Head and Neck Final Notes
QUESTIONS & ANSWERS(GRADED A+)
Emily Bailey a 35-year-old AT&T technician presents in your office with neck pain,
headache and dizziness that started three hours ago while she was installing a
router in a customer's attic. The headache is nothing that she has ever experienced
before. Which she describes as throbbing and rates 8/10. After a Diversified cervical
adjustment her speech becomes slurred and the right side of her mouth begins to
droop. What should you do next? Select ALL that apply.
a. Go to the reception room to alert your other patients
b. Adjust her again
c. Lay her on her side
d. Stay with her at all times
e. Monitor vital signs
f. Call 911 - ANSWERC, D, E, F
Fifty-five-year-old Pastor Angela Peters presents at your office with sudden dizziness
for the past two weeks. The dizziness occurs off and on, but last only a few minutes.
She stated that the dizziness often accompanies head movements. She has no
history of trauma. The MOST LIKELYdiagnosis is __________.
A. Acoustic neuroma
B. Ménière's disease
C. Cervicogenic vertigo
D. Benign paroxysmal positional vertigo - ANSWERD.
Based upon your initial differential diagnosis for Pastor Peters, which is the MOST
LIKELY examination after vital signs and posture evaluation?
A. Cervical distraction
B. Spurling's test 1
C. Hallpike dix Maneuver
D. Barony Whirly chair - ANSWERC.
Pastor Peters' physical examination findings were negative for vital signs, Spurling's
Test 1,, Barany Whirly Chair, and Cervical distraction. Hallpike Dix Maneuver
recreated the vertigo. She also presented with severe anterior head carriage. Based
upon the information provided, select the MOST LIKELY diagnosis and conservative
management.
A. Ménière's disease; refer to EENT
B. Cervicogenic vertigo; chiropractic adjustive technique, postural exercises,
erognomic education
C. Benign paroxysmal positional vertigo; chiropractic adjustive technique, Epley's
maneuver, postural exercises, myofascial therapy
, D. Cervical sprain/strain; chiropractic adjustive technique, postural exercises -
ANSWERC.
A patient presenting with temporal and frontal headaches with evidence of nocturnal
bruxism (grinding teeth at night) and tight masseter muscles may be suffering
from_____________.
A. Episodic tension type headache
B. Temporomandibular joint disorder (TMJ)
C. Classic migraine
D. Common migraine - ANSWERB.
Richard Hickman, a 51-year-old college coach presents at your office with severe,
throbbing, burning right arm pain that started after having right shoulder replacement
surgery last month. The orthopedist evaluation was negative, and he has begun
physical therapy. Nothing improves the symptoms and the arm is also showing signs
of atrophy.
What is the MOST LIKELY diagnosis?
A. Surgical error
B. Complex regional pain syndrome
C. Psychological issue
D. Infection - ANSWERB.
A 37-year-old female presents with a dizziness, left ear fullness and tinnitus and
noticeable hearing loss. The dizziness that has been reoccurring for two months and
lasts for 2-3 hours. What could be the possible condition? - ANSWERMénière's
disease
A patient who tests positive for Reverse Bakody Sign may possibly be
diagnosed with _____________.
A. Thoracic outlet syndrome
B. Cervical myelopathy
C. Cervical radiculopathy
D. Cervical facet syndrome - ANSWERA.
According to Souza ALL the following are recommended conservative management
for cervical facet syndrome EXCEPT:
A. Ergonomic instruction
B. Myofascial therapy
C. Preventative exercises and stretches
D. Avoid flexion motions - ANSWERD.
Match the condition with the common prescribed medication:
(Clonazepam, lisinopril, fosomax, Lipitor, warfarin)
A. Hypertension
B. Hypercholesterolemia
QUESTIONS & ANSWERS(GRADED A+)
Emily Bailey a 35-year-old AT&T technician presents in your office with neck pain,
headache and dizziness that started three hours ago while she was installing a
router in a customer's attic. The headache is nothing that she has ever experienced
before. Which she describes as throbbing and rates 8/10. After a Diversified cervical
adjustment her speech becomes slurred and the right side of her mouth begins to
droop. What should you do next? Select ALL that apply.
a. Go to the reception room to alert your other patients
b. Adjust her again
c. Lay her on her side
d. Stay with her at all times
e. Monitor vital signs
f. Call 911 - ANSWERC, D, E, F
Fifty-five-year-old Pastor Angela Peters presents at your office with sudden dizziness
for the past two weeks. The dizziness occurs off and on, but last only a few minutes.
She stated that the dizziness often accompanies head movements. She has no
history of trauma. The MOST LIKELYdiagnosis is __________.
A. Acoustic neuroma
B. Ménière's disease
C. Cervicogenic vertigo
D. Benign paroxysmal positional vertigo - ANSWERD.
Based upon your initial differential diagnosis for Pastor Peters, which is the MOST
LIKELY examination after vital signs and posture evaluation?
A. Cervical distraction
B. Spurling's test 1
C. Hallpike dix Maneuver
D. Barony Whirly chair - ANSWERC.
Pastor Peters' physical examination findings were negative for vital signs, Spurling's
Test 1,, Barany Whirly Chair, and Cervical distraction. Hallpike Dix Maneuver
recreated the vertigo. She also presented with severe anterior head carriage. Based
upon the information provided, select the MOST LIKELY diagnosis and conservative
management.
A. Ménière's disease; refer to EENT
B. Cervicogenic vertigo; chiropractic adjustive technique, postural exercises,
erognomic education
C. Benign paroxysmal positional vertigo; chiropractic adjustive technique, Epley's
maneuver, postural exercises, myofascial therapy
, D. Cervical sprain/strain; chiropractic adjustive technique, postural exercises -
ANSWERC.
A patient presenting with temporal and frontal headaches with evidence of nocturnal
bruxism (grinding teeth at night) and tight masseter muscles may be suffering
from_____________.
A. Episodic tension type headache
B. Temporomandibular joint disorder (TMJ)
C. Classic migraine
D. Common migraine - ANSWERB.
Richard Hickman, a 51-year-old college coach presents at your office with severe,
throbbing, burning right arm pain that started after having right shoulder replacement
surgery last month. The orthopedist evaluation was negative, and he has begun
physical therapy. Nothing improves the symptoms and the arm is also showing signs
of atrophy.
What is the MOST LIKELY diagnosis?
A. Surgical error
B. Complex regional pain syndrome
C. Psychological issue
D. Infection - ANSWERB.
A 37-year-old female presents with a dizziness, left ear fullness and tinnitus and
noticeable hearing loss. The dizziness that has been reoccurring for two months and
lasts for 2-3 hours. What could be the possible condition? - ANSWERMénière's
disease
A patient who tests positive for Reverse Bakody Sign may possibly be
diagnosed with _____________.
A. Thoracic outlet syndrome
B. Cervical myelopathy
C. Cervical radiculopathy
D. Cervical facet syndrome - ANSWERA.
According to Souza ALL the following are recommended conservative management
for cervical facet syndrome EXCEPT:
A. Ergonomic instruction
B. Myofascial therapy
C. Preventative exercises and stretches
D. Avoid flexion motions - ANSWERD.
Match the condition with the common prescribed medication:
(Clonazepam, lisinopril, fosomax, Lipitor, warfarin)
A. Hypertension
B. Hypercholesterolemia
