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H/N IRAT Week 2 > IRAT 3 > Flashcards

IRAT 3 Flashcards

1
Q

Asking if there are any low risk factors for safe assessment of range of motion is important for determining

A

If radiographic evaluation is needed for WAD patient

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2
Q

NEXUS guidelines state that for patients with neck trauma no radiographs are needed if the following are TRUE

A

All of the above

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3
Q

According to souza, other necessary information needed from a post MVA patient may include the following except

A

Whether the radio was on at the time of collision

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4
Q

According to souza, a cervical rib revealed on a cervical spine series is pathognomic for TOS

A

FALSE

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5
Q

If a patient is in a MVA it is important to acquire details such as

A

All of the above

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6
Q

According to souza, there is no advantage for using soft or rigid collars compared to other approaches in acute WAD

A

True

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7
Q

Often TOS patients will describe arm symptoms that follow a path

A

Down the inside arm to the fourth and fifth finger

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8
Q

Acceleration/deceleration injury of the cervical spine is an uncommon mechanism of injury in patients seeking chiropractic care

A

FALSE

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9
Q

According to merck, treatment for complex regional pain syndrome (CRPS) includes multimodal therapy (eg drugs, PT, sympathetic blocking, psychologic treatments, neuromodulation, mirror therapy)

A

True

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10
Q

According to Souza, numbness caused by a ____ presents bilaterally and may involve the central cord

A

CNS

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11
Q

A patient in a MVA trauma may experience a possible hangman’s fracture if the head was

A

Forced backward

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12
Q

It is always important to perform a neurological exam in an attempt to differentiate TOS from all of the following except

A

Cervical myelopathy

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13
Q

According to souza, a patient presenting with subjective numbness is/may

A

All of the above

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14
Q

If a patient complains of numbness, the chiro must first differentiate between objective and subjective numbness with a sensory examintation

A

True

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15
Q

According to souza, evidence that multidisciplinary management was associated with slower claim closure for WAD compared to usual care

A

FALSE

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16
Q

According to souza, 40% of TOS cases are due to trauma

A

True

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17
Q

According to souza, which of the following is NOT considered conservative management for TOS

A

Cervical traction

18
Q

According to souza, patients presenting with positionally related arm numbness/tingling and secondary neck complaints should be

A

A and B

19
Q

According to merck, diagnosis of TOS usually includes

A

All of the above

20
Q

According to souza, conservative management of TOS should include

A

All of the above

21
Q

TOS testing are designed to compress the brachial plexus by specific structures to

A

Reproduce the specific complaint

22
Q

According to souza, when performing TOS testing when a diminished pulse is used as a positive 50% are false positives

A

True

23
Q

Which of the following TOS test attempts to isolate anterior scalene muscles

A

Adson’s

Halsteads

24
Q

According to souza, the roos test is a functional assessment

A

True

25
Q

Which test attempts to isolate pec minor and/or coracoid process as compression tests

A

Wright’s test

26
Q

According to souza, many TOS patients present at a chiro office with

A

Diffuse arm pain

27
Q

According to souza, often TOS patients will describe arm symptoms that follow a path as down inside arm to the

A

4th and 5th finger

28
Q

According to souza, the brachial plexus and/or subclavian artery can be compressed at all of these locations except

A

SCM muscle

29
Q

According to souza, it is always important to perform a neurological exam in attempts to differentiate TOS from all of the following except

A

Cervical myelopathy

30
Q

According to souza, which of the following is not considered conservative management for TOS

A

Traction

31
Q

According to souza, a cervical rib revealed on cervical spine series is pathognomonic for TOS

A

False

32
Q

According to souza, 40% of TOS cases are due to trauma

A

True

33
Q

According to souza, patients presenting with positionally related arm numbness and itngling and secondary arm complaints should be

A

Tested for further stability and tested for TOS

34
Q

According to souza, conservative management for TOS should include all of the above

A 
Trigger point therapy
Cervical/thgoracic adjusting
Stretching of the pectorals
Scalene muscle stretching
Strengthening of the mid-scapula
35
Q

According to souza, if a pt complains of numbness a chiro must first differentiate between subjective and objective numbness with a sensory exam

A

True

36
Q

According to souza, a pt subjective numbness is or may all of the above

A

Suyggestive of a referral or transient process
Demonstrates no sensory motor finding
Often diffuse not following a specific dermatomal pattern

37
Q

According to souza, numbness caused by ____ is usually accompanied by a history of over use followed by a direct trauma and exams may reveal motor weaknesses

A

Peripheral nerve

38
Q

According to souza, numbness caused by ___ presents bilaterally and may involve central cord

A

CNS

39
Q

According to souza, TOS with pressure on neurovascular elements of brachial plexus is a classic exampel of numbness caused by nerve plexus

A

True

40
Q

According to souza, most cases of isolated peripheral nerve or nerve root problems can be managed

A

Initially by a chiro

H/N IRAT Week 2 (7 decks)

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