AAT I FINAL EXAM 2025/2026 WITH 100%
ACCURATE ANSWERS
1. If a chiropractor encounters a patient with scoliosis, what initial assessment
should they consider based on the prevalence of adolescent idiopathic
scoliosis?
Prioritize treatment for lumbar sprain/strain instead.
Assume the scoliosis is due to a congenital cause.
Immediately refer the patient for surgery.
Focus on assessing for adolescent idiopathic scoliosis due to its
high prevalence.
2. Mrs. Jones, an otherwise healthy 32-year-old female, returns to your office
6 weeks after delivering a healthy baby boy. She explains that she had a c-
section procedure to deliver the baby after 18 hours of difficult labor. She
reports midline back pain at the thoracolumbar junction which began a few
hours after giving birth and has been getting worse since it began. Her pain
is currently 7/10 on a pain scale. She also reports that she thinks she may
have a sinus infection since she has been running a low-grade fever for the
past few weeks. Upon examination, you detect severe muscle spasm and
tenderness from T8 to L5 bilaterally. Given this patient's history, which of the
following is the most appropriate diagnosis?
Spinal stenosis
Lumbar sprain/strain
Spinal infection
Fractured coccyx
,3. What is the term used to describe a posture adopted to avoid pain in a
patient with subluxation?
Subluxation position
Postural alignment
Antalgic posture
Normal posture
4. Describe the significance of the +0z designation in relation to lumbar lateral
flexion in chiropractic assessments.
The +0z designation indicates that there is no change in the z-axis
during right lateral flexion.
The +0z designation indicates a decrease in lumbar flexion.
The +0z designation indicates an increase in lumbar extension.
The +0z designation indicates a left lateral flexion movement.
5. When you set up to adjust a RRR-L3, the patient should be in __ _.
LSP
RSP
6. Describe the significance of contacting the right ischial tuberosity during
the Hypothenar - Ischium - Sacral Base Push adjustment for sacroiliac
restrictions.
It is important for stabilizing the lumbar spine during the adjustment.
It allows for a broader adjustment of the entire pelvis.
It is used to assess the range of motion in the hip joint.
, Contacting the right ischial tuberosity helps to effectively apply
force to the right sacroiliac joint, facilitating the adjustment.
7. Describe how exceeding reactions differ from acceptable reactions in the
context of chiropractic treatment.
Exceeding reactions interfere with work and activities of daily
living (ADL's).
Exceeding reactions are always temporary.
Exceeding reactions are less severe than acceptable reactions.
Exceeding reactions only occur in psychological contexts.
8. What position should a patient be in for an AGR L-Ilium adjustment?
Prone
LSP
Supine
RSP
9. What is the recommended footwear condition for a patient during Flexion,
Extension, and Rotation assessments using FAP?
stand on a mat
wear socks
be barefoot
wear shoes
10. Describe the importance of flexing the top leg before setting the pelvis in
chiropractic treatment.
, Flexing the top leg allows for better access to the lumbar spine.
Flexing the top leg prevents muscle strain during the adjustment.
Flexing the top leg is irrelevant to pelvic adjustments.
Flexing the top leg helps to stabilize the pelvis and prepares it for
adjustment.
11. If a chiropractor sees a patient with a history of back injuries, how might the
prevalence of lumbar sprain/strain injuries influence their assessment and
treatment plan?
The chiropractor would assume all back injuries are due to muscle
weakness.
The chiropractor would likely prioritize assessing for lumbar
sprain/strain injuries due to their high prevalence, ensuring
appropriate treatment strategies are implemented.
The chiropractor would ignore lumbar injuries and focus on neck
adjustments.
The chiropractor would focus solely on scoliosis assessments
regardless of injury history.
12. Describe the relationship between a posterior apex misalignment and
counternutation restriction in chiropractic assessment.
A posterior apex misalignment typically leads to a
counternutation restriction, indicating altered pelvic motion.
A posterior apex misalignment results in a forward flexion
restriction.
A posterior apex misalignment has no effect on pelvic motion.
ACCURATE ANSWERS
1. If a chiropractor encounters a patient with scoliosis, what initial assessment
should they consider based on the prevalence of adolescent idiopathic
scoliosis?
Prioritize treatment for lumbar sprain/strain instead.
Assume the scoliosis is due to a congenital cause.
Immediately refer the patient for surgery.
Focus on assessing for adolescent idiopathic scoliosis due to its
high prevalence.
2. Mrs. Jones, an otherwise healthy 32-year-old female, returns to your office
6 weeks after delivering a healthy baby boy. She explains that she had a c-
section procedure to deliver the baby after 18 hours of difficult labor. She
reports midline back pain at the thoracolumbar junction which began a few
hours after giving birth and has been getting worse since it began. Her pain
is currently 7/10 on a pain scale. She also reports that she thinks she may
have a sinus infection since she has been running a low-grade fever for the
past few weeks. Upon examination, you detect severe muscle spasm and
tenderness from T8 to L5 bilaterally. Given this patient's history, which of the
following is the most appropriate diagnosis?
Spinal stenosis
Lumbar sprain/strain
Spinal infection
Fractured coccyx
,3. What is the term used to describe a posture adopted to avoid pain in a
patient with subluxation?
Subluxation position
Postural alignment
Antalgic posture
Normal posture
4. Describe the significance of the +0z designation in relation to lumbar lateral
flexion in chiropractic assessments.
The +0z designation indicates that there is no change in the z-axis
during right lateral flexion.
The +0z designation indicates a decrease in lumbar flexion.
The +0z designation indicates an increase in lumbar extension.
The +0z designation indicates a left lateral flexion movement.
5. When you set up to adjust a RRR-L3, the patient should be in __ _.
LSP
RSP
6. Describe the significance of contacting the right ischial tuberosity during
the Hypothenar - Ischium - Sacral Base Push adjustment for sacroiliac
restrictions.
It is important for stabilizing the lumbar spine during the adjustment.
It allows for a broader adjustment of the entire pelvis.
It is used to assess the range of motion in the hip joint.
, Contacting the right ischial tuberosity helps to effectively apply
force to the right sacroiliac joint, facilitating the adjustment.
7. Describe how exceeding reactions differ from acceptable reactions in the
context of chiropractic treatment.
Exceeding reactions interfere with work and activities of daily
living (ADL's).
Exceeding reactions are always temporary.
Exceeding reactions are less severe than acceptable reactions.
Exceeding reactions only occur in psychological contexts.
8. What position should a patient be in for an AGR L-Ilium adjustment?
Prone
LSP
Supine
RSP
9. What is the recommended footwear condition for a patient during Flexion,
Extension, and Rotation assessments using FAP?
stand on a mat
wear socks
be barefoot
wear shoes
10. Describe the importance of flexing the top leg before setting the pelvis in
chiropractic treatment.
, Flexing the top leg allows for better access to the lumbar spine.
Flexing the top leg prevents muscle strain during the adjustment.
Flexing the top leg is irrelevant to pelvic adjustments.
Flexing the top leg helps to stabilize the pelvis and prepares it for
adjustment.
11. If a chiropractor sees a patient with a history of back injuries, how might the
prevalence of lumbar sprain/strain injuries influence their assessment and
treatment plan?
The chiropractor would assume all back injuries are due to muscle
weakness.
The chiropractor would likely prioritize assessing for lumbar
sprain/strain injuries due to their high prevalence, ensuring
appropriate treatment strategies are implemented.
The chiropractor would ignore lumbar injuries and focus on neck
adjustments.
The chiropractor would focus solely on scoliosis assessments
regardless of injury history.
12. Describe the relationship between a posterior apex misalignment and
counternutation restriction in chiropractic assessment.
A posterior apex misalignment typically leads to a
counternutation restriction, indicating altered pelvic motion.
A posterior apex misalignment results in a forward flexion
restriction.
A posterior apex misalignment has no effect on pelvic motion.
