Quiz 1 Flashcards

1
Q
  • See it and recognize the disorder
  • Compare posttest probability with thresholds
  • Implies probability near 100% and above threshold
A

Pattern Recognition

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q
  • Clinical assessment generates pretest probability
  • New information generates posttest probability
  • Compare posttest probability with thresholds
A

Probabilistic Reasoning

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Chiropractors develop differential diagnoses, case management plans, and prognoses on a _________

A

Daily basis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

The NBCE job analysis report deemed what as causing a significant risk to a patients health or safety

A

Omission or poorly developing differential diagnoses

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Why is needed for a diagnostic procedure?

A
  • Patient history
  • Working hypothesis
  • Select tests to confirm or refute hypothesis
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Proportion of those with a positive test that will have the condition

A

Sensitivity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Proportion of patients with a negative test that do not have the condition

A

Specificity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What is the importance of testing the hypothesis during a diagnostic procedure?

A

Need the best tests that will link us to the greatest posttest probability (helps use the evidence to create better diagnosis and ultimately management)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

For a SLAP lesion, O’Brien test had a Sn = .64, Sp = .43, and a +LR = 1.13 while Bicep Load Test I and II has a Sn = >90, and a +LR = 30. What test should be utilized for detecting a SLAP lesion and why?

A

Bicep Load Test 1 and 2
-has a very high sensitivity and likelihood ration which correlates that a positive test result is more likely to confirm a SLAP lesion.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Serious pathology can present as ________________

A

Non-serious pathology

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What is an absolute contraindication for adjusting as mandated by Medicare

A

Vertebrobasilar insufficiency syndrome from cervical spinal manipulation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Blockage of blood flow in the vertebral artery at the brain stem will cause pain in what area of the body?

A

Low occiput and back or neck along the trapezius

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Blockage of the Posterior inferior cerebellar artery will cause pain in what part of the body

A

Occiput and posterolateral portions of the temporal and parietal bones

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Blockage just before the anterior inferior cerebellar artery will cause what problems in the body

A

Occiput and posterolateral portions of the temporal and parietal bones. Also around the eye extending to the zygomatic and frontal bones.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

A blockage of the basilar artery will cause what problems in the body?

A

Pain in the occipital and superior posterior parts of the parietal bones

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Sharp pain on motion

A

Joint

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Constant pain

A

Joint or nerve

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Burning/hot pain

A

Nerve

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Sharp pain with no motion

A

Nerve

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Stabbing pain

A

Nerve

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Tingling/numbness

A

Nerve

22
Q

Cramping/knot/spasm pain

A

Muscle

23
Q

Dull ache

A

Muscle

24
Q

Deep burning, dull pain

A

Bone, ligament

25
Q

Pinpoint pain over paraspinal tissue

A

MTRp

26
Q

Crawling sensation

A

Myofascial pain

27
Q

Throbbing pain

A

Vascular

28
Q

Well localized pain

A

Peripheral tissue

29
Q

Diffuse pain

A

Central tissue

30
Q

Initial evaluation and specific imaging/evaluation for a bone tumor

A
Initial = Radiograph
Specific = MRI or CT, possible bone scan for mets
31
Q

Initial evaluation and specific imaging/evaluation for a Osteochondrosis/Apophysitis

A
Initial = Local tenderness and radiograph
Specific = Possible bone scan
32
Q

Initial evaluation and specific imaging/evaluation for a bone fracture

A
Initial = Palpation, percussion, tuning fork, radiograph
Specific = Ct or possible MRI
33
Q

Initial evaluation and specific imaging/evaluation for a stress fracture

A
Initial = Palpation, percussion, radiograph 
Specific = Bone scan, CT
34
Q

Initial evaluation and specific imaging/evaluation for Osteopenia/Osteoporosis

A
Initial = Radiograph
Specific = CT
35
Q

Initial evaluation and specific imaging/evaluation for Osteomyelitis

A
Initial = Radiograph 
Specific = MRI
36
Q

Initial evaluation and specific imaging/evaluation for a sprain or ruptured soft tissue

A
Initial = stability testing
Specific= MRI
37
Q

Initial evaluation and specific imaging/evaluation for bursitis

A
Initial = Palpation 
Specific = MRI or bursography
38
Q

Initial evaluation and specific imaging/evaluation for Myofascitis

A
Initial = Palpation 
Specific = None
39
Q

Initial evaluation and specific imaging/evaluation for Arthritis

A
Initial = characteristic joint involvement, radiograph, characteristics 
Specific = Lab findings, CT for bone, MRI for soft tissue involvement
40
Q

Initial evaluation and specific imaging/evaluation for a Subluxation

A
Initial = Palpation, radiograph 
Specific = none
41
Q

Initial evaluation and specific imaging/evaluation for synovitis

A
Initial  = capsular pattern of restriction 
Specific = MRI, joint aspiration
42
Q

Initial evaluation and specific imaging/evaluation for Joint mice

A
Initial = Restricted ROM, radiograph 
Specific = MRI or CT
43
Q

Initial evaluation and specific imaging/evaluation for dislocation

A
Initial = Observation and radiograph 
Specific = CT
44
Q

Initial evaluation and specific imaging/evaluation for a muscle strain or rupture

A
Initial = Active resistance 
Specific = Sonography or MRI
45
Q

Initial evaluation and specific imaging/evaluation for trigger points

A
Initial = Palpation
Specific = None
46
Q

Initial evaluation and specific imaging/evaluation for muscle atrophy

A
Initial = Observation/measurement 
Specific = Electrodiagnostic studies
47
Q

Initial evaluation and specific imaging/evaluation for Myositis ossificans

A
Initial = Palpation/radiograph
Specific = CT
48
Q

Initial evaluation and specific imaging/evaluation for Muscular dystrophy

A
Initial = muscle testing
Specific = electrodiagnostic studies
49
Q

Initial evaluation and specific imaging/evaluation for tendonitis/tendinosis

A
Initial = Stretch and contraction 
Specific = Sonography
50
Q

Initial evaluation and specific imaging/evaluation for paratenositis (tenosynovitis)

A
Initial = Stretch
Specific = Sonography or MRI
51
Q

Initial evaluation and specific imaging/evaluation for tendon rupture

A
Initial = Lack of passive tension 
Specific = Sonography or MRI