Quiz 1 Flashcards
- See it and recognize the disorder
- Compare posttest probability with thresholds
- Implies probability near 100% and above threshold
Pattern Recognition
- Clinical assessment generates pretest probability
- New information generates posttest probability
- Compare posttest probability with thresholds
Probabilistic Reasoning
Chiropractors develop differential diagnoses, case management plans, and prognoses on a _________
Daily basis
The NBCE job analysis report deemed what as causing a significant risk to a patients health or safety
Omission or poorly developing differential diagnoses
Why is needed for a diagnostic procedure?
- Patient history
- Working hypothesis
- Select tests to confirm or refute hypothesis
Proportion of those with a positive test that will have the condition
Sensitivity
Proportion of patients with a negative test that do not have the condition
Specificity
What is the importance of testing the hypothesis during a diagnostic procedure?
Need the best tests that will link us to the greatest posttest probability (helps use the evidence to create better diagnosis and ultimately management)
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?
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.
Serious pathology can present as ________________
Non-serious pathology
What is an absolute contraindication for adjusting as mandated by Medicare
Vertebrobasilar insufficiency syndrome from cervical spinal manipulation
Blockage of blood flow in the vertebral artery at the brain stem will cause pain in what area of the body?
Low occiput and back or neck along the trapezius
Blockage of the Posterior inferior cerebellar artery will cause pain in what part of the body
Occiput and posterolateral portions of the temporal and parietal bones
Blockage just before the anterior inferior cerebellar artery will cause what problems in the body
Occiput and posterolateral portions of the temporal and parietal bones. Also around the eye extending to the zygomatic and frontal bones.
A blockage of the basilar artery will cause what problems in the body?
Pain in the occipital and superior posterior parts of the parietal bones
Sharp pain on motion
Joint
Constant pain
Joint or nerve
Burning/hot pain
Nerve
Sharp pain with no motion
Nerve
Stabbing pain
Nerve
Tingling/numbness
Nerve
Cramping/knot/spasm pain
Muscle
Dull ache
Muscle
Deep burning, dull pain
Bone, ligament
Pinpoint pain over paraspinal tissue
MTRp
Crawling sensation
Myofascial pain
Throbbing pain
Vascular
Well localized pain
Peripheral tissue
Diffuse pain
Central tissue
Initial evaluation and specific imaging/evaluation for a bone tumor
Initial = Radiograph Specific = MRI or CT, possible bone scan for mets
Initial evaluation and specific imaging/evaluation for a Osteochondrosis/Apophysitis
Initial = Local tenderness and radiograph Specific = Possible bone scan
Initial evaluation and specific imaging/evaluation for a bone fracture
Initial = Palpation, percussion, tuning fork, radiograph Specific = Ct or possible MRI
Initial evaluation and specific imaging/evaluation for a stress fracture
Initial = Palpation, percussion, radiograph Specific = Bone scan, CT
Initial evaluation and specific imaging/evaluation for Osteopenia/Osteoporosis
Initial = Radiograph Specific = CT
Initial evaluation and specific imaging/evaluation for Osteomyelitis
Initial = Radiograph Specific = MRI
Initial evaluation and specific imaging/evaluation for a sprain or ruptured soft tissue
Initial = stability testing Specific= MRI
Initial evaluation and specific imaging/evaluation for bursitis
Initial = Palpation Specific = MRI or bursography
Initial evaluation and specific imaging/evaluation for Myofascitis
Initial = Palpation Specific = None
Initial evaluation and specific imaging/evaluation for Arthritis
Initial = characteristic joint involvement, radiograph, characteristics Specific = Lab findings, CT for bone, MRI for soft tissue involvement
Initial evaluation and specific imaging/evaluation for a Subluxation
Initial = Palpation, radiograph Specific = none
Initial evaluation and specific imaging/evaluation for synovitis
Initial = capsular pattern of restriction Specific = MRI, joint aspiration
Initial evaluation and specific imaging/evaluation for Joint mice
Initial = Restricted ROM, radiograph Specific = MRI or CT
Initial evaluation and specific imaging/evaluation for dislocation
Initial = Observation and radiograph Specific = CT
Initial evaluation and specific imaging/evaluation for a muscle strain or rupture
Initial = Active resistance Specific = Sonography or MRI
Initial evaluation and specific imaging/evaluation for trigger points
Initial = Palpation Specific = None
Initial evaluation and specific imaging/evaluation for muscle atrophy
Initial = Observation/measurement Specific = Electrodiagnostic studies
Initial evaluation and specific imaging/evaluation for Myositis ossificans
Initial = Palpation/radiograph Specific = CT
Initial evaluation and specific imaging/evaluation for Muscular dystrophy
Initial = muscle testing Specific = electrodiagnostic studies
Initial evaluation and specific imaging/evaluation for tendonitis/tendinosis
Initial = Stretch and contraction Specific = Sonography
Initial evaluation and specific imaging/evaluation for paratenositis (tenosynovitis)
Initial = Stretch Specific = Sonography or MRI
Initial evaluation and specific imaging/evaluation for tendon rupture
Initial = Lack of passive tension Specific = Sonography or MRI
