Principles questions Flashcards

Study (55 cards)

1
Q

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

A

B. Adapt to a changing environment

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2
Q

WOTF 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

A

C. somatosomatic response

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3
Q

Incomplete lumbarization is noted on radiography. Kemp’s, Patrick Fabere’s, and Hibb’s are all positive for local pain. Neurologic testing is inconclusive. WOTF is suggested?

a. neuroimmunomodulation
b. viscerosomatic reflexes
c. proprioceptive insult
d. Korr’s fixation theory

A

C. Proprioceptive insult

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4
Q

The lines drawn on a set of cervical films indicate a misalignment of the atlantoaxialoccipital complex. WOTF 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

A

D. Compressive myelopathy

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5
Q

A teenager with bronchitis and neutrophilia responds well to thoracic adjusting. WOTF models best explains this phenomenon?

a. sympatheticotonia
b. neurodystrophy
c. proprioceptive insult
d. autonomicosomatic reflexes

A

B. neurodystrophy

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6
Q

WOTF 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

A. aberrant vascular and lymphatic supply

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7
Q

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

A

C. nerve compression

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8
Q

Radiography reveals a hemivertebrae at T7. Reported symptoms include tachycardia and gastroenteritis. Which model accurately represents the mechanisms indicated?

a. Korr
b. BJ Palmer
c. Gillet
d. DeJarnette

A

A. Korr

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9
Q

Compression of the lateral horn would be UNLIKELY to produce WOTF:

a. Bell’s palsy
b. Menniere’s
c. Horner’s
d. Causalgia

A

A. Bell’s palsy

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10
Q

WOTF is NOT an original tenet of the subluxation first published by BJ Palmer in the early 1900’s?

a. vertebral misalignment
b. foraminal occlusion
c. nerve pressure
d. fixation

A

D. Fixation

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11
Q

WOTF 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

A

B. uncovertebral arthrosis

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12
Q

WOTF 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

A

B. decreased nerve conduction

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13
Q

Congenital block vertebrae predisposes a patient to WOTF models?

a. proprioceptive insult
b. segmental dysfunction
c. somatosomatic reflex
d. dural torque

A

A. proprioceptive insult

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14
Q

The idea of the “Safety Pin” cycle was described in the 1927 Chiropractic textbook by:

a. Ralph Waldo Emerson
b. George Nelson Riley
c. Ralph W. Stephenson
d. Robert James “Bob” Keeshan

A

C. Ralph W. Stephenson

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15
Q

The “Triune of Life” refers to:

a. down, inside, out
b. intelligence, force, matter
c. mind, body, spirit
d. art, philosophy, science

A

B. intelligence, force, matter

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16
Q

There is universal life in all matter because:

a. matter is energy and energy is universal
b. force is manifested by motion in matter and all matter has motion
c. universal life exists at all levels as does matter
d. universal life and matter are the same thing expressed in different forms

A

B. force is manifested by motion in matter and all matter has motion

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17
Q

The first textbook of chiropractic was co-written by:

a. BJ Palmer
b. Mabel Palmer
c. R.W. Stephenson
d. Minora Paxson

A

D. Minora Paxson

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18
Q

Philosophy as a defense was first used successfully in the trial of WOTF chiropractors?

a. Palmer
b. Morikubo
c. Stephenson
d. Langworthy

A

B. Morikubo

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19
Q

The court case against the AMA for attempting to eliminate the chiropractic profession is known primarily as:

a. The Morris Case
b. The Wilson Case
c. The Wilk’s Case
d. The AMA case

A

C. The Wilk’s Case

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20
Q

The concept of innate intelligence was first recorded in WOTF texts?

a. the chiropractor’s adjustor
b. the chiropractic textbook
c. modernized chiropractic
d. green book volume 1

A

A. the chiropractor’s adjustor

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21
Q

Who was responsible for introducing radiography to the chiropractic profession?

a. Joy Loban
b. W. Remier
c. Dossa Evins
d. BJ Palmer

A

D. BJ Palmer

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22
Q

The gas content of synovium in the MCP joint was found to be primarily:

a. oxygen
b. nitrogen
c. hydrogen
d. carbon dioxide

A

D. Carbon dioxide

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23
Q

Joint receptors include all of the following except:

a. complex nerve endings
b. free nerve endings
c. Vater-Pacini corpuscles
d. red corpuscles

A

D. Red corpuscles

24
Q

Which type of complex nerve endings is most common within the joint capsules and nearby ligaments?

a. golgi tendon organs
b. muscles spindles
c. Ruffini-type endings
d. coiled end organs

A

C. Ruffini-type endings

25
According to Wyke, synovial joints have all of the following types of receptor nerve endings except? a. Globular corpuscles b. Conical corpuscles c. Nociceptors d. GTO's
D. GTO's
26
According to Giles, WOTF structures are not innervated? a. zygapophyseal joints b. synovial fold c. ligamentum flavum d. intervertebral disc
C. Ligamentum flavum
27
WOTF represents the velocity Type A alpha nerve fibers? a. 120 meters per second b. 12 meters per second c. 1.2 mm per second d. 1200 meters per second
A. 120 meters per second
28
The intrafusal fibers of the muscle spindle receives what type of innervation? a. afferent type B b. afferent type A c. efferent type B d. efferent type A
D. Efferent type A
29
An average adult will shed approximately ___ particles of skin every hour? a. 60 b. 6,000 c. 60,000 d. 600,000
D. 600,000
30
What is often the first chemical mediator in the inflammatory response? a. Platelets b. Plasma c. Macrophages d. Histamine
D. Histamine
31
WOTF is NOT a somatic structure responsible for neurologic reflex activity? a. synovium b. skeletal muscle c. smooth muscle d. facet joints
C. smooth muscle
32
Of the following, which has no innervation? a. joint capsule b. ligamentum flava c. intervertebral disc d. smooth muscle
B. ligamentum flava
33
Increased nociception leads to: a. increased resistance to changing stressors b. lowered thresholds via chemical mediation c. increased neural static causing misfiring of synapses d. sensitization of the nociceptive pathways via neuroplasticity
D. sensitization of the nociceptive pathways via neuroplasticity
34
WOTF is NOT an indicator for an upper motor neuron lesion? a. hyperreflexia b. clonus c. (+) Tromners d. hypermetria
D. hypermetria
35
Lower motor neuron lesions may involve all of the following except: a. paresthesia b. fasciculations c. dysmetria d. atrophy
C. dysmetria
36
Nerve growth factor is transported via WOTF structures? a. myelin b. nerve conduction c. neural capillaries d. axoplasmic transport
D. Axoplasmic transport
37
Sympatheticotonia requires all of the following components except: a. increased sensory input b. interneuron pools c. paravertebral ganglia d. anterior horn cells
D. Anterior horn cells
38
Compression of the ventral horn would be unlikely to produce WOTF? a. anhydrosis b. flaccid paralysis c. hyporeflexia d. atrophy
A. anhydrosis
39
Artificial immobilization of joints shows all of the following pathological changes except: a. osteophytic formation b. intra-articular adhesions c. adhesions between the capsule and the meningeal covering of the nerve root d. increased intra-articular ATP production
D. increased intra-articular ATP production
40
Lora and Long found the following to be true... typical radicular radiation is not generated by stimulation of the nerves in and around the facet, but widespread referral of sensation even into the leg is possible. Which pattern of referral was noted when the T12-L3 facets were stimulated? a. upward to thoracic spine; diffuse flank & groin pain; Coccyx b. posterior hip; posterior thigh; coccyx c. coccyx; hip; posterior thigh; groin; flank d. no leg or coccygeal pain; radiating pain to the thoracic and cervical spine
D. no leg or coccygeal pain; radiating pain to the thoracic and cervical spine
41
During the myofascial protocol, working the fascia of what muscle group will help prepare the subscapularis? (Note: the fascial restrictions of this muscle group can also cause side stitches and a low shoulder) a. subscapularis b. rhomboids c. serratus posterior d. serratus anterior
D. Serratus anterior
42
This line represents the attitude of the skull at the orbital level, at the same time allowing for detection of occipital condyle malformation. a. ocular orbit line b. atlas plane line c. vertical median line d. superior basic line
D. Superior basic line
43
When evaluating Part 1 of the A-P open mouth view, what are you looking for? a. axis laterality b. axis inferiority c. axis rotation d. atlas rotation
C. Axis rotation
44
When evaluating Part 2 of the A-P open mouth view, what are you looking for? a. axis laterality b. axis inferiority c. axis rotation d. atlas laterality
A. Axis laterality
45
The adjustment for the ERC (elevated rib cage) is most beneficial when the ___ is present and should be used as a clinical indicator for the timing of the adjustment. a. bilateral clavicle elevation b. bilateral rib elevation c. tender reflex nodule found in the 2nd intercostal on the involved side d. tender and tight gastrocs
C. tender reflex nodule found in the 2nd intercostal on the involved side
46
A right sacral subluxation will tell the Doctor that the base of the sacrum has subluxated: a. posterior and superior on the left b. posterior and inferior on the right c. anterior and superior on the right d. anterior and inferior on the left
A. Posterior and superior on the left
47
An IN ilium will present with: a. toe in foot flare b. a prominent PSIS c. a wider obturator foramen d. a flat PSIS
D. A flat PSIS
48
Scissors gait best demonstrates a: a. shortening of one of the extremities b. weakness in the glute maximus c. paralysis or spasm of the hip adductor muscles d. injury to either ankle
C. paralysis or spasm of the hip adductor muscles
49
The spine has all of the following fundamental physiological functions except: a. transfers weight from the head and trunk to the pelvis b. provides for flexible motion between these 3 parts c. protects the delicate spinal cord from potentially damaging forces d. acts as a storehouse of nutrients for the nervous system
D. acts as a storehouse of nutrients for the nervous system
50
The functional spinal unit is made up of two adjacent vertebrae and the ligamentous and soft tissue elements that connect them. All of the following ligaments span more than one functional spinal unit except: a. ligamentum flavum b. posterior longitudinal ligament c. anterior longitudinal ligament d. supraspinous ligament
A. ligamentum flavum
51
Force that is perpendicular to the surface on which it acts best describes: a. shear force b. tortional force c. normal force d. gravity
C. normal force
52
The dentate ligament is composed of: a. pia mater b. dura mater c. arachnoid d. perisostia
A. pia mater
53
Patient presents with complaint of neck pain. After a thorough exam and x-ray you have identified the listing as C4 LP. WOTF would be the same listing with a different name? a. C4 BL b. C4 BR c. C4 PL d. C4 RP
A. C4 BL
54
+Ø rotation of C1 on C2 is couple with: a. -ØZ rotation b. +ØZ rotation c. +Y translation d. -Y translation
D. -Y translation
55
Patient has a left posterior lateral disc herniation causing pain down the left leg. Which position would tend to be more antalgic? a. forward flexion b. lateral flexion to the left c. lateral flexion to the right d. extension
C. lateral flexion to the right