IRAT #7

Question 1

According to souza, which is NOT a possible risk factor for VBI

Answer 1

Males over 50 years old

Question 2

According to souza, symptoms of VBI occur in the practitioner’s office ___ of the time

Answer 2

69%

Question 3

According to Merck, ischemic stroke mimicers which produce similar neurologic deficits are

Answer 3

All of these
Hypoglycemia
Hemorrhagic stroke
Migraine

Question 4

According to Merck, stroke complications can include the following EXCEPT

Answer 4

Urinary continence

Question 5

Which of the following may NOT result in a hemorrhagic stroke

Answer 5

TIA

Question 6

According to Merck, sudden severe headache suggests a

Answer 6

Subarachnoid hemorrhage

Question 7

According to Merck, initial symptoms of a stroke occur suddenly and may include the following EXCEPT

Answer 7

Increased coordination

Question 8

According to Merck, TIA are

Answer 8

All of these
The cause of sudden neurologic deficits
Similar to ischemic strokes but last more than 1 hour
Not accompanied by permanent brain infarctions

Question 9

According to Merck, ___ of strokes are typically resulting from a thrombus or embolism

Answer 9

80%

Question 10

According to merck, which is the most common stroke syndrome

Answer 10

Middle cerebral artery

Question 11

According to Merck, the following symptoms can occur in 48-72 hours suggesting increased intracranial pressure EXCEPT

Answer 11

Lucid consciousness

Question 12

A patient who develops symptoms like dizziness, diplopia, dysarthria, numbness and/or nausea after a cervical adjustment

Answer 12

Should have their vitals monitored and an ambulance called

Question 13

According to souza, the prognosis for patients who suffer VBI is

Answer 13

All of these
66% of occlusions are recanalized
90% of stenosis resolves eventually
33% of aneurysms decrease in size

Question 14

Alcoholism and hypertension are common risk factors for stroke. T/F

Answer 14

True

Question 15

According to souza, a helpful pneumonic device for remembering VBI symptoms/signs is

Answer 15

The 5 Ds 3 Ns

Question 16

According to souza, the following may cause a vertebrobasilar ischemia EXCEPT

Answer 16

Femoral emboli

Question 17

According to souza, the most common symptoms of a vertebrobasilar ischemia is

Answer 17

Dizziness

Question 18

According to merck, medical evaluation of a possible stroke patient aims to establish the following EXCEPT

Answer 18

The best third party payer to bill for services rendered

Question 19

According to souza, the following adjustment techniques associated with VBI occurrence are often misleading and overlapping including

Answer 19

All of these

60% rotation
10% rotation with extension
4% rotation with flexion and hyperextension

Question 20

According to souza, standard in-office testing cannot detect arterial anomalies or pathology that predisposes patients to VBI. T/F

Answer 20

True

Question 21

According to souza, a concussion is considered a subset of

Answer 21

Mild traumatic brain injury

Question 22

According to souza, the definition of concussion does NOT include

Answer 22

Loss of consciousness

Question 23

According to souza, the m/c signs, symptoms of concussions include HA, dizziness, difficulty concentrating, irritability, and other emortional manifestations. T/F

Answer 23

True

Question 24

According to souza, the sports concussion assessment tool is a comprehensive approach to initially assess concussions. T/F

Answer 24

True

Question 25

According to souza, RTP (return to play) clearance involves a gradual step by step increase in physical demands and sports contact. T/F

Answer 25

True

Question 26

According to souza, the following individuals must be educated about teh dangers of concussion except

Answer 26

Concession vendors

Question 27

According to souza, SIS stands for ___ and the pediatric population has an increased risk of prolonged concussion symptoms.

Answer 27

Second injury syndrome

Question 28

According to souza, SIS patients experience

Answer 28

Rapid hydrocephalus

Question 29

According to souza, tests for neuropsychological function to evaluate cognitive functioning include the following except

Answer 29

Concussion evaluation test

Question 30

According to souza, a post-concussion migraine HA has been reported, especially with sports such as cricket and lacrosse. T/F

Answer 30

False

Question 31

According to souza, the m/c symptom of a VBI is

Answer 31

Dizziness

Question 32

According to souza, possible risk factors for VBI include

Answer 32

Ligamentous hypermobility and giant cell arteritis

Question 33

A chiro who’s patient displays symptoms of VBI before being adjusted should document in their records that no adjustment was performed in their records. T/F

Answer 33

True

Question 34

According to souza, the following adjustment techniques associated more with VBI occurrence are often misleading and overlapping, including

Answer 34

All of the above