IRAT 3 Flashcards
Asking if there are any low risk factors for safe assessment of range of motion is important for determining
If radiographic evaluation is needed for WAD patient
NEXUS guidelines state that for patients with neck trauma no radiographs are needed if the following are TRUE
All of the above
According to souza, other necessary information needed from a post MVA patient may include the following except
Whether the radio was on at the time of collision
According to souza, a cervical rib revealed on a cervical spine series is pathognomic for TOS
FALSE
If a patient is in a MVA it is important to acquire details such as
All of the above
According to souza, there is no advantage for using soft or rigid collars compared to other approaches in acute WAD
True
Often TOS patients will describe arm symptoms that follow a path
Down the inside arm to the fourth and fifth finger
Acceleration/deceleration injury of the cervical spine is an uncommon mechanism of injury in patients seeking chiropractic care
FALSE
According to merck, treatment for complex regional pain syndrome (CRPS) includes multimodal therapy (eg drugs, PT, sympathetic blocking, psychologic treatments, neuromodulation, mirror therapy)
True
According to Souza, numbness caused by a ____ presents bilaterally and may involve the central cord
CNS
A patient in a MVA trauma may experience a possible hangman’s fracture if the head was
Forced backward
It is always important to perform a neurological exam in an attempt to differentiate TOS from all of the following except
Cervical myelopathy
According to souza, a patient presenting with subjective numbness is/may
All of the above
If a patient complains of numbness, the chiro must first differentiate between objective and subjective numbness with a sensory examintation
True
According to souza, evidence that multidisciplinary management was associated with slower claim closure for WAD compared to usual care
FALSE
According to souza, 40% of TOS cases are due to trauma
True
According to souza, which of the following is NOT considered conservative management for TOS
Cervical traction
According to souza, patients presenting with positionally related arm numbness/tingling and secondary neck complaints should be
A and B
According to merck, diagnosis of TOS usually includes
All of the above
According to souza, conservative management of TOS should include
All of the above
TOS testing are designed to compress the brachial plexus by specific structures to
Reproduce the specific complaint
According to souza, when performing TOS testing when a diminished pulse is used as a positive 50% are false positives
True
Which of the following TOS test attempts to isolate anterior scalene muscles
Adson’s
Halsteads
According to souza, the roos test is a functional assessment
True
Which test attempts to isolate pec minor and/or coracoid process as compression tests
Wright’s test
According to souza, many TOS patients present at a chiro office with
Diffuse arm pain
According to souza, often TOS patients will describe arm symptoms that follow a path as down inside arm to the
4th and 5th finger
According to souza, the brachial plexus and/or subclavian artery can be compressed at all of these locations except
SCM muscle
According to souza, it is always important to perform a neurological exam in attempts to differentiate TOS from all of the following except
Cervical myelopathy
According to souza, which of the following is not considered conservative management for TOS
Traction
According to souza, a cervical rib revealed on cervical spine series is pathognomonic for TOS
False
According to souza, 40% of TOS cases are due to trauma
True
According to souza, patients presenting with positionally related arm numbness and itngling and secondary arm complaints should be
Tested for further stability and tested for TOS
According to souza, conservative management for TOS should include all of the above
Trigger point therapy Cervical/thgoracic adjusting Stretching of the pectorals Scalene muscle stretching Strengthening of the mid-scapula
According to souza, if a pt complains of numbness a chiro must first differentiate between subjective and objective numbness with a sensory exam
True
According to souza, a pt subjective numbness is or may all of the above
Suyggestive of a referral or transient process
Demonstrates no sensory motor finding
Often diffuse not following a specific dermatomal pattern
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
Peripheral nerve
According to souza, numbness caused by ___ presents bilaterally and may involve central cord
CNS
According to souza, TOS with pressure on neurovascular elements of brachial plexus is a classic exampel of numbness caused by nerve plexus
True
According to souza, most cases of isolated peripheral nerve or nerve root problems can be managed
Initially by a chiro
