NBCE Part II: Principles of Chiropractic (Mock Board Exam) Flashcards Preview

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Flashcards in NBCE Part II: Principles of Chiropractic (Mock Board Exam) Deck (110)
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1

Motion Palpation Methods are used to?
A. Determine the joints in dysfunction and the specific direction of motion loss.
B. Alleviate pain by creating nociceptive input to the CNS
C. Increase motion to the motor segment
D. Stimulate growth in disk endplate attachments by increasing strain.

A. Determine the joints in dysfunction and the specific direction of motion loss.

2

A long-lever adjustive technique involves a specific or general primary contact on the body part but the second contact is?
A. Remote from the segment, forming a broad or long leverage system of forces
B. Precisely placed as close as possible to the primary contact to produce short adjustive levers
C. Irrelevant to the adjustment and can be placed in any location on the body
D. Only necessary in adjustments requiring a recoil action

A. Remote from the segment, forming a broad or long leverage system of forces

3

A patient with a swollen disk would likely do best when adjusted?
A. In the morning after the disk has been under reduced axial load
B. In the afternoon or evening after the disk has been under normal axial load (Plaugher, Textbook of Clinical Chiropractic, page 18)
C. At no time whatsoever
D. Only after 3 months of intensive rehabilitation.

B. In the afternoon or evening after the disk has been under normal axial load (Plaugher, Textbook of Clinical Chiropractic, page 18)

4

Barlow’s Sign, performed by strongly pulling on the supine infant’s femur and then pushing the proximal end medialward, is a test for?
A. Instability or dislocation of the femur in the acetabulum
B. Laxity of the SI joint
C. Meningeal inflammation
D. Cerebral dysfunction

A. Instability or dislocation of the femur in the acetabulum

5

The normal flexion of hips and knees in an infant that is raised in a vertical suspension test is?
A. Present from birth to approximately the 4th month
B. Present from the 1st to 3rd year
C. Present from the 5th to 8th year
D. Absent when normal development is present

A. Present from birth to approximately the 4th month

6

The Webster In-Utero Constraint Analysis and Reduction procedure?
A. Tests for and reduces a tilted uterus
B. Tests for umbilical cord compression
C. Tests and corrects the breech infant
D. Tests and corrects for gestational diabetes.

C. Tests and corrects the breech infant

7

A person’s state of health is primarily dependent on the body’s ability to?
A. Recognize disease
B. Adapt to a changing environment
C. Receive environmental stimuli
D. Respond to environmental stimuli

B. Adapt to a changing environment

8

A patient presents with cervicogenic headaches, vertigo, and neck pain. Physical examination demonstrates excessive perspiration and multiple subluxations. A history of insomnia is also revealed upon further questioning. Which model is implicated?
A. Parasympathecotonia
B. Segmental facilitation
C. Nerve compression
D. Proprioceptive insult

B. Segmental facilitation

9

Which of the following chiropractic models best explains the low back pain and myospasms that accompany motor unit irritation?
A. Compressive myelopathy
B. Segmental dysfunction
C. Somatosomatic response
D. Nerve root traction

C. Somatosomatic response

10

Sneezing or coughing that increases posterior thigh pain points to which of the following mechanisms of segmental dysfunction?
A. Nerve Compression
B. Dural torque
C. Axoplasmic aberration
D. Sympatheticotonia

A. Nerve Compression

11

Which of the following subluxation models is implicated if a large central disc bulges at the C4 level resulting in loss of vibration sense in the hands?
A. Vertebrobasilar artery insufficiency
B. Nerve compression
C. Compressive myelopathy
D. Intraneural ischemia

C. Compressive myelopathy

12

The unresponsiveness of the skin to return to normal skin color following an adjustment in a patient who presents with Raynaud's phenomenon implies a failure of which mechanism?
A. Discogenic
B. Viscervisceral reflex
C. Somatoautonomic response
D. Neuroimmunomodulation

C. Somatoautonomic response

13

Incomplete lumbarization is noted on radiography. Kemp's, Patrick Fabere's, and Hibb's are all positive for local pain. Neurologic testing is inconclusive. Which of the following is suggested?
A. Neuroimmunomodulation
B. Viscerosomatic reflexes
C. Proprioceptive insult
D. Korr's fixation theory

C. Proprioceptive insult

14

The lines drawn on a set of cervical films indicate a misalignment of the atlantoaxialoccipital complex. Which of the following is usually cited as the primary mechanism for the rationale of the adjustive technique commonly applied?
A. Nerve compression
B. Segmental irritation
C. Sympathetic dystrophy
D. Compressive myelopathy

D. Compressive myelopathy

15

The lower flank pain that may accompany uterine disease can be attributed to which of the following reflexes?
A. Psychovisceral
B. Somatovisceral
C. Sympatheticosomatic
D. Viscerosomatic

D. Viscerosomatic

16

A teenager with bronchitis and neutrophilia responds well to thoracic adjusting. Which of the following models best explains this phenomenon?
A. Sympathecotonia
B. Neurodystrophy
C. Proprioceptive insult
D. Autonomicosomatic reflexes

B. Neurodystrophy

17

A child with chronic ear infections improves under chiropractic care. Physical examination indicates slight erythema of the tympanic membrane. What subluxation
model is implicated?
A. Sympathetic atonia
B. Segmental facilitation
C. Proprioceptive insult
D. Neuroimmunomodulation

D. Neuroimmunomodulation

18

A 32 year old patient presents with a 3 year history of lower back pain. She also stated that it’s made worse by prolonged sitting at work. Irradiation of a Wilm's tumor produced premature maturation of the hemipelvis. Which of the following should be palliative while at work.
A. Shorten the hamstrings
B. Heel lift
C. Lengthen the quadriceps
D. Ischial lift

D. Ischial lift

19

Which of the following is the least likely mechanism of nerve compression resulting in nerve root ischemia?
A. Disc prolapse
B. Vertebral subluxation
C. Vertebral fixation
D. Nerve root traction

C. Vertebral fixation

20

Segmental hypomobility with concomittant aberrant joint mechanics is a key component of which of the following theories?
A. Segmental dysfunction
B. Compressive myelopathy
C. Sympathecotonia
D. Dural torque

A. Segmental dysfunction

21

Which of the following models of manipulable spinal biomechanical aberrations is most adherant to A.T. Still's original premise?
A. Aberrant vascular and lymphatic supply
B. Axoplasmic transport
C. Nerve compression
D. Intraneural microcirculation ischemia

A. Aberrant vascular and lymphatic supply

22

Decreased macromolecule transport and antegrade flow implies which of the following subluxation models?
A. Selye's GAS hypothesis
B. Axoplasmic aberration
C. Segmental facilitation
D. Proprioceptive insult

B. Axoplasmic aberration

23

Who was the founder of a technique noted primarily for the observation of respiratory patterns of the sacrum and cranial dura?
A. Major Dejarnette
B. George Goodheart
C. Clarence Gonstead
D. Arlen Fuhr

A. Major Dejarnette

24

Cicatrix formation surrounding a spinal nerve root following prolonged mechanical deformation implicates which model of subluxation?
A. Segmental dysfunction
B. Cord compression
C. Nerve compression
D. Fixation theory

C. Nerve compression

25

Radiography reveals a hemivertebrae at T7. Reported symptoms include tachycardia and gastroenteritis. Which model accurately represents the mechanisms indicated?
A. Korr
B. B.J. Palmer
C. Gillet
D. DeJarnette

A. Korr

26

Compression of the lateral horn would be unlikely to produce which of the following?
A. Bell’s Palsy
B. Menniere’s
C. Horner’s
D. Causalgia

A. Bell’s Palsy

27

Which of the following is not an original tenet of the subluxation first published by B.J. Palmer in the early 1900’s?
A. Vertebral misalignment
B. Foraminal occlusion
C. Nerve pressure
D. Fixation

D. Fixation

28

Which of the following is most likely to cause segmental narrowing of a vertebral artery
A. Aberrant axoplasmic flow
B. Uncovertebral arthrosis
C. Degeneration of the posterior joints
D. Hypertrophy of the ligamentum flavum

B. Uncovertebral arthrosis

29

Which of the following is not a characteristic of axoplasmic flow in neurons?
A. Macromolecule transportation
B. Decreased nerve conduction
C. Alteration of end organ growth
D. Nerve growth factor

B. Decreased nerve conduction

30

Congenital block vertebra predisposes a patient to which of the following models?
A. Proprioceptive insult
B. Segmental dysfunction
C. Somatosomatic reflex
D. Dural torque

A. Proprioceptive insult