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Orthopedic Tip of the Week

Orthopedic Tip of the Month

CONA PERSONAL INJURY QUIZ

Test your skill and knowledge of some basic personal injury topics. Enjoy and try not to look at the answers first.

Match the pain descriptor with the most likely tissue generating the type of pain. (Each descriptor has only 1 answer but, the answers A, B, C, D, may be used more than once or not at all).

  1. Throbbing pain                                  A. Bone
  2. Cramping pain                                   B. Nerve
  3. Deep dull ache                                  C. Muscle
  4. Shock-like pain                                  D. Vasculature

Answers:  1 – D; 2 – C; 3 – A; 4 – B

  1. A patients cervical ROM’s is significantly restricted and painful during active ROM, passive ROM is nearly normal and nearly pain free, yet isometric contraction produces pain. Which of the following tissues is, or are, most likely injured ?
  1. Ligaments only
  2. Nerves only
  3. Muscle one
  4. Muscles and ligaments

Answer:  C

Consider the chiropractors instructions to a patient during testing of reflexes and dermatomes. The patient should be instructed to:

  1. Keep both eyes open
  2. Keep both eyes closed
  3. Cover or close just the ipsilateral eye
  4. Cover or close just the contralateral eye

Answer: B

Hypotonicity and or weakness of the SCM muscle strength suggest a lesion to which cranial nerve ?

  1. Glossopharyngeal (CN 9)
  2. Vagus (CN 10)
  3. Spinal Accessory (CN 11)
  4. Hypoglossal (CN 12)

Answer: C

Which of these is the most likely cause of vascular injuries to the neck during an MVA ?

  1. Tearing during hyperflexion
  2. Tearing during hyperextension
  3. Direct contact with airbag
  4. Direct contact with a shoulder harness

Answer: D

Which combination of symptoms is consistent with a compression injury to the C6 nerve root ?

Numbness of:                                      Weakness of:                           Diminished DTR of:

  1. Back of neck                                 shoulder shrug                         Triceps
  2. Lat. Shoulder                                Arm ABD past 90 degrees     Biceps
  3. Tip of thumb                                 Wrist Extension                      Brachioradialis
  4. Ring finger                                    Finger flexion                          Triceps

 

Answer: C

Which of the following statements best characterizes daily chiropractic care of a whiplash patient during the first week following an MVA. It is _____.

  1. The standard of care when supported by exam findings.
  2. Excessive and should be grounds for disciplinary action
  3. Contract to research but justifiable in some rare cases.
  4. Justifiable only if the patient requests it without prompting.

Answer: A

GENERAL DISCLAIMER 

CONA Ortho Tip of the Month is designed for educational purposes only and is not engaged in rendering medical advice. The information provided through CONA Ortho Tip of the Month should not be used for diagnosing or treating a health problem or a disease. It is not a substitute for professional care.  If you have or suspect you may have a health problem, you should consult your health care provider. The authors, editors, producers, sponsors and contributors shall have no liability, obligation or responsibility to any person or entity for any loss, damage, or adverse consequences alleged to have happened directly or indirectly as a consequence of this material.