Final Flashcards
(40 cards)
Your 26 yo patient presents after attending a wellness talk that you gave 2 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 x-rays of the lumbar spine indicated
No
You have been treating an acute disc herniation patient for 3 weeks and the patient is concerned that they 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 best person to send to for a second opinion regarding your care
Neurologist
You have a 41 yo female patient who comes in with a 2 week history of low back pain 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 except
Vomiting (intractable pain, ESR>50 mm/hr, and unexplained weight loss are)
Regarding x-ray fees, which one of the following satisfies the professional component
Creating a typed ABCS report
Your 25 yo patient enters 4 days after a motor vehicle accident. She back into a guard rail pulling out of a parking space with an estimated speed of 5-7 miles per hour. She had no pain that day but upon waking she had neck pain 8-9/10. Palpation revealed significatnt 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 x-rays of teh 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 yo 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 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. T/F
False
A 43 yo overweight female comes in complaining primarily of leg pain and secondarily of low back pain 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 int eh buttock, goes down the side of the 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 distriubtion adn the foot/great toe dorsiflexors are weak. Are x-rays indicated
No
With regard to x-ray interpretation and GA law, the local defense represents the standard of care. T/F
False
You have a 21 yo male who presents with a 6 week history of insidious neck pain. He really hasn’t done anythign 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 c-spine indicated
No
Malpractice cases always result in board of examiner action
False
A 32 yo female presents with low back and leg pain of 1 week duration. The leg pain seems worse than the low back pain. Straight leg raise and Kemp’s produce significant low back pain. She states that sitting seems to reduce the symptoms. Are x-rays indicated of the lumbar spine
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. X-rays are indicated. Which one of the following best identifies the views you should take
AP and 10 degree and 30 degree posterior oblique and 10 and 30 degree anterior oblique
As discussed in class, the oblique views in the cervical spine are very accurate regarding degree of IVF stenosis that is present
False
A 20 yo 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 x-rays indicated
Yes
You have a 42 yo patient who presents with a 2 week history of an insidious onset of neck pain. Other than 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 x-rays indicated
No
Which one of the following would not be appropriate to put in the body of an x-ray report
A grade II spondylolisthesis is noted at L5
A 48 yo female presents with neck and arm pain/paresthesia of 1 week duration. The exam is for the most part unremarkable. Are x-rays indicated
Yes
It is considered acceptable and is legal to take a digital photo of an x-ray and email it to a radiologist for interpretation
False
On examining a new patient you palpate a nodule in teh thyroid. An endocrinologist would be an excellent person to refer to for further assessment since they frequently treat thyroid issues
True
