Final exam Flashcards
(89 cards)
1
Q
During the patient consultation, the OPQRST, the "T" is confirmed by which of the following statements? A. fell off a truck B. feels better when I rest C. goes down my right leg D. it hurts in the morning E. the pain is sharp
A
D. it hurts in the morning
2
Q
When referring a patient to a specialist, the article suggests that the staff/doctor
A. should not re-file charts until you receive the medical report
B. actually make the referral appointment for the patient
C. requests that the specialists office call you if the patient fails to show up for the appointment
D. two of the above
E. all of the above
A
E. All of the above
3
Q
It is appropriate for the doctor to instruct the receptionist not to schedule Mrs. Smith for an appointment because she owes the doctor money without talking to the patient about the money issue.
A. Yes (true)
B. No (false
A
B. false
4
Q
A working diagnosis can change as treatment continues.
A. true
B. false
A
A. true
5
Q
The clinical art of chiropractic deals with the doctor/patient relationship.
A. true
B. false
A
A. true
6
Q
The statement "the pain decreases when I take 5 aspirin and 8 beers" validates which of the following? A. P B. O C. R D. S E. T
A
A. P
7
Q
A differential diagnosis of the complaint is not the responsibility of the chiropractor since we only care about finding the subluxation.
A. true
B. false
A
B. false
8
Q
Which reflects the manual art of chiropractic?
A. motion palpation of the spine
B. limiting the number of adjustments delivered to the spine
C. both A and B
D. none of the above
A
C. both A and B
9
Q
According to the article professional boundaries, which of the following actions should be done to reduce the risk when having to deal with an inappropriate patient
A. be less chatty with the flirtatious person
B. have a “code word” to indicate the need for a staff member to be in the treatment room
C. always list to your staff if they have a concern about a patient
D. two of the above
E. all of the above
A
E. all of the above
10
Q
When doing sitting axial rotation of the SI joint, it is normal to expect the 2 segmental contact points to separate.
A. true
B. false
A
A. true
11
Q
The files from a referred patient states his listing is an ASEX. Which objective finding does NOT confirm this listing? A. toe in gait B. higher glut C. edema below D. longer xray measurement
A
D. longer xray measurement
12
Q
In the patient history, the "Q" of the OPQRST is which of the following statements? A. the pain occurs at night B. I tripped Monday C. The pain is dull D. the pain decreases with aspirin E. the pain is at the ischial tuberosity
A
C. The pain is dull
13
Q
When performing seated right lateral flexion on your patient you notice the Lt PSIS raises. That is a normal finding.
A. true
B. false
A
B. false
14
Q
A listing of a PLI would NOT have which of the following findings?
A. prominent musculature on the right
B. open wedge on the right
C. edema below the spinous process
D. the spinous went more to the right upon rotation
E. the spinous went more to the right upon lateral flexion
A
E. the spinous went more to the right upon lateral flexion
15
Q
During the consultation, which component is the most important? A. x-ray B. instrumentation C. patient history D. insurance coverage
A
C. patient history
16
Q
If a patient has a left lateral flexion restriction the open wedge is on the _____
A. left
B. right
C. can’t determine
A
A. left
17
Q
A patient that pulls away when touched by the doctor should just be ignored because it just means they are ticklish
A. true
B. false
A
B. false
18
Q
T12 with the following findings: flexion restriction, right rotation restriction and right lateral flexion restriction would be translated into which of the following listings? A. PLI B. PRI C. PLS D. ARS E. PRS
A
E. PRS
19
Q
Chiropractors are more prone to accusations of misconduct because
A. the doctor sets the boundaries with the patient
B. we see that patient so often and become familiar with them
C. of the increased physical contact with the patient compared to other health care providers
D. two of the above
E. three of the above
A
D. Two of the above
20
Q
On x-ray, the larger pedicle is on the left so you know the spinous is fixated to the? A. right B. left C. anterior D. none of the above
A
A. right
21
Q
When you to the P-A glide (jaw jut) evaluation of the occiput you notice resistance on the right side of the joint. The right lateral mass of C1 is smaller. Which of the listings is correct? A. AS-LS-LP B. PS-LS-LP C. AS-RS-RP D. PS-RS-RA E. ASR
A
D. PS-RS-RA
22
Q
Which of the following are important regarding the patient's first visit? A. present medical history B. past medical history C. family history D. two of the above E. all of the above
A
E. all of the above
23
Q
If the patient is not showing significant results in 4-6 weeks you should A. review the patient's x-rays B. perform new examination tests C. re-examine the patient D. two of the above E. all of the above
A
E. all of the above
24
Q
When motioning a child, the parent should be in the room
A. true
B. false
A
A. true
25
Motion palpation of a child can be done
A. while being held by the parent or guardian
B. while lying the child on the table
C. with the child lying on the parent or guardian's lap
D. two of the above
E. all of the above
E. all of the above
26
```
What is the Gonstead listing for an occiput that is right superior and right anterior
A. PS-LS-LA
B. PS-LS-LP
C. PS-RS-RA
D. PS-RS-RP
E. ASLP
```
C. PS-RS-RA
27
```
During the patient history, a provocative statement is reflected by which of the following statements?
A. When I lifted my suitcase
B. it hurts more when I cough
C. hurts in my neck and upper back
D. it is sharp and stabbing
E. feels better when I ice the area
```
B. it hurts more when I cough
28
It can create a liability (risky) situation for the chiropractor
A. to date a patient
B. for a staff member to date a new patient
C. to consistently schedule a patient's appointment after office hours
D. two of the above
E. all of the above
E. all of the above
29
```
Atlas has the following findings: flexion malposition, right rotation malposition, left lateral flexion malposition. What is the listing?
A. AILP
B. AIRP
C. ASLA
D. AIRA
E. AILA
```
B. AIRP
30
A patient that fails to follow your recommendations can be released from your care once you discuss the matter with them and you have offered them other recommendations or names of other doctors.
A. true
B. false
A. true
31
Which of the following examples would NOT be considered abandonment of a patient
A. going off for 3-5 days without having another chiropractor cover your practice
B. doctor calls in sick with the flu and patients have to be rescheduled
C. not returning your patient's phone calls
D. not scheduling a patient because they have body odour
E. the receptionist doesn't schedule the patient because she or he flirts with the doctor
B. doctor calls in sick with the flu and patients have to be rescheduled
32
A chiropractor cannot perform motion palpation on a child until the age that the child can sit up on their own.
A. true
B. false
B. false
33
It is appropriate to discuss finances and social issues with patients
A. true
B. false
B. false
34
```
Pain going down the right arm validates which of the following?
A. S
B. T
C. R
D. Q
E. P
```
C. R
35
A PLS would have which of the following findings?
A. right rotation malposition and right lateral flexion malposition
B. right rotation malposition and left lateral flexion malposition
C. left rotation malposition and right lateral flexion malposition
D. left rotation malposition and left lateral flexion malposition
A. right rotation malposition and right lateral flexion malposition
36
The doctor can be liable for inappropriate actions of a staff member
A. true
B. false
A. true
37
When conducting a patient history sometimes patients fails to disclose all important information because
A. they are embarrassed about their alcohol use
B. they think you are only treating their back pain so any other information is irrelevant
C. they don't think that family history is really important
D. two of the above
E. all of the above
E. all of the above
38
A patient that is on blood pressure medication is now feeling weak and lightheaded. You suspect that the adjustments have reduced her high blood pressure and thus the medications is dropping it lower. You should recommend the patient to reduce her dosage of medication.
A. true
B. false
B. false
39
Which of the following statements is NOT true?
A. you do not have to accept all persons that come into your office as a patient
B. you are legally able to deny care to a person who is intoxicated
C. some medications can mimic musculoskeletal conditions
D. a signed consent isn't necessary when treating a minor
E. exams are designed to rule out the differential diagnosis
D. a signed consent isn't necessary when treating a minor
40
Sometimes patients can be a barrier to collecting a complete health history because the patient does not want to disclose embarrassing medical details and behaviours
A. true
B. false
A. true
41
It is always ok to say "it's probably nothing" when dealing with a suspicious objective finding on X-ray so not to scare the patient
A. yes (true)
B. no (false)
B. no (false)
42
Taking a family history can help the doctor
A. build a rapport with the patient
B. understand the family relationship interactions
C. identify shared environments and cultural behaviours of the family
D. two of the above
E. all of the above
E. all of the above
43
If a patient referred to a medical specialist fails to return for a follow-up appointment to your office it is recommended that
A. your receptionist makes 2 attempts to contact the absent person
B. a certified letter sent to the patient listing the concerns and the reason for the referral
C. the receptionist documents in the file the messages left on the patient's answering machine or cell phone
D. two of the above
E. all of the above
E. all of the above
44
```
The L4-5 left transverse process is inferior and posterior
A. PLI
B. PRS
C. PRI
D. PLS
```
B. PRS
45
A lower gluteal fold can be due to an ilium fixation and a lumbar subluxation
A. true
B. false
A. true
46
Being a portal of entry doctor requires chiropractors to do a thorough patient history on all patients
A. true
B. false
A. true
47
```
An A-P, P-A xray will not verify which of the following
A. rotation restriction
B. lateral flexion malposition
C. extension malposition
D. high musculature
E. rotation malposition
```
C. extension malposition
48
All pelvis motion tests can be done on every patient that comes into your office
A. true
B. false
B. false
49
Which statement is true about having a sexual relationship with a patient
A. malpractice insurance covers a complaint filed by the scorned patient
B. it is an acceptable thing to do according to all state laws
C. staff dating a patient can cause conflicts
D. some states required a waiting period
E. if the patient is married the spouse can sue for lack of spousal affections
B. it is an acceptable thing to do according to all state laws
50
A charge of sexual misconduct can be brought to a civil court for damages
A. true
B. false
A. true
51
A listing of a PLS, the left transverse process is moving...
A. Anterior
B. Posterior
A. Anterior
52
```
The listing left rotational malposition and right lateral flexion malposition would be reflective of which of the following listings?
A. PRI
B. PRS
C. PLI
D. PLS
E. PS-LS
```
A. PRI
53
```
Visualization and static palpation of the paraspinal musculature reveals that the right side is more prominent (higher). This indicates...
A. The spinous has gone to the right
B. The spinous has gone to the left
C. The open wedge is on the left
D. The open wedge is on the right
```
B. The spinous has gone to the left
54
If the patient has a left rotation restriction, which side would you find the larger, wider pedicle and high musculature?
A. Right
B. Left
A. Right
55
True or false? Flexion of the cervical spine is initiated by the splenius capitus, semispinalis and longissimus capitus muscles and controlled by the scalene muscles.
True
56
```
Which of the following should the doctor demonstrate/exhibit that will help establish the doctor-patient relationship?
A. Empathy
B. Understanding
C. Concern
D. All of the above
E. None of the above
```
D. All of the above
57
```
Evaluation of the occiput-C1 reveals that there is a swollen joint capsule on the right. Lateral x-ray reveals an open wedge in the front. The C1 lateral mass on the right is larger. Which listing is correct?
A. PS-LS-LA
B. AS-RS-RA
C. AS-RS-RP
D. AS-LS-RP
E. PS-RS-RP
```
C. AS-RS-RP
58
```
If the listing was a PLS at L4, you would find a decreased rotation or hardness and lack of joint play at which of the following?
A. Anterior LPJ
B. Right transverse process
C. Left transverse process
D. Right mamillary process of the facet
D. Left mamillary process of the facet
```
D. Left mamillary process of the facet
59
```
The ligament that limits flexion at C1-C2 is...
A. A.L.L.
B. Transverse
C. Interspinous
D. Supraspinous
E. None of the above
```
B. Transverse
60
True or false? The rotational movement of C1 is eccentric due to the shape of the occipital condyles and the size of the C1 articular surface of lateral mass.
True
61
```
Which range of motion is greatest between occiput and C1?
A. Flexion
B. Rotation
C. Lateral flexion
D. Extension
```
D. Extension
62
```
Lateral x-ray reveals open wedge in the back. If Atlas is fixated on the left in the left lateral mass is wider/bigger, which listing would be appropriate?
A. AILA
B. ASLP
C. ASRA
D. ASRP
```
A. AILA
63
```
Convert the following information into a Gonstead listing: the left occiput is superior in the right rotated.
A. PS-LS-LA
B. PS-LS-LP
C. PS-RS-RA
D. PS-RS-RP
E. AILP
```
A. PS-LS-LA
64
```
The motion palpation findings would be placed at the _________ on the LC10000?
A. Subjective portion
B. Instrumentation portion
C. Objective portion
D. Care plan
E. Set up
```
C. Objective portion
65
```
A nonspecific contact on the iliac crest, the patient is unable to do a straight leg raise without the left supporting knee buckling. The patient also has pain when walking in the mall. What is the problem?
A. Right sacrospinous
B. Left sacrotuberous
C. Right iliolumbar
D. Right sacrotuberous
E. Left iliolumbar
```
D. Right sacrotuberous
66
True or false? With regards to the lower cervical range of motion, there is more flexion and extension
true
67
The clinical art of patient care deals with...
A. The type of adjustment delivered
B. The amount of torque
C. Establishing the doctor-patient relationship
D. The amount of money paid by the patient
E. The chiropractic posters in your office
C. Establishing the doctor-patient relationship
68
```
Flexion and extension of L4 L5 is decreased. Static palpation reveals the left musculature is more prominent. Lateral flexion of the patient to the right forces the spinous to move 3 mm to the left. Lateral flexion of the patient to the left forces the spinous to move 1 mm to the right. What is the listing?
A. PLS
B. PRS
C. PRI
D. PLI
E. ASLP
```
C. PRI
69
```
A-P Lumbo pelvic x-ray would be used to verify which findings of the spinal motor unit? (mark all that apply)
A. Posteriority
B. Open wedge
C. Anteriority
D. Spinous rotation
```
B and D
70
With a lateral flexion fixation of the cervical spine, a ventral shift distortion indicates that the spinous process has...
A. Moved lateral and superior due to a splenius capitus problem
B. Moved lateral
C. Moved lateral and inferior due to a semispinalis cervcis problem
A. Moved lateral and superior due to a splenius capitus problem
71
```
The pain comes and goes. Which of the following does that answer?
A. O
B. Q
C. S
D. T
E. P
```
D. T
72
```
When performing the 8 point check on the right side of the SI joint, and the right leg is flexed (bent me raise), the right thumb drops less inferior when compared to the joint on the opposite side. You have evaluated for a problem with...
A. Ileum flexion
B. Sacral extension
C. Ilium extension
D. Sacrotuberous
E. Sacral flexion
```
A. Ileum flexion
73
A listing of PS-RS would have which of the following additional findings? (mark all that apply)
A. Left Atlas laterality
B. Right occiput laterality
C. Left swollen joint capsule
D. Right swollen joint capsule
E. C1 would stop rotating with C2 on the right
B and D
74
```
The segmental contact point for lateral flexion at T2 is...
A. Thumb
B. Spinous
C. Chiropractic index finger
D. Transverse process
E. Facet
```
B. Spinous
75
```
Which of the following could be compromised by an upper cervical subluxation? (mark all that apply)
A. Cranial nerves X, XI, XII
B. Vertebral arteries
C. Cervical spinal nerves C1 and C2
D. Spinal cord
```
A, B, C and D
76
```
The second letter of a Gonstead cervical listing is determined by...
A. Rotation
B. Lateral flexion
C. Flexion/extension
D. Oblique translation
```
A. rotation
77
```
Quick scan reveals a right upper joint fixation, as well as a lower lumbar fixation. The 8 point check revealed the ilium is fixated. Which of the following ligaments would most likely be the problem?
A. Sacrospinous
B. Iliolumbar
C. Piriformis
D. Sacrotuberous
E. Quadratus lumborum
```
B. Iliolumbar
78
Chiropractors are primary portal of entry doctors for the public. So when a new patient enters your office you must first...
A. Give exercises to the patient
B. Adjust the patient
C. Determine whether they are a candidate for care
D. Determine whether they have insurance
E. Get a referral from a medical doctor
C. Determine whether they are a candidate for care
79
```
Which joints in the cervical spine are small and enclosed within their own capsule which is continuous medially with the disc, help track lateral flexion and rotation and do not develop until ages of 8-18. (mark all that apply)
A. Facet joints
B. Zygapophaseal joints
C. Joints of Luschka
D. Uncovertebral joints
E. All of the above
```
C and D
| Joints of Luschka and uncovertebral joints are the same thing
80
```
During flexion of the occiput, the occipital condyle slide _________ on the lateral masses of Atlas.
A. Anterior and superior
B. Posterior and superior
C. Anterior and inferior
D. Posterior and inferior
```
B. Posterior and superior
81
```
The segmental contact point for the evaluation of rotation is the transverse process at which spinal levels? (mark all that apply)
A. T12
B. L2
C. T6
D. L3
E. All of the above
```
C. T6
82
Findings revealed decreased rotation on the left side and x-ray reveals a large pedicle on the left. Which of the following would also be true based on the information provided? (mark all that apply)
A. Spinous would be found on the left
B. Static palpation should reveal high musculature on the left
C. The open wedge is on the left
D. The open wedge is on the right
E. Static palpation should reveal hi musculature on the right
B. Static palpation should reveal high musculature on the left
83
```
Cervical evaluation reveals flexion and extension is decreased. On left rotation the spinous deviates to the right 2 mm. On right rotation the spinous deviates to the left 5 mm. When the head is laterally flexed to the right the spinous goes left 2 mm. When the head is laterally flexed to the left the spinous goes right 4 mm. What is the listing?
A. PLS
B. PRS
C. PLI
D. PRI
E. ASL
```
C. PLI
84
A listing of a PRS would have which of the following findings? (mark all that apply)
A. Open wedge on the right
B. Prominent musculature on the right
C. Open wedge on the left
D. The spinous would deviate more to the right upon lateral flexion
E. The spinous would deviate more to the left upon lateral flexion
A and D
85
```
Which of the following cervical flexion musculature distortion patterns is the result of the muscles that are attached to the transverse processes restricting anterior tipping and gliding?
A. S-shaped
B. Double SS
C. Bent-stick
D. Two of the above
E. None of the above
```
C. Bent-stick
86
When laterally flexing the forward, slumped patient, the lumbar spinous processes moved to the...
A. Concavity, same side
B. Convexity, opposite side
C. Doesn't move at all
B. Convexity, opposite side
87
A differential diagnosis:
A. Is what is entered on the insurance form
B. Is never made by a chiropractor
C. Is a list of other causes of the patient's pain or problems that must be ruled out through examination
D. Isn't important, we just adjust
E. We are only chiropractors, we don't care
C. Is a list of other causes of the patient's pain or problems that must be ruled out through examination
88
```
ASRA listing would have which of the following additional findings/indications? (mark all that apply)
A. Decreased jaw-jut on the right
B. Left swollen joint capsule
C. Right swollen joint capsule
D. Spinous rotated more to the right
E. Right open wedge on a APOM x-ray
```
C, D, and E
89
A listing of a PLS, the left transverse process is moving...
A. Anterior
B. Posterior
A. Anterior
