fin study guide Flashcards
(36 cards)
your 26 year old patient presents after attending a wellness talk that you gabe two days before. they have no significant history of previous low back pain. Upon inspection the patient has what you estimate to be at least 30 degree lumbar scoliosis. The exam is unremarkable. Are xrays of hte lumbar spine indicated?
no
you have been treating an acute disc herniation patient for 3 weeks and the patient is concerned that htey are not improving as quickly as they had hoped. they are wondering if they should continue with care in your office. As discussed in class, which one of the following would be the best person to send to for a second opinion regarding your care?
neurologist
(because they don’t do anything besides diagnose so no drugs or surgery, and therefore they wont sell them on a different care plan option they will just verify what you told the patient)
you have a 41 year old female patient who comes in with 2 week history of LBP which began 4 days after the funeral of their mother who died from spinal metastasis secondary to breast carcinoma. your patient is convinced that she also has cancer and has barely been able to sleep for the last week because of this fear. your exam is unremarkable. are lumbar x-rays indicated?
yes
when viewing digital x-rays, the viewing area should be as bright as possible:
false
all of the following are signs of suspected lumbar neoplasm
- intractable pain
- ESR > mm/hr
- unexplained weight loss
regarding xray fees, which one of the following satisfies the professional component:
creating a typed ABCS report
your 25 year old patient enters 4 days after a motor vehicle accident. she backed into a guard rail pulling out of a parking space with an estimated speed of 5-7 mph. she had no pain that day but upon waking she had neck pain 8-9/10. palpation revealed significant discomfort in both SCM’s but nowhere else. Flexion/extension is limited to 10 degrees in each direction but all other ROM’s are within normal limits. compression and distraction both produce considerable neck pain. neurologic exam is unremarkable. are xrays of the cervical spine indicated?
no
according to Y&R, failure to have a written report when using the global fee constitutes fraud:
true
you have a 24 y/o male who presents with a 6 week history of pain and stiffness in the pelvis/lumbosacral region which is present each morning he wakes up and lasts for about an hour until he is up and around at which time things seem to loosen up. Gaenslen’s test and the belt test are positive. both of his siblings have been diagnosed with isthmic spondylolisthesis. which one of the following is the most likely:
possible AS/lumbopelvic X-rays indicated
according to GA law and X-ray interpretation, a DC is only held responsible to the same standard of care as a local DC with the same degree of education:
false
a 43 year old overweight female comes in complaining primarily of leg pain and secondarily of LBP 3 days after lifting heavy boxes while helping a friend move into a new apartment. she rates the pain 9/10. the leg pain starts in the buttock, goes down the side of hte thigh, crosses over the knee and heads to the great toe. SLR and Bowstring’s reproduce the leg pain. sensation to the pinwheel is decreased in the same leg pain distribution and the foot/great toe dorsiflexors are week. are Xrays indicated?
no
you have a 21 y/o male who presents with a 6 week history of insidious neck pain. he really hasnt done anything for it treatment wise thinking that it would go away as quickly as it started. your exam is rather unremarkable. are X-rays of the cervical spine indicated?
yes
INSIDIOUS!!!!
malpractice cases always result in board of examiner action:
false
a 32 year old female presents with low back and leg pain of 1 week duration. the leg pain seems worse than the low back pain. SLR and Kemps produce significant LBP. she states that sitting seems to reduce the symptoms. are X-rays of hte lumbar spine indicated?
no
punitive actions by the board of examiners can occur from inaccurate diagnosis of an X-ray without a malpractice case being filed:
true
a patient presents the same day they suffered a direct trauma to the posterior ribs. your exam indicates possible posterior rib fractures in the mid thorax. Xrays are indicated. which one of hte following best identifies the views you should take:
AP and a 10 ° and 30 ° poterior and 10 ° and 30 ° anterior oblique
as discussed in class, the oblique views in he vervical spine are very accurate regarding the degree of IVF stenosis that is present
false
a 20 year old female presents with a 3 day history of neck pain and stiffness. your exam is unremarkable other than some suboccipital tenderness. she says this has occurred every 3-4 months since she turned 16. are xrays indicated?
yes
you have a 42 year old patient who presents with a 2 week history of an insidious onset of neck pain. other palpable midline tenderness the exam is unremarkable. there is no real history of neck pain other than a whiplash from a motor vehicle accident 5 years ago which was treated with pain killers, muscle relaxants and anti-inflammatories. are xrays indicated?
no?
which one of the following would not be appripriate to put in the body of an xray report
a grade II spondylolisthesis is noted at L5
a 48 year old female presents with neck and arm pain/paresthesia of 1 week duration. the exam is for the most part unremarkable. are xrays indicated?
yes
it is considered acceptable and is legal to take a digital photograph of an xray and email it to a radiologist for interpretation
false
on examining a new patient you palpate a nodule in the thyroid. an endocrinologist would be an excellent person to refer to for further assessment since they frequently treat thyroid issues:
true
you take xrays on a 65 year old and see a 5 cm abdominal aortic aneurysm which is confirmed by a DACBR. which one of the following providers should you send this patient to:
vascular surgeon
