Goodies Flashcards
Mr. Jones is in your office today for an adjustment. You share with him that he has multiple factors in his lifestyle contributing to his subluxated state. You go on to advise that if he were to change “how much” and “how often” he is exposed to these factors, he would have a better tolerance and better ability to hold his adjustment. This scenario BEST embodies which idea/concept?
Threshold
As a doctor, you discuss with your patient the immediate impact of the subluxation on their physiology. You also share with them the outside role lifestyle and their environment plays in their expression of overall health. This scenario BEST embodies which of the Chiropractic Principles?
17- Cause and effect
When utilizing posture analysis as a part of your patient evaluation, it is BEST utilized by which aspect of the subluxation complex?
Kinesiopathology
You decide to perform a leg check on your patient. By doing this, you are now able to adequately document which component of the PART system?
T- Tissue/tone changes
A patient reports that they have difficulty breathing; you determine that they have a very significant thoracic tilt, an asymmetrical winging scapula and a unilateral skin fold. Which of the following would provide the least insightful amount of information in determining the specific pathophysiology?
Pain in the thoracic spine
True/False: When performing a prone leg check as a part of a postural assessment on your patient, the medial malleolus can be used with identical accuracy as the “seam” or “like points” of the shoe.
False
Which of the following landmarks or findings utilized in a postural assessment of your patient would be the BEST indicator of a lumbar subluxation of a rotational nature?
Gluteal prominence
After performing static palpation on a patient, one of your findings is as follows: the surface of the skin in the T4-T6 area is clammy and moist. This is consistent with:
There are two correct answers: Acute VSC and neuro-glandular dysfunction
Upon palpation, the doctor first notes excessive tightness in the semispinalis musculature in the T4 region. The second finding is that the patient winces with discomfort as the first finding is obtained. Lastly, the doctor notes subcutaneous swelling in this area. Select the BEST 3 choices that correspond to these findings.
Tonicity changes, myotogenous pain and histopathology
Upon palpation of the cervical spine, the doctor first notes that the left articular pillar in the C4 area is readily palpable. Then the doctor also uncovers that there are contractured scalenes present. Inflammation is also noted in this same region. VSC?
Kinesiopathology, mypathology and histopathology
You are assessing a patient’s swollen ankle. The patient reports that she feels pain in her calf when she runs. Additionally, you elicit pain when you apply moderate L-M pressure directly on the lateral malleolus. VSC?
Histopathology, myotogenous pain and neuropathology
A patient reports a pain in her knee. After reading the MRI report, you determine that this pain is due to damage to her ACL. Further evaluation also reveals the patient can’t completely extend at the knee. VSC?
Neuropathology and kinesiopathology
An active marathoner presents in your office stating “I can’t move my foot.” Upon applying pressure to the shaft of the second metatarsal, the patient reports pain. You also note fluid retention in the metatarsal interspaces. VSC?
Kinesiopathology, neuropathology and turgidity changes
As you evaluate your patient, you wish to specifically assess for the neuropathology component of the VSC only using static palpation. Which clinical findings relate best to this desired assessment?
Blemished, oily skin and discomfort noted with pressure upon tissue that is pronounced
The _____ carries an afferent cutaneous signal which will terminate at the _____. Cortical processing will then occur at these two major areas of the brain: _____ and the _____.
Lateral spinothalamic tract; thalamus; Brodmann areas 3-1-2 and insula
When your palpation findings reveal evidence of edema in the paraspinal surface and tissue is more pronounced on one side, you have assessed for which two components of the VSC?
Histopathology and kinesiopathology
True/False: When establishing an instrumentation “pattern” on a patient, it is ideal to space 3 scans apart, equally over 24 hours, therefore it is appropriate to space the scans 8 hours apart.
False, 12 hours apart
Wile performing instrumentation utilizing a nervoscope, you locate an instrumentation break that belongs to C3. Where is this segment’s break located?
Interspinous space between C3/C4
When considering the dermal thermoregulatory neurological pathway, sorting or filtering of the neurological impulse occurs in two major locations in our neurophysiology. What are those two locations?
Tract of Lissauer and Thalamus
After performing instrumentation on a patient, you see a swing in the T5-T7 region. This is consistent with:
Nothing, it’s just a swing baby
