IMS Level 4 Exam

Which tongue position stimulates a reflexive diaphragmatic breathing response?

Which muscles, located deep to cervical viscera (trachea and esophagus), function as dynamic anterior longitudinal ligaments and are important for vertical stability of that region?

The shoulder joint can achieve approximately _______ positions.

What is the primary muscle of inspiration and to what percentage of inspiration does it produce?

The bucket handle action of the ribs increases in diameter, in what directions?

The _______ weaken the anterior capsule of the shoulder.

The _______ muscle runs from the scapula to the hyoid bone.

Which ribs lack costotranverse joints?

What is the number one cause of breathing pattern disorders?

In the Totem Pole of Life, which control system is the most essential?

When opening the mandible, at what range of motion does translation occur?

During the Feldenkrais Shoulder and Spine Integrator, the hips and knees should be at a _______ degree angle.

The 2 nerve plexus that feed the shoulder are the _______ and _______.

What spinal nerve roots make up the Phrenic Nerve?

According to research Paul did when writing postural and craniofacial pain, one study showed that within 5 years of having a lumbar spine injury, clients will have a _______% chance of having a _______ injury.

The musculoskeletal system is a slave to the organs.

What are the muscles of inspiration?

How many muscles attach to the hyoid bone?

Which system orients the head on the body?

It is important to address the slave system before the control systems.

When a child is born, the first spinal curve they develop is the _______.

A man with a 16-pound head, that has a forward head posture of 2 inches, has a load of _______ on his _______.

Which pathway refers to the neck and trapezius region?

What muscle goes into protective spasm to protrude the mandible away from compressed discal material?

According to Lowett Brother, at what spinal levels do vertebrae start reacting in opposite directions?

The deltoid muscles reach peak length force relationships at _______.

Which test is best for assessing the internal rotators of the shoulder?

In a normal shoulder joint, no more than _______ of the humerus should be forward of the acromion.

What are the 3 cranial nerves that supply the muscles of the eye?

When measuring the distance of scapula from the spine, ideal distance is _______.

What is the optimal visual distance you should be from your computer?

During shoulder abduction the scapula should start to move at _______ degrees.

What will forward head posture do to the position of the hyoid bone?

Which muscle aids in swallowing?

Which muscle communicates with the shoulder and the spine?

The joint capsule of the shoulder is primarily a _______ structure.

You need to change the angle of an exercise by _______ degrees for the body to recognize it as a new exercise.

The capsule in the shoulder maintains a _______ pressure in the joint.

What is the nerve supply to the diaphragm and the adrenal glands?

A problem in the left hip will most likely create a problem in the _______.

What dimension changes in the rib cage when the scalenes assist in respiration?

When an infant walks before they can do it on their own it pushes the child into a _______ pattern.

The _______ nerves influence the entire body.

The _______ is the foundation for the shoulder girdle.

What are the 2 motions that occur in mandible opening? Please choose the answer written in the correct sequence that the movements occur.

_______ occurs when the ends of the clavicle get moth eaten.

The _______ muscles help the shoulder protract.

What part of the spinal cord do the dentate ligaments attach to?

The rotator cuff muscles consist of _______.

Which exercise tool is best for rhythmic stabilization?

The heart and the lung are within the zone of innervation with the _______.

The liver is innervated from _______ to _______.

The _______ communicates with the _______.

Impingement syndrome occurs when the _______ bangs into the _______.

From _______ onward the _______ provides a lot of shoulder motion.

Clients with supraspinatus issues usually feel pain when the arm is abducted to _______ degrees.

Tipping the forearms forward during the lat pull down _______.

Which segmental level in the cervical spine has the most range of motion in rotation?

Which motion is the first to be lost with breathing pattern disorders in the rib cage?

When someone has an increased breathing rate, what is their physiological response?

What makes up the Stomatognathic system?

What law explains the symptoms of fibromyalgia, chronic fatigue and overtraining?

What system is responsible for the experience of pain or pleasure?

Which muscles can pull the head into forward head posture and load the masticatory system?

Which part of the totem pole floats?

What is the primary joint that creates the axis on which the head rotates around?

How many spindle cells per gram of muscle are in the upper cervical musculature?

A change or distortion in the proprioceptive input to the inner ear, eyes and jaw results in what?

The arm is forced into horizontal abduction and external rotation during a _______.

What percentage of our gait’s proprioception comes from the upper cervical spine?

Which ligaments have an intimate relationship with the spinal cord ascending and descending tracts?

Which bony attachment of dura to spine is controversial?

Which spinal cord tracts are affected by an upper cervical subluxation?

Which system on the totem pole can override respiration and mastication function?

Which reflexes help to control gait and drive a reflex that communicates with the eyes to keep the head and eyes horizontal?

At which anatomical landmark is a distal attachment of the dura?

What are the Biological oscillators of the body?

Normal range of motion for the bench press is when the bar stops _______.

Which of the following is not a slave joint?

The _______ have to overcome the elastic recoil of the lungs and the joints of the thorax.

Which rib joints have no capsule or ligament reinforcing the junctions?

Where does the primary form of compensation for an Upper cervical subluxation occur in the body?

What are the primary muscles of Forced exhalation?

Which muscle can increase intrathoracic volume in 3 diameters- vertical medial and AP?

When the rib joints and thoracic joints move in respiration, which diameters change in the thoracic cage?

Increased intra abdominal pressure expands the ribs in which direction?

What are the four primary joints of the shoulder?

What has to occur so that bilateral contraction of the scalenes can increase intra thoracic volume?

Which sling is made up of the external intercostals running with the external oblique?

What is the role of the QLO (quadratus lumborum) in inspiration?

What does Boyles law state?

What musculoskeletal reaction occurs with hyperventilation?

What is a cause of 1st rib fixations?

In activities of daily living, the shoulder predominantly operates in the open chain.

In the rule of 1/3rds , which 1/3 may affect breathing disorders?

A client with a shoulder injury should begin with which of the following exercises first?

Which muscles are primarily responsible for the “bucket handle” action of the ribs?

How much rotation is calculated to be performed at each cervical spine level in the mid and lower neck?

What determines a biological oscillator?

In measuring the Nasal Spirometry (reads out the volume of air to draw in), what percentage of difference left to right is considered significant?

Which thorax joints store elastic energy on inspiration?

The _______ inserts and attaches inside the bicipital grove.

Prehension begins _______.

If someone has a congenital abnormality of a small oral airway, what will be a treatment priority for them?

What type of conditioning program is required for people with nasal and airway restrictions?

What part of the shoulder is commonly injured when the head of the humerus is pushed backwards when falling?

What type of exercise, if done excessively, can produce rib cage restriction?

What charkas are in the range of the rib cage?

The rib cage is the foundation for what joint?

When performing a supine lateral ball roll, while talking and keeping tongue off the roof of mouth, what will this result in?

A good exercise that helps integrate the upper and lower body in an adult client is _______.

What dysfunction may you suspect when a client can breathe more easily when lying down, and they love their lazy boy recliner chairs.

During shoulder abduction exercises it best to have the client _______.

What tissue is placed on torque with an atlas subluxation, which creates a pelvic distortion?

What planes of the body should always be level with the horizontal?

What has to occur, to allow the incisors of the top to overlap the incisors of the bottom, so people can properly grind food?

Which muscles tend to hold tension when the limbic emotional system is stressed?

The plura pathway is connected to the _______.

When throwing a ball, the force comes from the _______.

What motions of the jaw are used in chewing?

What muscles are responsible for rotating an atlas with a jaw malocclusion?

What is the minimum amount of millimeters in opening or depression, at the TMJ joint, required to be able to eat?

During an upright row it is important to have the shoulder in the _______ plane.

During translational movement of the mandible, what must move?

The _______ exercise shifts the humerus and places stress on the anterior capsule.

Which system controls righting and tilting reflexes?

The mandible slides _______ in protrusion and _______ in retrusion.

What are common symptoms of a fixated 1st rib?

What dysfunction will create early translation?

What may create chronic dislocation of the disc in the jaw?

What limits the anterior disc displacement in opening?

During the Lat Pull Down the bar should be pulled _______.

What are the primary muscles of mastication?

C.R.A.C Training stands for _______.

What function do the suprahyoids play in mastication?

In forward head posture, what happens to the position of the mandible?

Which movement pattern(s) are responsible for anterior capsule laxity?

What is one symptom of poor occlusion and poor proprioception?

Which cranial nerve has intimate connections with the upper 3 cervical spinal nerves?

At what vertebra level does the hyoid bone sit level with?

What is the name of the joint that connects the heads of ribs 1-12 to the sides of the bodies of the corresponding vertebra?

What is a unique feature of the Central disc and synovium of the TM Joint?

What is the main role of the hyoid bone?

What type of joint is the joint between C1 and the Odontoid peg (Dens)?

The glenoid contact _______% of the humeral head.

What can create a small maxillary arch with crowding of the upper teeth and swollen small turbinates?

The shoulder clock is an excellent way to warm up which joint?

Work hardening of the TMJ and hardening of the temporal bone will occur in one’s life _______.

If a child is not breast fed, what type of dysfunction may occur later in life?

The labrum increases joint surface by _______%.

Which muscles exhibit up to 500 spindle cells per gram of muscle?

You should not perform an atlas treatment when a client tests positive for which of the following tests?

What does the rotation and translation of the mandible do to the axis of rotation of the joint?

When performing upper cervical stabilization exercises, what is the optimal time of the day to do this?

High volume reps and low intensity stimulates the _______ when training the cervical stabilizers.

Which muscles of the auditory apparatus will affect tension in the tympanic membrane?

What system does the “Dolls Head” maneuver test?

Which cranial nerve supplies the muscles of mastication?

All of the follow symptoms may show up in a positive “Dolls Head” maneuver except?

Which respiratory muscle is analogous to the External oblique in depth and fiber direction?

What does the cover / uncover test assess for?

If the visual field shows a gap or a deficiency in the field, what is the first treatment approach?

What level of decibels will immediately damage hearing ability?

Which muscles, related to the vestibular system, may create proprioceptive problems and lack of sense of the position of the head in space?

A thickening of the fluids in the ear, which blocks the ear and creates vertigo, is most likely caused by:

The limbic system can dump its excess energy into which cranial nerves?

Which muscles have actions limited to the AO (occiput / C1) joint only?

Where are the upper cervical sympathetic ganglion situated in the cervical spine?

What percentage of the longus colli and capitis may be damaged in a whiplash involving hyperextension?

What is a postural result of muscle spasm in the longus colli and capitis?

What condition will make the transverse ligament in the upper cervical spine unstable?

What is a cause of Benign Paroxysmal Positional Vertigo?

Which rotator cuff muscle is on the anterior side of the body?

During the Feldenkrais Hip and Pelvis Integrator, it is important to _______.

With Protrusion/ Retrusion, what motion does the mandible/disc complex move in?