Term
| 1. _____ is actively seeking support for and improvement of chiropractic clinical practices through the integration of the best available research evidence, combined with clinical expertise and patient values. |
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Definition
| EVIDENCE BASED CHIROPRACTIC |
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Term
| 2. 4 challenges for the doctor when dealing with patients. |
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Definition
| 1) UNDERREPORTING OF ILLNESS, 2) OVERESTIMATION OF COGNITIVE ABILITIES, 3) ATYPICAL PRESENTATIONS, 4) SYMPTOMS OF DIFFERENT DISORDERS MAY OVERLAP |
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Term
| 3. To save time when initially interviewing a new patient a doctor should perform these 8 tasks. |
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Definition
| 1) MAKE MORE THAN ONE VISIT FOR THE INTERVIEW, 2) SCHEDULE INTERVIEW DURING SLOWER OFFICE HOURS, 3) SEND/EMAIL HISTORY BEFORE VISIT, 4) ASK PATIENT FOR LIST OF MEDS, 5) SPEAK CLEARLY AND FACE PATIENT, 6) KEEP EXAM ROOM WARM AND WELL LIT, 7) INVITE SPOUSE OR CAREGIVER IN EXAM ROOM, 8) OBTAIN PREVIOUS RECORDS |
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Term
| 4. 10 leading causes of morbidity. |
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Definition
| 1) ARTHRITIS, 2) HYPERTENSION, 3) HEARING IMPAIRMENTS, 4) HEART DISEASE, 5) CATARACTS, 6) ORTHOPEDIC PROBLEMS, 7) SINUSITIS, 8) DIABETES, 9) VISUAL IMPAIRMENTS, 10) VARICOSE VEINS |
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Term
| 5. 8 leading causes of mortality. |
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Definition
| 1) HEART DISEASE, 2) MALIGNANCIES, 3) CVA’S, 4) RESPIRATORY CONDITIONS, 5) ACCIDENTS, 6) DIABETES, 7) SUICIDE, 8) LIVER DISEASE |
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Term
| 6. When the pain pattern consists of a cramping dull ache, the structure causing the pain is _____. |
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Definition
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Term
| 7. When the pain pattern consists of sharp shooting, lightning like pain, the structure causing the pain is _____. |
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Definition
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Term
| 8. When the pain pattern consists of throbbing diffuse pain, the structure causing the pain is _____. |
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Definition
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Term
| 9. 6 assessment tools to evaluate a patients health. |
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Definition
| 1) BMI, 2) FOOD DIARY, 3) BARTHEL INDEX, 4) GERIATRIC DEPRESSION SCALE, 5) MMSE, 6) AMEN PSYCHOLOGICAL EVAL |
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Term
| 10. The history component of the exam consists of these 6 areas. |
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Definition
| 1) CHIEF COMPLAINT, 2) HISTORY OF PRESENTING ILLNESS, 3) PAST HISTORY, 4) FAMILY HISTORY, 5) SOCIAL HISTORY, 6) REVIEW OF SYSTEMS |
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Term
| 11. _____ should consist of one or more symptoms that caused the patient to seek care. The complaints are tabulated with the approximate duration. |
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Definition
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Term
| 12. The past history should ask these 6 questions. |
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Definition
| 1) SURGERIES, 2) HOSPITALIZATIONS, 3) INFECTIONS, 4) TRAUMA, 5) ALLERGIES, 6) UNDER THE CARE OF ANOTHER DOCTOR |
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Term
| 13. The social history should ask these DEARHOSSSS questions. |
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Definition
| DIET, EXERCISE, ALCOHOL, RECREATIONAL DRUGS, HOBBIES, OCCUPATION, SEX, SLEEP, STRESS, SMOKE |
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Term
| 14. The ROS should ask these GNC PIC GREEN HAM questions. |
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Definition
| GENITOURINARY, NEUROLOGICAL, CARDIOVASCULAR, PSYCHIATRIC, INTEGUMENTARY, CONSTITUTIONAL, GASTROINTESTINAL, RESPIRATORY, ENDOCRINE, EENT, NODES, HEMATOLOGICAL, ALLERGIES, MUSCULOSKELETAL |
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Term
| 15. When performing a NMS exam, you must evaluate both the _____ and _____ of the exam. |
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Definition
| CONTENTS AND NON-VERBAL COMMUNICATION |
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Term
| 16. The _____ should evaluate how and why to integrate into chiropractic evaluation for subluxation complexes. |
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Definition
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Term
| 17. These are 4 laboratory profiles for bone. |
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Definition
| 1) CALCIUM, 2) PHOSPHORUS, 3) ALKALINE PHOSPHATASE, 4) ACID PHOSPHATASE |
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Term
| 18. These are 7 lab profiles for arthritis. |
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Definition
| 1) RA LATEX, 2) URIC ACID, 3) ANA, 4) ASO, 5) ESR, 6) CRP, 7) HLA-B27 |
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Term
| 19. These are 8 kidney lab profiles. |
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Definition
| 1) UA, 2) BUN, 3) CREATININE, 4) ALBUMIN, 5) GLOBULIN, 6) URIC ACID, 7) NA, 8) K |
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Term
| 20. These are 7 cardiac lab profiles. |
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Definition
| 1) CHOLESTEROL , 2) TRIGLYCERIDES, 3) GLUCOSE, 4) CPK, 5) SGOT, 6) AST, 7) LDH |
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Term
| 21. These are 7 hepatic lab profiles. |
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Definition
| 1) SGPT, 2) SGOT, 3) LDH, 4) BILIRUBIN, 5) ALBUMIN/GLOBULIN, 6) TRIGLYCERIDES, 7) GGT |
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Term
| 22. These are 3 thyroid lab profiles. |
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Definition
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Term
| 23. These are 2 pancreas lab profiles. |
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Definition
|
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Term
| 24. These are 2 fever lab profiles. |
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Definition
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Term
| 25. These are 3 diabetes lab profiles. |
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Definition
| 1) UA, 2) GLUCOSE, 3) GLYCOHEMOGLOBIN |
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Term
| 26. This is a pregnancy lab profile. |
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Definition
|
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Term
| 27. This is a urinary tract lab profile. |
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Definition
|
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Term
| 28. These are 4 lipid lap profiles. |
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Definition
| 1) CHOLESTEROL, 2) HDL, 3) LDL, 4) TRIGLYCERIDES |
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Term
| 29. These are 2 lupus lab profiles. |
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Definition
|
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Term
| 30. This is a prostate cancer lab profile. |
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Definition
|
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Term
| 31. This is an AIDS lab profile. |
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Definition
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Term
| 32. A CMP consists of these 11 lab tests. |
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Definition
| 1) CA, 2) BUN, 3) ALBUMIN, 4) ALKALINE PHOSPHATASE, 5) GLUCOSE, 6) PROTEIN, 7) SGOT, 8) NA, 9) K, 10) CREATINE |
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Term
| 33. 10 reasons why a chiropractor should take x-rays. |
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Definition
| 1) MANY CHIROPRACTIC TECHNIQUES REQUIRE X-RAY ANALYSIS, 2) TRAUMA/INJURY, 3) DISEASE PROCESSES MAY BE INDICATED BY SIGNS AND SYMPTOMS, 4) CHORINIC OR RECURRENT PAIN MAY INDICATE INSTABILITY, 5) DIFFERENTIAL DIAGNOSIS, 6) POSTIVIE ORTHO/NEURO TESTS, 7) PAIN DESCRIBED BY THE PATIENT IS NOT SIMPLE MUSCLE PAIN, 8) NEW BACK PAIN IN A PERSON THAT IS MIDDLE AGED OR BEYOND, 9) CONTRAINDICATIONS TO ADJUSTMENT, 10) DOCUMENTATION OF CHIROPRACTIC CLINICAL RESULTS |
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|
Term
| 34. _____% of chiropractors will x-ray adults with NMS complaints. |
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Definition
|
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Term
| 35. 6 procedures to chiropractic x-ray taking. |
|
Definition
| 1) ALWAYS X-RAY POINT OF PAIN, 2) OBLIQUE VIEWS WHEN EXTREMITY PAIN IS PRESENT, 3) DAVIS SEARIES IN MVA, 4) TAKE GOOD QUALITY FILMS, 5) UTILIZE FULL FRONTAL VIEW, 6) WRITE X-RAY REPORT |
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Term
| 36. _____% of motor vehicle accident patients will have low back complaints. |
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Definition
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Term
| 37. How many views are there in the routine cervical series? |
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Definition
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Term
| 38. How many views are there in the comp cervical series? |
|
Definition
|
|
Term
| 39. How many views are there in the davis cervical series? |
|
Definition
|
|
Term
| 40. How many views are there of the routine T-spine series? |
|
Definition
|
|
Term
| 41. How many views are there in the routine lumbar series? |
|
Definition
|
|
Term
| 42. How many views are there in the comp lumbar series? |
|
Definition
|
|
Term
| 43. How many views are there in the routine sacral series? |
|
Definition
|
|
Term
| 44. How many views are there in the coccyx routine series? |
|
Definition
|
|
Term
| 45. How many views are there in the routine hip series? |
|
Definition
|
|
Term
| 46. How many views are there in the routine knee series? |
|
Definition
|
|
Term
| 47. How many views are there in the comp knee series? |
|
Definition
| 4 (ROUTINE + TUNNEL + SUNRISE) |
|
|
Term
| 48. How many views are there in the routine ankle series? |
|
Definition
| 3 (A-P, LATERAL, OBLIQUE) |
|
|
Term
| 49. How many views are there in the routine foot series? |
|
Definition
| 3 (A-P, LATERAL, OBLIQUE) |
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|
Term
| 50. How many views are there in the routine calcaneal series? |
|
Definition
|
|
Term
| 51. How many views are there in the routine shoulder series? |
|
Definition
| 3 (INTERNAL ROT, EXT. ROT, A-P) |
|
|
Term
| 52. How many views are there in the routine elbow series? |
|
Definition
|
|
Term
| 53. How many views are there in the comp elbow series? |
|
Definition
| 4 (ROUTINE + INT/EXT ROTATION) |
|
|
Term
| 54. How many views are there in the routine wrist series? |
|
Definition
|
|
Term
| 55. How many views are there in the comp wrist series? |
|
Definition
| 4 (ROUTINE + RADIAL/ULNAR DEVIATION) |
|
|
Term
| 56. How many views are there in the routine hand series? |
|
Definition
|
|
Term
| 57. How many views are there in the routine chest series? |
|
Definition
|
|
Term
| 58. How many views are there in the routine abdomen series? |
|
Definition
|
|
Term
| 59. 9 strategies to prevent cardiovascular disease. |
|
Definition
| 1) MONITOR BP, 2) MONITOR GLUCOSE LEVELS, 3) SMOKING CESSATION, 4) WEIGHT REDUCTION, 5) DECREASE SATURATED FATS, 6) INCREASE EXERCISE, 7) INCREASE FRUITS AND VEGGIES, 8) INCREASE ANTIOXIDANTS, 9) VITAMIN E + CO Q10 |
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|
Term
| 60. 10 lifestyle strategies for preventing cancer. |
|
Definition
| 1) MAMMOGRAM, 2) PAP TEST, 3) FECAL OCCULT BLOOD, 4) SIGMOIDOSCOPY, 5) RECTAL AND PSA, 6) INCREASE EXERCISE, 7) SMOKING CESSATION, 8) REDUCE FAT AND CALORIES, 9) INCREASE ANTIOXIDANTS, 10) INCREASE FRUITS, VEGGIES AND FIBER |
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|
Term
| 61. To prevent hypertension, how often should ones BP be measured? |
|
Definition
|
|
Term
| 62. To prevent breast cancer, how often should a woman receive a mammogram? |
|
Definition
|
|
Term
| 63. To prevent uterine cancer, how often should a woman receive a pap test? |
|
Definition
|
|
Term
| 64. To prevent colon cancer, how often should a fecal occult test be performed? |
|
Definition
|
|
Term
| 65. To prevent prostate cancer, how often should rectal and PSA exams be performed? |
|
Definition
|
|
Term
| 66. To prevent osteoporosis, bone density should be measured for _____. |
|
Definition
|
|
Term
| 67. How often should lipid profiles be performed? |
|
Definition
|
|
Term
| 68. How often should glucose levels be measured? |
|
Definition
|
|
Term
| 69. How often should digital rectal exams be performed? |
|
Definition
|
|
Term
| 70. How often should PSA exams be performed? |
|
Definition
|
|
Term
| 71. How often should mental status exams be measured? |
|
Definition
|
|
Term
| 72. Bone density exams should be performed after the age of _____. |
|
Definition
|
|
Term
| 73. TSH levels should be measured every _____ years. |
|
Definition
|
|
Term
| 74. Vitamin B-12 levels should be measured every _____ years. |
|
Definition
|
|
Term
| 75. 6 things that we can learn from traditional Chinese medicine. |
|
Definition
| 1) THE BODY IS CAPABLE OF HEALING ITSELF, 2) HOMEOSTASIS OF CELLS AND ORGANS, 3) TREATING SYMPTOMS DOES NOT PRODUCE HEALTH, 4) PATTERNS OFILLNESS INDICATES WEAKNESS, 5) THE PATIENT IS BODY/MIND/SPIRIT, 6) THE DOCTOR WAS PAID TO KEEP YOU WELL |
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Term
| 76. The NMS system, which makes up _____% of the mass of the body, is vitally concerned with the actual function of all aspects of the body. |
|
Definition
|
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Term
| 77. The _____, which provides fuel for energy, molecules for our biochemistry, building blocks for growth and repair, and the essentials for all functions of the body. |
|
Definition
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Term
| 78. One essential of health promotion is having the physical prowess, and the ability to be flexible, strong, active, mobile, and have the necessary _____ to pursue life with enthusiasm. |
|
Definition
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Term
| 79. _____ are necessary to handle the stress of life, and to actively participate in the life process. |
|
Definition
| MENTAL AND EMOTIONAL STABILITY |
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Term
| 80. One should have a clear picture of the relationship and meaning one has with the _____, both within and without. |
|
Definition
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|
Term
| 81. A practice that professes wellness, and does not address these aspects of health can only provide a part of what is required to really profoundly affect the faculty of _____. |
|
Definition
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|
Term
| 82. 7 steps when breaking bad news to a patient. |
|
Definition
| 1) PREPARE THEM FOR THE NEWS, 2) START CAREFULLY, GET THE CONTEXT RIGHT AND SPEAK FACE TO FACE, 3) FIND OUT HOW MUCH THE PATIENT KNOWS ABOUT THE CONDITION, 4) FIND OUT HOW MUCH THE PATIENTS WANTS TO KNOW ABOUT THE CONDITION, 5) SHARE THE INFORMATION, 6) RESPOND TO THE PATIENTS FEELINGS, 7) PLAN FOR THE FUTURE AND FOLLOW THROUGH |
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Term
| 83. These are the 5 stages of acceptance when dealing with bad news. |
|
Definition
| 1) DENIAL AND ISOLATION, 2) ANGER, 3) BARGAINING, 4) DEPRESSION, 5) ACCEPTANCE |
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Term
| 84. 4 dimensions of care when dealing with a dying patient. |
|
Definition
| 1) PHYSICAL DIMENSIONS, 2) PSYCHOLOGICAL, 3) SOCIAL, 4) SPIRITUAL |
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Term
| 85. A doc should _____ the patients emotions when dealing with them. |
|
Definition
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|
Term
| 86. 6 legal issues that should be addressed when dealing with a dying patient. |
|
Definition
| 1) LIVING WILLS, 2) DURABLE POWER OF ATTORNEY, 3) DEFINITION OF DEATH, 4) ORGAN/TISSUE DONATION, 5) WILLS, 6) TRUSTS AND OTHER WILL SUBSTITUTES |
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|
Term
| 87. How long is the grieving time for the loss of a spouse? |
|
Definition
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|
Term
| 88. A main step of grieving when dealing with the loss of a spouse is the disposal of their _____. |
|
Definition
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Term
| 89. _____ is the age related loss of skeletal muscle mass. |
|
Definition
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Term
| 90. Sarcopenia is caused by _____ which reduces the availability of O2 for required muscle activity and promotes degeneration of tissues. |
|
Definition
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|
Term
| 91. _____ occurs when the generation of biological free radicals in a system exceeds the system’s ability to neutralize and eliminate them. |
|
Definition
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Term
| 92. Sarcopenia is also caused by _____, due to a progressive decline that is age related. |
|
Definition
| ALTERED PROTEIN SYNTHESIS |
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Term
| 93. Sarcopenia can also be caused by _____, which increases in the infiltration of fat and connective tissues that occur within the muscle to replace normal muscle tissue as it ages. |
|
Definition
|
|
Term
| 94. 5 etiology factors that can cause sarcopenia. |
|
Definition
| 1) DECREASED PHYSICAL ACTIVITY, 2) MALNUTRITION, 3) INCREASED CYTOKINE ACTIVITY, 4) OXIDATIVE STRESS, 5) HORMONAL ABNORMALITIES |
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|
Term
| 95. This muscle type composes the slow twitch type of muscles. |
|
Definition
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|
Term
| 96. This muscle type consists of the fast twitch type of muscles. |
|
Definition
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Term
| 97. Using techniques that allow analyses of whole-limb muscle tissue, investigators found that the total number of muscle fibers is _____ with increasing age, and the the numbers of type 1 and type 2 fibers are affected to a similar extent. |
|
Definition
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Term
| 98. There is evidence that as muscles age, there is a loss of _____ as well. Studies using quantitative electromyography have reported a reduction in the number of functioning motor units in aging human muscle. |
|
Definition
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Term
| 99. Aging causes muscle fibers to undergo continuous _____ and _____ owing to accelerated loss of motor neurons in the spinal cord. It is highly likely that such a process Is one of the main contributors to the reduction in muscle volume accompanying advancing age. |
|
Definition
| DENERVATION AND REINNERVATION |
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Term
| 100. 10 age related changes to muscle. |
|
Definition
| 1) LOSS OF MASS, 2) LOSS OF ISOMETRIC STRENGTH, 3) LOSS OF PEAK TORQUE, 4) RATE OF TORQUE DEVELOPMENT, 5) FATIGABILITY, 6) IMPACT ABSORPTION, 7) RESTING TONE, 8) RESTING METABOLIC RATE, 9) ELECTRICAL FIELDS, 10) THERMOGENESIS |
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Term
| 101. Progressive _____ is the best intervention shown to slow down or reverse sarcopenia. |
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Definition
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Term
| 102. _____is dense collagenous connective tissue and elastic fibers. |
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Definition
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Term
| 103. Cartilage fibers are embedded in _____. |
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Definition
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Term
| 104. 65-85% of cartilage is made up of _____. |
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Definition
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Term
| 105. _____ is connective tissue that is capable of withstanding stress, and is very resilient. |
|
Definition
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Term
| 106. The cartilage fibers are embedded in condroitan sulphate to provide the ability to maintain _____. |
|
Definition
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Term
| 107. The _____ is the mature cartilage cell, and it can occur singularly or in groups. |
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Definition
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Term
| 108. These are the 3 different types of cartilage. |
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Definition
| 1) HYALINE CARTILAGE, 2) ELASTIC CARTILAGE, 3) FIBROCARTILAGE |
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Term
| 109. This cartilage type forms the nose, larynx, trachea, bronchi, and bronchial tubes. |
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Definition
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|
Term
| 110. This type of cartilage forms the symphysis pubis, iv discs, and knee menisci. |
|
Definition
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|
Term
| 111. This type of cartilage maintains the shape of certain organs in the body like the epiglottis and the ear. |
|
Definition
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|
Term
| 112. These are the 2 different types of cartilaginous growth. |
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Definition
| INTERSTITIAL GROWTH AND APPOSITIONAL GROWTH |
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Term
| 113. This cartilaginous growth pattern is in early development, and is characterized by a rapid increase in size, division of existing chondrocytes, and continuous deposit of intercellular matrix. |
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Definition
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|
Term
| 114. This type of cartilaginous growth occurs later in development, and is characterized by activity in perichondrium chondrogenic layer, division of fibroblasts to chondroblasts, continuous deposit into intercellular matrix, and chondroblasts grow into chondrocytes. |
|
Definition
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Term
| 115. In the appositional growth pattern of cartilage, fibroblasts divide into _____. |
|
Definition
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|
Term
| 116. In the appositional growth pattern of cartilage, chondroblasts grow into _____. |
|
Definition
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|
Term
| 117. Cartilage is _____, therefore it requires movement to pump blood and other fluids in and out of the tissues. This process provides nutrients and removes waste. |
|
Definition
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Term
| 118. Cartilage requires _____ which is required to maintain the integrity of the matrix and to promote the transport of fluid into and out of the joint. |
|
Definition
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|
Term
| 119. There is an increase rate of _____ activity with mechanical stress of cartilage. |
|
Definition
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Term
| 120. This type of cartilage grows throughout life, such as in the ears and nose which tend to grow larger relative to the face as a person ages. |
|
Definition
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|
Term
| 121. This type of cartilage decreases in thickness, possibly because cartilage hydration decreases. The number of chondrocytes decrease slightly. |
|
Definition
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|
Term
| 122. As cartilage ages, articular cartilage _____ becomes stiffer because advanced glycation end products accumulate and produce increase cross-linking. These changes in cartilage which occur at a highly variable rates, make cartilage less able to handle mechanical stress. |
|
Definition
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Term
| 123. _____ are responsible for growth and regeneration of connective tissue that makes up most of ligaments and tendons. With aging, the in vitro proliferative capacity and synthetic activity decrease. |
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Definition
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Term
| 124. As a result of aging, ligaments and tendons are predisposed to _____ and prolonged _____. |
|
Definition
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Term
| 125. These 2 x-ray findings indicate there is a disc pathology. |
|
Definition
| 1) VACUUM PHENOMENON, 2) TRACTION SPUR |
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Term
| 126. Spinal discs consist of a fine fibrous matrix containing _____ cells united to form a reticular structure. |
|
Definition
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Term
| 127. _____ are the result of developmental changes of the vertebral end plate and vertebral bodies. End plates become less permeable and impairs nutrition, cell waste removal, and allows pH level to fall in the related disc. |
|
Definition
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|
Term
| 128. 6 contributing factors to spinal disc disease. |
|
Definition
| 1) DECREASING VIABLE CELLS FOR PROLIFERATION, 2) CELLULAR SENESCENCE, 3) DEGENERATIVE MOLECULAR MATRIX CHANGES, 4) FRAGMENTATION OF THE ANNULUS FIBERS, 5) LOSS OF COLLAGEN IN THE ANNULUS FIBERS, 6) INFUSION OF CHONDROID TISSUES |
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Term
| 129. How will a doctor know if fragmentation of the annular fibers is occurs. |
|
Definition
| IT WILL CAUSE A LOT OF LEG PAIN, BUT NOT A LOT OF BACK PAIN |
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Term
| 130. This is a gradual, degenerative aging process that causes narrowing of the spinal canals and spaces. |
|
Definition
|
|
Term
| 131. Spinal stenosis causes narrowing of spinal spaces which results in pressure on the _____ or _____. |
|
Definition
| SPINAL CORD OR SPINAL NERVES |
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|
Term
| 132. Spinal stenosis is a disorder that usually involves the narrowing of one or more of these 3 areas of the spine. |
|
Definition
| 1) THE SPINAL COLOUMN THROUGH WHICH THE SPINAL CORD AND NERVE ROOTS RUN, 2) THE CANALS AT THE BASE OF NERVE ROOTS, 3) THE OPENINGS BETWEEN VERTEBRAE THROUGH WHICH NERVES LEAVE THE SPINE |
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Term
| 133. When the health of one part of the spine fails, it can increase stress on _____. |
|
Definition
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|
Term
| 134. What is the most common cause of spinal stenosis? |
|
Definition
|
|
Term
| 135. 5 acquired causes of spinal stenosis. |
|
Definition
| 1) TUMORS, 2) TRAUMA, 3) PAGET’S DISEASE, 4) FLUROSIS, 5) OSSIFICATION OF THE PLL |
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Term
| 136. When a patient has stenosis, they will assume the position of _____ to open up the spinal canal. |
|
Definition
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Term
| 137. When a patient has spinal stenosis, they will have _____ which will not allow them to walk far. |
|
Definition
| NEUROLOGICAL CLAUDICATION |
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Term
| 138. What type of claudication improves immediately with sitting/rest? |
|
Definition
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Term
| 139. Which type of claudication improves with sitting/rest for >10min. |
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Definition
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Term
| 140. Which type of claudication will cause grey/white skin, blue fingernails, and cold limbs. |
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Definition
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Term
| 141. Which type of claudication gets worse with extension? |
|
Definition
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Term
| 142. When a patient has low blood pressure in both legs you should think there is a blockage in the _____. |
|
Definition
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|
Term
| 143. When a patient has low blood pressure in 1 leg, you should think there is a blockage in the _____. |
|
Definition
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|
Term
| 144. _____ will increase the blood pressure in one’s leg. |
|
Definition
|
|
Term
| 145. What type of venous constrictor should you suggest to help with edema in the legs? |
|
Definition
| HORSE SEED CHESTNUT; 250MG 2X A DAY |
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|
