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Chiropractic 2 - Extremities - Compilation Flashcards | StudBud
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Chiropractic 2 - Extremities - Compilation
Chiropractic 2 - Extremities - Compilation
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Questions
49
Answers
1
In theory; Theory and 1..... are the same. In practice they are 2.....
1. Evidence 2. not
1. Practice 2. The same
1. Evidence 2. The same
1. Practice 2. Not
2
What is the relative rest period for stress fractures?
5 weeks
6 weeks
7 weeks
8 weeks
3
For Principles of manual muscle testing (MMT) which is most true?
↓ pressure is provided initially by the weight of the body
Various positions must be acknowledged and tested
↑ pressure is provided initially by the weight of the body
Require consistent positioning that is able to be reproduced
4
Which of the following is not one of the approaches to care?
Environment
Pain management
Rehabilitation
Neurophysiological
5
Which of the following are the four Nociceptor types?
Mechanical, temperature, neurological, polymodal
Structurally, heat, cold dualmodal
Mechanical, heat, cold, polymodal
Structurally, heat, cold, dualmodal
6
Which of the following answers is incorrect for an overuse injury of tendons?
Vascularity compromised at sites of friction or compression
None of the answers
Vascularise variable originating at m-t and b-t function
Vascular tendons surrounded by parade and avascular sheaths
7
Acute traumatic injury is 1..... or traction injury including/not including 2.....
1. Compression 2. Circumduction
1. Infliction 2. Rotation
1. Infliction 2. Circumduction
1. Compression 2. Rotation
8
Within functional approach what are the areas with function to consider?
Biomechanical basis, circulatory, hormonal, neurological
Developmental, pathormorphology, missed or delayed diagnosis
Morphology, function and pathology
Anatomy, gender, body types, developmental
9
May predispose early osteoarthritis
Both 1 and 3
3. Altered structure and poor management
1. Poor mechanics, age
2. Damage to external structure and lack of use
10
In the initial stages of muscle overuse which of the following is not one of the stages?
Gross muscles and fascia tightness
Interfibril muscle adhesion, formation of cross-linkages
Initial microscopic muscle damage
Initial damage to surrounding nerve and blood vessels
11
Which of the following are the two types of referred pain?
Internal and Somatic
Internal and External
Radicular and External
Radicular and Somatic
12
Which of the following is
not
one of the following types of acute bone fractures?
Oblique
Comminuted
Transverse
Superior
13
Under the functional approach what are the areas with pathology to consider?
Morphology, function and pathology
Biomechanical basis, circulatory, hormonal, neurological
Anatomy, gender, body types, developmental
Developmental, pathormorphology, missed or delayed diagnosis
14
In relation to strain/tearing of muscle and fascia what are some of the predisposing factors?
All of the answers
Previous injury and spinal dysfunctions
Insufficient warmup and joint ROM
Excessive muscle use and overuse
15
In the functional approach what are the areas within morphology to consider?
Developmental, pathormorphology, missed or delayed diagnosis
Morphology, function and pathology
Biomechanical basis, circulatory, hormonal, neurological
Anatomy, gender, body types, developmental
16
Which of the following groups are pain producing sites?
Neural and vascular structures
Fibrocartilage and periosteum
All of the answers
Joints, ligaments, muscles and tendons
17
Which of the following are
not
common Presenting Complaints for shoulder injuries
Low thoracic pain
Pain deltoid insertion
Top of the shoulder girdle pain
Pain at end ROM
18
For elbow conditions which is
not
a red flag injury
Unexplained locking
Unexplained swelling
Type of trauma; FOOSH, direct, dislocation
Vascular changes in the hands
19
Osteitis is
2. Abonormal appearance
1. Impaction trauma or 1st degree inflammation of bone
Inflammation
Both 1 and 2
20
In Paratenonitis, the causes of tenosynovitis include
Signs of systemic disorders
Crepitis and repetitive truama
All of the answers
Swelling of the paratenon, has no synovial lining
21
Manual muscle testing DOES NOT assess the ability of the muscle to contract.
False
True
22
Which of the following is the most relevant definition of primary health care?
Socially appropriate, accessible,scientific first level care
Includes health/illness promotion and care of the sick
Integral referral systems , gives way to those who need it
Maximises community, individual self-reliance,collaboration
23
Which of the following is false in regards to traumatic tendon injuries?
They are tight parallel collagen bundles
Can occur in older people without history of tendon injury
They are a point of large blood supply
Can be severed in open wounds
24
Primary health care includes the following
1. Health promotion, illness prevention, care of sick
2. Government, financial needs, laws and legislation
None of the answers
Both 1 and 2
25
In manual muscle testing which of the following groups does not relate to the procedures
Position and Applied Force
Patient Understanding and Observation
Pathology/Injury and Fatigue
Applied theories and physics
26
What are the two basic considerations that identify a professional (acc to Hart 2016 p46)
Central area of interest and purpose
Areas of work and purpose
Areas of work and it's mission
Central area of interest and it's mission
27
Injuries or adaptations in one area of the kinetic chain can cause problems both 1.... and 2...
1. Generally 2. Proximally
1. Generally 2. Distally
1. Locally 2. Proximally
1. Locally 2. Distally
28
Which of the following about kinetic chains is false?
Activity is the coordinated movements of joints and limbs
The organisation of kinetic chains it results in movement
Sequencing of the links is called the interconnecting chain
Links moved in certain specific sequences
29
Which of the following is
not
one of the management driven emphasis?
Clinic environment
The Diagnosis
Current evidence of best treatments
Patient Preference
30
Which of the following is
not
one the aims of care?
Reduce pain, improve; movement, function and awareness
Build a sense of self efficacy
Health dependence
Illness prevention
31
Which of the following is
not
a shoulder red flag injury?
Trauma + age
Medical subluxation/dislocation on minimal trauma
Trauma + function on minimal resistance
Visceral pain referral
32
Which are the factors to consider in the functional approach to management and care?
Biomechanical basis, circulatory, hormonal, neurological
Morphology, function and pathology
Anatomy, gender, body types, developmental
Developmental, pathormorphology, missed or delayed diagnosis
33
What does not constitute a contusion in a muscle and fascia injury?
Complication of mitosis chondro ossficans
Complication of myositis ossificans
Local damage and bleeding
Direct blow to an area
34
For grade 1, 2 and 3 of ligament injury what is the first call of care?
First aid management
Muscle strengthening
Electrotheraputic modalits
Surgery
35
For management of acute ligament injuries which is not one of the final modalities?
Muscle strengthening
Functional training
Proprioceptive training
High intensity training
36
In relation to tendon injuries which of the following is false?
Respond to repetitiveoverload beyond physiological threshold
Degenerative tendinopathy is most common in tendon ruptures
There've been found degenerative "partial tears" of tendons
The mechanism of pain tendinopathy is understood/welltreated
37
Which of the following is false in regards to articular cartilage?
Once injured resting is required to fully heal the cartilage
Injured by acute shearing stress
May predispose early osteoarthritis
Injured during soft tissue injury
38
Which of the following is
not
a step in manual muscle testing?
The ability to resist an applied force in the test position
The ability to “hold” the test position.
None of the answers
How far the patient can move the appropriate joint
39
Manual muscle testing
does not
All of the answers
measure power, or endurance
usually indicate the ability to perform normal tasks (ADLs);
measure muscle attributes, such as elasticity, excitability
40
The aim of treatment and management is to restore what?
Patients
Structure
Life
Function
41
Which of the following is most true in compartment syndrome?
Rise in intercompartmental pressure above capillary pressure
Pain usually commences post exercise
Only caused by direct trauma/haemorrhage
Fall in intercompartmental pressure above capillary pressure
42
In delayed onset muscle soreness (DOMS) which is
false?
Warm down activities, massage and hydrotherapy helps DOMS
Most common with concentric running (uphill running)
Muscle soreness lasts 24-48 hours after activity
Unclear etiology and the 6 associated theories
43
Which of the following is false in relation to cramping in muscle and fascia?
Disturbance at various levels of the CNS
Commonly painful involuntary muscle contractions
Dehydration, ↓ electrolytes and ↓ carb, tight muscles
Most commonly felt as somatic pain
44
In any injury which of the following are neurological consideration?
Brains learns to be dysfunctional
All of the answers
Maladaption
Paraspinal muscles
45
Apophysitis is
Uncommon in growth areas
Occurs in weaker tendons
Bone inflammation and separation at attachments
All of the answers
46
Which of the following is
not
a shoulder injury orange flag?
Medical subluxation/dislocation on minimal trauma
Pain end ROM ~ older patient
Feeling of instability
Trauma + function on minimal resistance
47
Hilton's law suggest: Nerves supplying the 1__ also supply the 2___ that move it and the skin
1. Muscle 2. Skin
1. Joint 2. Muscle
1. Joint 2. Skin
1. Muscle 2. Cartilage
48
Which of the following is
not
a non-traumatic/overuse injury?
Compensation to dysfunction from changes in kinetic chain
Reaction to toxins and humanistic factors
Complication from a fall or dislocation
Overuse and resistive actions
49
For elbow conditions which is an orange flag injury
Altered carrying angle
Vascular changes in the hands
Child plus traction force on arm
Unexplained locking