Final Flashcards

(38 cards)

1
Q

During an examination of a pregnant patient, you take her through the low back ranges of motion, when you bring her into extension she complains about a dull achey pain. This symptom is caused by:

  • discogenic problem
  • joint laxity
  • posterior longitudinal ligaments
  • facet syndrome
A

facet syndrome

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

If a pregnant patient comes to you complaining of being clumsy, you explain to her that it is a result of:

  • her being distracted
  • an increase in relaxin
  • not enough sleep
  • her imagination
A

an increase in relaxin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

The ideal position for a baby in the womb is:

  • Occiput posterior
  • occiput anterior
  • sinciput anterior
  • buttocks posterior
A

occiput anterior

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

When a fetus is in ___ breech this means both hips are in flexion and 1 knee is in extension

  • complete
  • incomplete
  • footling
  • frank
A

incomplete

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

After performing the 3rd and 4th maneuvers of Leopold’s you locate a smooth structure on the patient’s left side and a prominent hard palpation on the right side, you just palpated the:

  • extremities and sinciput
  • spine and sinciput
  • extremities and occiput
  • spine and occiput
A

spine and occiput

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

At what point during a healthy pregnancy should you become concerned about the baby position in the womb and why?

  • 4 months, because she is very tall
  • 5 months, she might have gestational diabetes
  • 8 months, she is complaining of not sleeping
  • 7 months, there may be a limitation of space
A

7 months, there may be a limitation of space

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

A pregnant patient comes into your office complaining of a sharp pain in her pubic region when she tries to stand up, you suspect:

  • she is malingering
  • she is not voiding her bladder enough
  • the fetus is in facial/brow position
  • the fetus is in the transverse position
A

the fetus is in facial/brow position

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

If the baby goes through the birthing canal while in the facial position, what subluxation are they vulnerable to?

  • AS ilia
  • PIEX ilia
  • AS occiput
  • PS occiput
A

AS occiput

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

A birth related injury that may occur from Shoulder Dystocia is:

  • Caput Succedaneum
  • Cerebral Palsy
  • Facial Paralysis
  • Erb’s Palsy
  • All of the above
A

Erb’s Palsy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Long bone fractures are more likely to occur during a _____ birth.

  • C-Section
  • Vacuum extraction
  • Forceps
  • Vaginal
  • Unassisted
A

C-Section

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Most common bone fracture during the birthing process to the baby:

  • femur
  • clavicle
  • humerus
  • fibula
A

clavicle

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

When performing the Plantar Babinski reflex on a newborn you should:

  • stroke the medial aspect of the foot
  • stroke the lateral aspect of the foot
  • stroke the ball of the foot and lateral aspect
  • stroke the ball of the foot and medial aspect
A

stroke the lateral aspect of the foot

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

If you are stroking the skin over the paraspinal muscles of an infant from top of their spine to the sacrum, what reflex did you perform?

  • landau
  • stepping
  • galliant
  • vertical suspension
A

galliant

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

T/F

After feeding, the baby’s Rooting Reflex remains unaffected

A

FALSE

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

If the Moro reflex is not presents at birth is may be due to:

  • fractured clavicle
  • Erb’s palsy
  • Birth trauma
  • all are correct
  • none are correct
A

all are correct

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

At what age does the Parachute reflex begin to develop?

  • 6 days
  • 6 weeks
  • 6 months
  • Not until you jump out of a plane
17
Q

Early closure of the sutures is known as

  • macrocephaly
  • hydrocephalus
  • flat head syndrome
  • craniosynostosis
A

craniosynostosis

18
Q

Immunity that occurs when the vaccination of a significant portion of the population provides a measure of protection for individuals who have not developed immunity is known as:

  • crowd immunity
  • great immunity
  • rank immunity
  • herd immunity
A

herd immunity

19
Q

Disease rates were steadily declining before vaccines came out. What was the cause of this decline?

  • people were no longer socializing
  • all the information was falsified
  • sanitation and hygiene practices
  • diseases never existed
A

sanitation and hygiene practices

20
Q

Which vaccines ingredient is also used to embalm people?

  • Thimersoal
  • Aluminum
  • Formaldehyde
  • Mercury
  • None are in vaccines
21
Q

Which vaccines still contain Thimerosal?

  • Influenza vaccine
  • Chicken Pox vaccine
  • Hep B vaccine
  • DPT vaccine
22
Q

The chicken pox vaccine is grown in:

  • a test tube
  • human fetal tissue
  • petri dish
  • mercury
A

human fetal tissue

23
Q

T/F

If our child has a cough you should reschedule your vaccination appointment.

24
Q

Which of the following is a vaccination myth?

  • None are myths
  • Vaccines are 100% effective
  • they are completely safe
  • they are the sole reason for low disease rates today
  • all are myths
A

all are myths

25
The vaccine schedule in the US is designed to: - be sure they get all of their vaccines they need to start young because there are so many to give - ensure that the newborns will be vaccinated while the parents are more compliant with doctors visits - allow the doctor to monitor the baby more efficiently - enhance the immunity at the same rate their bodies are maturing
ensure that the newborns will be vaccinated while the parents are more compliant with doctors visits
26
Dislocation of the hip in a Down Syndrome patient most commonly occurs between the ages: - 1-5 months - 1-2 years - 6-36 months - 3-13 years
3-13 years
27
T/F The majority of Atlantoaxial instability causes in Down Syndrome patients are symptomatic.
FLASE
28
When a lateral flexion & extension x-rays are examined from your Down Syndrome patient come back with a measurement of ____ between the Atlas and Dens, a restriction on sports is advised. - greater than 4.5mm - less than 4.5mm - less than 2mm in extension - less than 2mm in flexion - there are never restrictions applied to patients with Down Syndrome
greater than 4.5mm
29
Which protein is encoded and found on the 21st chromosome that interferes with Down Syndrome? - Keratin - Collagen - Thyroglobin - All proteins are involved - No proteins are invloved
Collagen
30
The major killer of children with Down Syndrome is due to: - congenital characteristics - congenital heart disease - GI malformations - Hypotonia
Congenital Heart Disease
31
Bone mass begins to decrease on average at what age and what percentage per decade? - 50 yo, 15-20% - 40 yo, 5-10% - 35 yo, 3-5% - 45 yo, 15-25%
40 yo, 5-10%
32
Sarcopenia may alter your patients metabolic rate, this may result in: - increase in dizzy spells - decreased ability to focus - decreased temperature tolerance - increase in bruising - all are correct
decreased temperature tolerance
33
After a hip fracture, nearly ____% of patients never return to normal function. - 25 - 50 - 75 - 100 - not possible
50%
34
What does the P in S.P.L.A.T. refer to? - pain - prior falls - personality - peak
prior falls | symptom, prior falls, location, activity, time
35
With a decrease in height between 2-3 inches, a women's likelihood of being diagnosed with osteoporosis is increased by: - 4x - 8x - 12x - 15x
4x
36
When a geriatric patient's muscle mass decreases they are at a higher risk for" - poor balance - slowed gait - falls - all are correct - none are correct
all are correct
37
If your patient is wearing hearing aids during an adjustment you should be aware that they - may go flying - may make a high pitched sound - may interfere with your internet connection - none are correct
may make a high pitched sound
38
During breastfeeding, the other will lose calcium, the loss of calcium will lead to: - permanent bone loss - osteoporosis - osteopenia - a recuperation in months - fracturing more frequently
a recuperation in months