Care Final

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Care Final
2012-12-09 15:10:40
Care Final

Care Final
Show Answers:

  1. What are the two componets to visual inspection?
    • Gait
    • Posture analysis
  2. What the first three steps in posture analysis?
    • Have patient gowned and shoes removed
    • instruct patient to walk in place eyes closed
    • Have patient stand with eyes closed
  3. What are you examining from posterior to anterior?
    • Scoliosis
    • head tilt and rotation
    • shoulder heights
    • hand position
    • illiac crest heights
    • internal or external foot rotation
  4. What do you examine from the sagittal plane view?
    • ear, shoulder, pelvis alignment
    • forward head carriage
    • spinal curverature
  5. What are the cervical landmarks?
    • C2 spinous process- 1st osseous prominence below occiput
    • C7 spinous process- Large protuding, C6 glides away
  6. How do you locate T1?
    Utilize C7 location
  7. How do you locate T4?
    most prominent sp in upper thoracic region
  8. How is T6/T7 located?
    • C6 Found medial to inferior border of scapula when patinet prone. 
    • C7 found in same spot when seated
  9. How is L1 located?
    First large blade like SP
  10. How is L4 found?
    Medial to illiac crest
  11. Where is S2 found?
    level of PSIS
  12. What is the definition for chiropractic?
    The science, art, and philosophy that deals primarily with the relationship between the spine and nervous system in the restoration and maintence of health
  13. What is the definition of a subluxation?
    Malposition of a vertebra with the one below that has an adverse effect upon the exiting spinal nerves
  14. What is the subluxation formula?
    Fixation + Neural component = subluxation
  15. What is the goal of the chiropractor?
    To reduce/correct subluxation in order to promote optimal nerve function
  16. What are the four palmer techniques?
    • Toggle recoil, upper cervical specific
    • Palmer gonstead
    • Palmer Thompson
    • Palmer Diversified
  17. Who developed toggle recoil?
    B.J. Palmer
  18. What is utilized in the Thompson method?
    • Drop table
    • Low force tech
  19. What is the purpose of the palmer techniques?
    • Dr. Patient saftey
    • Patient injury minimized
    • help a variety of patients
    • provide strong foundation for other techniques
  20. What  is the lowest cervical vertebra that demonstrates significant anterior glide during extension?
  21. Who pioneered full spine radiographs?
  22. What are the essential elements for Clinical care?
    • Empathy
    • Listening
    • techniques for examining diff parts of body
    • Clinical reasoning
  23. In what part of history taking is it important to quote the patient?
    Chief Complaint
  24. What does OPPQRST stand for?
    • O = onset
    • P = palliative (what makes better)
    • P = provocation (makes worse)
    • Q = Quality (pain scale)
    • R = Radiating
    • S = Site
    • T = Timing
  25. What range of motion is considered greater?
  26. The chiropractic adjustment is when a thrust moves beyond
    the elastic barrier and into which area?
    paraphysiologic space
  27. Active range of motion is determined from the neutral
    position to where?
    physiological barrier
  28. Passive range of motion is determined from the neutral
    position to what point?
    Elastic barrier
  29. What is the area called at the upper limits of passive range
    of motion?
    end-play zone
  30. What is the contact point for lumbar extension?
    inferior aspect of the spinous process
  31. What is the contact point of lumbar rotation and lateral bending?
    lateral aspect of spinous process
  32. what is the contact point for thoracic flexion?
    tip of spinous process
  33. Which direction is the dual probe moved along the spine in the cervical vertebrae?
    inferior to superior
  34. Which direction is the dual probe moved along the spine in the thoracic and lumbar region?
    superior to inferior
  35. What is a break analysis?
    rapid deflection over the distance of one segmental field
  36. What setting should be used for a full spine scan?
    medium sensitivity
  37. How what is the placement of the nervoscope's probes in the cervical region?
    Slightly inward
  38. What is the inclinometer placement for cervical, thoracic, and lumbar extension and flexion?
    • Cervical = Superior aspect of Occiput and T-1
    • Thoracic = T1 and T12
    • Lumbar = T12 and S1
  39. What is the inclinometer placemtn for cervical, thooracic, and lumbar rotation?
    • Cervical = forehead (patient supine)
    • Thoracic = T1 and T12 (patinet standing bent at waist)
    • Lumbar = not performed
  40. What is the placement of inclinometer for lateral bending?
    Same as extension flexion
  41. What is the few degrees of motion in a joint without engaging soft tissue?
    Joint Play
  42. What is the area that contains active and passive ROM?
    Neutral zone
  43. What zone starts after Active ROM in the upper limits of passive ROM, it has a spongy feel?
    End-Play Zone
  44. What is the area beyond the elastic barrier that may created an audible cavitation during an adjustment?
    Paraphysiologic space 
  45. What is the name of the limit which if broken may cause sprain, strain, luxation?
    Anatomical limit
  46. How many times must the inclinometer be used and what is the maximum allowable differential between each measurement?
    3 times with only a 5 to 10 percent differential
  47. What is indicated if the short leg becomes even or longer upon knee flexion.
    • Positive derifield
    • Ilium involvment (usually PI)
  48. what is indicated by a short leg that stays short upon knee flexion?
    • Negative derifield
    • Sacrum involvment (usually AI)
  49. what is indicated if a short leg becomes even with right head rotation?
    • Right cervical syndorme
    • Myospasm left c-spine
  50. When examining the right sacroiliacjoint using the Knee Raiser test, you notice that the PSIS does not rotateanterior-superior upon flexion of the contralateral leg.  What is the most likely listing?
    PI Ilium
  51. When performing Leg Fanning, what
    is the relative motion of the PSIS during adduction of the thighs?
  52. Derifield Leg Check analysis reveals apositive Derifield on the right.  A positive sacroiliac fluid motion test is noted on the left.  The PSIS does not move posterior inferior on the affected side. 
    What is the most likely listing?
    Left AS Ilium
  53. Occiput motion palpation reveals a decrease in posterior to anterior glide, decreased right extension with lateral bending and fixation on the right when head is turned to the left.  What is your listing?
  54. X-ray analysis demonstrates an AS atlas.Your motion palpation findings reveal a decreased left lateral bending and right
    rotation.  What is your listing?