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GI Final Exam
Dr. Allater
90
Health Care
Professional
12/09/2011

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Cards

Term
Ruptured viscus produce pain that is rated as
Definition
the biliary or urinary tracts
Term
Acute pancreatitis is accompained by
Definition
elevated serum amylase and lipase levels
Term
Complains of abdominal cramps and intermittent bloody diarrhea could be due to
Definition
poorly localized
Term
Repeated shaking chills and fever are most common in infections of
Definition
acute appendicitis
Term
Pain due to visceral peritoneal irritation is
Definition
idiopathaic inflammatory bowel disease
Term
Abrupt onset abdominal pain that is moderately sever at onset, worsen rapidly, could be due to
Definition
peritoneal infection or inflammation
Term
Abdminal pain of gradual onset could be due to
Definition
excruciating
Term
In the Internal architecture of a vertebral body
Definition
e trabeculae are arranged along the lines of force transmission
Term
Within the disc the collagen fibers in any two adjacent concentric bands are
Definition
arranged in opposite directions
Term
Superior and inferior translation in the L-spine
Definition
occurs vertically
Term
In counter- nutation
Definition
the sacrum moves posteriorly and superiorly and the coccyx moves anteriorly and inferiorly
Term
The primary curves of the spine are
Definition
thoracic and sacral
Term
Compression and bulging of the anterior and stretching of the posterior annulus fibrosus occurs during
Definition
flexion of the lumbar spine
Term
The orientation of the zygapophyseal joints in the thoracic area favor
Definition
lateral flexion
Term
Compression and bulging of the posterior and stretching of the anterior annulus fibrosus occurs during
Definition
extension of the lumbar spine
Term
The lateral flexion and rotation of the lumbar spine is limited by
Definition
tension in the intertransverse ligament on the convexity of the curve
Term
Coupling is the consistent association of
Definition
one motion about an axis with another movement around another axis
Term
Zygapophyseal facet orientation favors rotationin in the area of
Definition
T12 - L1
Term
Nutrition of the discs is by
Definition
diffusion through the central portion of the cartilaginous end plate
Term
In nutation there is
Definition
anterior inferior movement of the anterior tip of the sacrum – posterior superior movement of the coccyx
Term
Lateral flexion and rotation of the lower L spine is limited by
Definition
the orientation of the zygapophyseal facets from L1 – L 4 .
Term
The secondary curves of the spine are
Definition
cervical and lumbar
Term
Type2 collagen
Definition
resists compression
Term
The nucleus pulposus is made of
Definition
type 2 collagen
Term
The orientation of the zygapophyseal joints in the lumbar area favor
Definition
flexion and extension
Term
Nutrition of the disc is by
Definition
ffusion through the central portion of the cartilaginous end plate
Term
Schmorl’s Nodes are due to
Definition
intrusion of disc material into the end plate
Term
According to Cailliet: The Lumbar –Pelvic Rhythm
Definition
the lumbar spine flexes and the pelvis rotates anteriorly in the sagittal plane
Term
The outer third of the annulus is innervated by branches from the
Definition
vertebral and sinuvertebral nerves
Term
Side to side translation of the L-spine is
Definition
gliding and that occurs in the frontal plane)
Term
The outer third of the annulus is innervated by branches from
Definition
the vertebral and sinuvertebral nerves
Term
Type 1 collagen
Definition
resists tensile forces
Term
the posterior aspect of a typical vertebra has
Definition
seven projections
Term
The annulus fibrosus is made of
Definition
type 1 collagen
Term
The Intervertebral discs are responsible for
Definition
20-33% of the length of the V. Column
Term
If the patient's limitations due to low back symptoms do not improve in 4 weeks
Definition
reassessment is recommended
Term
Testing sensations at the dorsal aspects of the foot
Definition
test L5
Term
Vascular insufficiency of the legs can be relieved by
Definition
standing
Term
Patient who does not recover within a few weeks may need more
Definition
extensive education about back problems
Term
Interpreting inconsistencies on pain behaviors as malingering
Definition
does not benefit the patient or the clinician
Term
About 90 percent of patients with acute low back problems spontaneously recover activity tolerance within
Definition
1 month
Term
Muscle atrophy can be detected by circumferential measurements of
Definition
the calf and thigh muscles bilateraly
Term
The approach to a new episode of recurrent low back problem is similar to that of
Definition
a new acute episode
Term
In a positive sitting knee extensiont test patients with sciatic tension irritation tend lean backward to
Definition
reduce tension on the nerve
Term
Laminectomy involves
Definition
the total removal of laminae
Term
The inability to toe walk indicates
Definition
calf muscles weakness and S1 nerve root involvment
Term
Acute low back problems are defined as activity intolerance due to lower back or back-related leg symptoms of
Definition
less than 3 months' duration
Term
Sensory evoked potentials (SEPs) is good for assessment of
Definition
spinal stenosis or spinal cord myelopathy
Term
If special studies fail to define the exact cause of symptoms, no patient should receive an impression that the clinician thinks
Definition
that the problem could be "in their head."
Term
During taking history it is important to use
Definition
open-ended questions
Term
The safest oral pharmaceuticals used in LBP is
Definition
acetaminophen
Term
Relief of neurogenic claudication symptoms usually requires
Definition
the patient to flex the lumbar spine or sit
Term
EMG is useful to identify
Definition
subtle focal neurologic dysfunction with leg symptoms lasting longer than 3-4 weeks
Term
Prolonged bed rest for more than 4 days has potential
Definition
debilitating effects
Term
Waiting 4 weeks before considering special tests allows
Definition
90 percent of patients to recover spontaneously
Term
The ankle jerk reflex tests mostly the
Definition
S1 nerve root
Term
Following diagnostic or surgical procedures, the management of most patients becomes focused on
Definition
improving physical conditioning through an incrementally increased exercise program
Term
Many patients with strong clinical findings of nerve root dysfunction due to disc herniation will
Definition
recover activity tolerance within 1 month without treatment
Term
Surgery benefits less than
Definition
40 percent of patients with questionable physiologic findings
Term
Chiropractic is safe and effective for patients of acute low back starting in
Definition
the first month of the symptoms
Term
Nerve root decompression can be considered for a patient if
Definition
sciatica is severe and disabling
Term
sciatica is severe and disabling
Definition
Can detect tension on the L5 and/or S1 nerve root
Term
Vertebral point tenderness to palpation, may be suggestive of
Definition
spinal fracture or infection
Term
Erythrocyte sedimentation rate (ESR)can be useful to screen for
Definition
infections of the low back
Term
Needle acupuncture and injection of trigger points in the back; injection of facet joints; injection of steroids, lidocaine, or opioids in the epidural space have
Definition
no proven benefit in the treatment of acute low back symptoms
Term
Heavy unassisted lifting may induce back symptoms in a none symptomatic woman if it exceeds
Definition
40 pounds
Term
Microdiscectomy involves
Definition
laminotomy using a microscope
Term
VAS can be used to measure
Definition
a patient's estimate of personal activity intolerance due to low back symptoms
Term
Heavy unassisted lifting may induce back symptoms in a none symptomatic man if it exceeds
Definition
80 pounds
Term
Spinal stenosis surgery in elderly patients is recommened if
Definition
signs of bowel or bladder dysfunction appears
Term
Activity restrictions in low back pain
Definition
does not have any apparent benefits beyond 3 months
Term
Surgery increases the chance of
Definition
future procedures with higher complication rates
Term
Bone scan can detect the physiologic reactions to suspected
Definition
spinal tumor
Term
With or without an operation, more than 80 percent of patients with obvious surgical indications will eventually
Definition
recover
Term
Shoe lifts in treating acute low back symptoms have
Definition
no evidence supporting that they are effective
Term
Reflex testing and circumferenial measurements resutls are considered as
Definition
objective findings
Term
Low back corsets and back belts
Definition
are not beneficial for treating acute low back symptoms
Term
Testing sensations at the medial aspects of the foot
Definition
test L4
Term
Testing sensations at the lateral aspects of the foot
Definition
test S1
Term
If aerobic conditioning exercise may be incooprated in low back pain managment to
Definition
help avoid debilitation from inactivity
Term
Over 90 percent of all clinically significant lower extremity radiculopathy are due to
Definition
disc herniation that involves the L5 or S1 nerve root
Term
Conditioning exercises for trunk muscles are
Definition
mechanically stressful and are not recommended during the first few weeks of low back pain
Term
Laminotomy involves
Definition
expansion of the interlaminar space for access to the nerve root and the offending disc fragments
Term
Limping or coordination problems indicate the need for
Definition
specific neurologic testing
Term
Sitting may induce back symptoms in none symptomatic person if it exceeds
Definition
50 minutes
Term
The knee jerk reflex tests mostly the
Definition
L4 nerve root
Term
The surgical treatment for spinal stenosis is usually
Definition
complete laminectomy for posterior decompression
Term
The inability to heel walk indicates
Definition
L5 and some L4 nerve root involvment
Term
Massage, diathermy, ultrasound, cutaneous laser treatment, biofeedback, and transcutaneous electrical nerve stimulation (TENS) also have
Definition
no proven efficacy in the treatment of acute low back symptoms
Term
no proven efficacy in the treatment of acute low back symptoms
Definition
plea for help
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