NBCE Part II: Principles of Chiropractic (Mock Board Exam) Flashcards
Motion Palpation Methods are used to?
A. Determine the joints in dysfunction and the specific direction of motion loss.
B. Alleviate pain by creating nociceptive input to the CNS
C. Increase motion to the motor segment
D. Stimulate growth in disk endplate attachments by increasing strain.
A. Determine the joints in dysfunction and the specific direction of motion loss.
A long-lever adjustive technique involves a specific or general primary contact on the body part but the second contact is?
A. Remote from the segment, forming a broad or long leverage system of forces
B. Precisely placed as close as possible to the primary contact to produce short adjustive levers
C. Irrelevant to the adjustment and can be placed in any location on the body
D. Only necessary in adjustments requiring a recoil action
A. Remote from the segment, forming a broad or long leverage system of forces
A patient with a swollen disk would likely do best when adjusted?
A. In the morning after the disk has been under reduced axial load
B. In the afternoon or evening after the disk has been under normal axial load (Plaugher, Textbook of Clinical Chiropractic, page 18)
C. At no time whatsoever
D. Only after 3 months of intensive rehabilitation.
B. In the afternoon or evening after the disk has been under normal axial load (Plaugher, Textbook of Clinical Chiropractic, page 18)
Barlow’s Sign, performed by strongly pulling on the supine infant’s femur and then pushing the proximal end medialward, is a test for?
A. Instability or dislocation of the femur in the acetabulum
B. Laxity of the SI joint
C. Meningeal inflammation
D. Cerebral dysfunction
A. Instability or dislocation of the femur in the acetabulum
The normal flexion of hips and knees in an infant that is raised in a vertical suspension test is?
A. Present from birth to approximately the 4th month
B. Present from the 1st to 3rd year
C. Present from the 5th to 8th year
D. Absent when normal development is present
A. Present from birth to approximately the 4th month
The Webster In-Utero Constraint Analysis and Reduction procedure?
A. Tests for and reduces a tilted uterus
B. Tests for umbilical cord compression
C. Tests and corrects the breech infant
D. Tests and corrects for gestational diabetes.
C. Tests and corrects the breech infant
A person’s state of health is primarily dependent on the body’s ability to? A. Recognize disease B. Adapt to a changing environment C. Receive environmental stimuli D. Respond to environmental stimuli
B. Adapt to a changing environment
A patient presents with cervicogenic headaches, vertigo, and neck pain. Physical examination demonstrates excessive perspiration and multiple subluxations. A history of insomnia is also revealed upon further questioning. Which model is implicated? A. Parasympathecotonia B. Segmental facilitation C. Nerve compression D. Proprioceptive insult
B. Segmental facilitation
Which of the following chiropractic models best explains the low back pain and myospasms that accompany motor unit irritation? A. Compressive myelopathy B. Segmental dysfunction C. Somatosomatic response D. Nerve root traction
C. Somatosomatic response
Sneezing or coughing that increases posterior thigh pain points to which of the following mechanisms of segmental dysfunction? A. Nerve Compression B. Dural torque C. Axoplasmic aberration D. Sympatheticotonia
A. Nerve Compression
Which of the following subluxation models is implicated if a large central disc bulges at the C4 level resulting in loss of vibration sense in the hands? A. Vertebrobasilar artery insufficiency B. Nerve compression C. Compressive myelopathy D. Intraneural ischemia
C. Compressive myelopathy
The unresponsiveness of the skin to return to normal skin color following an adjustment in a patient who presents with Raynaud's phenomenon implies a failure of which mechanism? A. Discogenic B. Viscervisceral reflex C. Somatoautonomic response D. Neuroimmunomodulation
C. Somatoautonomic response
Incomplete lumbarization is noted on radiography. Kemp's, Patrick Fabere's, and Hibb's are all positive for local pain. Neurologic testing is inconclusive. Which of the following is suggested? A. Neuroimmunomodulation B. Viscerosomatic reflexes C. Proprioceptive insult D. Korr's fixation theory
C. Proprioceptive insult
The lines drawn on a set of cervical films indicate a misalignment of the atlantoaxialoccipital complex. Which of the following is usually cited as the primary mechanism for the rationale of the adjustive technique commonly applied? A. Nerve compression B. Segmental irritation C. Sympathetic dystrophy D. Compressive myelopathy
D. Compressive myelopathy
The lower flank pain that may accompany uterine disease can be attributed to which of the following reflexes? A. Psychovisceral B. Somatovisceral C. Sympatheticosomatic D. Viscerosomatic
D. Viscerosomatic
A teenager with bronchitis and neutrophilia responds well to thoracic adjusting. Which of the following models best explains this phenomenon? A. Sympathecotonia B. Neurodystrophy C. Proprioceptive insult D. Autonomicosomatic reflexes
B. Neurodystrophy
A child with chronic ear infections improves under chiropractic care. Physical examination indicates slight erythema of the tympanic membrane. What subluxation model is implicated? A. Sympathetic atonia B. Segmental facilitation C. Proprioceptive insult D. Neuroimmunomodulation
D. Neuroimmunomodulation
A 32 year old patient presents with a 3 year history of lower back pain. She also stated that it’s made worse by prolonged sitting at work. Irradiation of a Wilm's tumor produced premature maturation of the hemipelvis. Which of the following should be palliative while at work. A. Shorten the hamstrings B. Heel lift C. Lengthen the quadriceps D. Ischial lift
D. Ischial lift
Which of the following is the least likely mechanism of nerve compression resulting in nerve root ischemia? A. Disc prolapse B. Vertebral subluxation C. Vertebral fixation D. Nerve root traction
C. Vertebral fixation
Segmental hypomobility with concomittant aberrant joint mechanics is a key component of which of the following theories? A. Segmental dysfunction B. Compressive myelopathy C. Sympathecotonia D. Dural torque
A. Segmental dysfunction
Which of the following models of manipulable spinal biomechanical aberrations is most adherant to A.T. Still’s original premise?
A. Aberrant vascular and lymphatic supply
B. Axoplasmic transport
C. Nerve compression
D. Intraneural microcirculation ischemia
A. Aberrant vascular and lymphatic supply
Decreased macromolecule transport and antegrade flow implies which of the following subluxation models? A. Selye's GAS hypothesis B. Axoplasmic aberration C. Segmental facilitation D. Proprioceptive insult
B. Axoplasmic aberration
Who was the founder of a technique noted primarily for the observation of respiratory patterns of the sacrum and cranial dura? A. Major Dejarnette B. George Goodheart C. Clarence Gonstead D. Arlen Fuhr
A. Major Dejarnette
Cicatrix formation surrounding a spinal nerve root following prolonged mechanical deformation implicates which model of subluxation? A. Segmental dysfunction B. Cord compression C. Nerve compression D. Fixation theory
C. Nerve compression
Radiography reveals a hemivertebrae at T7. Reported symptoms include tachycardia and gastroenteritis. Which model accurately represents the mechanisms indicated? A. Korr B. B.J. Palmer C. Gillet D. DeJarnette
A. Korr
Compression of the lateral horn would be unlikely to produce which of the following? A. Bell’s Palsy B. Menniere’s C. Horner’s D. Causalgia
A. Bell’s Palsy
Which of the following is not an original tenet of the subluxation first published by B.J. Palmer in the early 1900’s? A. Vertebral misalignment B. Foraminal occlusion C. Nerve pressure D. Fixation
D. Fixation
Which of the following is most likely to cause segmental narrowing of a vertebral artery A. Aberrant axoplasmic flow B. Uncovertebral arthrosis C. Degeneration of the posterior joints D. Hypertrophy of the ligamentum flavum
B. Uncovertebral arthrosis
Which of the following is not a characteristic of axoplasmic flow in neurons? A. Macromolecule transportation B. Decreased nerve conduction C. Alteration of end organ growth D. Nerve growth factor
B. Decreased nerve conduction
Congenital block vertebra predisposes a patient to which of the following models? A. Proprioceptive insult B. Segmental dysfunction C. Somatosomatic reflex D. Dural torque
A. Proprioceptive insult
The idea of the “Safety Pin” cycle was described in the 1927 Chiropractic Textbook by? A. Ralph Waldo Emerson B. George Nelson Riley C. Ralph W. Stephenson D. Robert James "Bob" Keeshan
C. Ralph W. Stephenson
All of the following terms that have been used in literature to refer to the Subluxation, EXCEPT? A. Manipulable Lesion B. Metameric dysfunction C. Orthospondylodysarthritics D. Dislocation
D. Dislocation
Dr. Virgil Strange utilized “The State of the Organism” philosophical construct to help explain the constantly changing physiology state of the human body. The three main components of the “State of the Organism” are?
A. The Triune of life, The Calisthenic Dynamic, & The Triad of Health
B. The Monocausal Theory, The Triad of Health, & The Biological Spectrum
C. The Triad of Health, The Triune of life, & The State of the Organism Equation
D. The Biological Spectrum, The State of the Organism Equation, & The Calisthenic Dynamic
D. The Biological Spectrum, The State of the Organism Equation, & The Calisthenic Dynamic
The “Triune of Life” refers to? A. Down, Inside, Out B. Intelligence, Force and Matter C. Mind, Body, Spirit D. Art, Philosophy, Science
B. Intelligence, Force and Matter
The “Principle of Time” refers to?
A. There is no process that does not require time
B. Time is a non-renewable commodity
C. Time is perceived through the innate of the patient
D. Time is nether limiting to nor adding to healing
A. There is no process that does not require time
There is universal life in all matter because?
A. Matter is energy and energy is universal
B. Force is manifested by motion in matter and all matter has motion
C. Universal Life exists at all levels as does matter
D. Universal Life and matter are the same thing expressed in different forms
B. Force is manifested by motion in matter and all matter has motion
Who developed theories on stress and neuroendocrinology that impact the chiropractic model of dis-ease? A. Gillet B. Still C. Selye D. Goodheart
C. Selye
Who was the first chiropractor to use the term subluxation? A. Solon Langworthy B. D.D. Palmer C. Oakley Smith D. B.J. Palmer
A. Solon Langworthy
The first textbook of chiropractic was co-written by which of the following? A. B.J. Palmer B. Mabel Palmer C. R.W. Stephenson D. Minora Paxson
D. Minora Paxson
Philosophy as a defense was first used successfully in the trial of which of the following chiropractors? A. Palmer B. Morikubo C. Stephenson D. Langworthy
B. Morikubo
The court case against the AMA for attempting to eliminate the chiropractic profession is known primarily as? A. The Morris Case B. The Wilson Case C. The Wilk’s Case D. The AMA Case
C. The Wilk’s Case
The concept of innate intelligence was first recorded in which of the following texts? A. The Chiropractor’s Adjustor B. The Chiropractic Textbook C. Modernized Chiropractic D. Green Book Vol.I
A. The Chiropractor’s Adjustor
D.D. Palmer was influenced by and practiced which of the following prior to the discovery of chiropractic? A. Spiritualism B. Magnetic healing C. Osteopathy D. Eastern mysticism
B. Magnetic healing
Who was responsible for introducing radiography to the chiropractic profession? A. Joy Loban B. W. Remier C. Dossa Evins D. B.J. Palmer
D. B.J. Palmer