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This document, "FOC Exam 2 Combined," covers various topics in chiropractic care, including vertebral
subluxation complex, informed consent, patient communication, and patient examination procedures.
The document provides 107 questions with correct answers and detailed explanations, serving as a study
resource for reviewing and understanding chiropractic concepts. Students can use this document to
review and reinforce their knowledge, and to better comprehend key chiropractic principles and
procedures.
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EXAM QUESTIONS
QUESTION 1
The bone out of place description for a subluxation best fits which of the following?
- a static description
- a dynamic description
CORRECT ANSWER
- a static description*
RATIONALE: A static description fits a subluxation because it refers to a bone being out of place, which is a fixed or
static condition, and does not convey the movement or instability associated with a joint subluxation. In contrast, a
dynamic description would involve words like "tearing" or "jerking," indicating movement or force, which is not
characteristic of a subluxation.
QUESTION 2
A 15-year-old female patient informs you that she developed instant right knee pain after hopping off
a 3.5 foot fence on which she was sitting. She noticed the pain upon immediately landing on the
ground and hearing a pop. She notices the pain nearly 100% of the time but rest and immobilization
relieves it.
Which of the following "buckets" best describe this case?
- overexertion
- trauma
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, - breakdown
- pathology
CORRECT ANSWER
- breakdown
- trauma
RATIONALE: The correct answer is "- breakdown" because this patient's condition is likely an acute osteochondritis
dissecans (OCD) or a similar condition where a piece of cartilage and bone in the knee joint breaks off due to excessive
stress or impact, resulting in pain that is relieved by rest and immobilization. The key concept is that the knee joint
"breaks down" under the stress of the jump, rather than being caused by a specific traumatic event or overexertion.
QUESTION 3
The vertebral subluxation complex should be viewed as which of the following?
- as a reason to always refer out
- as a pathology
- nothing, it is not relevant to chiropractic
- the answer to everything a chiropractor treat
CORRECT ANSWER
- as a pathology
RATIONALE: The vertebral subluxation complex should be viewed as a pathology because it is a specific structural and
functional change in the spine that can have a negative impact on the body's overall health and well-being.
Understanding and managing this complex is a key aspect of chiropractic care, making it a fundamental concept in the
profession.
QUESTION 4
It is important for a chiropractor to get informed consent for a patient...
- only if they don't trust the patient
- while in the middle of a treatment session
- after completing a treatment plan
- prior to beginning any treatment
CORRECT ANSWER
- prior to beginning any treatment
RATIONALE: Informed consent is essential to ensure the patient is fully aware of the treatment plan, risks, and benefits,
and to obtain their voluntary agreement to proceed. Obtaining informed consent prior to beginning any treatment allows
the patient to make an informed decision and provides a clear understanding of what to expect from the treatment,
making it a crucial step before initiating care.
QUESTION 5
In order to legally see patients in the United States, a chiropractor must get a license in the
__________ they practice in.
- city
- country
- state
- county
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, CORRECT ANSWER
- state
RATIONALE: Chiropractors are subject to specific laws and regulations that govern their practice at the subnational level,
and these laws are typically administered by individual states rather than cities or countries. In the United States, each
state has its own licensing board and requirements for chiropractors, making it necessary for them to obtain a license in
the state where they wish to practice.
QUESTION 6
T/F: When it comes to patient communication, a chiropractor's ability to communicate in highly
technical language is the most effective way to share chiropractic with their patients.
CORRECT ANSWER
False
RATIONALE: Communicating in highly technical language can create a barrier between the chiropractor and patient,
potentially leading to confusion and decreased understanding of chiropractic concepts. Effective patient communication
in the chiropractic field involves tailoring the language to the individual's level of understanding, making it a more
relatable and accessible experience.
QUESTION 7
Which of the following theories proposes that the chiropractic adjustment may normalize articular
afferent input and reestablish normal nociceptive and kinesthetic reflex thresholds?
- Dysafferentation theory
- Neuropathology
- Myelopathy
- Somatovisceral reflex
CORRECT ANSWER
- Dysafferentation theory
RATIONALE: Dysafferentation theory proposes that abnormal articular input disrupts normal reflex thresholds, and the
chiropractic adjustment helps restore normal afferent input, thereby reestablishing normal reflex thresholds. This theory
aligns with the understanding that chiropractic adjustments can correct aberrant sensory input from the joints, leading to
improved reflex function and reduced pain.
QUESTION 8
T/F: One of the best ways to prepare for a high-risk situation with a patient is to avoid it.
CORRECT ANSWER
True
RATIONALE: Avoiding high-risk situations allows healthcare professionals to reduce the likelihood of adverse events or
patient harm, thereby creating a safer environment for both patients and staff. By proactively identifying and mitigating
potential risks, individuals can develop strategies to minimize the possibility of an adverse outcome, thereby prioritizing
patient safety.
QUESTION 9
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, A _________ is a pain receptor in the body.
- nociceptor
- baroreceptor
- mechanoreceptor
- photoreceptor
CORRECT ANSWER
nociceptor
RATIONALE: The term "nociceptor" is correct because it specifically refers to specialized sensory receptors that detect
and respond to painful stimuli, such as heat, cold, or tissue damage, in the body. This makes it the most relevant choice
among the options, as the other terms - baroreceptor, mechanoreceptor, and photoreceptor - relate to different types of
sensory receptors that respond to pressure, movement, and light respectively.
QUESTION 10
If a Doctor of Chiropractic decides to terminate a patient from their practice, what is the "official" way
to get the communication to the patient?
- Send them a text message
- All of the above
- Send them a certified letter
- Send them an email
- Leave them a voicemail
CORRECT ANSWER
- Send them a certified letter
RATIONALE: Sending a certified letter is the official way to communicate termination to a patient because it provides a
paper trail, allowing the doctor to prove that the patient received the notification, which is essential for avoiding potential
legal disputes or malpractice claims. This method also ensures that the patient cannot claim they never received the
notice, as the certified mail receipt serves as evidence of delivery.
QUESTION 11
If a patient appeared uncomfortable, withdrew when touched, and does not return for a scheduled
appointment, which of the following may have occurred during their visit?
- they had a great experience
- a boundary violation
- physical therapy needed to be done
- they experienced a great adjustment
CORRECT ANSWER
- a boundary violation
RATIONALE: A boundary violation refers to an instance where a healthcare provider crosses a professional boundary,
making the patient feel uncomfortable or disrespected, leading to a negative experience. The patient's discomfort,
withdrawal, and missed appointment suggest that something inappropriate or unprofessional occurred during their visit,
which aligns with the definition of a boundary violation.
QUESTION 12
A 45 year old male experienced a delayed onset low back pain after attempting to lift a large truck tire
off the ground during exercise at a cross-fit gym. He estimates that the tire weighed about 100 pounds
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