COMLEX USA Practice Exam 2025 – The All-in-One Guide to Master the Comprehensive Osteopathic Medical Licensing Exam

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Which rib is referred to as the key rib when treating elevated ribs?

Top rib

The top rib, commonly referred to as the key rib in the context of treating elevated ribs, plays a significant role in the mechanics and alignment of the ribcage. When addressing elevated ribs, practitioners often focus on the top rib because it can significantly influence the position and movement of the other ribs underneath it. If the top rib is elevated, it can create a chain reaction, leading to compensation or elevation in the adjacent ribs.

In osteopathic manipulative treatment (OMT), correcting the alignment of the top rib helps restore normal biomechanics, making it easier to manage the overall rib cage dynamics. By addressing the top rib first, you can help facilitate improved motion and alignment throughout the surrounding ribs, enhancing respiratory function and alleviating potential musculoskeletal pain. Thus, recognizing the top rib's pivotal role is essential in osteopathic treatment strategies.

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Bottom rib

Middle rib

Any adjacent rib

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