MIDS

Question 1

During an examination of a pregnant patient you take her through low back ranges of motion, when you bring her into extension she complains about a dull achy pain. This symptom is caused by?

a. Discogenic problem
b. Joint laxity
c. Posterior Longitudinal ligaments
d. Facet syndrome

Answer 1

D. Facet syndrome

Question 2

If a pregnant patient comes to you complaining of being clumsy, you explain to her that it is a results of _____?

a. her being distracted
b. an increase in relaxin
c. not enough sleep
d. her imagination

Answer 2

b. an increase in relaxin

Question 3

The ideal position for a baby in the womb is?

a. occiput posterior position
b. occiput anterior position
c. sinciput anterior position
d. buttocks posterior position

Answer 3

B. occiput anterior position

Question 4

When a fetus is in _____ breech this means both hips are in flexion and one knee is in extension.

a. complete
b. incomplete
c. footing
d. frank

Answer 4

b. incomplete

Question 5

After performing the 3rd & 4th maneuvers of Leopold’s you locate a smooth structure on the patients left side & a prominent head palpation on the right side, you just palpated the _____ & _____

a. extremities & sinciput
b. spine & sinciput
c. extremities & occiput
d. spine & occiput

Answer 5

d. spine and occiput

Question 6

At what point drink a healthy pregnancy should you become concerned about the babies position in the womb and why?

a. 4 months, because she is very tall
b. 5 months, she might have gestational diabetes
c. 8 months, she is complaining of not sleeping
d. 7 months, there may be a limitation of space

Answer 6

d. 7 months, there may be a limitation of space

Question 7

A pregnant patient comes into your office complaining of a sharp pain in her pubic region when she tries to stand up, you suspect?

a. she is malingering
b. she is not voiding her bladder enough
c. the fetus is in the facial/brow position
d. the fetus is in the transverse position

Answer 7

c. the fetus is in the facial/brow position

Question 8

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

a. AS ilia
b. PIEX ilia
c. AS occiput
d. PS occiput

Answer 8

c. AS occiput

Question 9

A birth related injury that may occur from Shoulder Dystocia is ______.

a. Caput succendarum
b. Cerebral palsy
c. Erb’s palsy
d. Facial paralysis
e. All of the above

Answer 9

c. Erb’s palsy

Question 10

Long bone fractures are more likely to occur during a _____ birth.

a. c-section
b. vacuum extraction
c. forceps
d. vaginal
e. unassisted

Answer 10

a. c-section

Question 11

What is the most common bone to fracture during the birthing process?

a. femur
b. clavicle
c. humerus
d. fibula

Answer 11

b. clavicle

Question 12

When performing the plantar babinski reflex on a patient you should?

a. stroke the medial aspect of the foot
b. stroke the lateral aspect of the foot
c. stroke the ball of the foot & the lateral aspect
d. stroke the ball of the foot & the medial aspect

Answer 12

b. stroke the lateral aspect of the foot

Question 13

If you are stroking the skin over the paraspinal muscles of an infant from the top of their spine to the sacrum, what reflex did you just perform?

a. Landau
b. Stepping
c. Gallant
d. Vertical suspension

Answer 13

c. Gallant

Question 14

After a feeding the baby’s Rooting Reflex remains unaffected

a. true
b. false

Answer 14

b. false

Question 15

If the Moro reflex is not present at birth it may be due to ______

a. a fractured clavicle
b. Erb’s palsy
c. birth trauma
d. All of the above
e. None of the above

Answer 15

d. All of the above

Question 16

At what age does the parachute reflex begin to develop?

a. 6 days
b. 6 weeks
c. 6 months
d. When you jump out of a plane

Answer 16

c. 6 months

Question 17

Early closure of the sutures is known as?

a. macrocephaly
b. hydrocephaly
c. flat head syndrome
d. carisynostosis

Answer 17

d. carisynostosis

Question 18

Immunity that occurs when the vaccination of a signification portion of the population provides a measure of protection for individuals who have not developed immunity is known as?

a. crowd immunity
b. great immunity
c. rank immunity
d. head immunity

Answer 18

d. head immunity

Question 19

Disease rates were declining steadily before vaccines came out. What was the cause of the decline?

a. People were no longer socializing
b. All the information was falsified
c. Sanitation and hygeine practices
d. The diseases never existed

Answer 19

c. sanitation and hygeine

Question 20

Which vaccine ingredient is also used to embalm people?

a. thimersol
b. aluminum
c. formaldehyde
d. mercury
e. None of the above

Answer 20

c. formaldehyde

Question 21

Which vaccine contains thimerosal?

a. influenza
b. chicken pox
c. hep b
d. DPT

Answer 21

b. chicken pox

Question 22

The chicken pox vaccination is grown in ____

a. a test tube
b. human fetal tissue
c. a petri dish
d. mercury

Answer 22

b. human fetal tissue

Question 23

If your child has a cough you should reschedule your vaccination appointment?

a. true
b. false

Answer 23

a. true

Question 24

Which of the following is a vaccination myth?

a. none of the provided answers
b. vaccines are 100% effective
c. all of the provided answers
d. they are completely safe
e. they are the sole reason for low disease today

Answer 24

c. all of the provided answers

Question 25

The vaccine schedule in the US is designed to ___ a. be sure they get all of their vaccines they need to start young because there are so many b. ensure that the newborns will be vaccinated while their parents are more compliant with doctor visits c. allows the doctor to monitor the baby more effectively d. enhance their immunity at the same rate that their body is maturing

Answer 25

b. ensure the newborns will be vaccinated while their parents are more compliant with doctor visits

Question 26

Dislocation of the hip in a Down Syndrome patient most commonly occurs between ages _____ a. 1-5 months b. 1-2 years c. 6-36 months d. 3-13 years

Answer 26

d. 3-13 years

Question 27

The majority of Atlantoaxial instability cases in Down Syndrom patients are symptomatic. a. true b. false

Answer 27

b. false | - They're asymptomatic

Question 28

When a lateral flexion & extension X-rays are examined from your Down Syndrome patient come back with a measurement of _____ between the Atlas & Odontoid process, a restriction on sports is advised. a. Greater than 4.5 mm b. Less than 4.5 mm c. Less than 2mm in extension d. Less than 2mm in flexion e. There are never restrictions

Answer 28

a. Greater than 4.5 mm

Question 29

Which protein in encoded & found on the 21st chromosome that interferes with Down Syndrome A. keratin b. collagen c. thyroglobin d. all protein is involved e. no protein is involved

Answer 29

b. collagen

Question 30

The major killer of children with Down Syndrome is due to _____ a. congenital cataracts b. congenital heart disease c. GI malformations d. hypotonia

Answer 30

b. congenital heart disease

Question 31

Bone begins to decrease on average at what age and what percentage per decade? a. 50 at 15-20% b. 40 at 5-10% c. 35 at 3-5% 45 at 15-20%

Answer 31

b. 40 at 5-10%

Question 32

Sacropenia may alter your patients metabolic rate, this may result in _____ a. Increase in dizzy spells b. Decreased ability to focus c. Decreased temperature tolerance d. Increase in bruising e. All of the above

Answer 32

c. decreased temperature tolerance