NMS 2 Final Flashcards
Multiple myeloma causes lytic lesions which puts a patient at risk of what?
A. Osteophytes formation
B. Pathological fractures
C. Cardiovascular complications
D. Hemorrhages
B. Pathological fractures
The meridian point large intestine 4, or L14 is a very common trigger point for gastrointestinal upset, headaches, pregnancy complaints, and low back pain. Where is it located?
A. Base of the 5th metatarsal
B. PSIS’s
C. Web of the thumb
D. Midway between the sacrum and greater trochanter
C. Web of the thumb
Bruxism, aka grinding teeth, can potentially cause what condition?
A. Bells Palsy
B. Osteoarthritis
C. Halitosis
D. TMJ Syndrome
D. TMJ Syndrome
Cervical strain/sprain is typically caused by what mechanism of injury?
A. Repetitive injury
B. Pathological injury
C.hyperflexion/hyperextension
D. Rapid rotation
A. Repetitive injury
Cramping and pain in the legs of a patient with a lumbar canal stenosis is called:
A. Vascular claudication
B. Neurogenic claudication
C. Intermittent claudication
B. Neurogenic claudication
Torticollis is when the neck is held in a ________ and/or _________ position.
A. Rotated, laterally flexed
B. Rotated, extended
C. Laterally flexed, extended
D. Rotated, flexed
A. Rotated, laterally flexed
Which of the following potential causes of intercostal neuralgia?
A. Trauma
B. Viral infections
C. Nerve entrapment
D. All of the above
D. All of the above
diffuse idiopathic skeletal hyperostosis patients should also be screened for what other condition?
A. Rheumatoid arthritis
B. Congestive heart failure
C. Diabetes mellitus
D. Graves’ disease
C. Diabetes mellitus
Papilledema is a warning sign for what type of headache?
A. Pathological headache
B. Cervicogenical headache
C. Migraine headache
D. Sinus headache
A. Pathological headache
A compressive lesion is related to:
A. The location of a herniation
B. The reaction of a herniation
C. The size of a herniation
D. The level of a herniation
C. The size of a herniation
The leading cause of disability in the elderly is _________.
A. Lumbar stenosis
B. Degenerative joint disease
C. Osteoarthritis
D. Diabetes mellitus
B. Degenerative joint disease
Would you adjust a patient with an acute cervical strain/sprain?
a) Yes, removing the subluxation will speed up the healing process
b) Yes, but using more gentle techniques
c) No, adjusting during the acute phase of this injury could cause further damage
d) No, the patient should be sent to an ER
c) No, adjusting during the acute phase of this injury could cause further damage
A “classic” migraine is classified as a migraine ___________.
A. With aura
B. Without aura
C. With nausea
D. Without nausea
A. With aura
At what degree of scoliotic curvature do we start to become concerned about cardiovascular complications?
a) 30
b) 40
c) 50
d) 60
d) 60
Which of the following is
NOT one of the symptoms needed to diagnose a cervicogenic headache according to the
International Headache Society?
a) Resistance or limited range of motion
b) Change in the contour, texture, and tone of the musculature of the neck
c) A headache lasting for more than 24 hours
d) Abnormal tenderness of the neck musculature
c) A headache lasting for more than 24 hours
A patient presents with saddle paresthesia and bowel/bladder incontinence.
What do you suspect the diagnosis to be?
a) Myelopathy
b) Cauda Equina Syndrome
c) Radiculopathy
d) Vascular Claudication
b) Cauda Equina Syndrome
A 77 year old male patient woke up this morning with a headache. As he got out of bed, he became dizzy and fell. He says that he frequently has headaches accompanied by dizziness almost every morning. What exam finding would you expect to be present?
a) Elevated CRP
b) Hypertension
c) Nuchal Rigidity
d) Sinus Pressure
b) Hypertension
“Bamboo spine,” “trolley track sign,” and “railroad sign” are all common radiographic findings of what condition?
a) Rheumatoid arthritis
b) Ankylosing spondylitis
c) Enteropathic arthritis
d) DISH
b) Ankylosing spondylitis
CASE STUDY: A 35 year old male presents to the clinic with an excruciating headache… runny nose. He states the pain is localized behind his left eye. He’s been experiencing… drooping. What is the most likely diagnosis?
a) Migraine headache
b) Cluster headache
c) Sinus headache
d) Stroke
b) Cluster headache
CASE STUDY: A 25 year old female presents with dull achy low back pain that radiates into her glutes… worsening for about 5 years. She used to be a competitive gymnast and stopped when the back pain… extension.
What do you suspect the diagnosis to be?
a) Lumbar strain/sprain
b) Piriformis syndrome
c) Lumbar disc herniation
d) Spondylolisthesis
d) Spondylolisthesis
What clinical finding is indicative of the cord being compromised?
a) Lower motor neuron lesion signs
b) Instability
c) Upper motor neuron lesion signs
d) Loss of range of motion
c) Upper motor neuron lesion signs
Which condition should be considered non-accidental in children?
a) Rib fracture
b) Costco Cartilaginous injury
c) Thoracic Costal facet sprain
d) Snapping scapula
a) Rib fracture
Which of the following would be an example of dysplastic spondylolisthesis?
a) DJD
b) Trauma
c) Spina Bifida
d) Scoliosis
c) Spina Bifida
Which of the following is not part of the METH acronym?
A. Exercise
B. Movement
C. Heat
D. Torsion
D. Torsion