A patient reports nocturnal back pain, what would be the most appropriate next question to ask during the history?
A.
have you lost any weight recently?
B.
have you lifted anything heavy recently?
C.
Do you get relief from OTC analgesics?
D.
Does it hurt with movement?
2.
you suspect back pain that originates at an inflammed or impinged facet capsule. which of the following would you NOT recommend?
A.
maipulation
B.
mackinsie exercises
C.
ice
D.
traction
3.
A patient reports a sharp pain into the right shoulder and arm upon right lateral flexion of the cervicals. which orthopedic test would you expect to also be positive?
A.
Jackson's
B.
Milgrams
C.
Valsalva
D.
Rust's sign
4.
a patient with antalgic posture, reports that he "had an accident" on the way to the office, and had to "clean himself up" in the bathroom upon arrival. What will you most likely do at the conclusion of this visit?
A.
refer him to a neurologist
B.
refer him to an orthopedist
C.
adjust his L5
D.
recommend the application of ice, ultrasound, and observation
5.
A patient states that he has deep pain in his lower back, so bad that he has not cared to eat for the past couple of weeks. Plain film xrays are unremarkable. What should be your next course of action?
A.
Refer for an MRI
B.
Apply passive therapies to reduce inflammation
C.
Refer to an oncologist
D.
adjust his spine and observe
6.
A patient with a spondylo is experiencing an episode of acute back pain, and his lateral lumbar shows progression of the spondylo from a grad 1 to approaching a grade 2. what will you do on this visit?
A.
prone sacral adjustment
B.
supine bilateral knee chest adjustment
C.
adjust his L5
D.
mckinsey exercises
7.
A patient with CT demonstrated canal stenosis has been under treatment for his radiating pain for a few visits. He is failing to improve. According to established, research driven guidelines, how many visits can you see him before a referral should be made?
A.
3
B.
4
C.
5
D.
6
8.
A positive SLR test most often indicates
A.
disc involvement
B.
a lesion in the upper lumbars
C.
sacrilliac pain
D.
malingering
9.
A patient with suspected canal stenosis reports pain after walking for some time. Which of the following would you expect to provide the most releif?
A.
walking more slowly
B.
stooping forward
C.
standing up straight
D.
extension exercises
10.
_____ is the therapy of choice for IVF encroachment
A.
manipulation
B.
traction
C.
ice
D.
IFC
11.
A patient with neckpain should not be manipulated if:
A.
they have experienced a TIA in the past
B.
They report that cervical manipulation often causes a headache
C.
Their neck is stiff and difficult to turn
D.
They are on antibiotics
12.
A patient is on warfarin. Which is contraindicated
A.
manipulation
B.
ultrasound therapy
C.
stretching
D.
electrical therapies
13.
A post operative spinal patient is seen for the first time, and does not want any xrays made. You insist, however, even though you are perscribing ice and ultrasound therapy and do not plan on manipulating him on this visit because:
A.
you suspect cancer
B.
you need to see if metal was used in his surgery
C.
you need to make sure there are no fractures
D.
xrays are not indicated, the patient is right.
14.
A patient reports that his pain decreased during distraction of his cervical spine. Based on this finding, which of the following woul d be the most likely diagnosis?
