thrombus or aneurysm pain at area of irritation, along region of decreased blood flow, referred to back how can the pancreas contribute to thoracic pain - answerrefers to mid/lower thoracic and lumbar spine a lot of acute thoracic pain tends to NOT be what - answermsk in origin insidious pain tends to be visceral, multisystem involvement what virus can be in dorsal root ganglia and can become expressed by stress, get shingles - answerherpes how should the movement in the thoracic spine be assessed - answerlook globally for quality not quantity can use goni, inclinometer for A/PROM what are common pathologies of t spine - answersensitive ribs and facet joints what skin condition is presence of darkened areas of skin pigmentation, but is usually benign - answercafe-au-laut spots what fx is always suspected in cases of macrotrauma of the t spine until shown otherwise - answervertebral compression fx what factors can contribute to/indicate vertebral compression fx - answerage loss of body height thoracic localized pain what FOUR specific factors are highly suggestive of vertebral compression fx; if 3/4 are present SP = 1.0 and +LR 218 - answerfemale > male > 70 yo significant macrotrauma prolonged use of corticosteroids irregular breathing patterns could indicate - answerinjury to thoracic vertebrae EXAM STUDY MATERIALS July 29, 2024 12:59 PM pressure on thoracic nn trauma to ribs, costal cartilage what could be the causes of asymmetry of skin folds in the thoracic spine - answermm imbalance increased or decreased kyphosis scoliosis kyphosis is natural in the t spine, but it can be EITHER - answerpostural kyphosis structural kyphosis what is postural kyphosis - answerpt CAN correct (reduces when pt lies supine) what should pt do if they have postural kyphosis - answerexercises to strengthen back mm correct posture sleep on firm bed what are two types of structural kyphosis in the thoracic spine - answercongenital kyphosis secondary kyphosis what is congenital structural kyphosis, give example - answercongenital deformities caused by spinal abnormalities eg: Scheuermann's disease secondary structural kyphosis is typically related to - answerdiseases/pathologies eg: osteoporosis related kyphosis like multiple compression fx, dowager's hump what should be done at end range of AROM screen - answeroverpressure thoracic extension should do what - answerreverse kyphotic curve what position can better isolate thoracic spine when testing ROM - answerpt interlocks fingers behind the head *why should PT be cautious during ROM testing of pts with osteoporosis/osteopenia* - answermoving that pt population