Quiz 1

Question 1

Who said: experience is noted by the use of tight,highly relevant, competitive hypotheses, and the choice of a few select tests helps the “sort them out”
(This process may occur as the clinician is talking with the patient)

Answer 1

Fulop

Question 2

Who said: beginning attempts at clinical reasoning may be hampered due to fragmentation of interpretation, over reliance on textbook interpretations, and less knowledge base than the experienced clinician

Answer 2

Barrows and Feltovich

Question 3

Who found that: experience is not a “safeguard” against judgment errors

Answer 3

Voytovich and Rippey

Question 4

Who said: unless the affective component of establishing communication and rapport is achieved, the data gathering portion becomes more difficult

Answer 4

Engler

Question 5

Who said: the patient must be given adequate opportunity to talk about his problem, and it is the overall picture gained from careful listening/attention to detail that proves most fruitful

Answer 5

Scofferman and Zucherman

Question 6

Who said: emphasis on “thoroughness and accuracy in history taking”

Answer 6

DaRosa

Question 7

Who said: a main problem in early experience with history taking is dealing with the docs “own tensions and nervousness during the conversation”

Answer 7

Batenburg and Gerritsma

Question 8

Who said: the beginning Doctor is often unable to empathize comfortably with patients to the extent that would help the interaction of the interview

Answer 8

Lewis

Question 9

Who made a distinction b/w sympathy and empathy

Answer 9

Lewis

Question 10

Who investigated the use of empathy in history taking by chiropractic students in the clinical setting

Answer 10

Johnson

Question 11

Who said: due to related patterns of local and centrifugal distribution of peripheral nerve fibers as well as their complex central connections which result in a concurrent superimposition of focal and diffuse conscious perceptions and unconscious effects

Answer 11

Jinkins

Question 12

Who said: the cell membranes break down to arachidonic acid, from which biosynthesis of chemicals like prostaglandins, thromboxane, monohydroxy fatty acids, and leukotrienes are individually or collectively involved in the reaction to an injury. The inflammatory process ensues and loss of function results

Answer 12

Higgs and Moncada

Question 13

Who said: prostaglandins produce vasodilation and produce warmth at the site of injury

Answer 13

Ferreira

Question 14

Who said: thromboxane causes vasoconstriction and the area feels cool

Answer 14

Ferreira

Question 15

Who said: leukotrienes produce inflammation leading to the development of focal trigger points

Answer 15

Ferreira

Question 16

Who pointed out: the Critical Issue is the initial interaction of the patient with practitioner

Answer 16

Hadler

Question 17

Who said: “about 75% of persons with low back pain are functioning normally again w/i a week, and only 5% are disabled longer than three months

Answer 17

Sheon

Question 18

Who said: classifying pain by duration, acute is a week or less, subacute up to seven weeks, chronic begins at seven weeks

Answer 18

Mooney

Question 19

Who identified 85% of patients who became chronic pain patients. In their study they found that acute patients who became chronic complained of pain over a wider area of the body, were highly anxious, and had lower level of activity

Answer 19

Murphy

Question 20

Who said: the experienced clinician has acquired unconscious/automatic associations concerning appropriate hypotheses/strategies of investigation for repetitive patient problems

Answer 20

Barrows and Feltovich

Question 21

Who found a relationship of increased fatigue w/i 24hrs following onset of pain

Answer 21

Feuerstein

Question 22

Who said: research seemed to suggest a defense of pain in patients (from a psychological standpoint)

Answer 22

Tauschke

Question 23

Who’s study downplayed “malingering” and the workers compensation issue

Answer 23

Leavitt

Question 24

Who found that the patients pain complaints decreased as their isokinetic extensor strength increased

Answer 24

Moczynski and Heinz

Question 25

Who said: no psychological test can serve as a substitute for a clinical interview

Answer 25

Goldstein

Question 26

Who said: due to ambiguity of patients emotional disturbance suggest that the BPCS be used with caution

Answer 26

Biedermann

Question 27

Who suggested that biofeedback techniques are a concrete method of helping patients

Answer 27

Iianni

Question 28

Who found that there was a difference in coping strategies b/w the low back pain fascial pain patients.

Answer 28

Keefe and Dolan

Question 29

Who found in a study of 403 patients found L4-5 slightly more common and right side lesions slightly more common

Answer 29

Kortelainen

Question 30

Who found plain lateral radiographic signs of degenerative changes present in 80% of patients studied with root entrapment syndrome, mainly at L5-S1 with disc space reduction being recognized in 56% of instances

Answer 30

Porter

Question 31

Who traced the measurement of body temperature historically

Answer 31

Houdas and Ring

Question 32

Who suggests control of the identified weakness of the line drawing analysis system would appear to help counter the inherent problems of examiner error or such confounding situations as malformation of vertebrae

Answer 32

Johnson