MT 1 Flashcards
In most cases, the management strategy in response to the 1st essential question of diagnosis could include all of the following except:
a. Further investigation
b. Advanced imaging
c. Exercise
d. Referral
Exercise
When your patient exhibits this sign/symptom, the recommended treatment of choice is end range loading maneuvers in the direction that reduces the patient’s pain response:
a. Neuro-dynamic signs
b. Centralization signs
c. Segmental pain
d. Dizziness
Centralization Signs
Spinal adjusting is a reasonable treatment of choice when your patient exhibits this sign/symptoms during examination:
a. Segmental pain
b. Radicular pain
c. Oculomotor dysfunction
d. Instability
Segmental Pain
Anti-inflammatory measures appear to be useful first line approach in the acute stages when your patient is exhibiting this sign/symptom
a. Dynamic instability
b. Neurodynamic signs
c. Centralization signs
d. Segmental pain
Neurodynamic signs
This treatment strategy appears appropriate for patients exhibiting chronic radicular pain but do not exhibit centralization signs
a. Exercise
b. Greaded exposure
c. Neural mobilization
d. Adjustments
Neural Mobilization
General fitness training and strength training are thought to be beneficial for patients exhibiting this perpetuating factor for spinal pain
a. Dynamic instability
b. Oculomotor dysfunction
c. Passive coping
d. Fear
Dynamic instability (floor exercises and medicine ball routines)
This perpetuating factor of spinal pain requires ongoing peripheral nociceptive input
a. Depression
b. Fear
c. Central pain hypersensitivity
d. Centralization signs
Central pain hypersensitivity
The perpetuating factors for spinal pain occurs particularly in patients with whiplash injury and tension type headaches
a. Dynamic instability
b. CPH
c. Occulomotor dysfunction
d. Passive coping
Occulomotor dysfunction
Categorizing patients into “specific” or “non-specific” spinal pain depends on the doctor’s ability to identify this
a. Pulse site
b. Pain generator
c. Pain location
d. Pain quality
Pain location
A patient reports to you that they have take daily walks for at least 2 miles every day, until they developed their current neck pain two weeks ago which gets worse when they walk. They have stopped taking walks. This patient is exhibiting:
a. Fear
b. Passive coping
c. Dynamic instability
d. Centralization sign
Fear
An important part of your management strategy to return this patient to their pre-injury status would be
a. Graded exposure
b. Strength training
c. Balance training
d. Stretching
Gradual (graded) exposure
In an attempt to explain the concept of validity, Dr. Owen’s referenced two research projects that were exploring the validity of a particular subluxation assessment method. What was the subluxation assessment method being explored?
a. Prone LLI
b. Mopal (end play)
c. Mopal (active)
d. Thermography
Mopal (end play)
According to Dr. Owen’s which of the following subluxation assessment methods showed evidence of having fair to moderate reliability and validity.
a. Prone LLI
b. Surface emg
c. SOT tests
d. Palpation (alignment)
Prone LLI
Several of the operational definitions described by Dr. Owens describe in detail how the nervous system is impacted by the subluxation
a. True
b. False
False
The more recent descriptions and explanations of the subluxation complex recognize the _______ nature of the lesion
a. Functional
b. Structural
c. Pathological
d. Elusive
Functional
The working dynamic model of the subluxation proposed by Slosberg suggests that ____ is the cause of subfailure injury in ligaments and joint capsules
a. Degeneration
b. Infection
c. Microtrauma
d. Pathologies
Microtrauma
De-afferation is thought to occur when these particular structures get damaged with the bonds in the surrounding connective tissue
a. Muscle fibers
b. Mechanoreceptors
c. Aeriolar cells
d. Ligaments
Ligaments
Cells adhere to their extracellular matrix via binding of specific cell surface receptors known as
a. Microtubules
b. Cytoskeleton
c. Integrins
d. Myosin filaments
Integrins
The four basic cell types that are differentiated from stem cells include all of the following except
a. Muscle
b. Bone
c. Connective
d. Epithelial
e. Neural
Neural
The “wires” within a cell that are a crisscrossing network of fine cables that stretch from the cell membrane to the nucleus exerting an inward pull are called
a. Microfilaments
b. Integrins
c. Microtubules
d. Cytoskeleton
Microfilaments
Dr. Goodley is a healthcare provider who practices in the field of
a. Physical therapy
b. Orthopedic surgery
c. Physiactry
d. Chiropractic
e. Osteopathy
f. None of the above
None of the above
The patient, Randy, that Dr. Goodley wrote about in his article was injured while playing what sport?
a. Baseball
b. Volleyball
c. Soccer
d. Rugby
Volleyball
According to Dr. Goodley, “______________ paralyzes sensation”
a. Numbness
b. Tension
c. Tightness
d. Twiddling
Tightness
To assess the anterior portion of the cervical spine, Dr. Goodley recommends a palpatory exam of this muscle
a. Upper traps
b. SCM
c. Scalene
d. Deep cervical flexors
SCM
All muscles and tendons surrounding the spinal column that can apply forces to the spinal column comprise the subsystem
a. Passive
b. Neural
c. Active
Active
This subsystem does not generate or produce spinal motions, but it s dynamically active in producing the transducer signals that indicate position, motion and loads
a. Passive
b. Neural
c. Active
Passive
Degeneration of, or injury to the element of the passive subsystem, that decreases the load-bearing and stabilizing capacity of the passive subsystem, may require compensatory changes to this subsystem
a. Passive
b. Active
c. Neural
Active
A common condition found in the geriatric community, increased spinal column stiffness, has been theorized to be adaptation of this subsystem to the decrease in muscle strength that so often accompanies aging
a. Passive
b. Active
c. Neural
Passive
According to Bove, evidence-based practice integrates 3 factors: 1) current scientific evidence, 2) doctor’s clinical experience and 3) ____________
a. Established healthcare techniques
b. Peer-reviewed practices
c. Informed patient preference
d. None of the above
established healthcare techniques
Placebo’s and their effect, once considered a nuisance for researcher’s, has nearly universally been found to reduce ____________
a. Depression
b. Inflammation
c. Pain
d. Anxiety
Pain
If a long-standing chiropractic patient tells you that their low back pain results from “L5 going out of place”, as a chiropractic healer, you should educate the patient about what the actual pain generating factors are:
a. True
b. False
False
According to Bove, “spirituality”. An important factor in the development of a chiropractic healer, would be reflected in the fact that you go to your church regularly and adhere strongly to a basic set of beliefs
a. True
b. False
False.
According to Janda, hip extension is not only a test for the gluteus maximus but that of the ___________ and erector spinae are involved
a. Piriformis
b. Hamstrings
c. Vastus medialis
d. Quadratus lumborum
Hamstrings
The stabilization capacity of this muscle is best evaluated utilizing the fascilated puds up movement pattern test
a. Serratus anterior
b. Scm
c. Deep cervical flexors
d. Supraspinatus
Serratus Anterior
The movement pattern test for cervical stability tests both the reaction time and endurance of this muscle group.
a. Scalenes
b. Upper trapezius
c. Deep cervical flexors
d. Multifidus
Deep cervical flexors
This type of muscle contraction occurs when only a portion of the muscle is activated in order to control the movement created
a. Concentric
b. Eccenteric**
c. Isometric
d. Reciprocal inhibition
reciprocal inhibition ***.
Observation of activation of the scalenes, upper trapezius, levator scapular, SCM, and pectoralis minor during this movement pattern test is considered abnormal
a. Cervical stability
b. Prehension
c. Respiration
d. Push up
Respiration
Observing activation of the cervical erector spinae, upper trapezius, or levator scapulae during this movement pattern test is an indication of hypertonicity of the involved muscles and would represent a faulty movement pattern
a. Hip extension
b. Cervical stability
c. Cervical flexion
d. Push up
Push up
Anterior head carriage is a postural finding associated with over-activity of this muscle group
a. Deep cervical flexors
b. Suboccipital
c. Scalenes
d. Pectoralis
Deep cervical Flexors
Check into this —-
Failure of the “Stepping test” is an indication of a faulty tonic neck reflex mechanism or a deficit in general ______________, or both
a. Joint position sense
b. Kinesthetic awareness
c. Vestibular activity
d. Postural awareness
Kinesthetic awareness
Hyperlordosis of the lumbar spine observed during the hip extension movement pattern is indicative of tightness of this muscle group
a. Hip flexors
b. Quadratus lumborum
c. Erector spinae
d. Gluteus maximus
Hip Flexors
According to Janda, which of the following muscles have a tendency to hyperactivity?
a. Lower trapezius
b. Pectoralis
c. Gluteus medius
d. Rectus abdominus
Pectoralis
_____________ is to physiology, as geography is to history”
a. biochemistry
b. biotensgrity
c. anatomy
d. not sure
Anatomy
