Quiz 1 Flashcards
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)
Fulop
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
Barrows and Feltovich
Who found that: experience is not a “safeguard” against judgment errors
Voytovich and Rippey
Who said: unless the affective component of establishing communication and rapport is achieved, the data gathering portion becomes more difficult
Engler
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
Scofferman and Zucherman
Who said: emphasis on “thoroughness and accuracy in history taking”
DaRosa
Who said: a main problem in early experience with history taking is dealing with the docs “own tensions and nervousness during the conversation”
Batenburg and Gerritsma
Who said: the beginning Doctor is often unable to empathize comfortably with patients to the extent that would help the interaction of the interview
Lewis
Who made a distinction b/w sympathy and empathy
Lewis
Who investigated the use of empathy in history taking by chiropractic students in the clinical setting
Johnson
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
Jinkins
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
Higgs and Moncada
Who said: prostaglandins produce vasodilation and produce warmth at the site of injury
Ferreira
Who said: thromboxane causes vasoconstriction and the area feels cool
Ferreira
Who said: leukotrienes produce inflammation leading to the development of focal trigger points
Ferreira
Who pointed out: the Critical Issue is the initial interaction of the patient with practitioner
Hadler
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
Sheon
Who said: classifying pain by duration, acute is a week or less, subacute up to seven weeks, chronic begins at seven weeks
Mooney
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
Murphy
Who said: the experienced clinician has acquired unconscious/automatic associations concerning appropriate hypotheses/strategies of investigation for repetitive patient problems
Barrows and Feltovich
Who found a relationship of increased fatigue w/i 24hrs following onset of pain
Feuerstein
Who said: research seemed to suggest a defense of pain in patients (from a psychological standpoint)
Tauschke
Who’s study downplayed “malingering” and the workers compensation issue
Leavitt
Who found that the patients pain complaints decreased as their isokinetic extensor strength increased
Moczynski and Heinz
Who said: no psychological test can serve as a substitute for a clinical interview
Goldstein
Who said: due to ambiguity of patients emotional disturbance suggest that the BPCS be used with caution
Biedermann
Who suggested that biofeedback techniques are a concrete method of helping patients
Iianni
Who found that there was a difference in coping strategies b/w the low back pain fascial pain patients.
Keefe and Dolan
Who found in a study of 403 patients found L4-5 slightly more common and right side lesions slightly more common
Kortelainen
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
Porter
Who traced the measurement of body temperature historically
Houdas and Ring
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
Johnson
