ATLS Practice Exam 2025 – Complete Guide for Exam Preparation

Question: 1 / 400

During the thoracic and lumbar spine exam, which area is typically inspected?

Head

Axilla

The correct answer is found in the importance of inspecting the axilla during a thoracic and lumbar spine examination. The axilla, or armpit area, is relevant for several reasons. It serves as a key anatomical landmark where certain neurological and vascular structures can be assessed. Inspecting the axilla can reveal signs of potential issues such as referred pain, which may signal a problem in the thoracic spine, or other systemic conditions that could be affecting the back or associated areas.

In assessing a patient for thoracic or lumbar conditions, clinicians often look for signs of muscle atrophy, asymmetry, or any noticeable lesions or abnormalities in the axillary region. Additionally, there may be coinciding issues in the shoulder girdle and upper limb areas that a thorough examination of the axilla can help identify.

The other areas mentioned, such as the head and parameters of the abdomen, are generally less directly related to the specific evaluation of thoracic and lumbar spine pathology. Similarly, while individual patient complaints are critical in guiding any medical examination, they do not specifically direct the physical inspection required for the spine exam itself. Therefore, focusing on the axilla is an essential component of the thoracic and lumbar spine evaluation.

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Parameters of the abdomen

According to patient complaints

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