Comprehensive Osteopathic Medical Licensing Examination (COMLEX USA) Practice

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What condition is described when elevated ribs are stuck in a particular position?

Stuck in inhalation

When a condition is described as elevated ribs being stuck in a particular position, it refers to the ribs being "stuck in inhalation." This phenomenon occurs when the thoracic rib cage cannot fully return to a neutral or exhaled position after being held in an elevated state. In this situation, the muscles involved in inhalation, particularly the diaphragm and intercostal muscles, maintain tension that keeps the ribs upwards.

This can lead to restrictive breathing patterns and decreased lung capacity, as the normal mechanics of full inhalation and exhalation are compromised. Recognizing the elevated position of the ribs as a "stuck in inhalation" state allows for appropriate therapeutic interventions, such as manual therapy to facilitate the movement of the ribs back to a neutral position. The other conditions do not accurately capture this dysfunction related to rib elevation and breathing mechanics, making the focus on the "stuck in inhalation" position a crucial aspect in assessing and treating the condition.

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Stuck in exhalation

Stuck in neutral

Stuck in flexion

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