IRAT 3

Question 1

Asking if there are any low risk factors for safe assessment of range of motion is important for determining

Answer 1

If radiographic evaluation is needed for WAD patient

Question 2

NEXUS guidelines state that for patients with neck trauma no radiographs are needed if the following are TRUE

Answer 2

All of the above

Question 3

According to souza, other necessary information needed from a post MVA patient may include the following except

Answer 3

Whether the radio was on at the time of collision

Question 4

According to souza, a cervical rib revealed on a cervical spine series is pathognomic for TOS

Answer 4

FALSE

Question 5

If a patient is in a MVA it is important to acquire details such as

Answer 5

All of the above

Question 6

According to souza, there is no advantage for using soft or rigid collars compared to other approaches in acute WAD

Answer 6

True

Question 7

Often TOS patients will describe arm symptoms that follow a path

Answer 7

Down the inside arm to the fourth and fifth finger

Question 8

Acceleration/deceleration injury of the cervical spine is an uncommon mechanism of injury in patients seeking chiropractic care

Answer 8

FALSE

Question 9

According to merck, treatment for complex regional pain syndrome (CRPS) includes multimodal therapy (eg drugs, PT, sympathetic blocking, psychologic treatments, neuromodulation, mirror therapy)

Answer 9

True

Question 10

According to Souza, numbness caused by a ____ presents bilaterally and may involve the central cord

Answer 10

CNS

Question 11

A patient in a MVA trauma may experience a possible hangman’s fracture if the head was

Answer 11

Forced backward

Question 12

It is always important to perform a neurological exam in an attempt to differentiate TOS from all of the following except

Answer 12

Cervical myelopathy

Question 13

According to souza, a patient presenting with subjective numbness is/may

Answer 13

All of the above

Question 14

If a patient complains of numbness, the chiro must first differentiate between objective and subjective numbness with a sensory examintation

Answer 14

True

Question 15

According to souza, evidence that multidisciplinary management was associated with slower claim closure for WAD compared to usual care

Answer 15

FALSE

Question 16

According to souza, 40% of TOS cases are due to trauma

Answer 16

True

Question 17

According to souza, which of the following is NOT considered conservative management for TOS

Answer 17

Cervical traction

Question 18

According to souza, patients presenting with positionally related arm numbness/tingling and secondary neck complaints should be

Answer 18

A and B

Question 19

According to merck, diagnosis of TOS usually includes

Answer 19

All of the above

Question 20

According to souza, conservative management of TOS should include

Answer 20

All of the above

Question 21

TOS testing are designed to compress the brachial plexus by specific structures to

Answer 21

Reproduce the specific complaint

Question 22

According to souza, when performing TOS testing when a diminished pulse is used as a positive 50% are false positives

Answer 22

True

Question 23

Which of the following TOS test attempts to isolate anterior scalene muscles

Answer 23

Adson’s

Halsteads

Question 24

According to souza, the roos test is a functional assessment

Answer 24

True

Question 25

Which test attempts to isolate pec minor and/or coracoid process as compression tests

Answer 25

Wright’s test

Question 26

According to souza, many TOS patients present at a chiro office with

Answer 26

Diffuse arm pain

Question 27

According to souza, often TOS patients will describe arm symptoms that follow a path as down inside arm to the

Answer 27

4th and 5th finger

Question 28

According to souza, the brachial plexus and/or subclavian artery can be compressed at all of these locations except

Answer 28

SCM muscle

Question 29

According to souza, it is always important to perform a neurological exam in attempts to differentiate TOS from all of the following except

Answer 29

Cervical myelopathy

Question 30

According to souza, which of the following is not considered conservative management for TOS

Answer 30

Traction

Question 31

According to souza, a cervical rib revealed on cervical spine series is pathognomonic for TOS

Answer 31

False

Question 32

According to souza, 40% of TOS cases are due to trauma

Answer 32

True

Question 33

According to souza, patients presenting with positionally related arm numbness and itngling and secondary arm complaints should be

Answer 33

Tested for further stability and tested for TOS

Question 34

According to souza, conservative management for TOS should include all of the above

Answer 34

``` Trigger point therapy Cervical/thgoracic adjusting Stretching of the pectorals Scalene muscle stretching Strengthening of the mid-scapula ```

Question 35

According to souza, if a pt complains of numbness a chiro must first differentiate between subjective and objective numbness with a sensory exam

Answer 35

True

Question 36

According to souza, a pt subjective numbness is or may all of the above

Answer 36

Suyggestive of a referral or transient process Demonstrates no sensory motor finding Often diffuse not following a specific dermatomal pattern

Question 37

According to souza, numbness caused by ____ is usually accompanied by a history of over use followed by a direct trauma and exams may reveal motor weaknesses

Answer 37

Peripheral nerve

Question 38

According to souza, numbness caused by ___ presents bilaterally and may involve central cord

Answer 38

CNS

Question 39

According to souza, TOS with pressure on neurovascular elements of brachial plexus is a classic exampel of numbness caused by nerve plexus

Answer 39

True

Question 40

According to souza, most cases of isolated peripheral nerve or nerve root problems can be managed

Answer 40

Initially by a chiro