TL Quiz 1

Question 1

components of the chiropractic subluxation

Answer 1

• pathophysiology
• neuropathophysiology
• myopathology
• histopathology
• spinal kinesiopathology

Question 2

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

Answer 2

kinesiopathology

Question 3

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

Answer 3

neuropathophysiology

Question 4

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

Answer 4

myopathology

Question 5

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

Answer 5

histopathology

Question 6

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

Answer 6

pathophysiology

Question 7

4 conditions related to myotomes

Answer 7

• trigger pionts
• fibromyalgia
• myofacial pain syndrome
• overuse syndrome

Question 8

back pain that is so bad it makes the patient sick

Answer 8

autonomic pain

Question 9

deep diffuse pain

Answer 9

sclerotome pain

Question 10

pain that follows vascular routes rather than nerve distribution

Answer 10

sclerotome pain

Question 11

how does activity affect sclerotome pain

Answer 11

exacerbates pain

Question 12

annulus fibrosis is involved with which type of pain

Answer 12

sclerotome pain

Question 13

nucleus pulposus is involved with which type of pain

Answer 13

dermatomal pain

Question 14

dermatomal pain is aka

Answer 14

radicular pain

Question 15

what are the three sensory fibers

Answer 15

• A Alpha
• A Delta
• C fibers

Question 16

large, myelinated fibers; the fastest

Answer 16

A alpha

Question 17

fibers that carry vibration and proprioception

Answer 17

A alpha

Question 18

medium to large, myelinated fibers; medium speed

Answer 18

A delta

Question 19

fibers that carry temperature

Answer 19

A delta

Question 20

small, unmyelinated, slow fibers

Answer 20

C fibers

Question 21

fibers that carry pain

Answer 21

C fibers

Question 22

which fibers carry light touch and pressure sense

Answer 22

alpha, delta, and c fibers

Question 23

4 areas of concern for new beginning doctors (p6)

Answer 23

• omission
• wrong synthesis
• inadequate synthesis
• premature closure

Question 24

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

Answer 24

wrong synthesis

Question 25

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

Answer 25

omission

Question 26

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

Answer 26

inadequate synthesis

Question 27

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

Answer 27

premature closure

Question 28

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)

Answer 28

anchoring (Frielander)

Question 29

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

Answer 29

countertransference (Smith)

Question 30

the 6 history taking problems by beginning docs (p12)

Answer 30

- 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

Question 31

goals of clinical interviewing (p11)

Answer 31

- gathering information - establishment of effective communication - building rapport and empathy - development of trust - provision of information

Question 32

acute pain

Answer 32

a week or less

Question 33

sub acute pain

Answer 33

up to 7 weeks

Question 34

chronic pain

Answer 34

at 7 week mark

Question 35

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

Answer 35

plain english

Question 36

4 osseous causes of low back pain (p32)

Answer 36

- facet degeneration - stenosis of the nerual foramina - spinal canal stenosis - lateral recess stenosis

Question 37

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

Answer 37

males in 5th decade of life

Question 38

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

Answer 38

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

Question 39

A of A.R.T.

Answer 39

asymmetry

Question 40

R of A.R.T.

Answer 40

ROM

Question 41

T of A.R.T

Answer 41

tissue texture

Question 42

message says "I am sorry for you"

Answer 42

sympathy

Question 43

communicates "I am with you and you are not alone"

Answer 43

empathy

Question 44

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

Answer 44

empathy importance

Question 45

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

Answer 45

endogenous opiates

Question 46

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

Answer 46

enkephalins

Question 47

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

Answer 47

arachidonic acid, prostaglandins, thromboxane, monohydroxy FAs, leukotrienes

Question 48

produce vasodilation and produce warmth at the site of injury

Answer 48

prostaglandins

Question 49

cause vasoconstriction and the area feels cool

Answer 49

thromboxane

Question 50

produce inflammation leading to the development of focal trigger points

Answer 50

leukotrienes

Question 51

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

Answer 51

substance P

Question 52

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

Answer 52

because of torque concept