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Flashcards in MIDS Deck (32)
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1
Q

During an examination of a pregnant patient you take her through low back ranges of motion, when you bring her into extension she complains about a dull achy pain. This symptom is caused by?

a. Discogenic problem
b. Joint laxity
c. Posterior Longitudinal ligaments
d. Facet syndrome

A

D. Facet syndrome

2
Q

If a pregnant patient comes to you complaining of being clumsy, you explain to her that it is a results of _____?

a. her being distracted
b. an increase in relaxin
c. not enough sleep
d. her imagination

A

b. an increase in relaxin

3
Q

The ideal position for a baby in the womb is?

a. occiput posterior position
b. occiput anterior position
c. sinciput anterior position
d. buttocks posterior position

A

B. occiput anterior position

4
Q

When a fetus is in _____ breech this means both hips are in flexion and one knee is in extension.

a. complete
b. incomplete
c. footing
d. frank

A

b. incomplete

5
Q

After performing the 3rd & 4th maneuvers of Leopold’s you locate a smooth structure on the patients left side & a prominent head palpation on the right side, you just palpated the _____ & _____

a. extremities & sinciput
b. spine & sinciput
c. extremities & occiput
d. spine & occiput

A

d. spine and occiput

6
Q

At what point drink a healthy pregnancy should you become concerned about the babies position in the womb and why?

a. 4 months, because she is very tall
b. 5 months, she might have gestational diabetes
c. 8 months, she is complaining of not sleeping
d. 7 months, there may be a limitation of space

A

d. 7 months, there may be a limitation of space

7
Q

A pregnant patient comes into your office complaining of a sharp pain in her pubic region when she tries to stand up, you suspect?

a. she is malingering
b. she is not voiding her bladder enough
c. the fetus is in the facial/brow position
d. the fetus is in the transverse position

A

c. the fetus is in the facial/brow position

8
Q

If a baby goes through the birthing canal while in the facial position, what subluxation are they vulnerable to?

a. AS ilia
b. PIEX ilia
c. AS occiput
d. PS occiput

A

c. AS occiput

9
Q

A birth related injury that may occur from Shoulder Dystocia is ______.

a. Caput succendarum
b. Cerebral palsy
c. Erb’s palsy
d. Facial paralysis
e. All of the above

A

c. Erb’s palsy

10
Q

Long bone fractures are more likely to occur during a _____ birth.

a. c-section
b. vacuum extraction
c. forceps
d. vaginal
e. unassisted

A

a. c-section

11
Q

What is the most common bone to fracture during the birthing process?

a. femur
b. clavicle
c. humerus
d. fibula

A

b. clavicle

12
Q

When performing the plantar babinski reflex on a patient you should?

a. stroke the medial aspect of the foot
b. stroke the lateral aspect of the foot
c. stroke the ball of the foot & the lateral aspect
d. stroke the ball of the foot & the medial aspect

A

b. stroke the lateral aspect of the foot

13
Q

If you are stroking the skin over the paraspinal muscles of an infant from the top of their spine to the sacrum, what reflex did you just perform?

a. Landau
b. Stepping
c. Gallant
d. Vertical suspension

A

c. Gallant

14
Q

After a feeding the baby’s Rooting Reflex remains unaffected

a. true
b. false

A

b. false

15
Q

If the Moro reflex is not present at birth it may be due to ______

a. a fractured clavicle
b. Erb’s palsy
c. birth trauma
d. All of the above
e. None of the above

A

d. All of the above

16
Q

At what age does the parachute reflex begin to develop?

a. 6 days
b. 6 weeks
c. 6 months
d. When you jump out of a plane

A

c. 6 months

17
Q

Early closure of the sutures is known as?

a. macrocephaly
b. hydrocephaly
c. flat head syndrome
d. carisynostosis

A

d. carisynostosis

18
Q

Immunity that occurs when the vaccination of a signification portion of the population provides a measure of protection for individuals who have not developed immunity is known as?

a. crowd immunity
b. great immunity
c. rank immunity
d. head immunity

A

d. head immunity

19
Q

Disease rates were declining steadily before vaccines came out. What was the cause of the decline?

a. People were no longer socializing
b. All the information was falsified
c. Sanitation and hygeine practices
d. The diseases never existed

A

c. sanitation and hygeine

20
Q

Which vaccine ingredient is also used to embalm people?

a. thimersol
b. aluminum
c. formaldehyde
d. mercury
e. None of the above

A

c. formaldehyde

21
Q

Which vaccine contains thimerosal?

a. influenza
b. chicken pox
c. hep b
d. DPT

A

b. chicken pox

22
Q

The chicken pox vaccination is grown in ____

a. a test tube
b. human fetal tissue
c. a petri dish
d. mercury

A

b. human fetal tissue

23
Q

If your child has a cough you should reschedule your vaccination appointment?

a. true
b. false

A

a. true

24
Q

Which of the following is a vaccination myth?

a. none of the provided answers
b. vaccines are 100% effective
c. all of the provided answers
d. they are completely safe
e. they are the sole reason for low disease today

A

c. all of the provided answers

25
Q

The vaccine schedule in the US is designed to ___

a. be sure they get all of their vaccines they need to start young because there are so many
b. ensure that the newborns will be vaccinated while their parents are more compliant with doctor visits
c. allows the doctor to monitor the baby more effectively
d. enhance their immunity at the same rate that their body is maturing

A

b. ensure the newborns will be vaccinated while their parents are more compliant with doctor visits

26
Q

Dislocation of the hip in a Down Syndrome patient most commonly occurs between ages _____

a. 1-5 months
b. 1-2 years
c. 6-36 months
d. 3-13 years

A

d. 3-13 years

27
Q

The majority of Atlantoaxial instability cases in Down Syndrom patients are symptomatic.

a. true
b. false

A

b. false

- They’re asymptomatic

28
Q

When a lateral flexion & extension X-rays are examined from your Down Syndrome patient come back with a measurement of _____ between the Atlas & Odontoid process, a restriction on sports is advised.

a. Greater than 4.5 mm
b. Less than 4.5 mm
c. Less than 2mm in extension
d. Less than 2mm in flexion
e. There are never restrictions

A

a. Greater than 4.5 mm

29
Q

Which protein in encoded & found on the 21st chromosome that interferes with Down Syndrome

A. keratin

b. collagen
c. thyroglobin
d. all protein is involved
e. no protein is involved

A

b. collagen

30
Q

The major killer of children with Down Syndrome is due to _____

a. congenital cataracts
b. congenital heart disease
c. GI malformations
d. hypotonia

A

b. congenital heart disease

31
Q

Bone begins to decrease on average at what age and what percentage per decade?

a. 50 at 15-20%
b. 40 at 5-10%
c. 35 at 3-5%
45 at 15-20%

A

b. 40 at 5-10%

32
Q

Sacropenia may alter your patients metabolic rate, this may result in _____

a. Increase in dizzy spells
b. Decreased ability to focus
c. Decreased temperature tolerance
d. Increase in bruising
e. All of the above

A

c. decreased temperature tolerance