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ɯǝʇsʎs snoʌɹǝu ןɐɹǝɥdıɹǝd > T/L Midterm > Flashcards

T/L Midterm Flashcards

1
Q

components of the chiropractic subluxation

A
  • pathophysiology
  • neuropathophysiology
  • myopathology
  • histopathology
  • spinal kinesiopathology
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2
Q

abnormal motion or position of the spinal bones is described by which component of the chiropractic subluxation

A

kinesiopathology

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3
Q

abnormal nervous system function is described by which component of the chiropractic subluxation

A

neuropathophysiology

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4
Q

abnormal muscle function is described by which component of the chiropractic subluxation

A

myopathology

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5
Q

abnormal soft tissue function is described by which component of the chiropractic subluxation

A

histopathology

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6
Q

abnormal function of the spine and body is described by which component of the chiropractic subluxation

A

pathophysiology

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7
Q

4 conditions related to myotomes

A
  • trigger pionts
  • fibromyalgia
  • myofacial pain syndrome
  • overuse syndrome
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8
Q

back pain that is so bad it makes the patient sick

A

autonomic pain

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9
Q

deep diffuse pain

A

sclerotome pain

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10
Q

pain that follows vascular routes rather than nerve distribution

A

sclerotome pain

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11
Q

how does activity affect sclerotome pain

A

exacerbates pain

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12
Q

annulus fibrosis is involved with which type of pain

A

sclerotome pain

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13
Q

nucleus pulposus is involved with which type of pain

A

dermatomal pain

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14
Q

dermatomal pain is aka

A

radicular pain

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15
Q

what are the three sensory fibers

A
  • A Alpha
  • A Delta
  • C fibers
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16
Q

large, myelinated fibers; the fastest

A

A alpha

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17
Q

fibers that carry vibration and proprioception

A

A alpha

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18
Q

medium to large, myelinated fibers; medium speed

A

A delta

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19
Q

fibers that carry temperature

A

A delta

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20
Q

small, unmyelinated, slow fibers

A

C fibers

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21
Q

fibers that carry pain

A

C fibers

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22
Q

which fibers carry light touch and pressure sense?

A

alpha, delta, and c fibers

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23
Q

4 areas of concern for new beginning doctors

A
  • omission
  • wrong synthesis
  • inadequate synthesis
  • premature closure
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24
Q

found to occur when the available data contradicted the conclusion

A

wrong synthesis

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25
Q

noted when an important clinical clue was simply ignored

A

omission

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26
Q

occurs when conclusions could be supported by data, but were not

A

inadequate synthesis

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27
Q

when the diagnosis of the patient’s condition is less than justified by the existing data

A

premature closure

28
Q

the tendency of persons to retain early hypotheses in spite of subsequent information

A

anchoring

29
Q

fear of harming the patient by losing control of the care; performance anxiety, is a phenomenon known as

A

countertransference

30
Q

the 6 history taking problems by beginning docs

A
  • omission of probing “life situation” type of questions
  • primarily using “leading questions”
  • use of complex vocabulary
  • not enough time allowed for the patient to explain the clinical complaint
  • ignoring “silences”
  • missing non-verbal signals
31
Q

goals of clinical interviewing

A
  • gathering information
  • establishment of effective communication
  • building rapport and empathy
  • development of trust
  • provision of information
32
Q

acute pain

A

a week or less

33
Q

sub acute pain

A

up to 7 weeks

34
Q

chronic pain

A

at 7 week mark

35
Q

the “patientspeak” dictionary, according to scott and weiner, converts commonly misunderstood medical terms into what

A

“plain english”

36
Q

4 osseous causes of low back pain

A
  • facet degeneration
  • stenosis of the nerual foramina
  • spinal canal stenosis
  • lateral recess stenosis
37
Q

what age group and gender are thoracic disc herniations more likely to occur

A

males in 5th decade of life

38
Q

which levels in the thoracic spine are most prone to disc herniation

A

9th, 10th, and 11th (11th disc space has 1/4 of all disc herniations)

39
Q

A of A.R.T.

A

asymmetry

40
Q

R of A.R.T.

A

ROM

41
Q

T of A.R.T

A

tissue texture

42
Q

What percentage of population
will incur back pain in their
lifetime?

A

60-80%

43
Q

Percentage if LBP that self resolves in under 2 weeks

A

70-90%

44
Q

6 types of Myofascial Pain Syndrome

A 
Glute Max
Glute Min
Piriformis
Hamstrings
Quadratus Lumborum
TFL
45
Q

Fibromyalgia Diagnosis

A

Widespread pain

11 of 18 trigger point areas (painful, 4 kg pressure)

46
Q

Dermatome Pain

A

Sharp
Lancinating
Internal Disc

47
Q

Factors predicting chronic pain patients

returning to work following injury

A 
length of sickness/absence
men return more often then women
need for analgesics
patient attitude
pain in C/T/L spine
after work fatigue
48
Q

BPCS

A

evaluation of functional vs organic problems of back pain

49
Q

sympathy

A

I am sorry for you

50
Q

empathy

A

I am with you, and you are not alone

51
Q

endogenous opiates

A

modulate pain

52
Q

prostaglandins

A

vasodilation/warmth

53
Q

thromboxane

A

vasoconstriction

54
Q

leukotrienes

A

inflammation

development of focal trigger points

55
Q

substance P

A

pain

56
Q

enkephalins

A

short lasting

57
Q

endorphins

A

long lasting

58
Q

partial articular pain

A

some movements cause pain, others do not

59
Q

full articular pain

A

all movement will hurt

60
Q

LBP vs Myofascial Pain

A

LBP= less active, more narcotics, higher levels of motor pain

61
Q

skin distraction technique

A

non-invassive way to measure flexion and lateral bend.

mark 100 mm above PSIS and 50 mm below. Put pt through range of motion then remeasure distance.

62
Q

fixation: Bogduk

A

meniscoid entrapment

63
Q

fixation: Panjabi

A

nuclear displacement

64
Q

fixation: sandoz

A

annulus fibrosis separation

65
Q

fixation: Mootz

A

fibrous restrictions/ligamentous adhesions

ɯǝʇsʎs snoʌɹǝu ןɐɹǝɥdıɹǝd (23 decks)

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