Title: Big Ol' Bonewizardry Deck / Hex Clues / OMM
Tags: hex-clues hex-clues::omm

Q: How many lumbar vertebrae are there?
A: 🦴5️⃣ 5 (L1-L5) 🎯
lumbar count 🎯
big load-bearers 🏋️

Q: What is the primary hip extensor?
A: Gluteus maximus 📡🔬
biggest butt muscle 🎯
hip extension boss 🏃

Q: How many thoracic vertebrae are there?
A: 🦴1️⃣2️⃣ 12 (T1-T12) 🎯
one per rib pair 🎯
thoracic count 🫁

Q: What is AC2-AC6 treatment position?
A: Supine 🎯
F SARA 🎯
flex to find ease 🎯

Q: Which ILA is anterior in a L on R torsion?
A: Right ILA anterior 🎯
L on R = backward torsion 🎯
opposite ILA pokes forward 🔄

Q: What is genu varum?
A: bow-legged 🎯
distal leg medial 🤠

Q: What condition results from SCM contracture?
A: Torticollis 🎯
twisted neck 🎯
SCM stuck short 🧶

Q: What is genu valgum?
A: knock-knees 🎯
distal leg lateral 💢

Q: #15. Q: What nerve roots form the brachial plexus?
A: C5-T1 🎯
brachial plexus roots 📡🔬
all arm innervation 🎯

Q: What is PC1-PC7 lateral treatment position?
A: Supine 🎯
E SARA 🎯
extend to find ease 🎯

Q: What is PC4-PC8 midline treatment position?
A: Supine 🎯
E SARA 🎯
midline posterior cervical 🎯

Q: What is the normal rate of the CRI?
A: 10-14 cpm 🎯
cranial rhythmic impulse 🎯
palpable cranial wave 📊

Q: What ligaments are torn in a Type I ankle sprain?
A: 🦶1️⃣ ATFL only 🎯
mildest sprain 🎯
lateral ankle 🩹

Q: What is antalgic gait?
A: short stance on painful leg 😖💥
avoid the hurt 🦴

Q: What muscles are tight in inferior pubic shear?
A: Hip adductors 🎯
inferior pubic shear 🎯
pull pubis down 💪

Q: Which ribs are floating ribs?
A: Ribs 11-12 🎯
unattached anteriorly 🎯
floating free 🌊

Q: What is pes planus?
A: flat feet 🎯
medial arch collapse 📏

Q: What nerve is compressed in carpal tunnel syndrome?
A: Median nerve 🎯
carpal tunnel 🎯
first 3.5 digits numb 🪤

Q: What muscles are tight in superior pubic shear?
A: Rectus abdominis 📡🔬
superior pubic shear 🎯
pulls pubis up 💪

Q: What is the primary hip flexor?
A: Iliopsoas 🎯
iliacus + psoas major 📡🔬
hip flexion boss 🦵

Q: Which ribs demonstrate caliper motion?
A: Ribs 11-12 🎯
caliper motion 🎯
floating ribs spread ↔️

Q: What is the mechanism of injury for pubic shears?
A: Straddle injury 🎯
split-leg fall 🎯
pubic shear MOI 🚲

Q: What are the key paired cranial bones?
A: Frontal, Parietal, Temporal 🎯
paired cranials 🎯
rotate during CRI 🔄

Q: What is a normal Q-angle in males vs females?
A: M ~13°, F ~18° 🎯
Q-angle 🎯
female pelvis wider 👩

Q: What is the anterior Chapman point for the urethra?
A: Pubic symphysis 🎯
urethra anterior Chapman 🎯
midline pubis 🎯

Q: Which Chapman points are LEFT-sided only (anterior)?
A: Spleen + Stomach 🫀🛡️
LEFT-only Chapman 🎯
left organs 🎯

Q: Which sacral sulcus is deep in a L on L torsion?
A: Right sacral sulcus deep 📡🔬
L on L forward torsion 🎯
opposite sulcus dips 🔄

Q: When standing on right leg, which axis is engaged?
A: Right oblique axis 🎯
engaged on stance leg 🎯
weight-bearing rule ⚖️

Q: What is the most mobile thoracic segment?
A: T11-T12 🎯
transitional zone 🎯
most mobile thoracic 🔄

Q: Which ribs are false ribs?
A: Ribs 8-12 🎯
false ribs 🎯
not direct to sternum 🚫

Q: What joint is C1-C2?
A: AA joint 🎯
atlas + axis 🎯
50% cervical rotation 🎯

Q: What is the largest single mass of lymphoid tissue in the body?
A: Spleen 🫀🛡️
biggest lymphoid mass 🎯
immune HQ 🏰

Q: Which sacral sulcus is shallow in a L on R torsion?
A: Left sacral sulcus shallow 📡🔬
L on R backward torsion 🎯
axis-side rotates posterior 🔄

Q: Where is the AR2 tender point located?
A: Rib 2, MCL 🎯
AR2 tender point 🎯
anterior rib 2 🎯

Q: What is normal carrying angle in males vs females?
A: M 5°, F 10-15° 🎯
carrying angle 🎯
female elbow wider 👩

Q: What are the sympathetic levels for the arms?
A: T2-T8 🎯
arm sympathetics 🎯
no parasympathetic 🚫

Q: Where is the posterior Chapman point for gonads (ovaries/testes)?
A: T9-T11 🎯
gonad posterior Chapman 🎯
lower thoracic 🎯

Q: Which strain patterns are NON-PHYSIOLOGIC?
A: Vertical, Lateral, Compression 🎯
non-physiologic strains 🎯
trauma-induced 💥

Q: What ligaments are torn in a Type II ankle sprain?
A: 🦶2️⃣ ATFL + CFL 🎯
moderate sprain 🎯
two ligaments 🩹

Q: What type of reflexes do Chapman points represent?
A: Viscerosomatic 🎯
Chapman reflexes 🎯
viscera → soma 🎯

Q: What is pes cavus?
A: high arches ⬆️📈
exaggerated medial arch 🏔️

Q: What is the etiology of backward sacral torsion?
A: Trauma 🎯
fall on buttocks 🎯
backward torsion MOI 💥

Q: What is the most common contraindication of CV4?
A: 3rd-trimester pregnancy 🤰👶
CV4 contraindication 🎯
avoid in late pregnancy ⚠️

Q: What are the sympathetic levels for the adrenals?
A: T10 🎯
adrenal sympathetics 🫘💧
no parasympathetic 🚫

Q: Left SCM contracts - what motion occurs?
A: SB left, rotate right 🎯
left SCM action 🎯
opposite rotation 🧶

Q: How is a torsion named?
A: Superior wing of sphenoid 🎯
torsion naming 🎯
superior wing rules 🎯

Q: What passes through foramen ovale?
A: CN V3 🎯
mandibular trigeminal 🎯
foramen ovale 🎯

Q: What is the foot motion triad for pronation?
A: DEA 🎯
Dorsiflex + Evert + Abduct 🎯
pronation triad 🎯

Q: What is the etiology of forward sacral torsion?
A: Lumbar mechanics 🎯
forward torsion etiology 🎯
functional dysfunction 🔄

Q: How is the AA joint assessed?
A: Flex neck 45° 🎯
locks C2-C7 🎯
isolate AA rotation 🎯

Q: Which inferior lateral angle (ILA) is posterior in a L on L torsion?
A: Left ILA posterior 🎯
L on L forward torsion 🎯
same-side ILA back 🔄

Q: T7 right TP posterior, improves with flexion. What is the diagnosis?
A: T7 FRRSR 🎯
flexed, rotated R, SB R 🎯
Type II eases in flex ⬆️

Q: Which ribs are true ribs?
A: 🦴1️⃣ Ribs 1-7 🎯
true ribs 🎯
direct to sternum ✅

Q: Right maxillary sinusitis - which lymphatic duct?
A: right head drainage 🎯
minor duct 🎯

Q: What passes through foramen rotundum?
A: CN V2 🎯
maxillary trigeminal 🎯
foramen rotundum 🎯

Q: If L5 is NSLRR, what is the sacral torsion diagnosis?
A: L on L forward torsion 🎯
L5 SB left → axis left 🎯
L5 + sacrum opposite rotate 🔄

Q: Where is AT12 located?
A: Anterior iliac crest 🎯
AT12 location 🎯
midaxillary line 🎯

Q: How many axes in sidebending-rotation?
A: 3 axes 🎯
2 vertical + 1 AP 🎯
SBR cranial strain 🎯

Q: How does the radial head glide during supination?
A: Anteriorly 🎯
radial head in supination 🎯
rolls forward ↗️

Q: Where are AT2-AT6 located?
A: Midline sternum 🎯
AT2 = angle of Louis 🎯
each level on sternum 🎯

Q: If L5 is FRLSL, what is the sacral torsion diagnosis?
A: R on L backward torsion 🎯
L5 non-neutral, same direction 🎯
Type II rule 🔄

Q: What is the anterior Chapman point for the splenic flexure?
A: Distal LEFT IT band 🎯
splenic flexure 🎯
left side colon 🎯

Q: What is the foot motion triad for supination?
A: PIA 🎯
Plantarflex + Invert + Adduct 🎯
supination triad 🎯

Q: What is the anterior Chapman point for the hepatic flexure?
A: Distal RIGHT IT band 🎯
hepatic flexure 🟫🫀
right side colon 🎯

Q: How do L5 and sacral rotation relate?
A: Opposite directions 🎯
L5 vs sacrum 🎯
Lovett reactor 🪞

Q: What muscles are tight in innominate outflare?
A: Piriformis 🎯
hip external rotators 🎯
outflare → ASIS lateral 🎯

Q: #22. Q: What are the contents of the Guyon canal?
A: Ulnar n + artery 🎯
Guyon canal 🎯
wrist ulnar side 🪤

Q: What is the major complication of posterior hip dislocation?
A: Sciatic nerve injury 🎯
posterior hip dislocation 🎯
nerve compressed 💥

Q: Which ligament in the knee attaches to a meniscus?
A: MCL → medial meniscus 📡🔬
attached pair 🎯
unhappy triad target 💥

Q: What is the treatment position for upper anterior thoracic points (AT1-6)?
A: Flexion 🎯
AT1-6 treatment 🎯
flex to ease ⬇️

Q: Where is the posterior Chapman point for rectum?
A: S2 lower SI joint ⬇️📉
rectum posterior Chapman 🎯
sacral level 🎯

Q: What is the physiologic barrier?
A: max ACTIVE motion 🎯
patient-initiated 💪

Q: When is the ankle most stable?
A: Dorsiflexion 🎯
wider talus locks in 📡🔬
mortise stable 🔒

Q: Where is the posterior Chapman point for uterus?
A: Medial obturator foramen 🎯
uterus posterior Chapman 🌸🤰
pelvic location 🎯

Q: How do you treat a Chapman point?
A: Rotary massage 20-30 s 🎯
Chapman Tx 🎯
until tissue normalizes 🌀

Q: What is the treatment position for PR2-10?
A: F SARA 🎯
PR2-10 posterior rib 🎯
flex, SB away, rotate away 🎯

Q: What are the parasympathetic cranial nerves?
A: CN III, VII, IX, X 🎯
parasympathetic CNs 🎯
1973-1984 mnemonic 🎯

Q: What are the sympathetic innervation levels for the legs?
A: T11-L2 🎯
leg sympathetics 🎯
no parasympathetic 🚫

Q: Which ANS division causes sweating?
A: Sympathetic (ACh) 🎯
cholinergic sympathetic 🎯
exception to NE rule 🎯

Q: Where are AT9 points located?
A: Above umbilicus + MCL 📡🔬
AT9 = 3 points 🎯
midline + bilateral 🎯

Q: What is the anterior Chapman point for the uterus?
A: Medial obturator foramen 🎯
uterus anterior Chapman 🌸🤰
pelvic location 🎯

Q: Which cranial nerve causes miosis?
A: CN III 🎯
Edinger-Westphal 🎯
parasympathetic constriction 🔵

Q: #4. Q: What muscle continues shoulder abduction ~ ?
A: Middle deltoid 🎯
15°-90° abduction 🎯
axillary nerve 🎯

Q: What is PC4-PC8 midline location?
A: Inferior SP one above ⬆️📈
PC4-8 midline 🎯
one segment up 🎯

Q: What muscles are tight in innominate inflare?
A: Glut med/min 🎯
hip internal rotators 🎯
inflare → ASIS medial 🎯

Q: What motion is restricted in anterior radial head dysfunction?
A: PRONATION restricted 🎯
anterior radial head 🎯
stuck supinated 🎯

Q: Where are AT10 points located?
A: Below umbilicus + MCL 📡🔬
AT10 = 3 points 🎯
midline + bilateral 🎯

Q: Which vertebral levels have spinous processes one full level below the TPs?
A: T7-T9 + T10 🎯
rule of 3s, 3rd group 🎯
SP 1 full below TP 📏

Q: Which vertebral levels have spinous processes one half level below the TPs?
A: T4-T6 + T11 🎯
rule of 3s, 2nd group 🎯
SP ½ below TP 📏

Q: Which strain patterns are PHYSIOLOGIC?
A: Flex/Ext, Torsion, SBR 🎯
physiologic strains 🎯
normal cranial motion 🌊

Q: What is the leg position in a femoral neck fracture?
A: Shortened + externally rotated 🎯
femoral neck fx 🎯
classic ED look 🚨

Q: What two structures make up the OA joint?
A: Occiput + atlas 🎯
OA joint 🎯
yes/no joint 🎯

Q: #7. Q: What are the primary shoulder adductors?
A: Pec major + lats 🎯
shoulder adductors 🎯
pull arm down + in 🎯

Q: #9. Q: What are the primary shoulder external rotators?
A: Infraspinatus + teres minor 📡🔬
external rotators 🎯
rotator cuff 🎯

Q: What organ has anterior/posterior Chapman points at the 2nd ICS and between T2-T3?
A: Heart 🫀💓
2nd ICS + T2-T3 🎯
cardiac Chapman 🎯

Q: T4-T7 rotated left, unchanged with flexion/extension. What is the diagnosis?
A: T4-T7 NSRRL 🎯
neutral group 🎯
Type I = SB opp R 🔄

Q: What motion is restricted in posterior radial head dysfunction?
A: SUPINATION restricted 🎯
posterior radial head 🎯
stuck pronated 🎯

Q: What is the anterior Chapman point for the ileocecal valve/cecum?
A: Proximal RIGHT IT band 🎯
ileocecal Chapman 🎯
right lower 🎯

Q: What nerve innervates the diaphragm?
A: Phrenic 🎯
C3, C4, C5 🎯
keeps diaphragm alive 💨

Q: What conditions predispose to AA instability?
A: RA, Down, trauma 🎯
AA instability risk 🎯
weak transverse lig 💥

Q: What does INCREASED CRI amplitude indicate?
A: Acute inflammation 🔥🩹
infection, fever, exercise 🦠🌡️
CRI amped up 🔥

Q: Where are PR2-10 tender points located?
A: Superior rib angle 🎯
PR2-10 location 🎯
posterior rib 🎯

Q: What shape does lateral strain create on palpation?
A: Parallelogram 🎯
lateral strain shape 🎯
SBS shifted lateral ↔️

Q: What is AC8 location and treatment position?
A: Medial clavicle 🎯
AC8 🎯
Supine, F SARA 🎯

Q: What is the treatment position for AL5?
A: Supine 🎯
F SARA 🎯
AL5 lumbar 🎯

Q: #3. Q: What muscle initiates shoulder abduction ~ ?
A: Supraspinatus 📡🔬
0°-15° abduction 🎯
suprascapular nerve 🎯

Q: What is coxa vara and what does it cause?
A: angle 🎯
functional short leg 📉

Q: What is a Dupuytren contracture?
A: palmar fascia contracture 🎯
fixed flexion 4-5 digits 🤚

Q: What is the anterior Chapman point for the prostate?
A: Lateral femur (post IT band) 🎯
prostate Chapman ♂️🫛
thigh location 🎯

Q: How is lateral strain named?
A: Sphenoid BASE direction 🎯
lateral strain naming 🎯
left or right ↔️

Q: Right first toe infection - which lymphatic duct?
A: Thoracic duct LEFT 🎯
lower body drains left ⬇️📉
major duct 🎯

Q: How do L5 sidebending and sacral axis relate?
A: Same side 🎯
L5 SB = oblique axis 🎯
Lovett rule 🎯

Q: What happens to paired bones during cranial flexion?
A: External rotation 🎯
paired bones in flex 🦴⚪
spread wide ↔️

Q: What is the most common ankle sprain mechanism?
A: Inversion + supination 🎯
lateral ankle 🎯
most common MOI 🎯

Q: What is the treatment position for AL1?
A: Supine 🎯
F STRA 🎯
flex, SB toward, rotate away 🎯

Q: Which Chapman points are RIGHT-sided only (anterior)?
A: Appendix Liver GB Pancreas 🟫🫀
RIGHT-only Chapman 🎯
right organs 🎯

Q: What dermatomes are supplied by T4 and T10?
A: T4 nipple, T10 umbilicus 📡🔬
dermatome landmarks 🤚🟡
high-yield 🎯

Q: What does DECREASED CRI amplitude indicate?
A: Cranial dysfunction 🎯
chronic disease, depression 🎯
CRI dimmed 🌑

Q: If C5 is restricted in left rotation, what is the direction of rotation?
A: Rotated RIGHT 🎯
C5 restriction 🎯
restricted opp of position 🔄

Q: What is the anterior Chapman point for the rectum?
A: Lesser trochanter 🎯
rectum anterior Chapman 🎯
proximal inner thigh 🎯

Q: What are the primary dural attachments?
A: Calvaria, FM, C2, C3, S2 🎯
dural attachments 🎯
craniosacral link ⛓️

Q: What are the main visceral parasympathetic nerves?
A: Vagus + pelvic splanchnic 📡🔬
CN X + S2-S4 🎯
rest + digest 🍃

Q: What happens to paired bones during cranial extension?
A: Internal rotation 🎯
paired bones in ext 🦴⚪
squeeze in 🎯

Q: #32. Q: What is the most common direction of shoulder dislocation?
A: Anterior + inferior 🎯
shoulder dislocation 🎯
most common 🎯

Q: What is the purpose of Temporal Rocking?
A: TMJ + temporal bone 🦴⚪
Temporal Rocking indication 🎯
restore motion 🌊

Q: What does TART stand for?
A: Tissue Asymmetry Restriction Tenderness 🎯
somatic dysfunction Dx 🎯

Q: What are the primary knee flexors?
A: Hamstrings 🎯
semiT, semiM, biceps fem 🎯
knee flexion 🎯

Q: What hiatus does the lymphatic duct use to traverse through the diaphragm?
A: Aortic hiatus T12 📡🔬
thoracic duct passage 🎯
through diaphragm 🎯

Q: What cranial nerve exits stylomastoid foramen?
A: CN VII 🎯
stylomastoid foramen 🎯
Bell palsy if injured 😐

Q: What is the mechanism of injury for anterior radial head?
A: Fall on supinated 🎯
anterior radial head MOI 🎯
backward fall 🤲

Q: Where is the AT1 (anterior thoracic 1) point located?
A: Midline sternum 🎯
just below sternal notch ⬇️📉
AT1 🎯

Q: What is the restrictive/pathologic barrier?
A: abnormal limit 🎯
before physiologic 🚫

Q: What happens to the sacral base during cranial extension?
A: Sacral base anterior 🎯
nutation 🎯
cranial extension 🎯

Q: What is the treatment position for AL2-AL4?
A: Supine 🎯
F SART 🎯
flex, SB away, rotate toward 🎯

Q: What is the sympathetic effect on respiratory secretions?
A: Thick + sticky 🎯
sympathetic = vasoconstriction 🎯
dry mucus 🧱

Q: Right TPs posterior on T5-T8, unchanged in flexion/extension. What is the diagnosis?
A: T5-T8 NSLRR 🎯
neutral group 🎯
Type I = SB opp L 🔄

Q: #5. Q: What allows shoulder abduction from ?
A: Scapular upward rotation 🎯
90°-180° 🎯
trap + serratus ant 🎯

Q: What vertebral level corresponds to the iliac crest?
A: L4-L5 interspace 🎯
Tuffier line 🎯
LP landmark 💉

Q: #12. Q: What is the primary elbow extensor and its innervation?
A: Triceps 🎯
elbow extensor 🎯
radial nerve 🎯

Q: What happens to sacral base during cranial flexion?
A: Sacral base posterior 🎯
counternutation 🎯
cranial flexion 🎯

Q: Which spinal regions follow Fryette Principles?
A: Thoracic + lumbar 🎯
Fryette mechanics 🎯
NOT cervical/sacral 🚫

Q: When is the ankle most vulnerable to injury?
A: Plantarflexion 🎯
narrow posterior talus 📡🔬
mortise loose 💥

Q: What is AC1 location and treatment (MAVERICK)?
A: Posterior ramus mandible 📡🔬
AC1 MAVERICK 🎯
Supine, rotation away 🎯

Q: What is the presentation of a radial nerve injury?
A: Wrist drop 🎯
radial nerve 🎯
no wrist/finger extension 🎯

Q: What is the sympathetic effect on pupils?
A: Mydriasis 🎯
T1-T4 sympathetic 🎯
pupils dilate ⬛

Q: What are the anterior cruciate ligament (ACL) attachments?
A: Anterolateral tibia + Posteromedial femur 🎯
ACL attachments 🎯
anterior tibia origin ⚓

Q: Normal SFT, deep sulci bilaterally, increased lumbar lordosis. Diagnosis?
A: Bilateral sacral flexion 🎯
deep sulci both sides 🎯
cranial extension link 🎯

Q: What is the leg position in a posterior hip dislocation?
A: Short, flexed, IR 🎯
posterior hip dislocation 🎯
classic look 🚨

Q: Where is AT11 (3 points) located?
A: Mid umbilicus-pubis + MCL 📡🔬
AT11 = 3 points 🎯
sacral base level 🎯

Q: How is vertical strain named?
A: Sphenoid BASE direction 🎯
vertical strain naming 🎯
superior or inferior ↕️

Q: What ligaments are torn in a Type III ankle sprain?
A: 🦶3️⃣ ATFL + CFL + PTFL 🎯
severe sprain 🎯
all 3 lateral ligs 🩹

Q: What is AC7 location and treatment (MAVERICK)?
A: Superior clavicle, SCM 🎯
AC7 MAVERICK 🎯
Supine, F STRA 🎯

Q: #8. Q: What are the primary shoulder extensors?
A: Posterior deltoid + teres major + lats 🎯
shoulder extensors 🎯
pull arm back 🎯

Q: What are the posterior cruciate ligament (PCL) attachments?
A: Posteromedial tibia + Anterolateral femur 🎯
PCL attachments 🎯
posterior tibia origin ⚓

Q: What is the sympathetic effect on liver glycogen?
A: Glycogenolysis 🎯
sympathetic action 🎯
glucose released 🍬

Q: In Trendelenburg test, which side is weak/affected?
A: Standing leg = weak 🎯
opposite pelvis drops 🎯
glut med weak 📉

Q: How do you treat patellofemoral pain syndrome?
A: Strengthen VMO 🎯
vastus medialis 📡🔬
resisted knee extension 🏋️

Q: If L2 is restricted in left sidebending, what is the direction of sidebending?
A: SB RIGHT 🎯
L2 restriction 🎯
restricted opp of position 🔄

Q: Where is the anterior Chapman point for the ileum?
A: 10th ICS bilateral 🎯
ileum Chapman 🎯
costochondral 🎯

Q: What is a cranial torsion?
A: sphenoid + occiput OPPOSITE 🎯
single AP axis ⚙️

Q: What is the most common collateral ligament injured?
A: MCL 🎯
valgus stress / lateral blow 📡🔬
most common knee injury 🎯

Q: What anatomical structure has an anterior Chapman point on the proximal LEFT IT band?
A: Sigmoid colon 🌀💩
proximal L IT band 🎯
left lower colon 🎯

Q: What posterior landmarks correspond to T3 and T7?
A: T3 = scapular spine, T7 = inferior angle 🎯
posterior landmarks 🎯
palpate scapula 🎯

Q: What are the sensory findings in L4 radiculopathy?
A: Medial leg + malleolus 📡🔬
L4 radiculopathy 🎯
saphenous distribution 🧦

Q: #16. Q: What is the order for brachial plexus organization?
A: Roots Trunks Divisions Cords Branches 🎯
brachial plexus 📡🔬
Real Texans Drink Cold Beer 🍺

Q: Where is the anterior Chapman point for the jejunum?
A: 9th ICS bilateral 🎯
jejunum Chapman 🎯
costochondral 🎯

Q: Elevated rib = anterior or posterior tender point?
A: elevated rib = inhalation dysfunction ⬆️📈
stuck up 🎯

Q: Patient with 4th/5th digit numbness. Which disc herniation and nerve root?
A: C7-T1, C8 root 🎯
pinky + ring numb 🎯
ulnar distribution 🎯

Q: How many cervical vertebrae and spinal nerves are there?
A: 🦴7️⃣ 7 vertebrae, 8 nerves 🎯
C1-C7, C1-C8 🎯
extra nerve ➕

Q: What landmark separates upper from lower GI anatomically?
A: Ligament of Treitz 🎯
duodenojejunal flexure 🎯
upper/lower GI split 🎯

Q: Which sacral motion happens during exhalation?
A: Sacral nutation 🎯
base anterior = flexion 🎯
exhale 💨

Q: #6. Q: What are the primary shoulder flexors?
A: Anterior deltoid + pec major + coracobrachialis 🎯
shoulder flexors 🎯
lift arm front 🎯

Q: What is the term/dysfunction when the carrying angle is ?
A: Cubitus varus 📡🔬
carrying angle 🎯
ulnar adduction 🎯

Q: What happens to midline bones during cranial flexion?
A: All flex together 🎯
midline bones 🦴⚪
base moves up ⬆️

Q: Which nerve root is tested by having the patient toe-walk?
A: S1 🎯
toe walk 🎯
ankle plantarflexion 🎯

Q: Depressed rib = anterior or posterior tender point?
A: depressed rib = exhalation dysfunction 🎯
stuck down 🎯

Q: What is the mechanism of injury for posterior radial head?
A: FOOSH on pronated 🎯
posterior radial head MOI 🎯
forward fall 🤚

Q: Where is the AR1 (anterior rib 1) tender point located?
A: Below clavicle, 1st chondrosternal ⬇️📉
AR1 location 🎯
upper anterior chest 🎯

Q: #26. Q: What is the indication for Spencer technique?
A: Adhesive capsulitis 🎯
frozen shoulder 🎯
Spencer PROM 🎯

Q: #30. Q: What do the Neer and Hawkins-Kennedy tests assess?
A: Subacromial impingement 🎯
supraspinatus 📡🔬
Neer + Hawkins-Kennedy 🎯

Q: Which arch is most commonly affected in flat feet?
A: Medial longitudinal 🎯
flat feet arch 🎯
navicular bone 🎯

Q: What are the three arches of the foot?
A: Medial long, Lateral long, Transverse 🎯
foot arches 🎯
three arches 🎯

Q: Which intercostal muscles inspire vs expire?
A: External = Elevate (inspire) 🎯
Internal = depress (expire) 🎯
breathing muscles 🎯

Q: What is the most commonly injured ankle ligament?
A: ATFL 🎯
Always Tears First 🎯
lateral ankle 🎯

Q: About which axis does innominate rotation occur?
A: Inferior transverse axis 🎯
innominate rotation 🎯
post-inferior SI joint 🎯

Q: What is the vagal stimulation effect on the heart?
A: Bradycardia 🎯
vagus → ↓HR 📡🔬
parasympathetic brake 🚫

Q: What is the most common innominate dysfunction?
A: Anterior rotation 🎯
prolonged sitting 🎯
tight hip flexors 💺

Q: What anterior landmarks correspond to T2 and T4/T5?
A: T2 = sternal notch, T4/T5 = sternal angle 🎯
anterior landmarks 🎯
2nd rib at angle 🎯

Q: What organs are in Lower GI tract (hindgut)?
A: Distal transverse, descending, sigmoid, rectum 🎯
hindgut 🎯
T12-L2 sympathetic 🎯

Q: What is the parasympathetic effect on respiratory secretions?
A: Thin + watery 🎯
parasympathetic mucus 📡🔬
easy expectoration 💧

Q: What organ has anterior/posterior Chapman points at 5th right ICS and between T5-T7 on the right?
A: Liver 🟫🫀
5th R ICS + T5-T7 🎯
hepatic Chapman 🎯

Q: If C5 is rotated right, which TP is more anterior?
A: LEFT TP anterior 🎯
opposite rotation 🎯
TP rule 🔄

Q: What is the location and treatment position for PR1 (posterior rib 1)?
A: Superior rib 1 🎯
PR1 🎯
E SART 🎯

Q: What is the treatment position for PT tender points on SPs?
A: E SARA 🎯
PT on SPs 🎯
extend, SB away, rotate away 🎯

Q: What is cranial compression?
A: sphenoid + occiput jammed 🎯
absent CRI 🚨

Q: What is the BEST/most accurate test for ACL injury?
A: Lachman test 🎯
knee 20-30° flex 🎯
pull tibia anterior 🎯

Q: What are the four midline cranial bones?
A: MOVES 🎯
Midline: Occiput Vomer Ethmoid Sphenoid 🎯
flex/extend together 🔄

Q: Albuterol ( -agonist) is used in asthma. Which ANS division does it mimic?
A: Sympathetic 🎯
β-agonist ⚡🔓
bronchodilation 💨

Q: Where is AT8 (3 points) located?
A: Mid xiphoid-umbilicus + MCL 📡🔬
AT8 = 3 points 🎯
upper abdominal 🎯

Q: #33. Q: What is the most common cause of posterior shoulder dislocation?
A: Seizures + electrical shock ⚡🧠
posterior dislocation MOI 🎯
rare cause 🎯

Q: Left translation induces which direction of sidebending?
A: RIGHT sidebending 🎯
translation opposite SB 🎯
always 🔄

Q: #48. Q: What is the most common location for a boxer's fracture?
A: 5th metacarpal neck 🎯
boxer’s fracture 🎯
unskilled fighters 🎯

Q: What is the general treatment position for PC points?
A: Supine, E SARA 🎯
PC points 🎯
extend, SB away, rotate away 🎯

Q: What is PC1 midline location and treatment?
A: Inferior nuchal line 🎯
PC1 🎯
Supine, marked Flexion 🎯

Q: Do thoracic nerve roots emerge above or below their corresponding vertebrae?
A: thoracic nerve roots 🎯
at disc level 🎯

Q: Which CNs are affected by occipital dysfunction?
A: CN IX/X/XI + XII 🎯
jugular + hypoglossal foramina 🎯
occipital effects 🎯

Q: Is the motion of T5 described relative to T4 or T6?
A: Relative to BELOW (T6) ⬇️📉
all vertebrae 🎯
motion convention 🎯

Q: What are the sensory findings in L5 radiculopathy?
A: Lateral leg + dorsum + 1st toe 🎯
L5 radiculopathy 🎯
superficial fibular 🎯

Q: #31. Q: What do the Speed and Yergason tests evaluate?
A: Biceps long head 🎯
tendinitis or SLAP tear 🎯
Speed + Yergason 🎯

Q: What is the treatment position for PT tender points on TPs?
A: E SART 🎯
PT on TPs 🎯
extend, SB away, rotate toward 🎯

Q: What plane and axis does vertebral rotation occur around?
A: Horizontal plane, vertical axis 🎯
rotation 🎯
vertebral motion 🎯

Q: What is the appropriate management for cauda equina syndrome?
A: Urgent MRI + decompression 📷🔬
cauda equina 🎯
emergency surgery 🆘

Q: What is a vertical strain?
A: sphenoid + occiput SAME 🎯
2 parallel transverse axes 🎯

Q: What bones make up the innominate?
A: 🦴3️⃣ Ilium + ischium + pubis 🎯
innominate 🎯
SI joint with sacrum 🎯

Q: How does cranial flexion affect head shape?
A: AP shorter, width wider 🎯
cranial flexion 🎯
Flex = Fat head 🎯

Q: What happens to midline bones during cranial extension?
A: All extend together 🎯
midline bones 🦴⚪
base moves down ⬇️

Q: What is the sympathetic effect on GI tract motility and sphincters?
A: ↓motility, contract sphincters 🎯
sympathetic GI 🎯
rest your gut 🚫

Q: What muscles are tight in anterior innominate rotation?
A: Iliopsoas + rectus femoris 📡🔬
anterior innominate 🎯
hip flexors tight 💪

Q: What is the treatment position for anterior rib tender points?
A: F STRT 🎯
anterior rib TPs 🎯
flex, SB toward, rotate toward 🎯

Q: What is PC3 midline location and treatment?
A: Inferolateral C2 SP 🎯
PC3 🎯
Supine, F SARA 🎯

Q: Where does the left (major) lymphatic duct drain into?
A: L IJ + subclavian junction 🎯
thoracic duct drainage 🎯
major lymphatic 🎯

Q: What cranial nerve associated with OA dysfunction causes bradyarrhythmias and GI symptoms?
A: CN X (vagus) 📡🔬
OA dysfunction 🎯
vagal effects 💚

Q: In adduction of the ulna, which wrist motion is restricted?
A: stuck abducted 🎯
ulnar dysfunction 🎯

Q: What is the Thompson test and what does it indicate?
A: squeeze calf, no plantarflexion 🎯
Achilles rupture 💥

Q: Patient with weak wrist extension and thumb numbness. Which nerve root and disc?
A: C6 radiculopathy 🎯
C5-C6 disc 🎯
weak wrist ext + thumb 🎯

Q: What are the 5 D's of vertebrobasilar insufficiency?
A: 🧠5️⃣ 5 Ds 🎯
Dizziness Diplopia Dysarthria Dysphagia Drop attacks 🎯
VBI 🚨

Q: What is the anterior Chapman point for the ascending colon?
A: R IT band middle 3/5 🎯
ascending colon 🌀💩
right thigh 🎯

Q: What is the facet orientation and motion of the lumbar spine?
A: BM 🎯
Backward Medial 🎯
allows flex/ext 🔄

Q: Do Chapman points refer pain to other locations?
A: No referral 🎯
localized + non-radiating 🎯
vs trigger points 🎯

Q: What is the parasympathetic effect on salivary gland secretions?
A: Copious, thin, watery 📡🔬
parasympathetic 🎯
CN VII, IX 💧

Q: What plane and axis does vertebral sidebending occur around?
A: Coronal plane, AP axis 🎯
sidebending 🎯
vertebral motion 🎯

Q: T10 is rotated right - this is most prominent when the patient bends forward. What is the diagnosis?
A: T10 ERRSR 🎯
worse w/ flexion = extended 🎯
Type II rule 🔄

Q: Where are most of the anterior cervical (AC) tender points located?
A: Anterolateral TPs 🎯
lateral masses 🎯
AC point location 🎯

Q: When are indirect techniques preferred?
A: Acute + fragile 🎯
elderly, hospitalized, osteoporosis 🦴⚪
safe + gentle ✅

Q: What is the general treatment position for PL tender points?
A: Prone, E SARA 🎯
PL points 🎯
extend, SB away, rotate away 🎯

Q: Which sacral motion happens during inhalation?
A: Counternutation 🎯
base posterior = extension 🎯
inhale 💨

Q: What happens to head shape during extension?
A: AP longer, width narrower 🎯
cranial extension 🎯
Extend = Long head 🎯

Q: What is the common compensatory pattern from superior to inferior?
A: L-R-L-R 🎯
OA-CT-TL-LS alternates 📷🔬
common pattern 🎯

Q: What anatomical structure has an anterior Chapman point on the middle 3/5 of the LEFT IT band?
A: Descending colon 🌀💩
mid 3/5 L IT band 🎯
left side 🎯

Q: What is the sympathetic effect on heart rate and contractility?
A: ↑both 🎯
tachycardia + ↑inotropy 🎯
fight or flight 🏃

Q: What does a negative seated flexion test indicate?
A: Normal or bilateral 🎯
negative SFT 🎯
false negative possible 🤷

Q: What are the late findings in chronic carpal tunnel syndrome?
A: Ape hand 🎯
thenar atrophy + no opposition 🎯
chronic CTS 🎯

Q: What is the mechanism of injury for superior innominate shear?
A: Fall on ischial tuberosity 🎯
sitting down hard 🎯
superior shear MOI 💥

Q: Patient with weak triceps and middle finger paresthesia. Which nerve root and disc?
A: C7 radiculopathy 🎯
C6-C7 disc 🎯
triceps + middle finger 🎯

Q: What is the facet orientation and motion of the thoracic spine?
A: BUL 🎯
Backward Upward Lateral 🎯
allows rotation 🎯

Q: Patient has tender point on anterolateral tip of C5 TP. Treatment position and tender point?
A: Supine, F SARA (AC5) 🎯
C5 anterolateral TP 🎯
anterior cervical 🎯

Q: What is the sympathetic effect on salivary gland secretions?
A: Sparse, thick, viscous 📡🔬
sympathetic 🎯
dry mouth 🏜️

Q: In abduction of the ulna, which motion of the olecranon is restricted?
A: Lateral glide restricted 🎯
stuck medial 🎯
olecranon dysfunction 🎯

Q: What is a lateral strain?
A: sphenoid + occiput SAME laterally 🎯
2 parallel vertical axes 🎯

Q: #43. Q: What nerve and muscle are involved in scapular winging?
A: Long thoracic n + serratus anterior 📡🔬
scapular winging 🎯
serratus paralyzed 🪽

Q: Which rib motion + ribs primarily increase AP diameter?
A: Pump handle 🎯
ribs 1-5 🎯
AP expansion 💨

Q: What supports the medial longitudinal arch?
A: Spring lig + plantar fascia + tib post 🎯
medial arch support 🎯
three pillars 🎯

Q: What vertebral level corresponds to the umbilicus?
A: L3-L4 🎯
T10 dermatome = umbilicus 🤚🟡
overlies L3-L4 🎯

Q: What plane and axis does vertebral flexion/extension occur around?
A: Sagittal plane, horizontal axis 🎯
flex/ext 🎯
vertebral motion 🎯

Q: What are the key findings of C5 radiculopathy?
A: deltoid + biceps weak, lateral arm 🎯
↓biceps reflex 🎯

Q: #28. Q: What does the drop arm test indicate?
A: Rotator cuff tear 🎯
supraspinatus 📡🔬
can’t lower from 90° 🎯

Q: Which vertebral levels have spinous processes (SPs) at the same level as the transverse processes (TPs)?
A: T1-T3 + T12 🎯
rule of 3s, 1st group 🎯
SP = TP level 🎯

Q: What three muscles form the pes anserinus?
A: SGT 🎯
Sartorius Gracilis semiTendinosus 📡🔬
anteromedial tibia 🎯

Q: What is the mechanism of injury for inferior innominate shear?
A: Stepping off curb 🎯
extended leg traction 🎯
inferior shear MOI 🚶

Q: What are the key findings of C8 radiculopathy?
A: finger flexion weak, 4-5 digit 🎯
medial forearm 🎯

Q: What are the anterior Chapman points for the adrenals?
A: 2 in sup + 1 in lat of umbilicus 📡🔬
adrenal Chapman 🫘💧
bilateral 🎯

Q: What is the first ligament to become tender due to lumbosacral stress?
A: Iliolumbar ligament 🎯
L4-L5 TPs to crest 🎯
first to tender 🎯

Q: What is golfer's elbow and how do you test for it?
A: Medial epicondylitis 🎯
resisted wrist FLEXION 🎯
pronation pain 🎯

Q: Why do gonads receive vagus innervation?
A: Vagal gonad innervation 🎯
descend from posterior abdomen 🎯
retain vagal supply 🎯

Q: What is the cauda equina?
A: L2-S5 roots 🎯
below conus medullaris 🎯

Q: Through which vertebrae does the vertebral artery pass?
A: C1-C6 🎯
transverse foramen 🎯
enters C6, ascends to C1 ⬆️

Q: What does a negative sphinx test indicate?
A: ANTERIOR sacrum 🎯
asymmetry decreases in extension 🎯
forward sacrum 🎯

Q: What muscles are tight in posterior innominate rotation?
A: Hamstrings 🎯
biceps fem, semimemb, semitend 🎯
pull innominate posterior 💪

Q: What is the parasympathetic effect on the bladder?
A: Contracts detrusor + relaxes sphincter 🎯
S2-S4 pelvic splanchnic 🎯
urination 💧

Q: #14. Q: What are the primary forearm pronators and their innervation?
A: Pronator teres + quadratus 📡🔬
forearm pronators 🎯
median nerve 🎯

Q: What is the most common cause of cauda equina syndrome?
A: Massive central disc herniation 🎯
L4-L5 or L5-S1 🎯
compresses lumbosacral roots 🚨

Q: #35. Q: What structures are compressed in thoracic outlet syndrome?
A: Brachial plexus + subclavian 📡🔬
TOS structures 🎯
art and/or vein 🎯

Q: When should you consider using a heel lift?
A: Heel lift indication 🎯
anatomic LLD >5 mm 🎯
chronic + symptomatic 🎯

Q: #49. Q: What is the classic presentation of proximal median nerve lesion?
A: Hand of Benediction 🎯
can’t flex digits 🎯
proximal median nerve 🎯

Q: What are the primary knee extensors?
A: Quadriceps 🎯
rectus + 3 vasti 📡🔬
knee extension 🎯

Q: What is Trendelenburg gait?
A: contralateral pelvis drops 🎯
weak glut med on stance leg 📉

Q: Which CNs are affected by temporal bone dysfunction?
A: CN VII + VIII 🎯
stylomastoid + IAM 🎯
temporal bone foramina 🎯

Q: What is steppage gait?
A: high knee lift + foot drop ⬆️📈
weak dorsiflexors / fibular n ⚡

Q: What technique is used to treat tender points?
A: Counterstrain 🎯
indirect 🎯
position of comfort 90 s ⏱️

Q: What is the purpose of Venous Sinus Drainage?
A: ↑venous flow from cranium 📡🔬
venous congestion + headaches 🎯

Q: What is tennis elbow and how do you test for it?
A: Lateral epicondylitis 🎯
resisted wrist EXTENSION 🎯
supination pain 🎯

Q: Patient has tender point at tip of the spinous process of C5. Treatment position and tender point?
A: Supine, E SARA (PC6) 🎯
C5 SP tip 🎯
posterior cervical 🎯

Q: Where are the AR3-10 tender points located?
A: Costosternal + AAL on rib 🎯
AR3-10 location 🎯
anterior rib 🎯

Q: What is the treatment position for lower anterior thoracic points (AT7-12)?
A: F STRA 🎯
AT7-12 🎯
flex, SB toward, rotate away 🎯

Q: What cranial nerve exits hypoglossal canal?
A: CN XII 🎯
hypoglossal canal 🎯
condylar compression → newborn suckling 🎯

Q: What is the anatomic barrier?
A: max PASSIVE motion 🎯
beyond = tissue disruption 💥

Q: How is sidebending-rotation named?
A: Convex side rotates inferior 🎯
SBR naming 🎯
sphenoid + occiput spread apart 🎯

Q: 75 y/o with chronic tinnitus and temporal bone restriction - diagnosis?
A: CN VIII dysfunction 🎯
temporal bone restriction 🦴⚪
chronic tinnitus 🎯

Q: #10. Q: What are the primary shoulder internal rotators?
A: Subscap, pec major, lats, teres major 🎯
internal rotators 🎯
rotate arm in 🎯

Q: #45. Q: What is a Colles fracture?
A: distal radius, dorsal displacement 📡🔬
dinner fork deformity, FOOSH 🍴

Q: T6 translates easily left, improves in extension. What is the diagnosis?
A: T6 ERRSR 🎯
better in ext = extended 🎯
Type II, SB right 🔄

Q: #29. Q: Why is supraspinatus most prone to tear?
A: acromion impingement 🎯
avascular critical zone 🎯

Q: Where is the quadratus lumborum tender point located?
A: QL tender point 🎯
inferior 12th rib + superior iliac crest 🎯
lumbar location 🎯

Q: If L3 is rotated left, which transverse process (TP) is more posterior?
A: rotation direction 🎯
TP posterior = rotated side 🎯

Q: #44. Q: What is "Saturday night palsy"?
A: radial nerve compression 🎯
spiral groove → wrist drop 🪑

Q: What are absolute contraindications to cranial treatment?
A: acute bleed, ↑ICP, fx, TBI 🩸💧
absolute = don’t touch ⚠️

Q: OA translates easier to the right, worse in flexion. What is the diagnosis?
A: OA ERRSL 🎯
worse in flex = extended 🎯
OA SB+rot OPPOSITE 🔄

Q: What is the hallmark finding of compression?
A: absent/severely ↓CRI 🎯
bowling ball head 🎳

Q: What structures comprise the Reciprocal Tension Membrane (RTM)?
A: falx cerebri + cerebelli, tentorium, spinal dura 🧠⚡
reciprocal tension 🎯

Q: What is the facet orientation of the cervical spine?
A: BUM 🎯
Backward Upward Medial 🎯
rotation + SB coupled 🎯

Q: What principle does the Miller pump utilize?
A: elastic recoil of thoracic cage 🎯
abrupt intrathoracic pressure change 💨

Q: Which flexion test is used to assess the innominate?
A: Standing flexion test 🎯
STANDING = INNOMINATE 🎯
SEATED = SACRUM 🎯

Q: What is coxa valga and what does it cause?
A: angle >135° 🎯
functional long leg 📈

Q: #13. Q: What are the primary forearm supinators and their innervation?
A: Biceps + supinator 🎯
forearm supinators 🎯
musculocutaneous + radial 🎯

Q: #24. Q: What is Erb's point?
A: 2-3 cm above clavicle, posterior SCM ⬆️📈
brachial plexus landmark 🎯

Q: What are some indications for cranial treatment?
A: headaches, whiplash, vertigo, otitis 🤕🧠
TMJ + sinusitis 🎯

Q: What is the elastic barrier?
A: between physiologic and anatomic 🎯
passive ligamentous stretch 🎯

Q: What is the parasympathetic effect on the GI tract?
A: ↑motility, relax sphincters, ↑secretions 🎯
parasympathetic GI 🎯
rest + digest 🍃

Q: What are the sensory findings in S1 radiculopathy?
A: Posterior leg, lateral foot, sole 🎯
S1 radiculopathy 🎯
lateral malleolus 🎯

Q: What happens to the fibular head with foot pronation?
A: Distal posterior, proximal anterior 🎯
dorsiflexion 🎯
pronation glide 🎯

Q: What is the sensory and motor function of the C3 nerve root?
A: posterior neck + mastoid 🎯
lateral flexion, scalenes 🎯

Q: What does a negative spring test indicate?
A: Anterior sacrum 🎯
good springing 🎯
forward torsion / flexion 🎯

Q: You palpate a posterior TP at the level of the T9 spinous process. Which vertebra is rotated?
A: T10 rotated 🎯
T10 TPs at T9 SP level 🎯
rule of 3s 📏

Q: What organs are in the Upper GI tract (foregut)?
A: Distal esoph, stomach, liver, GB, spleen, pancreas, prox duodenum 🟫🫀
foregut 🎯
T5-T9 sympathetic 🎯

Q: Where are AT7 points located?
A: Below xiphoid + 7th ICS MCL ⬇️📉
AT7 = 3 points 🎯
between rib 7-8 🎯

Q: What complication occurs with femoral neck fracture?
A: AVN of femoral head 🎯
medial circumflex disrupted 🎯
blood supply cut 🚫

Q: L3 is flexed and rotated right. Which direction is it sidebent?
A: SB RIGHT 🎯
Type II = same direction 🎯
flexed single 🎯

Q: Does the lumbar spine follow Fryette mechanics?
A: Yes 🎯
Type I + Type II 🎯
lumbar follows Fryette 📜

Q: #50. Q: What is the classic presentation of proximal ulnar nerve lesion?
A: Claw hand 🎯
can’t flex MCP, extend IP 🎯
proximal ulnar nerve 🎯

Q: What is the sphenobasilar synchondrosis (SBS)?
A: sphenoid + occiput cartilage 🎯
primary cranial dysfunction site 🎯

Q: What happens to the fibular head with foot supination?
A: Distal anterior, proximal posterior 🎯
plantarflexion 🎯
supination glide 🎯

Q: T6 is extended and sidebent left. Which direction is it rotated?
A: Type II = same direction 🎯
extended single 🎯

Q: Where is the posterior Chapman point for prostate/broad ligament?
A: Between PSIS + L5 TP 🎯
iliolumbar ligament 🎯
near sacral sulcus 🎯

Q: What cranial nerve dysfunction presents with tinnitus, vertigo, hearing loss?
A: CN VIII 🎯
vestibulocochlear 🎯
temporal bone dysfunction 🎯

Q: Does the thoracic spine follow Fryette mechanics?
A: Yes 🎯
Type I + Type II 🎯
thoracic follows Fryette 📜

Q: #46. Q: What is a Smith fracture?
A: distal radius, volar displacement 📡🔬
reverse Colles 🎯

Q: Which nerve roots are tested by having the patient heel-walk?
A: L4 + L5 🎯
heel walk 🎯
dorsiflexion + great toe ext 🎯

Q: Radiculopathy affecting which cervical nerve roots could affect the phrenic nerve?
A: C3-C5 🎯
phrenic roots 🎯
diaphragm innervation 🎯

Q: For more acutely ill or fragile patients, what is the treatment approach?
A: Limit OMT 🎯
a few key areas 🎯
allow body to respond ✅

Q: What cranial nerves pass through superior orbital fissure?
A: CN III, IV, V1, VI 🎯
superior orbital fissure 🎯
eye movement + sensation 🎯

Q: Where is the posterior Chapman point for the colon?
A: L2-L4 + iliac crest triangle 🎯
colon posterior Chapman 🌀💩
triangular region 🎯

Q: What are the two most common sites of lumbar disc herniation?
A: L4-L5 + L5-S1 🎯
~95% of lumbar herniations 🎯
most common levels 🎯

Q: What is the term/dysfunction when the carrying angle is 15^\circ" data-auto-edit="false"> ?
A: Cubitus valgus 📡🔬
carrying angle >15° 🎯
ulnar abduction 🎯

Q: What nerve is injured with a posterior fibular head causing foot drop?
A: Common fibular n 🎯
posterior fibular head 🎯
wraps around head 🎯

Q: Which athletes are at highest risk for spondylolysis?
A: Gymnasts + linemen + lifters 🎯
hyperextension + rotation 🎯
repetitive stress 💥

Q: Where are the PL1-PL5 posterior lumbar tender points located?
A: SPs or TPs of L1-L5 🎯
PL points 🎯
posterior lumbar 🎯

Q: At what level does the adult spinal cord (conus medullaris) typically end?
A: L1-L2 adults 🎯
L2-L3 infants 🎯
conus medullaris end 🎯

Q: What is a Volkmann ischemic contracture?
A: post-supracondylar fx 🎯
compartment syndrome 💥

Q: How do you perform the femoral nerve stretch test?
A: prone, ext hip + flex knee 🎯
anterior thigh pain 🎯

Q: What is the purpose of V-Spread?
A: mobilize restricted sutures 🎯
localized suture compression 👐

Q: Right ASIS superior, left PSIS inferior, short right leg, + standing flexion test on the right. Diagnosis?
A: R superior innominate shear 🎯
ASIS + PSIS up on R 🎯
short right leg 🚨

Q: How are Chapman reflex points described?
A: Smooth, firm nodules 🎯
2-3 mm diameter 🎯
neurolymphatic congestion 🎯

Q: What organs are in the Middle GI tract (midgut)?
A: Distal duodenum, jejunum, ileum, cecum, ascending, prox transverse 🎯
midgut 🎯
T10-T11 sympathetic 🎯

Q: What type of contraction occurs when physician forces muscle to lengthen while patient contracts?
A: Isolytic 🎯
physician force > patient 🎯
lengthening contraction 🎯

Q: Left ASIS superior, right PSIS superior, long right leg, + standing flexion test on the right. Diagnosis?
A: R anterior innominate rotation 🎯
ASIS up on L, long R leg 🎯
+ SFT on R 🔄

Q: OA translation from left to right is decreased, worsens in extension. What is the diagnosis?
A: OA FRLSR 🎯
worse in ext = flexed 🎯
OA SB+rot OPPOSITE 🔄

Q: Where is the AL3 tender point located and which muscle is it associated with?
A: Lateral to AIIS 🎯
AL3 → iliopsoas 🎯
anterior lumbar 💪

Q: What is a positive Sag/Godfrey test and what does it indicate?
A: posterior tibial sag 🎯
PCL injury 🎯

Q: Where are Chapman points located (tissue type)?
A: Deep fascia or periosteum 🎯
NOT muscle 🎯
vs trigger points 🎯

Q: Where does the right (minor) lymphatic duct drain into?
A: R brachiocephalic vein 🎯
R IJ + subclavian junction 🎯
minor duct drainage 🎯

Q: #11. Q: What are the primary elbow flexors and their innervation?
A: Brachialis + biceps + brachioradialis 🎯
elbow flexors 🎯
musculocutaneous + radial 🎯

Q: What is the pedal pump (Dalrymple technique)?
A: foot/ankle pumping 🎯
thoracoabdominal pressure 💧

Q: What is a backward sacral torsion?
A: R on L or L on R 🎯
opposite axis rotation 🔃

Q: Where is the AL4 tender point located and which muscle is it associated with?
A: Inferior to AIIS 🎯
AL4 → iliopsoas 🎯
anterior lumbar 💪

Q: Should you treat peripheral or central dysfunctions first?
A: spine/sacrum/ribs 🎯
before extremities 🎯

Q: What is "ape hand" and what causes it?
A: thenar atrophy + no opposition 🎯
distal median nerve lesion (chronic CTS) 🎯

Q: What is a forward sacral torsion?
A: L on L or R on R 🎯
same-side axis rotation 🔃

Q: What are the key findings of C7 radiculopathy?
A: triceps weak, middle finger 🎯
↓triceps reflex 🎯

Q: How do you treat a posterior radial head with direct muscle energy?
A: Posterior radial head ME 🎯
physician supinates to barrier 🎯
patient pronates 🎯

Q: L1-L4 are neutral and sidebent left. Which direction are they rotated?
A: Rotated RIGHT 🎯
Type I = opposite 🎯
neutral group 🎯

Q: What techniques are used to treat trigger points?
A: Direct techniques 🎯
spray + stretch, dry needling 🎯
injection, ME, MFR 🎯

Q: What is the treatment position for the quadratus lumborum tender point?
A: Prone E-Ab-ER hip 🛡️🎯
QL tender point 🎯
affected side 🎯

Q: What type of contraction occurs during the lowering phase of a biceps curl?
A: Isotonic + eccentric 🎯
lengthening + external force 🎯
biceps lowering 🎯

Q: What is the sympathetic effect on the bladder detrusor muscle and sphincter?
A: Detrusor relax, sphincter contract 🎯
sympathetic bladder 🎯
hold urine 🚫

Q: T5-T8 are neutral and rotated left. Which direction are they sidebent?
A: SB RIGHT 🎯
Type I = opposite 🎯
neutral group 🎯

Q: What does a positive crossed/contralateral SLR indicate?
A: opposite leg reproduces pain 😖💥
highly specific for disc 🎯

Q: #34. Q: What nerve injury is associated with anterior shoulder dislocation?
A: Axillary nerve 🎯
anterior shoulder dislocation 🎯
deltoid weak + lateral sensory loss 🎯

Q: What is the spring ligament and what does it support?
A: Plantar calcaneonavicular lig 🎯
spring ligament 🎯
supports medial arch + talus head 🎯

Q: Where is the AL2 tender point located and which muscle is it associated with?
A: Medial to AIIS 🎯
AL2 → external oblique 🎯
anterior lumbar 💪

Q: How do you perform the anterior drawer test and what does it test?
A: knee 90° flex, pull tibia anterior 🎯
ACL (less sensitive than Lachman) 🎯

Q: What techniques are safest for hospitalized/elderly patients?
A: Indirect techniques 🎯
counterstrain, FPR 🎯
or gentle MFR/articulatory ✅

Q: Cholecystitis causing right scapular pain. What type of reflex?
A: Viscerosomatic reflex 🎯
visceral → somatic pain 😖💥
Chapman pattern 🎯

Q: Are vertebral discs named for the vertebrae above or below?
A: C3-C4 disc = C3 disc 🎯
whole spine 🎯

Q: What motion is restricted with anteriorly rotated clavicle?
A: Humeral FLEXION 🎯
anterior clavicle 🎯
clavicle should rotate posterior 🎯

Q: How do you perform a straight leg raise (SLR) test?
A: supine, raise extended leg 🎯
pain below knee = sciatic 🎯

Q: What nerve is at risk with a posterior fibular head dysfunction?
A: Common fibular n 🎯
posterior fibular head 🎯
foot drop 🎯

Q: What structure is used to assess rotation in the cervical spine?
A: Articular pillars 🎯
C2-C7 motion testing 🎯
between sup/inf facets 🎯

Q: What ligaments are weakened in RA and Down syndrome?
A: Transverse + alar lig 🎯
atlas ligaments 🎯
AA instability risk 💥

Q: In Type II (Non-neutral) mechanics, how do sidebending and rotation relate?
A: Same (RxSx) 🎯
Type II non-neutral 🎯
single vertebra flex/ext 🔄

Q: What is the O'Donoghue classic "unhappy triad"?
A: ACL + MCL + medial meniscus 📡🔬
lateral blow to knee 🎯

Q: Do cervical nerve roots emerge above or below their corresponding vertebrae?
A: ABOVE C1-C7 ⬆️📈
C8 between C7-T1 🎯
cervical convention 🎯

Q: What is the pars interarticularis?
A: Scotty dog neck on oblique 🎯
between sup/inf articular 🎯

Q: What are the key findings of C6 radiculopathy?
A: biceps + wrist ext weak, thumb 🎯
↓brachioradialis reflex 🎯

Q: What are the four major transition zones assessed in postural patterns?
A: OA, CT, TL, LS 📷🔬
postural transitions 🎯
common compensation sites 🎯

Q: Which vertebrae does a typical rib articulate with?
A: Same number + above ⬆️📈
typical ribs 3-9 🎯
rib 5 = T4 + T5 🎯

Q: What is the sensory and motor function of the C4 nerve root?
A: superior shoulder, posterior neck 🎯
shoulder shrug, levator scapulae 🎯

Q: C4 translates more freely from left to right, asymmetry improves in flexed position. What is the diagnosis?
A: C4 FRLSL 🎯
better in flex = flexed 🎯
C2-C7 SB+rot SAME 🔄

Q: Where are most of the posterior cervical (PC) tender points located?
A: Occiput, SPs, articular pillars 🎯
PC locations 🎯
midline or lateral 🎯

Q: Which hamstring is NOT innervated by the tibial division of the sciatic nerve?
A: Short head biceps femoris 🎯
common fibular innervation 🎯
exception to rule 🎯

Q: How do the seated flexion test and oblique axis relate?
A: Axis OPPOSITE positive SFT 🎯
+ SFT on L = R axis 🎯
on R 🎯

Q: In Type I (Neutral) mechanics, how do sidebending and rotation relate?
A: Opposite (SxRy) 🎯
Type I neutral 🎯
group curve 3+ vertebrae 🔄

Q: OA is flexed and rotated right. Which direction is it sidebent?
A: SB LEFT 🎯
OA SB+rot ALWAYS OPPOSITE 🎯
regardless of position 🎯

Q: C4-C6 are restricted in right translation, no change with flexion or extension. What is the diagnosis?
A: C4-C6 NSRRR 🎯
neutral cervical 🎯
SB+rot SAME in cervical 🔄

Q: What does the RIGHT (minor) lymphatic duct drain?
A: R UE, R hemicranium, R thorax 🎯
R lymphatic duct 🎯
variable heart/lung 🎯

Q: What are the three clinical tests for carpal tunnel syndrome?
A: Tinel, Phalen, Prayer 🎯
CTS tests 🎯
tap, flex, extend wrist 🎯

Q: Flex head; positive = electric, shock-like sensation down spine/arms. Name of the sign and cause?
A: Lhermitte sign 🎯
cervical myelopathy 🎯
spinal cord pathology 🎯

Q: How do you perform the patellar grind (Clarke) test?
A: push patella distal, contract quads 🎯
patellofemoral pain 🎯

Q: Neck extension with rotation (toward the side with pain) + compression reproduces arm pain. What test is this?
A: Spurling test 🎯
+ foraminal compression 🎯
cervical radiculopathy ⚡

Q: Right translation is restricted. Which direction is it sidebent?
A: SB RIGHT 🎯
restricted R translation 🎯
translation opp SB 🔄

Q: T6 is restricted in right translation. Which direction is it sidebent?
A: SB RIGHT 🎯
freely translates left 🎯
translation rule 🔄

Q: What is spondylolysis and what is its classic X-ray finding?
A: Scotty dog collar 🎯
pars defect, no slip 🎯

Q: What is the proper treatment sequence for pelvic dysfunction?
A: 🦴1️⃣ L5/lumbar → psoas → innominate → sacrum 🎯
pelvic sequence 🎯
sacrum last 🎯

Q: Which CNs are affected by sphenoid dysfunction?
A: CN II, III, IV, V1, V2, V3, VI 🎯
sphenoid foramina 🎯
eye + face 🎯

Q: Do sphenoid and occiput rotate in same or opposite directions about an AP axis in sidebending-rotation?
A: rotate as unit 🎯
different from torsion 🎯

Q: C6 is neutral and rotated right. Which direction is it sidebent?
A: SB RIGHT 🎯
C2-C7 SB+rot ALWAYS SAME 🎯
regardless of position 🎯

Q: The L3-L4 disc herniates posterolaterally. Which nerve root is most likely compressed?
A: lumbar disc compresses below ⬇️📉
posterolateral path 🎯

Q: #25. Q: Patient has pain with abduction between 60-120 degrees. What is the most likely diagnosis?
A: Painful arc syndrome 😖💥
subacromial impingement 🎯
supraspinatus tendonitis 🎯

Q: Patient has hypersensitive point with NO radiation of pain. Tender point or trigger point?
A: no referred pain 😖💥
muscle belly, lig, tendon 🎯

Q: What type of contraction occurs during the upward phase of a biceps curl?
A: Isotonic + concentric 🎯
approximating O + I 🎯
biceps lifting 🎯

Q: The asymmetry at T5 increases in extension. Is it neutral, extended, or flexed?
A: worse in ext = ease in flex 🎯
Type II rule 🎯

Q: What is the pathophysiology of patellofemoral pain syndrome?
A: VMO weakness 🎯
lateral patellar tracking 🎯
vastus medialis obliquus 🎯

Q: What does a positive crossed straight leg raise indicate?
A: Crossed SLR 🎯
pain in affected leg from lifting other 😖💥
90% specific for disc 🎯

Q: What determines relationship between rotation and sidebending in the cervical spine?
A: Spinal LEVEL only 🎯
OA vs C2-C7 🎯
position irrelevant 🎯

Q: Patient has a painful point that refers pain to jaw when pressed. Tender point or trigger point?
A: referred pain 😖💥
taut bands of skeletal muscle 🎯

Q: What are the sympathetic levels for the ascending colon and proximal transverse colon?
A: T10-T11 🎯
lesser splanchnic SMA 🎯
parasympathetic: vagus 🎯

Q: Newborn with poor suckling 2 days after vaginal delivery - diagnosis and treatment?
A: Condylar compression 🎯
CN XII dysfunction 🎯
condylar decompression 🎯

Q: What is the symptom distribution in carpal tunnel syndrome?
A: Palmar 3.5 digits 🎯
NOT palm 🎯
palmar cutaneous spares it 🎯

Q: Is positioning patient INTO the dysfunction a direct or indirect treatment?
A: toward ease 🎯
counterstrain, FPR 🎯

Q: If L3 has a posterior TP on the right and is restricted in extension, what is the full diagnosis?
A: L3 FRRSR 🎯
Type II flexed 🎯
restricted ext = flexed 🔄

Q: Why is S2 significant for cranial dysfunctions?
A: S2 dural attachment 🎯
cranium ↔ sacrum via RTM 🎯
craniosacral link ⛓️

Q: What is the dividing point between vagus and pelvic splanchnic innervation of the urinary tract?
A: Middle ureter 🎯
upper = vagus, lower = pelvic splanchnic 📡🔬
urinary tract split 🎯

Q: Patient has large LEFT thoracic paraspinal hump. What does this indicate?
A: Rotated LEFT 🎯
posterior L TPs 🎯
group = SB R 🎯

Q: #27. Q: What does the empty can (Jobe) test evaluate and how is it performed?
A: supraspinatus tear/strain 📡🔬
resisted abd 90°, thumb down 🎯

Q: Is positioning patient AWAY from the dysfunction a direct or indirect treatment?
A: toward barrier 🎯
HVLA, ME, articulatory 🎯

Q: How does rib raising improve lymphatic flow?
A: normalizes T2-T7 paravertebral 🎯
thins mucus + improves lymph 🌊

Q: T9 is flexed and restricted in left rotation. What is the diagnosis?
A: T9 FRRSR 🎯
restricted L = rotated R 🎯
Type II flexed, same direction 🔄

Q: Trigger point in right pectoralis causing tachycardia. What type of reflex?
A: Somatovisceral reflex 🎯
soma → visceral effect 🎯
opposite of Chapman 🎯

Q: What does the Finkelstein test evaluate and how is it performed?
A: De Quervain tenosynovitis 🎯
thumb in fist, ulnar deviate 🎯

Q: What is the patient effort for backward sacral torsion (R on L or L on R) muscle energy treatment?
A: Lifts top ankle/leg 🎯
against resistance 🎯
expiratory assist 💨

Q: What is the purpose of thoracic inlet release?
A: Sibson fascia, scalenes, rib 1 🎯
allow lymphatic ducts to flow 🌊

Q: How do the medial and lateral ends of the clavicle move relative to each other?
A: Opposite directions 🎯
lateral up = medial down 🎯
clavicle motion 🎯

Q: How do you treat a right anterior innominate rotation with direct muscle energy?
A: R anterior innominate ME 🎯
supine, flex R hip 🎯
patient pushes into ext (hamstrings) 💪

Q: Patient with torticollis affecting right SCM. Initial position for direct muscle energy treatment?
A: SB LEFT, rotate RIGHT 🎯
engage barrier 🎯
R SCM Tx position 🎯

Q: What is the patient effort for forward sacral torsion (L on L or R on R) muscle energy treatment?
A: Lifts both ankles/legs 🎯
against resistance 🎯
inspiratory assist 💨

Q: #40. Q: What does the Military Position test evaluate and how is it performed?
A: costoclavicular TOS 🎯
shoulders pulled back 🎯

Q: What are the findings of an anterior fibular head dysfunction?
A: resists posterior spring 🎯
foot everts + dorsiflexes 🎯

Q: What are the findings of a posterior fibular head dysfunction?
A: resists anterior spring 🎯
foot inverts + plantarflexes 🎯

Q: How do you treat a right posterior innominate rotation with direct muscle energy?
A: R posterior innominate ME 🎯
supine, R leg off table 🎯
patient pushes into flex (quads) 💪

Q: #36. Q: What are the three sites of compression in thoracic outlet syndrome (TOS)?
A: Interscalene + costoclavicular + pec minor 🎯
TOS sites 🎯
interscalene MC 🎯

Q: Describe the ease vs restriction in motion for an inhalation rib dysfunction
A: stuck UP 🎯
exhalation restricted 🎯

Q: #2. Q: Where does the subclavian artery pass relative to the scalene muscles?
A: Between ant + mid scalenes 🎯
w/ brachial plexus 📡🔬
vein passes anterior 🎯

Q: Describe the ease vs restriction in motion for an exhalation rib dysfunction
A: stuck DOWN 🎯
inhalation restricted 🎯

Q: In a C3-C4 disc herniation, which nerve root is compressed?
A: cervical disc compresses BELOW ⬇️📉
C4 exits above C4 🎯

Q: What injuries + innominate dysfunction are classically associated with a 'dashboard injury'?
A: Posterior hip disloc + sciatic + PCL + posterior innominate 🎯
dashboard injury 🎯
classic combo 🎯

Q: What is the treatment position for R on R sacral torsion with direct muscle energy?
A: R lateral recumbent, face down 🎯
forward torsion = Sims 🎯
axis side down 🎯

Q: What is the treatment position for a L on L sacral torsion with direct muscle energy?
A: L lateral recumbent, face down 🎯
forward torsion = Sims 🎯
axis side down 🎯

Q: What is the treatment position for L on R sacral torsion with direct muscle energy?
A: R lateral recumbent, back down 🎯
backward torsion = modified Sims 🎯
axis side down 🎯

Q: Where is the AL1 (anterior lumbar 1) tender point located and which muscle is it associated with?
A: Medial to ASIS 🎯
AL1 → internal oblique 🎯
anterior lumbar 💪

Q: What are some of the key contraindications to cervical HVLA?
A: fx, malignancy, osteoporosis 🎗️💀
VBI, RA/AA instability ⚠️

Q: What is the treatment position for a R on L sacral torsion with direct muscle energy?
A: L lateral recumbent, back down 🎯
backward torsion = modified Sims 🎯
axis side down 🎯

Q: What does the LEFT (major) lymphatic duct (thoracic duct) drain?
A: Everything else 🎯
except R UE + R hemithorax + R head/neck 🎯
major drainage 🎯

Q: If 5th ICS is INCREASED, what are the most likely rib diagnoses?
A: Rib 5 inhalation OR rib 6 exhalation 🎯
increased ICS ⬆️📈
upper stuck up OR lower stuck down 🎯

Q: If 8th ICS is DECREASED, what are the most likely rib diagnoses?
A: Rib 8 exhalation OR rib 9 inhalation 🎯
decreased ICS ⬇️📉
upper stuck down OR lower stuck up 🎯

Q: #38. Q: What does Roos test (EAST) evaluate and how is it performed?
A: TOS screening 🎯
arms abducted, open/close hands 3 min 🎯

Q: A patient has peptic ulcer disease. What is the most likely site for an anterior Chapman point?
A: Duodenum 🎯
8th ICS bilateral 🎯
between ribs 8-9 🎯

Q: What are the static and dynamic findings of a right superior pubic shear?
A: R superior pubic shear 🎯
only R pubic ramus elevated 📡🔬
+ SFT + ASIS compression R 🎯

Q: Which test is used to evaluate for vertebrobasilar insufficiency and how is it performed?
A: Wallenberg test 🎯
extend + rotate neck 🎯
+ = vertigo, dizziness, visual 🎯

Q: If L2-L4 are rotated left, no change in flexion or extension, what is the full diagnosis?
A: L2-L4 NSRRL 🎯
Type I neutral 🎯
SB+rot opposite 🔄

Q: What are the accessory muscles of inspiration used as part of muscle energy for exhalation dysfunctions?
A: Scalenes, pec minor, serratus ant, lats, QL 📡🔬
accessory inspirators 🎯
exhalation dysfunction ME 🎯

Q: An athletic adolescent in a growth spurt with pain while running/jumping. Most likely diagnosis?
A: Osgood-Schlatter 🎯
tibial tubercle apophysitis 🎯
patellar tendon traction 🏃

Q: During motion testing of T5, the right TP moves deeper than the left. Which way is T5 rotated?
A: L TP posterior resists 🎯
R TP more anterior 🎯

Q: What does the more coronal orientation of the L5-S1 facet joints allow compared to other lumbar facets?
A: Resist anterior shear 🎯
prevents spondylolisthesis 🎯
coronal facets at LS junction 🛡️

Q: Where is the AL5 tender point located and which muscle is it associated with?
A: Pubic tubercle / superior ramus 📡🔬
AL5 → rectus abdominis 📡🔬
1 cm lateral to symphysis 💪

Q: What are the static and dynamic findings of a left innominate inflare?
A: L innominate inflare 🎯
L ASIS medial, ischial tub lateral 🎯
+ SFT + ASIS compression L 🎯

Q: What are the sympathetic levels for the hindgut organs (distal transverse, descending, sigmoid colon, rectum)?
A: T12-L2 🎯
least splanchnic IMA 🎯
parasympathetic: S2-S4 🎯

Q: What are the sympathetic levels for the midgut organs (lower duodenum, jejunum, ileum, appendix)?
A: T10-T11 🎯
lesser splanchnic SMA (T10-T12 appendix) 🎯
parasympathetic: vagus 🎯

Q: The asymmetry at L1-L3 is unchanged in flexion or extension. Is it neutral, extended, or flexed?
A: no change w/ flex/ext 🎯
Type I rule 🎯