Quiz 1

Question 1

• See it and recognize the disorder
• Compare posttest probability with thresholds
• Implies probability near 100% and above threshold

Answer 1

Pattern Recognition

Question 2

• Clinical assessment generates pretest probability
• New information generates posttest probability
• Compare posttest probability with thresholds

Answer 2

Probabilistic Reasoning

Question 3

Chiropractors develop differential diagnoses, case management plans, and prognoses on a _________

Answer 3

Daily basis

Question 4

The NBCE job analysis report deemed what as causing a significant risk to a patients health or safety

Answer 4

Omission or poorly developing differential diagnoses

Question 5

Why is needed for a diagnostic procedure?

Answer 5

• Patient history
• Working hypothesis
• Select tests to confirm or refute hypothesis

Question 6

Proportion of those with a positive test that will have the condition

Answer 6

Sensitivity

Question 7

Proportion of patients with a negative test that do not have the condition

Answer 7

Specificity

Question 8

What is the importance of testing the hypothesis during a diagnostic procedure?

Answer 8

Need the best tests that will link us to the greatest posttest probability (helps use the evidence to create better diagnosis and ultimately management)

Question 9

For a SLAP lesion, O’Brien test had a Sn = .64, Sp = .43, and a +LR = 1.13 while Bicep Load Test I and II has a Sn = >90, and a +LR = 30. What test should be utilized for detecting a SLAP lesion and why?

Answer 9

Bicep Load Test 1 and 2
-has a very high sensitivity and likelihood ration which correlates that a positive test result is more likely to confirm a SLAP lesion.

Question 10

Serious pathology can present as ________________

Answer 10

Non-serious pathology

Question 11

What is an absolute contraindication for adjusting as mandated by Medicare

Answer 11

Vertebrobasilar insufficiency syndrome from cervical spinal manipulation

Question 12

Blockage of blood flow in the vertebral artery at the brain stem will cause pain in what area of the body?

Answer 12

Low occiput and back or neck along the trapezius

Question 13

Blockage of the Posterior inferior cerebellar artery will cause pain in what part of the body

Answer 13

Occiput and posterolateral portions of the temporal and parietal bones

Question 14

Blockage just before the anterior inferior cerebellar artery will cause what problems in the body

Answer 14

Occiput and posterolateral portions of the temporal and parietal bones. Also around the eye extending to the zygomatic and frontal bones.

Question 15

A blockage of the basilar artery will cause what problems in the body?

Answer 15

Pain in the occipital and superior posterior parts of the parietal bones

Question 16

Sharp pain on motion

Answer 16

Joint

Question 17

Constant pain

Answer 17

Joint or nerve

Question 18

Burning/hot pain

Answer 18

Nerve

Question 19

Sharp pain with no motion

Answer 19

Nerve

Question 20

Stabbing pain

Answer 20

Nerve

Question 21

Tingling/numbness

Answer 21

Nerve

Question 22

Cramping/knot/spasm pain

Answer 22

Muscle

Question 23

Dull ache

Answer 23

Muscle

Question 24

Deep burning, dull pain

Answer 24

Bone, ligament

Question 25

Pinpoint pain over paraspinal tissue

Answer 25

MTRp

Question 26

Crawling sensation

Answer 26

Myofascial pain

Question 27

Throbbing pain

Answer 27

Vascular

Question 28

Well localized pain

Answer 28

Peripheral tissue

Question 29

Diffuse pain

Answer 29

Central tissue

Question 30

Initial evaluation and specific imaging/evaluation for a bone tumor

Answer 30

``` Initial = Radiograph Specific = MRI or CT, possible bone scan for mets ```

Question 31

Initial evaluation and specific imaging/evaluation for a Osteochondrosis/Apophysitis

Answer 31

``` Initial = Local tenderness and radiograph Specific = Possible bone scan ```

Question 32

Initial evaluation and specific imaging/evaluation for a bone fracture

Answer 32

``` Initial = Palpation, percussion, tuning fork, radiograph Specific = Ct or possible MRI ```

Question 33

Initial evaluation and specific imaging/evaluation for a stress fracture

Answer 33

``` Initial = Palpation, percussion, radiograph Specific = Bone scan, CT ```

Question 34

Initial evaluation and specific imaging/evaluation for Osteopenia/Osteoporosis

Answer 34

``` Initial = Radiograph Specific = CT ```

Question 35

Initial evaluation and specific imaging/evaluation for Osteomyelitis

Answer 35

``` Initial = Radiograph Specific = MRI ```

Question 36

Initial evaluation and specific imaging/evaluation for a sprain or ruptured soft tissue

Answer 36

``` Initial = stability testing Specific= MRI ```

Question 37

Initial evaluation and specific imaging/evaluation for bursitis

Answer 37

``` Initial = Palpation Specific = MRI or bursography ```

Question 38

Initial evaluation and specific imaging/evaluation for Myofascitis

Answer 38

``` Initial = Palpation Specific = None ```

Question 39

Initial evaluation and specific imaging/evaluation for Arthritis

Answer 39

``` Initial = characteristic joint involvement, radiograph, characteristics Specific = Lab findings, CT for bone, MRI for soft tissue involvement ```

Question 40

Initial evaluation and specific imaging/evaluation for a Subluxation

Answer 40

``` Initial = Palpation, radiograph Specific = none ```

Question 41

Initial evaluation and specific imaging/evaluation for synovitis

Answer 41

``` Initial = capsular pattern of restriction Specific = MRI, joint aspiration ```

Question 42

Initial evaluation and specific imaging/evaluation for Joint mice

Answer 42

``` Initial = Restricted ROM, radiograph Specific = MRI or CT ```

Question 43

Initial evaluation and specific imaging/evaluation for dislocation

Answer 43

``` Initial = Observation and radiograph Specific = CT ```

Question 44

Initial evaluation and specific imaging/evaluation for a muscle strain or rupture

Answer 44

``` Initial = Active resistance Specific = Sonography or MRI ```

Question 45

Initial evaluation and specific imaging/evaluation for trigger points

Answer 45

``` Initial = Palpation Specific = None ```

Question 46

Initial evaluation and specific imaging/evaluation for muscle atrophy

Answer 46

``` Initial = Observation/measurement Specific = Electrodiagnostic studies ```

Question 47

Initial evaluation and specific imaging/evaluation for Myositis ossificans

Answer 47

``` Initial = Palpation/radiograph Specific = CT ```

Question 48

Initial evaluation and specific imaging/evaluation for Muscular dystrophy

Answer 48

``` Initial = muscle testing Specific = electrodiagnostic studies ```

Question 49

Initial evaluation and specific imaging/evaluation for tendonitis/tendinosis

Answer 49

``` Initial = Stretch and contraction Specific = Sonography ```

Question 50

Initial evaluation and specific imaging/evaluation for paratenositis (tenosynovitis)

Answer 50

``` Initial = Stretch Specific = Sonography or MRI ```

Question 51

Initial evaluation and specific imaging/evaluation for tendon rupture

Answer 51

``` Initial = Lack of passive tension Specific = Sonography or MRI ```