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Thoracolumbar > TL Quiz 1 > Flashcards

TL Quiz 1 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

22
Q

which fibers carry light touch and pressure sense

A

alpha, delta, and c fibers

23
Q

4 areas of concern for new beginning doctors (p6)

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

found to occur when the available data contradicted the conclusion; this error correlated strongly with knowledge level

A

wrong synthesis

25
Q

noted when an important clinical clue was simply ignored; thought to be related to inexperience and usually passes with experience when the clinician learns to recognize the importance of subtle clues

A

omission

26
Q

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

A

inadequate synthesis

27
Q

when the diagnosis of the patient’s condition is less than justified by the existing data; correlated with self confidence

A

premature closure

28
Q

the tendency of persons to retain early hypotheses in spite of subsequent information; leads to retention of the closure and may slow a response to new evidence once it is available to the clinician (p7)

A

anchoring (Frielander)

29
Q

fear of harming the patient, fear of loss of control; performance anxiety, is a phenomenon known as

A

countertransference (Smith)

30
Q

the 6 history taking problems by beginning docs (p12)

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

goals of clinical interviewing (p11)

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 (p32)

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

message says “I am sorry for you”

A

sympathy

43
Q

communicates “I am with you and you are not alone”

A

empathy

44
Q

An increased ability to apply this should lead to improved pt communication, diagnoses which better address pt needs and more appropriate use of technology in pt care

A

empathy importance

45
Q

peptides native to the CNS, involved with modulation of nociceptive stimulus

A

endogenous opiates

46
Q

these may increase pain tolerance and produce a natural analgesic effect for the patients pain

A

enkephalins

47
Q

When STs are irritated cell membranes break down to ___ from which biosynthesis of chemicals like ___, ____, ___ and ___ are involved in the inflammatory process ensues and loss of function results

A

arachidonic acid, prostaglandins, thromboxane, monohydroxy FAs, leukotrienes

48
Q

produce vasodilation and produce warmth at the site of injury

A

prostaglandins

49
Q

cause vasoconstriction and the area feels cool

A

thromboxane

50
Q

produce inflammation leading to the development of focal trigger points

A

leukotrienes

51
Q

polypeptide typically found in locations of rich sensory innervations and a powerful neuropeptide known to participate in sensory nociceptive transmission of pain

A

substance P

52
Q

why do we change hands and DS for 4 letter listings DTV?

A

because of torque concept

Thoracolumbar (3 decks)

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