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Author Archives: Anonymous

A student types an entire discussion reply in capital letter…

A student types an entire discussion reply in capital letters to emphasize excitement. What is the main communication risk?

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A student puts off a difficult assignment by reorganizing su…

A student puts off a difficult assignment by reorganizing supplies for two hours. Which explanation best identifies the problem?

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A student wants to remember a new college term. Which method…

A student wants to remember a new college term. Which method most clearly uses an effective memory strategy?

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A student’s notes contain many facts but no visible connecti…

A student’s notes contain many facts but no visible connections. Which study method could best reveal relationships among concepts?

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Which action combines motivation and responsibility most eff…

Which action combines motivation and responsibility most effectively?

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A classmate posts an opinion you strongly disagree with in a…

A classmate posts an opinion you strongly disagree with in an online discussion. Which response best demonstrates netiquette?

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A student has class, a job, family duties, and study time to…

A student has class, a job, family duties, and study time to manage. Which schedule is most effective?

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Why is reviewing notes soon after class generally useful?

Why is reviewing notes soon after class generally useful?

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42 yo female accountant Chief Complaint 4-month history of i…

42 yo female accountant Chief Complaint 4-month history of intermittent right-sided neck pain and intermittent headaches that have gradually increased in frequency. She cannot identify a specific injury but recalls an association with a period of increased lifting and carrying when moving.   Subjective History Symptoms: R sided neck pain that sometimes radiates to the medial shoulder blade region and sometimes to the head. Pain begins in the neck and may spread into the right temporal region. Reports a “deep ache” in the shoulder blade and base of the head that creates a headache when exacerbated. Symptoms worsen with: Prolonged computer work Repetitive or long term looking over the right shoulder while driving Lifting or carrying 20 lbs for longer than 10 minutes   Symptoms decrease with: Heat Pain Ratings          Current: 2/10                  Best: 0/10                            Worst: 7/10   Additional Information: Symptoms alleviated with 600mg ibuprofen Denies dizziness, diplopia, dysarthria  Sleep occasionally disturbed when symptoms are more severe.   Medical History Infrequent episodes of neck pain over the past several years. No history of concussion. No cervical surgery. No known migraine diagnosis.   Patient Goals Reduce neck pain and headaches. Complete a workday without symptom escalation. Return to Pilates and group exercises classes comfortably.   Neck Disability Index (NDI) 18/50 (36%) Patient Specific Functional Scale (PSFS) Activity Score:                Working at computer >4 hours       4/10                                                Checking blind spot while driving 3/10                                                 Reading for 30 minutes                      5/10   Objective Examination Observation:     Mild forward head posture Slight upper cervical extension posture noted at rest. Cervical AROM:  Flexion            45° Extension        55° with R sided neck pain Right Sidebend           30° R end ROM pain Left Sidebend              38° R side “stretch”   Neurological Examination Myotomes C5-T1: Strong  Dermatomes C4-T1: Intact   Reflexes Biceps: 2+ Brachioradialis: 2+ Triceps: 2+   Strength Deep Neck Flexor Endurance Test: 18 seconds Upper Extremity Strength: Grossly 5/5 bilaterally   Tenderness to palpation: Right cervical paraspinals Right upper trapezius *Palpation reproduces local neck pain and partially reproduces headache symptoms.   Special Tests Spurling Test — Negative Cervical Distraction– Mild symptom relief Upper Limb Tension Test A  — Negative

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Please provide 1 test or measure from TWO categories ( ie: R…

Please provide 1 test or measure from TWO categories ( ie: ROM, MMT, muscle length, joint mobility, balance, etc). Please provide the rationale as to how the measure will aide in categorizing the pathoanatomical impairment/ICF classification.    Measure 1:  Rationale:    Measure 2 (categorically different than measure 1):  Rationale: 

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