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SMRT Shoulder, Axilla, Upper Back & Ribcage Exam

SMRT Shoulder, Axilla, Upper Back & Ribcage Exam

You may take the Exam whenever you are ready. You may want to print a copy of the questions and complete the test on paper before entering it online. Your test will be scored when you press SUBMIT at the end of the exam. A percentage of 70% is required to qualify for continuing education credit. You may retake the test if necessary. Per NCBTMB and State guidelines, a test must have five questions for each hour of CE credit. If you have purchased a DVD with 24 hours of credit, your test will be 120 questions. Good Luck!

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1. What does SMRT stand for?*
2. If the clients lateral shoulder is unable to release, what might be the problem?*
3. As you stripe down the vertebrae in both lamina grooves, you feel one vertebrae that is out of alignment, you*
4. SMRT is a system of passive contractions designed to release*
5. The glenohumeral joint*
6. To release adhesions between subscapularis and serratus anterior, you must*
7. The 3 parts of the sternum are*
8. While doing a deep tissue or neuromuscular massage, the lymphatic system is*
9. How many ribs are there in the human body?*
10. The erector spinae group of muscles has 3 subgroups, they are*
11. SMRT is done by*
12. Misalignment of the 1st rib can impinge on the space between the 1st rib and the clavicle, this is called*
13. Levator scapulae originates*
14. After releasing the position, you should*
15. The scientific name for the shoulder joint is*
16. Medial rotation moves ______________ the anterior midline, while lateral rotation moves _______________ the anterior midline.*
17. There are 2 releases for middle trapezius. One uses the ________________, while the other uses the ______________________.*
18. SMRT effects the following systems of the body:*
19. To release compression in the vertebrae*
20. Muscles move*
21. Common symptoms that suggest a rotator cuff tear are*
22. Serratus anterior has digitations that begin on ribs*
23. Local contra-indications for SMRT on the shoulder and axilla include:*
24. Latissimus dorsi connects*
25. Muscle tension can be caused by*
26. The joints between the ribs and the sternum are*
27. A common action for the rotator cuff is*
28. What 2 muscles travel from the back, through the axilla, and insert on the front of the humerus?*
29. SMRT positions are held for*
30. It is important to release the long head of triceps brachii because*
31. The release for pectoralis minor can be done in two ways, using the*
32. Biceps Brachii has 2 heads, they originate from*
33. Internal intercostal muscles contract during*
34. To release the deltoid muscle you will need to*
35. Ligaments attach*
36. The scapula is ___________________.*
37. How many vertebrae does a shifted rib directly effect?*
38. Muscles have 2 distinct characteristics, they are*
39. Which of the following are attachment sites for trapezius?*
40. When doing a SMRT position you should passively contract the muscle to within*
41. Omohyoideus links ________________ to ____________________.*
42. Why does the therapist go slowly during the UE dura stretch?*
43. If the clients upper back is unable to release, what might be the problem?*
44. The transversospinalis group of muscles has 3 subgroups, they are*
45. Large breasted woman tend to have hypertonic or adhered*
46. The muscle in the question above is tight because*
47. To release an anteriorly shifted rib, you should*
48. Middle trapezius fibers run*
49. When using the foam ½ roll, what is the most important thing to remember?*
50. When the client is prone you can release the long head of triceps by extending the arm at the shoulder. Modifying this move slightly will release*
51. One of the most painfully misalignments is when the upper ribs move under the scapula. The ribs push into the scapula affecting which group of muscles.*
52. Why do we do shoulder range of motion after the active release for the 1st rib?*
53. Levator scapulae is in a constant tug-of-war between the neck and the scapula. If you do not get a release by working with the scapula, you may need to release*
54. After warming up and palpating, you should always begin your work*
55. The job of the labrum is to*
56. When the vertebrae are compressed, the following become tight:*
57. While doing an SMRT treatment, the lymphatic system is*
58. To release an adhesion between serratus anterior and subscapularis while in the standing deep tissue move, you need to*
59. To release latissimus dorsi and teres major with the client in a prone position, you must*
60. To release omohyoideus, you need to*
61. No pain, no gain is*
62. Ligaments of the coracoid process include*
63. After an SMRT release, deeper tissues crave attention and want to be touched, you should*
64. To release vertebral ligaments*
65. The rotator cuff is made up of four muscles, they are*
66. We use the client's hand to release the 3 sections of deltoid. This gives us*
67. The joints between the ribs and the sternum are called*
68. The 3 joints that the ribs help make are*
69. If you move into an SMRT position and the client complains of pain*
70. Lateral axilla tension may be caused by*
71. The 1st rib sits directly*
72. All of latissimus dorsi's actions are at*
73. External intercostal muscles contract during*
74. Ligaments of the sternoclavicular joint are*
75. The glenohumeral joint is a(n)*
76. You, as the therapist are performing ROM on the client’s shoulder. What precautions are you most concerned with?*
77. Pain at the medial border of the scapula is often thought to be the rhomboids. But often the pain is caused by ___________________.*
78. Ways to release the first rib include*
79. One of the ways to relieve tension in the axilla is to do a ______________ release.*
80. When a rib has shifted superior and is kissing the rib above it*
81. The ribcage needs to be worked*
82. Which of the following muscles does not have an attachment on the scapula?*
83. The ribs under the breast tissue can separate. What generally happens to them at the vertebral attachments?*
84. One of the wonderful things about SMRT is that is reeducates the nervous system to*
85. One of the ways to release infraspinatus and teres minor is to*
86. The position of the floating ribs is generally in line with the twist of the*
87. The sternoclavicular joint is*
88. Muscles with attachments on the ribcage include*
89. Releasing, and allowing realignment of, the ribcage*
90. During SMRT holds, the connective tissue is prone to unwinding. If this happens, you should*
91. Ligaments of the costovertebral joints are*
92. Each rib inserts between two vertebrae. This begins at _________ and ends at _________.*
93. The joints between the ribs and the costal cartilage are*
94. SMRT positioning can quickly alleviate*
95. Once SMRT has alleviated tension, adhesive material, and tenderness from an area, the therapist should*
96. What distinguishes a true rib from a false rib?*
97. During the active release for the 1st rib, you need to trap the 1st rib at the*
98. For the teres major and teres minor release, why do we move the humerus straight down?*
99. While initially palpating an area you should be checking for*
100. Where you monitor is determined by*
101. Tendons attach*
102. During an SMRT hold, the circulatory system is*
103. What does PNF stand for?*
104. How Many UE PNF patterns were demonstrated?*
105. When ribs are compressed*
106. How long do you hold the stretches that were demonstrated during Patti's work?*
107. During SMRT massages, joints realign because*
108. When using the foam ½ roll in self-care, what should you do to protect your back from extra strain?*
109. When you place your hand on one side of the chest and ask the client to breath under your hand placement, you are checking for*
110. During the self-care, when doing a dura stretch, which of the following is not true?*
111. The axilla is a box with 4 sides, a top, and a bottom. What bone(s) has to move to cause tension in the axilla?*
112. When stretching a client, you should always*
113. Approximately how many times do you move the clients arm in the PNF patterns?*
114. An SMRT hold will always release*
115. You must use the spine to release the transversospinalis group of muscles because*
116. Teres Major inserts on the*
117. Serratus Posterior Superior originates from*
118. One way to release supraspinatus is to use the ______________ of the scapula and arc it ____________________.*
119. The sternoclavicular joint is made up of three bones, the medial clavicle, the manubrium of the sternum, and the _______________________________.*
120. Generally a misalignment in the ribcage effects*
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