PRI Training - Postural Respiration

Test
You must answer 22 or more of the following 30 questions correctly to receive a
certificate.
* Required
. Your Name *

Last Name, First name.







1. The zone of apposition (ZOA) is defined as the cylindrical aspect of the
diaphragm muscle that lies over or apposes the inner surface of the lower
chest wall. *


 True
 False
. 





2. The diaphragm is a skeletal muscle that helps coordinate breathing, but
has very little to do with the position or performance of other skeletal
muscles. *


 True
 False
. 





3. The name of the intrapleural space inside the thorax that houses the heart
and the great vessels is called the: *


 A. zone of apposition

 B. abdominal cavity
 C. mediastinum
 D. pelvic drum
. 



 

4. When normal breathing is altered, the diaphragm and the psoas muscles
can combine to create a dysynchronous force couple pulling the lumbar spine
into: *


 A. a state of flexion

 B. a state of extension
. 





5. Paradoxical breathing is a concept seen when the diaphragm. *


 A. has an inspiratory effect on the rib cage

 B. has poor inspiratory effect on the rib cage because of poor opposition
 C. functions as it normally would with good peripheral opposition
. 





6. The right lower trapezius is important for which of the following
functions? *


 A. Retraction of the scapulaon

 B. Rotation of the lower spine to the left
 C. Assisted upper trunk rotation to the right
 D. All of the above
. 





7. Functions of the left serratus anterior include: *


 A. retraction of the left ribs

 B. collapse of the left posterior mediastinum
 C. both a and b
. 





8. In addition to the right scalenes, which other muscle assists right external
rotation of the upper ribs? *


 A. Right subscapularis

  B. Right subclavius
 C. Right serratus anterior
 D. Right serratus posterior superior
. 





9. The true ribs of the thorax should rotate in either IR or ER when the
thoracic spine rotates. *


 True
 False
. 





10. The Superior T4 manual technique should only be used for patients with
Superior T4 Syndrome. *


 True
 False
. 





11. Which manual technique should be used when non-manual ZOA
abdominal techniques fail and before doing any Brachial Chain (BC) manual
techniques? *


 A. Right Subclavius technique

 B. Right Superior T4 technique
 C. Left Anterior Interior Chain (AIC) technique
 D. Right Intercostal technique
. 





12. The Posterior Exterior Chain (PEC) is opposed by which key group of
muscles? *


 A. Back extensors

 B. Hip flexors
 C. Abdominal obliques
 D. Knee flexors
. 





13. If a Right BC patient is positive with all BC tests except limited right HG
IR, then it is likely the patient has which pathology? *


 A. A “SLAP” lesion on the right or multidirectional instability on the right

 B. Multidirectional instability on the left
 C. Right costoclavicular instability
 D. Right posterior superior GH impingement
. 





14. Optimal breathing should include a decrease in volume for both the
abdomen and chest wall during exhalation and an increase in both during
inhalation. *


 True
 False
. 





15. In the presence of a Right BC Pattern, the sternum: *


 A. is positioned neutrally between the left and right rib cage
 B. is oriented toward the right because of rib rotation and air volume
 C. is not influenced by breathing or airflow
. 





16. The triangularis sterni (transverse thoracis) is an _________muscle? *


 A. exhalation
 B.  inhalation
. 





17. Right chest wall expansion is usually restricted upon inhalation because of
the positional and functional opposition problems with the: *

  A. contralateral or left diaphragm
 B. ipsilateral or right diaphragm
. 





18.The right hemi-diaphragm has which of the following characteristics? *


 A. Is larger than the left hemi-diaphragm with a larger central tendon
 B. Maintains a better domed shape because of the structural influence of the liver
 C. Has posterior crural attachment fibers that attach lower on the anterior lumbar
spine than on the left
 D. All of the above
. 





19. The non-manual 90-90 Hip Lift with Balloon technique requires the
patient to keep their tongue on the roof of their mouth during inhalation to
promote diaphragmatic inhalation. *


 True
 False
. 





20. The typical Left AIC/Right BC pattern pulls the rib cage into an anterior
rib flare on the_______ and a posterior rib hump on the_______. *


 A.  right, left

 B.  left, right
. 





21. The transverse abdominus muscle has the best leverage for core
stabilization when the rib cage moves into a full state of: *


 A.  inhalation
 B.  exhalation
. 





 22. The anterior landmark for T3-4 is the: *


 A.  1st rib

 B.  3rd rib
 C.  5th rib
 D.  xiphoid process
. 





23. Decreased right HG IR may be the result of restricted airflow into the
right thorax and a scapula that is internally rotated on a vertical axis. *


 True
 False
. 





24. The Right BC is opposed by: *


 A.  right low trap and tricep

 B.  right serratus anterior
 C.  left abdominal obliques and transverse abdominus
 D.  all of the above
. 





25. With the typical Right BC pattern, the lumbar spine is either oriented
toward the right with the thorax rotated back to the left or the lumbar spine
could be positioned neutrally with the thorax rotated back to the left. *


 True
 False
. 





26. The dome of the resting diaphragm is positioned to line up with: *


 A. T1
 B. T4
 C. T8
  D. T12
. 





27. The typical Left AIC and Right BC patient will more than likely have an
overactive and restrictive: *


 A. left pec major and right pec minor

 B. right pec major and left pec minor
. 





28. If bilateral knee rotation to the left is limited in the supine hooklying
position the: *


 A. upper trunk is limited in rotation to the right

 B. upper trunk is limited in rotation to the left
. 





29. Using a balloon with a PRI activity: *


 A. helps attain a good (ZOA) during exhalation

 B. helps integrate diaphragm and abdominal wall concomitant activity
 C. both a and b
 D. helps integrate diaphragm and back extensor concomitant activity
. 





30. The abdominals should be primary muscles of exhalation and the
diaphragm should be the primary muscle of inhalation during good postural
respiration. *


 True
 False
. 





 . 

. 

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