Newest Final

Question 1

Your Full spine patient has cervical, thoracic lumbar and pelvic x-rays on file from one year ago taken by a previous intern. Which segments, if any, should you analyze for your current CMR and document in the Patient Care plan?

A. Top 3 cervical segments
B. Lowest lumbar, sacrum and ilium on side of lowest lumbar spinous rotation
C. All other segments found subluxated and listed on current Chiropractic and screening PHysical Exam (yellow)
D. All of the above
E. None

Answer 1

All of the above!

Question 2

What does the Q is OPQRST stand for?

Answer 2

Quality

Question 3

It is completely appropriate to answer the “Related Symptoms” question with “none”. True or False?

Answer 3

False

Question 4

Why is it important to find out about Activities of Daily Livings (ADLs) and Extended ADLs?

Answer 4

To set functional goals for the patient’s care

Question 5

For Review of Systems, what are important pieces of information to ask?

Answer 5

Onset Date
Resolved Date
How it was resolved

Question 6

What does PART stand for?

Answer 6

Pain and Asymmetry
Restricted movement and Tone changes
Pain and Tissue Changes

Question 7

Pain findings with ROM are documented BOTH in the objective freeform section and in the objective ROM section.

Answer 7

True

Question 8

The final diagnosis is listed in EHR in the ICD9 section and also in the General Assessment section where associations between different diagnosis are made. True or false?

Answer 8

True

Question 9

You only need restricted motion for a listing. You do not need to have soft tissue findings. True or False?

Answer 9

False

Question 10

Student interns are expected to be in the clinic a minimum of how many days per week?

Answer 10

3

Question 11

It is acceptable to leave a voice mail message to cancel a patient’s appointment. True or false

Answer 11

False

Question 12

The following appointments MUST be scheduled

New patient
re-physical
Physical continuation
ROF
All of the above

Answer 12

all of the above

Question 13

If a patient has not be in for less than 60 days, they must have a ______.

Answer 13

Reassessment

Question 14

If a patient has not been in for more than 1 year, they must have a _____.

Answer 14

Restart

Question 15

A CMR must be completed in order to schedule a ROF

Answer 15

True!

Question 16

Food and drink (except for bottled water with a secure cap) are not permitted ANYWHERE in the clinic

Answer 16

True

Question 17

How many RAs are completed before a re-physical?

Answer 17

2

Question 18

Frequency of care and when your next visit will be is included in this part of the SOAP note

Answer 18

Plan

Question 19

RAs must be completed every 30 or 45 days in CC-HOP. True or false?

Answer 19

True

Question 20

The part of the SOAP note that reports the patient’s response to your questions regarding how they are doing is the _____

Answer 20

Subjective

Question 21

CMRs must be completed within how many business days after physical is completed and signed off?

Answer 21

6 days

Question 22

Interns are expected to dress in proper clinic attire when conducting ANY clinic business, including paperwork.

Answer 22

True

Question 23

This OAT is always done on PAPER, is the only OAT that measures health and is the only OAT you want a score of 50 or above on

Answer 23

SF-36

Question 24

Your patient presents with LBP, in addition to SF-36, you would have them complete which OATS?

Answer 24

QVAS, Oswestry

Question 25

Patient presents with LBP, neck pack and headaches. That OATS you need completed are?

Answer 25

QVAS, Oswestry (low back), NDI (neck) and HDI (Headache)

Question 26

OATS are important for creating goals for your patient and their care plan

Answer 26

TRUE

Question 27

On the CMR note, the subjective speed note contains a well written narrative about the patient's chief complaint.

Answer 27

True

Question 28

An informed consent is required after each new patient physical and after each existing patient re-physical before any care can be provided.

Answer 28

True

Question 29

It is appropriate for a symptomatic patient to have a 45 day care plan.

Answer 29

True

Question 30

The faculty clinician prepares the Radiology Request for the patient.

Answer 30

FALSE

Question 31

What criteria is needed for ordered full spine films?

Answer 31

Thermal instrumentation showing deviations of heat of more than 4 degrees Intersegmental trophic changes or edema around facet joint Motion restriction of intersegmental unit in any one of 3 planes. (Answer is all of the above)

Question 32

The ROF must be done after every physical/re-physical. True or false?

Answer 32

True

Question 33

The ROF... - allows you to educate your patient - outlines your plan of care for your patient - instructs your patient in home care recommendations - outlines your goals for care - all of the above

Answer 33

All of the above!

Question 34

The patient can begin care before the ROF is completed. True or false?

Answer 34

False

Question 35

Which of the following is/are required to complete the CMR process for credit?

Answer 35

Complete all paper and EHR notes Complete CMR credit form Complete intern case log

Question 36

On the first visit after the CMR, what must be completed before you request a faculty clinician to assist you?

Answer 36

ROF reviewed with and signed by the patient

Question 37

The patient must be questioned about all "current" complaints (PCs) and an update provided in the Subjective Speed Note on each visit after the CMR. True or false

Answer 37

True

Question 38

Interns can order films for pathology, technique or both. True or false

Answer 38

True

Question 39

The intern must document a differential diagnosis, rationale and all appropriate OATs forms to be completed on the HHW and have the faculty clinician approve the HHW before beginning the next examination.

Answer 39

True

Question 40

The first source for information when creating ADLs and goals would be?

Answer 40

Functional limitations from history

Question 41

Quantitative requirements to complete CLIN3608 incude 15 adjustments and 2 physicals. 9th quarter requires cumulative 50 adjustments (minimum of 20) and 5 physicals (3 minimum).

Answer 41

True

Question 42

Pre and post thermography (tytron) scans along with supine leg checks are to be completed for Toggle patients for every adjustment

Answer 42

True

Question 43

How often should a re-assessment be scheduled in student clinic on a patient which a chief complaint of headaches and associated neck pain?

Answer 43

Every 30 days

Question 44

The patient care plan may only be changed with supervising Faculty clinician's approval

Answer 44

True

Question 45

A 46-year old female patient is complaining of acute LBP and headaches. Besides the SF-36, which OATs forms should the intern have this patient complete?

Answer 45

QVAS (acute pain), HDI (headaches), Oswestry (RODI) (LBP)

Question 46

If found during your chiropractic and screening physical exam, which of these should be included in your initial clinical impressions? - VSC - Pelvic dysfunction - Postural abnormalities - Associated conditions - All of the above

Answer 46

All of the above

Question 47

For documentation of diagnoses in the Assessment section of the EHR note, ICD9 codes and PC codes can be used interchangeably

Answer 47

False

Question 48

The most preferable types of goals will relate to what?

Answer 48

Patient's ability to perform certain functions

Question 49

The history of your new patient's secondary complaint is fully documented on which form?

Answer 49

PCP (not AHHW?)

Question 50

SOAP notes are used to document the patient's current condition and response to previous care

Answer 50

True

Question 51

On initial consultation, your new patient complains of cervical pain. Depending on the information found from their history, your clinician may have you complete a blue regional problem-focused exam in addition to the yellow chiropractic and screening exam form.

Answer 51

True

Question 52

What paper form is always required when requesting x-rays?

Answer 52

Radiology Request Form

Question 53

Your current patient was involved in an auto accident since his last visit for which he has retained an attorney and medical care. Can this patient remain under care in the student clinic?

Answer 53

No!

Question 54

How many days to complete the CMR from the onset of your history/physical?

Answer 54

30

Question 55

Pain is elicited on cervical ROM and foraminal compression. WHat information is required of you?

Answer 55

Site, severity and quality

Question 56

According to the assigned reading from Mosby's, purpose of conducting a patient history interview includes what?

Answer 56

Educate and motivate the patient Develop a relationship with the patient Determine the chief complaint and history of present illness (HPI)

Question 57

BP, pulse and respiration are always taken bilaterally

Answer 57

False

Question 58

First line of the EHR Patient Care Plan (PCP) will usually indicate that there are items that need to be completed. The PCP should be reviewed each visit for items that need to be completed and upcoming reassessment dates.

Answer 58

True

Question 59

Your pre-adjustment findings such as leg-checks, static and mo-pal findings are documented in the objective speed note.

Answer 59

True

Question 60

On a routine adjustment visit, the first problem code (PC) listed in the subjective speed note should be the patient's chief complaint

Answer 60

True

Question 61

How long does the intern have to present the case to Life U radiologists after shooting their radiographic studies?

Answer 61

2 business days

Question 62

On the first visit after you and the supervising clinician sign the CMR, what two forms must be completed by you and signed by both patient and clinician before any kind of care may be rendered?

Answer 62

ROF, CMR

Question 63

Your patient has not been in the clinic for 65 days. What must be done before you can you adjust the patient?

Answer 63

Re-Physical

Question 64

The patient has different BPs in each arm. What action should you take?

Answer 64

Retake the BP to confirm readings. Try using a different sized cuff for the patient's arm Bring findings to the attention of a supervising clinician

Question 65

In campus C-HOP, all musculoskeletal complaints with symptoms within the past 90 days should be considered current.

Answer 65

True!

Question 66

According to her HHI, your 25-year old patient has no symptoms or complaints. Which OATs form would you have the patient complete?

Answer 66

SF-36

Question 67

After completing the initial consultation and history, the intern should:

Answer 67

Have the doctor review and sign off on the history, then complete the exam

Question 68

Items that should NOT be presented with the written ROF include: ``` Presenting symptoms Frequency of care Reassessment and/or re-exam dates Referrals ICD-9 codes ```

Answer 68

ICD-9 codes

Question 69

A 17-year-old male patient is complaining of dizziness and acute neck pain. Besides the SF-36, which OATs form should the intern have this patient complete?

Answer 69

DHI, NDI, QVAS

Question 70

Your new patient presents for their physical without symptoms and with no history of back pain. On initial ROM exam, you elicit a 2/10 pain at L5 and 20/25 degrees extension. Which of these OATs does this finding require?

Answer 70

None.

Question 71

According to PART guidelines, a "listing" for VSC in the spinal analysis part of the physical exam needs to have at least 2 of the 4 findings, one of which must be:

Answer 71

Restricted motion (recall that PART=Pain and Asymmetry Restricted movement and Tone changes Pain and Tissue Changes)

Question 72

You complete a HHW and AHHW for your 26-year-old new patient for his neck pain, headaches, lbp and shoulder injury. You complete a CC-HOP screening examination. Which regional exam will most likely be required of you?

Answer 72

Shoulder

Question 73

Life U Clinic Intern Handbook Level I includes important information on adjusting under supervision, clinic attire, business cards and patients' rights.

Answer 73

True

Question 74

Your 70 y/o female patient presents for re-physical. Her chief complaint is LBP and left leg pain. Are you required to perform cervical ROM as well as cervical orthopedic, neurological and chiropractic examinations on this patient?

Answer 74

Yes

Question 75

An existing patient presents with new complaint of knee pain. What should be completed first?

Answer 75

AHHW?