Midterm Flashcards
The patient is positioned in side posture with their right side down. The inferior medial PSIS is contact. What is the torque?
- CW
- CCW
- none
CW
The patient is positioned with their right side up in side posture, their maxillary is contact and a CCW torque is used. Listing?
- PLS push
- PRS push
- PRS pull
- PRI push
- PLS pull
PLS pull
Patient is on knee chest table. Doctor contacts the ____ TP of T9 with left pisiform and skin pulls over contact while using ____ torque.
- Left/CW
- Left/CCW
- Right/CW
- Right/CCW
Left/CCW
Doctor is adjusting C5 with listing of PLS. Which of the following moves can be used? (mark all that apply)
- Thumb pisiform
- Single hand
- Double thinner
- double lamina
double thenar
What is the LOD for PRS T4 single hand?
- PA
- PA, IS, RL
- PA, IS, LR
- PA, SI
- PA, SI, RL
- none of the above
PA, IS, RL
What is the LOD for PLI T10 double thenar
- PA
- PA, IS, RL
- PA, IS, LR
- PA, SI
- PA, SI, RL
- none of the above
PA, IS, RL
What is the LOD for P-L ISU?
- PA
- PA, IS, RL
- PA, IS, LR
- PA, SI
- PA, SI, RL
- none of the above
PA
What is the LOD for ASIN push left?
- PA
- PA, IS, RL
- PA, IS, LR
- PA, SI
- PA, SI, RL
- none of the above
PA, SI, RL
What is the LOD for ASEX pull left?
- PA
- PA, IS, RL
- PA, IS, LR
- PA, SI
- PA, SI, RL
- PA, SI, LR
- none of the above
PA, SI, LR
What is the LOD for PIEX pull right?
- PA
- PA, IS, RL
- PA, IS, LR
- PA, SI
- PA, SI, RL
- PA, SI, LR
- none of the above
PA, IS, RL
What is the LOD for BP sacrum?
- PA
- PA, IS, RL
- PA, IS, LR
- PA, SI
- PA, SI, RL
- PA, SI, LR
- none of the above
PA, SI
A male patient presents to your office with pain radiating to left lateral thigh and front of shin. Bowling 2 days ago when back went out. Denies ever having this pain before. Left antalgic lean, can’t sit.
What would expect from SLR?
- relief from low back pain over 30 degrees
- SLR will have no effect on pain
- Dull pain in the low back when the leg is raised above 45
- Sharp pain in the low back and into calf when raised above 45
- No pain produced or relieved on SLR, but Braggarts will be positive for radiating pain
Sharp pain in the low back and into calf when raised above 45
A male patient presents to your office with pain radiating to left lateral thigh and front of shin. Bowling 2 days ago when back went out. Denies ever having this pain before. Left antalgic lean, can’t sit.
What finding on x-ray supports this?
- lumbar, acute pars fracture
- lumbar disc, degenerated with extensive malposition with sclerosis at facet joints
- one or both SI joints show sclerosis with degeneration
- lumbar disc space shows evidence of swelling (D1)
- lumbar, extension malposition
lumbar disc space shows evidence of swelling (D1)
A male patient presents to your office with pain radiating to left lateral thigh and front of shin. Bowling 2 days ago when back went out. Denies ever having this pain before. Left antalgic lean, can’t sit.
Using Gonstead protocol, how often is this patient seen for care?
- one and done
- 3x per week for 3 weeks
- 2x per week for 6 weeks
- every other day until out of pain
- 1 to 2x per day until he is out of pain
1 to 2x per day until he is out of pain
A male patient presents to your office with pain radiating to left lateral thigh and front of shin. Bowling 2 days ago when back went out. Denies ever having this pain before. Left antalgic lean, can’t sit.
How long will it take before he sees improvements to resume work?
- 6 weeks
- 4 weeks
- 2 weeks
- 1 week
- impossible to tell
4 weeks
A male patient presents to your office with pain radiating to left lateral thigh and front of shin. Bowling 2 days ago when back went out. Denies ever having this pain before. Left antalgic lean, can’t sit.
What table is used for first adjustment?
- knee chest
- hi-low with thoracic spine locked
- hi-low with thoracic spine unlocked
- pelvic bench
pelvic bench
A male patient presents to your office with pain radiating to left lateral thigh and front of shin. Bowling 2 days ago when back went out. Denies ever having this pain before. Left antalgic lean, can’t sit.
What are the home recommendations?
- ice for 20 minutes per hour
- walk 5 minutes per hour
- avoid sitting
- gentle stretch of low back and butt muscles
- all of the above
all of the above
45 yo female with LBP, started taking martial arts class 6 months ago to get back in shape. Pain got worse after “flipping onto mat repeatedly”. Describes pain as achey, sore, tight across low back and into posterior SI joint. Standing for a long time is painful and is sore after sitting in her car for more than 30 minutes. Worse in the morning. Works as a clothing sales manager 50 hours per week, mostly standing. Has not missed work.
What would expect from SLR?
- relief from low back pain over 30 degrees
- SLR will have no effect on pain
- Dull pain in the low back when the leg is raised above 45
- Sharp pain in the low back and into calf when raised above 45
- No pain produced or relieved on SLR, but Braggarts will be positive for radiating pain
SLR will have no effect on pain
45 yo female with LBP, started taking martial arts class 6 months ago to get back in shape. Pain got worse after “flipping onto mat repeatedly”. Describes pain as achey, sore, tight across low back and into posterior SI joint. Standing for a long time is painful and is sore after sitting in her car for more than 30 minutes. Worse in the morning. Works as a clothing sales manager 50 hours per week, mostly standing. Has not missed work.
What is the Gonstead protocol?
- patient should not be adjusted
- every day for 2 weeks
- every other day for 8-10 visits
- 1-2x per day until out of pain
- 1x per week for 6 weeks
every other day for 8-10 visits
45 yo female with LBP, started taking martial arts class 6 months ago to get back in shape. Pain got worse after “flipping onto mat repeatedly”. Describes pain as achey, sore, tight across low back and into posterior SI joint. Standing for a long time is painful and is sore after sitting in her car for more than 30 minutes. Worse in the morning. Works as a clothing sales manager 50 hours per week, mostly standing. Has not missed work.
What findings on x-ray support this?
- lowest lumbar, acute pars fracture
- lowest lumbar disc, degenerated with extensive malposition with sclerosis at facet joints
- one or both SI joints show sclerosis with degeneration
- lumbar disc space shows evidence of swelling (D1)
- lowest lumbar disc, severe degeneration with extensive DJD
lowest lumbar disc is degenerated and extensive sclerosis on the facet joints
45 yo female with LBP, started taking martial arts class 6 months ago to get back in shape. Pain got worse after “flipping onto mat repeatedly”. Describes pain as achey, sore, tight across low back and into posterior SI joint. Standing for a long time is painful and is sore after sitting in her car for more than 30 minutes. Worse in the morning. Works as a clothing sales manager 50 hours per week, mostly standing. Has not missed work.
What table is preferred for the first adjustment?
- knee chest
- hi-low with thoracic spine locked
- hi-low with thoracic spine unlocked
- pelvic bench
pelvic bench
45 yo female with LBP, started taking martial arts class 6 months ago to get back in shape. Pain got worse after “flipping onto mat repeatedly”. Describes pain as achey, sore, tight across low back and into posterior SI joint. Standing for a long time is painful and is sore after sitting in her car for more than 30 minutes. Worse in the morning. Works as a clothing sales manager 50 hours per week, mostly standing. Has not missed work.
What home recommendation is appropriate?
- ice for 20 minutes per hour
- walk for 5 minutes every hour
- avoid sitting
- gentle stretch of low back and butt muscles
- all of the above
gentle stretch of low back and butt
45 yo female with LBP, started taking martial arts class 6 months ago to get back in shape. Pain got worse after “flipping onto mat repeatedly”. Describes pain as achey, sore, tight across low back and into posterior SI joint. Standing for a long time is painful and is sore after sitting in her car for more than 30 minutes. Worse in the morning. Works as a clothing sales manager 50 hours per week, mostly standing. Has not missed work.
How long will it take to see measurable positive progress in patient symptoms?
- 1 visit
- 3-5 visits
- 10-12 visits
- 15-20 visits
3-5 visits
When managing a patient with pain from an acute disc, on what table is pumping of the disc performed?
- side position on pelvic bench
- prone on pelvic bench
- prone on hi-low with thoracic spine locked
- prone on hi-low with thoracic spine in unlocked
prone on hi-low with thoracic spine locked
When pumping the disc in an acute LBP patient, how is the pumping done?
- On and off pressure up to 30-40 ounces for 3-5 minutes
- on and off pressure up to 20-30 ounces for 3-5 minutes
- sustained pressure of 30-40 ounces for 3-5 minutes
- progression addition of pressure up to 30-40 pounds for up to 3-5 minutes
progression addition of pressure up to 30-40 pounds for up to 3-5 minutes
A patient presents with symptoms of a disc herniation of L4. What adjustment is preferred?
- Side posture push of L4 spinous
- Side posture push of L5 spinous
- side posture push on BP sacrum
- prone single hand on L5 spinous
- no adjustment until MRI
side posture push of L5 spinous
A patient with a symptomatic Grade 2 spondylolosthesis at L5 presents for care, what Gonstead adjustment is made?
- Hi-low table with thoracic piece locked using S2 contact
- Hi-low table with thoracic piece unlocked using sacral base contact
- side posture with S2 contact
- no adjustment in low back
side posture with S2 contact
A patient with asymptomatic Grade 3 spondylolisthesis at L5 presents for care, what Gonstead adjustment is made?
- Hi-low table with thoracic piece locked using S2 contact
- Hi-low table with thoracic piece unlocked using sacral base contact
- side posture with S2 contact
- no adjustment in low back
no adjustment in low back
Elderly
Indicated or Contraindicated?
Indicated
Facet syndrome
Indicated or Contraindicated?
contraindicated
Kids
Indicated or Contraindicated?
indicated
Acute low back pain
Indicated or Contraindicated?
contraindicated
Spondylolisthesis
Indicated or Contraindicated?
contraindicated
Right lateral flexion of a standing patient produces what coupled motion in lumbar spine?
- right rotation of the bodies
- left rotation of the bodies
- lateral translation to the right
- lateral translation to the left
left rotation of the bodies
22 yo patient presents with a 15 degree lumbar scoliosis from a left short leg. Their actual deficiency is measured at 8mm. What criteria suggests a heel lift could be used?
- left rotatory scoliosis
- right rotatory scoliosis
- left simple scoliosis
- right simple scoliosis
left rotatory scoliosis
What year did Clarence Gonstead graduate from Palmer?
- 1982
- 1961
- 1945
- 1923
1923
What physical condition inspired Gonstead to become a chiropractor?
- Rickets
- Crohn’s
- Juvenile RA
- Torticollis
Juvenile RA
What chiropractic table do we use today that Gonstead altered?
- knee chest
- zenith hi-lo
- cervical chair
- pelvic bench
zenith hi-lo
What is written on Gonsteads headstone?
- Find the subluxation, fix it, leave it alone
- dedicated, determined, depensable
- dedicated to curing Dis-ease
- Chiropractic Pioneer
Find the subluxation, fix it, leave it alone
