Final

Question 1

A birth related injury that may occur from shoulder dystocia is

Answer 1

Erb’s palsy

Question 2

What reflex can you use to diagnose this baby (baby crying right eye closed

Answer 2

Blink aka Dazzle

Question 3

Milestones are an important gage for observing development in pediatric patients. T/F

Answer 3

True

Question 4

Undeveloped sutures is known as

Answer 4

Craniosynostosis

Question 5

When a child is born premature you gage their milestones according to ____ in reaching their milestones

Answer 5

When their due date, approximation date was

Question 6

Which of the follwoing is/are a vaccination myth.

Mark all that apply

Answer 6

Vaccines are 100% effective
Vaccines are the sole reason for lower disease rates today
They are completely safe

Question 7

____ is a sign of hydrocephalus in a pediatric patient

Answer 7

Bulging fontanel

Question 8

When performing the otolith reflex, you observe that the baby cannot laterally flex to the right and their head is rotated to the right. This may indicate ___

Mark all that apply

Answer 8

Atlas laterality on the right
Torticollis
Difficulty breast feeding on the right

Question 9

The healing time after a healthy vaginal birth is 5-10 days, the healing time for a C-section is

Answer 9

4-6 weeks

Question 10

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

Answer 10

An increase in relaxin

Question 11

If the birth process was NOT natural, medical intervention was used, what may have been used and/or done

Mark all that apply

Answer 11

Forceps
Epidural
Episotomy

Question 12

Ectopic pregnancies usually will go to full term without complications. T/F

Answer 12

False

Question 13

The pregnant patients cardiovascular system ____ to accommodate the placenta and the baby

Answer 13

Increases by 50%

Question 14

Which of the following symptoms are involved in pre-eclampsia

Mark all that apply

Answer 14

Edema

Proteinuria

Question 15

During websters technique applying pressure to the trigger points is to relax the
____ ligament

Answer 15

Round

Question 16

A pregnant patient comes into your office complianing of a sharp pain in her pubic region when she tries to stand up, she is 8 months pregnant, what do you suspect

Answer 16

Baby is in facial/brow position

Question 17

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

Answer 17

AS occiput

Question 18

If your patient is wearing hearind aides during an adjustment you should be aware that they

Answer 18

May make a high pitched sound

Question 19

When a geriatric patients muslce mass decreases there are at a higher risk for

Mark all that apply

Answer 19

Poor balance
Slowed gait
Falls

Question 20

During breastfeeding the mother will lose calcium, this loss of calcium will lead to

Answer 20

A recuperation in months

Question 21

With a decrease in height between 2-3 inches a women’s likelihood of being diagnosed with osteoporosis increases by

Answer 21

4xs

Question 22

Bone mass begins to decrease on average at what age and what percentage per decade

Answer 22

40 years of age at 5-10%

Question 23

What type of abuse is shown in this photos and how were these marks likely made (shoulder circle lesions)

Answer 23

Cigarette/cigar burns

Physical abuse

Question 24

Sarcopenia may alter your patients metabolic rate, this may result in

Answer 24

Decreased temperature tolerance

Question 25

What does the P in SPLAT refer to

Answer 25

Prior falls

Question 26

SPLAT

Answer 26

``` symptom of fall Prior falls Location of fall Activity at time of fall Time of day ```

Question 27

After a hip fracture, nearly ___ of pts never return to normal function

Answer 27

50%

Question 28

Once diagnosed with osteopenia a diagnosis of osteoporosis is 6-12 months away. T/F

Answer 28

False

Question 29

Your risk for having osteoporosis begins

Answer 29

With pediatric nutrition

Question 30

When walking down a flight of stairs your joints take on 3x your body weight in pressure. T/F

Answer 30

False

Question 31

For every 10 lb weight gain you risk for arthritis increases by

Answer 31

40%

Question 32

Sarcopenia can be described as the

Answer 32

Reduction of the skeletal muscle mass with an increase in adipose tissue

Question 33

According to Helen Ratajczak, at tabout the same time they removed mercury from most vaccines they began using ___ instead

Answer 33

Human tissue

Question 34

The chicken pox vaccination is grown in

Answer 34

Human fetal tissue

Question 35

If your pt is going to the pediatrician to have their child vaccinated you need to instruct them to get what 2 pieces of info in order to report any adverse reactions Mark 2

Answer 35

The vaccine manufacturers name Lot number on the vaccine

Question 36

The vaccine schedule in the US is designed to

Answer 36

Ensure that parents get their children vaccinated, in the first year, while they are more compliant with doctors visits

Question 37

If you or your child has a cough on the day they are going to be vaccinated you should reschedule your vacicnation appointment. T/F

Answer 37

True

Question 38

When redifining polio, after the vaccine came out, what changes did the government make to the diagnoses Mark all that apply

Answer 38

Paralytic symptoms needed to be exhibited over a 60 day period Aseptic meningitis virus was separated out from polio diagnosis Coxsackie virus was separated out from polio diagnosis

Question 39

Immunity that occurs when the vaccination of a significant portion of the opulation provides a measure of protection for individuals who have a compromised immune system is known as

Answer 39

Herd immunity

Question 40

Which vaccine still contains thimerosal

Answer 40

Influenza vaccine

Question 41

The most common form of child abuse is

Answer 41

Neglect

Question 42

What are some possible indicators that a 3 yo child is being abused Mark all that apply

Answer 42

Cause of childs trauma is unkonwn Caregiver delays in seeking ER care

Question 43

Why are children under the age of 4 more vulnerable to abuse. Mark all that aply

Answer 43

They lack communication skills They are socially sheltered They are easier to manipulate

Question 44

Dislocation of the hip, with a down syndrome patient, most commonly occurs between the ages

Answer 44

3-13 years

Question 45

Which protein is encoded and found on the 21st chromosome that interferes with down syndrome patients musculoskeletal system

Answer 45

Collagen

Question 46

Your down syndrome patient had a set of cervical x-rays, lateral film, flexion and extesion at the age of 6 and they read within normal range. They are then cleared for all physical activities for hte next 20 yeasr. T/F

Answer 46

False

Question 47

A neurotoxin that has been associated with Alzheimer’s disease dementia and seizures

Answer 47

Aluminum

Question 48

Used in fingernail polish remover

Answer 48

Acetone

Question 49

A known cancer causing chemical used to inactivate viruses and detoify bacterial toxins

Answer 49

Formaldehyde

Question 50

Obtained from mercury and linked to brain damage

Answer 50

Thimersol

Question 51

Deadly poision used in disinfectants

Answer 51

Carbolic acid