IRENE GOLD PT 3 MC EXAM/230
QUESTIONS AND ANSWERS
1. Three days ago, a female was involved in a MVA, she has a broken nose,
blurred vision, rhinorrhea, anosmia, a fever, and severe cephalgia. Which of
the following is the most likely cause of symptoms?
a. Vertebral aa rupture
b. Otitis Media
c. Meningitis
d. Otitis Externa - -C. Meningitis
-2. A 60 yo female smoker, sat down hard on a chair and hurt her back and
thorax. the xray shows a calcified aorta,. What will predispose the patient to
these symptoms?
a.homocysteine
b.casein
c.calcium
d.hydroxyproline - -a. homocysteine
-3. On Xray you note a non-fusion of the tip of the dens. What is indicated?
a.trauma
b.normal variant
c.genetic malformation
d.patient has not matured - -b. normal variant
-4. A 14 yo boy presents with mild fatigue, His CBC indicates an increase in
leukocytes and lymphocytes. WHich condition can best explain these
findings?
a.influenza
b.mononucleosis
c.rheumatic fever
d.candida - -b. mononucleosis
-5. Failure of the flow of aqueous humor is an indication of which of the
following ?
a.papilledema
b.glaucoma
c.cataract
d.iritis - -b.glaucoma
-6.WHich of the following is the proper xray view to visualize the
intercondylar space at the knee?
a.sunrise view
b.lateral view
,c.tunnel view
d.A-P knee - -c. tunnel view
-7. While examining the chest you find hyperresonance on percussion,
narrowed heart space, and flattened diaphragm. which condition is
described?
a.tuberculosis
b.pneumonia
c.emphysema
d.pneumothorax - -c.emphysema (air in lungs)
-8. Which of the following can cause blunting of the costophrenic angle?
a.emphysema
b.atelectasis
c.pleural effusion
d.pneumonia - -c.pleural effusion
-9. Three weeks ago the patient was hit by a hardball in the front of the
thigh. the area appears hard. what condition should be suspected?
a.pellegrini steida's disease
b.myositis ossificans
c.chondromalacia patella
d.osteochondritis dissecans - -b. myositis ossificans
-10. Injury to the patella would indicate which muscle should be
strengthened ?
a.popliteus
b.vastus lateralis
c.vastus medialis
d.gastrocnemius - -c. vastus medialis
-11. A 73 yo female presents with scalp sensitivity, headache, and scaly
lesion. what should be initiated?
a.adjust the cervical spine
b.send out for ESR
c.refer to ER
d.take Xray films - -b. Send out for ESR
-12. The patient presents with a grade 1 spondylolisthesis. What is the best
case management ?
a.side posture adjusting L5
b.traction
c.SPECT test
d.antilordotic bracing - -a. side posture adjusting L5
-13. the normal vector of motion for the ribs is ?
,a.axillary loading
b.nodding and pivoting
c.retroaction and protraction
d.bucket handle and pump - -d. bucket handle and pump
-14. The patient presents with a sudden onset of dry cough and extreme
shortness of breath, what is the best diagnosis?
a. pulmonary edema
b.pulmonary embolism
c.pneumonia
d.pleural effusion - -b. pulmonary embolism
-15. to correct a right PI Ilium using the SOT technique the wedge should be
placed on the_______ and _____ in the prone position?
a.left asis, right acetabulum
b.right asis, left acetabulum
c.right psis, right acetabulum
d.left psis, left acetabulum - -b. right asis, left acetabulum
-16. to correct a Right PI in the side posture position, the ______ side is up
and the correct hand contact is ______.?
a.left; left hypothenar
b.right; left hypothenar
c.left; right hypothenar
d.right; right hypothenar - -b.right; left hypothenar
-17. a 14 yo male presents with pain at the tibial plateu. which of the
following conditions is described?
a. chondromalacia patella
b.osteochondritis dissecans
c.osgood schlatter - -c.osgood schlatter
-18. which of the following conditions is least likely to have upper cervical
instability?
a.SLE
b.RA
c.DISH
d.AS - -c. DISH
-19. Which of the following is most likely to cause upper cervical instability?
a.AS
b.Psoriasis
c.DISH
d.RA - -d. RA
-20. WHICH of the following is least likely to occur in a patient with SLE?
, a.oral ulcers
b.osteopetrosis
c.kidney involvement
d.arthritic changes - -b. osteopetrosis
-21. Patient has been in a MVA causing whiplash type injury. Evaluation
indicates a 2mm ADI space. What is the best course of action?
a.send to ER with collar
b.normal variant treat the patient
c.re analyze two weeks after wearing collar - -b.normal variant treat the
patient
-22. What is the best way to adjust a glenohumeral subluxation?
a.stand behind the patient use your chest to stabilize
b.patient prone, thrust S-I on humerus
c.patient supine, thrust S-I on humerus
d. stand in front of the patient and thrust I-S using the ulna - -a.stand behind
the patient use your chest to stabilize
-23. Cushing's disease predisposes a patient to which of the following?
a.Dehydration
b.hypotension
c.excessive weight loss
d.osteoporosis - -d.osteoporosis
-24. Which of the following vitamins should be ordered if the patient has
slow wound healing and is predisposed to bleading in the mouth?
a.folic acid
b.vit. C
c.Vit. A
d.Vit. D - -b.Vit C
-25. A middle age man is suspected of having iron deficiency anemia. which
lab test should be ordered to determine the cause of the problem?
a.B-12 assay
b.hypercalcemia eval
c.fecal occult blood
d.complete blood count - -c. fecal occult blood
-26. All of the following are contraindications to high velocity adjusting in the
upper cervical spine except?
a. osteoporisis
b.RA
c.AS
d.Dupuytrens triad - -d.Dupuytrens triad
QUESTIONS AND ANSWERS
1. Three days ago, a female was involved in a MVA, she has a broken nose,
blurred vision, rhinorrhea, anosmia, a fever, and severe cephalgia. Which of
the following is the most likely cause of symptoms?
a. Vertebral aa rupture
b. Otitis Media
c. Meningitis
d. Otitis Externa - -C. Meningitis
-2. A 60 yo female smoker, sat down hard on a chair and hurt her back and
thorax. the xray shows a calcified aorta,. What will predispose the patient to
these symptoms?
a.homocysteine
b.casein
c.calcium
d.hydroxyproline - -a. homocysteine
-3. On Xray you note a non-fusion of the tip of the dens. What is indicated?
a.trauma
b.normal variant
c.genetic malformation
d.patient has not matured - -b. normal variant
-4. A 14 yo boy presents with mild fatigue, His CBC indicates an increase in
leukocytes and lymphocytes. WHich condition can best explain these
findings?
a.influenza
b.mononucleosis
c.rheumatic fever
d.candida - -b. mononucleosis
-5. Failure of the flow of aqueous humor is an indication of which of the
following ?
a.papilledema
b.glaucoma
c.cataract
d.iritis - -b.glaucoma
-6.WHich of the following is the proper xray view to visualize the
intercondylar space at the knee?
a.sunrise view
b.lateral view
,c.tunnel view
d.A-P knee - -c. tunnel view
-7. While examining the chest you find hyperresonance on percussion,
narrowed heart space, and flattened diaphragm. which condition is
described?
a.tuberculosis
b.pneumonia
c.emphysema
d.pneumothorax - -c.emphysema (air in lungs)
-8. Which of the following can cause blunting of the costophrenic angle?
a.emphysema
b.atelectasis
c.pleural effusion
d.pneumonia - -c.pleural effusion
-9. Three weeks ago the patient was hit by a hardball in the front of the
thigh. the area appears hard. what condition should be suspected?
a.pellegrini steida's disease
b.myositis ossificans
c.chondromalacia patella
d.osteochondritis dissecans - -b. myositis ossificans
-10. Injury to the patella would indicate which muscle should be
strengthened ?
a.popliteus
b.vastus lateralis
c.vastus medialis
d.gastrocnemius - -c. vastus medialis
-11. A 73 yo female presents with scalp sensitivity, headache, and scaly
lesion. what should be initiated?
a.adjust the cervical spine
b.send out for ESR
c.refer to ER
d.take Xray films - -b. Send out for ESR
-12. The patient presents with a grade 1 spondylolisthesis. What is the best
case management ?
a.side posture adjusting L5
b.traction
c.SPECT test
d.antilordotic bracing - -a. side posture adjusting L5
-13. the normal vector of motion for the ribs is ?
,a.axillary loading
b.nodding and pivoting
c.retroaction and protraction
d.bucket handle and pump - -d. bucket handle and pump
-14. The patient presents with a sudden onset of dry cough and extreme
shortness of breath, what is the best diagnosis?
a. pulmonary edema
b.pulmonary embolism
c.pneumonia
d.pleural effusion - -b. pulmonary embolism
-15. to correct a right PI Ilium using the SOT technique the wedge should be
placed on the_______ and _____ in the prone position?
a.left asis, right acetabulum
b.right asis, left acetabulum
c.right psis, right acetabulum
d.left psis, left acetabulum - -b. right asis, left acetabulum
-16. to correct a Right PI in the side posture position, the ______ side is up
and the correct hand contact is ______.?
a.left; left hypothenar
b.right; left hypothenar
c.left; right hypothenar
d.right; right hypothenar - -b.right; left hypothenar
-17. a 14 yo male presents with pain at the tibial plateu. which of the
following conditions is described?
a. chondromalacia patella
b.osteochondritis dissecans
c.osgood schlatter - -c.osgood schlatter
-18. which of the following conditions is least likely to have upper cervical
instability?
a.SLE
b.RA
c.DISH
d.AS - -c. DISH
-19. Which of the following is most likely to cause upper cervical instability?
a.AS
b.Psoriasis
c.DISH
d.RA - -d. RA
-20. WHICH of the following is least likely to occur in a patient with SLE?
, a.oral ulcers
b.osteopetrosis
c.kidney involvement
d.arthritic changes - -b. osteopetrosis
-21. Patient has been in a MVA causing whiplash type injury. Evaluation
indicates a 2mm ADI space. What is the best course of action?
a.send to ER with collar
b.normal variant treat the patient
c.re analyze two weeks after wearing collar - -b.normal variant treat the
patient
-22. What is the best way to adjust a glenohumeral subluxation?
a.stand behind the patient use your chest to stabilize
b.patient prone, thrust S-I on humerus
c.patient supine, thrust S-I on humerus
d. stand in front of the patient and thrust I-S using the ulna - -a.stand behind
the patient use your chest to stabilize
-23. Cushing's disease predisposes a patient to which of the following?
a.Dehydration
b.hypotension
c.excessive weight loss
d.osteoporosis - -d.osteoporosis
-24. Which of the following vitamins should be ordered if the patient has
slow wound healing and is predisposed to bleading in the mouth?
a.folic acid
b.vit. C
c.Vit. A
d.Vit. D - -b.Vit C
-25. A middle age man is suspected of having iron deficiency anemia. which
lab test should be ordered to determine the cause of the problem?
a.B-12 assay
b.hypercalcemia eval
c.fecal occult blood
d.complete blood count - -c. fecal occult blood
-26. All of the following are contraindications to high velocity adjusting in the
upper cervical spine except?
a. osteoporisis
b.RA
c.AS
d.Dupuytrens triad - -d.Dupuytrens triad
