PTMMD EXAM 1 UPDATED ACTUAL
Questions And CORRECT Answers
Special tests for Upper Cervical Instability - CORRECT ANSWERS - Sharp-Purser test
- Alar ligament stress test
- Anterior shear test
What are the primary effects of manipulation? - CORRECT ANSWERS Psychological
Neurophysiological
Biomechanical
Chemical
Special tests for Neck pain with radiating pain - CORRECT ANSWERS -Spurlings A and B
-Shoulder abduction test
-neck distraction test
Wainners test cluster - CORRECT ANSWERS Neck pain with radiating pain
+ULTT-A **
<60 degrees of ipsilateral cervical rotation
+ Spurlings A (reproduce)
+ distraction test (alleviates)
-3/4 65% probability
-4/4 90% probability
Positive Sharp-Purser test - CORRECT ANSWERS Excessive posterior glide of cranium OR relief
of symptoms
-Flexion may reproduce symptoms because dens changed positions
, Positive alar ligament stress test - CORRECT ANSWERS Excessive side bend, empty end feel
-needs to be positive in all 3 positions
-looking for laxity
Positive anterior shear test - CORRECT ANSWERS Signs of instability (increased motion/empty
end feel), reproduction of symptoms, production of nystagmus or nausea
Positive spurling A and B test - CORRECT ANSWERS Reproduction of neck or arm symptoms
-could also indicate facet issue if pain is localized to one
Positive Neck distraction test - CORRECT ANSWERS Test alleviates symptoms
Positive rotation-extension vertebral artery test - CORRECT ANSWERS Delay or immediate onset
of dizziness, lightheadedness, or nausea
C0-C1/ OA joint arthrokinematics - flexion and extension - CORRECT ANSWERS Convex on
concave = O
- Flexion: Ant roll; Post glide
- Extension: Post roll; Ant glide
C1-C2/AA joint arthokin - flexion, extension - CORRECT ANSWERS Convex on convex
-Flexion: C1 tilts and glides anteriorly on C2 (anterior roll; anterior glide)
-Extension: C1 tilts and glides posteriorly on C2
Right rotation of C0 on C1 - CORRECT ANSWERS Right condyle posterior roll; anterior glide
Right rotation of C1 on C2 - CORRECT ANSWERS Right facet posterior roll; posterior glide
Questions And CORRECT Answers
Special tests for Upper Cervical Instability - CORRECT ANSWERS - Sharp-Purser test
- Alar ligament stress test
- Anterior shear test
What are the primary effects of manipulation? - CORRECT ANSWERS Psychological
Neurophysiological
Biomechanical
Chemical
Special tests for Neck pain with radiating pain - CORRECT ANSWERS -Spurlings A and B
-Shoulder abduction test
-neck distraction test
Wainners test cluster - CORRECT ANSWERS Neck pain with radiating pain
+ULTT-A **
<60 degrees of ipsilateral cervical rotation
+ Spurlings A (reproduce)
+ distraction test (alleviates)
-3/4 65% probability
-4/4 90% probability
Positive Sharp-Purser test - CORRECT ANSWERS Excessive posterior glide of cranium OR relief
of symptoms
-Flexion may reproduce symptoms because dens changed positions
, Positive alar ligament stress test - CORRECT ANSWERS Excessive side bend, empty end feel
-needs to be positive in all 3 positions
-looking for laxity
Positive anterior shear test - CORRECT ANSWERS Signs of instability (increased motion/empty
end feel), reproduction of symptoms, production of nystagmus or nausea
Positive spurling A and B test - CORRECT ANSWERS Reproduction of neck or arm symptoms
-could also indicate facet issue if pain is localized to one
Positive Neck distraction test - CORRECT ANSWERS Test alleviates symptoms
Positive rotation-extension vertebral artery test - CORRECT ANSWERS Delay or immediate onset
of dizziness, lightheadedness, or nausea
C0-C1/ OA joint arthrokinematics - flexion and extension - CORRECT ANSWERS Convex on
concave = O
- Flexion: Ant roll; Post glide
- Extension: Post roll; Ant glide
C1-C2/AA joint arthokin - flexion, extension - CORRECT ANSWERS Convex on convex
-Flexion: C1 tilts and glides anteriorly on C2 (anterior roll; anterior glide)
-Extension: C1 tilts and glides posteriorly on C2
Right rotation of C0 on C1 - CORRECT ANSWERS Right condyle posterior roll; anterior glide
Right rotation of C1 on C2 - CORRECT ANSWERS Right facet posterior roll; posterior glide
