Part II Chiro Boards

Question 1

Health Hx includes what components?

Answer 1

Chief Complaint (CC)
Past Health History
Personal and Social/Family History
Review of System

Question 2

History that covers the reason the px is seeking care and should be obtained in the PATIENT’S OWN WORDS

Answer 2

Chief Complaint History

Question 3

Present Illness Components:

Answer 3

OPQRST

Question 4

Types of Onset of systems and their meaning

Answer 4

Sudden onset - Specific time or event

Insidious - Unknown time = more dire

Question 5

Most important factor in making a dx =

Answer 5

Age of patient

Question 6

Nothing gets better and patient still getting worse after trial care of treatment. One should suspect:

Answer 6

Cancer

Question 7

Cannot localize pain is an indicator of:

Answer 7

Organ pain

Question 8

Past Health History Components:

Answer 8

Serious Illness
Previous injuries
Hospitalizations
Surgeries
Medications
Allergies

Question 9

Family Health History components:

Answer 9

Cardiovascular Disease
Diabetes
Stroke
Cancer
Arthritis

Question 10

Social/Personal History

Answer 10

Marital Status
Occupation
Diet
Exercise
Bowel/Urinary Patterns
Sleeps
Alcohol, Tobacco, Drug Use
Stress

Question 11

Alcohol Questionaire Acronym:

Answer 11

CAGE:
C-Cutting down
A-Annoyed by others criticism
G-Guilty feelings
E-Eye openers

Question 12

Pacreas pain referral:

Answer 12

T10-T12

Question 13

Gall Bladder visceral referral:

Answer 13

RIGHT Shoulder, inferior angle of the RIGHT shoulder

Question 14

Heart pain referral:

Answer 14

LEFT shoulder/down arm, LEFT Jaw (more prevalent in women)

Question 15

Small intestine visceral referral:

Answer 15

periumbilical

Question 16

Urinary bladder visceral referral:

Answer 16

suprapubic

Question 17

Ureter visceral referral:

Answer 17

groin

Question 18

Kidney visceral referral:

Answer 18

flank

Question 19

Vital Signs: categories that fall under this

Answer 19

• Height and weight
• Temperature
• Pulse
• Respiratory Rate
• Blood Pressure

Question 20

Temperature: Normal Values:

Oral:
Rectal and Tympanic:
Axilla:
Range:

Answer 20

Oral: 98.6 F
Rectal and Tympanic: 99.6 F
Axilla: 97.6 F
Range: 96-99.5 F or 35-37.5 C

Question 21

Puse: Normal Values:

Adults:
Newborn:
Elderly:

Answer 21

Adults: 60-100
Newborn: 120-160
Elderly: 70-80

Question 22

Respiratory Rate: Normal Rates:

Adult:
Newborn:

Answer 22

Adult: 14-18
Newborn: 44

Question 23

Blood Pressure: Normal Values:

Adult:

Answer 23

Adult: 90-120/60-80.

Values increase in the elderly

Question 24

Blood Pressure Values:

Hypertension:
Hypotension:

Answer 24

Hypertension: >140/90
Hypotension:<90/60

Question 25

Palpatory Systolic Reading is meant to check for what?

Answer 25

-Auscultatory Gap May be seen in hypertensive patients. Auscultatory gap is the loss and reappearance of the pulsatile sound while listening with the stethoscope during cuff deflation.

Question 26

Korotkoff sounds

Answer 26

low pitched sounds produced by turbulent blood flow in arteries

Question 27

A difference of 10-15 mm Hg in systolic readings can indicate:

Answer 27

arterial occlusion such as Subclavian steal syndrome on the side of the decreased value.

Question 28

Blood Pressure are 20% higher where?

Answer 28

Lower Extremities

Question 29

List of Tests for Vertebrobasilar Artery Insufficiency: 6 | Nose points to the side being tested

Answer 29

``` Barre-Lieou DeKleyn's Hallpike's Hautant's Underberg Maigne's ```

Question 30

Barre-Lieou test

Answer 30

Patient seated, examiner instructs the patient to rotate the head maximally from is to side. Done slowly at first then accelerated to patient tolerance

Question 31

Dekleyn's test

Answer 31

Patient supine. The examiner instructs the patient to rotate and extend the head off the table then turn to each side for 15-45 seconds.

Question 32

Hallpike

Answer 32

an enhanced Dekleyn's. Patient supine, head extended off the table. Examiner offers support for the skull. Examiner brings head into extension, rotation and lateral flexion.

Question 33

Hautant's

Answer 33

Patient Seated, arms are extended forward to shoulder level with the hands supinated. Maintain position for a few seconds. Patient then closes the eyes, rotates and hyperextends the neck to one side. Repeated to the opposite side.