Video #4 – Anxiety and Panic Attack

Anxiety might make you feel uneasy when faced with a difficult problem at work, before taking a test, or before making an important decision. On the other hand, a panic attack is a brief episode of intense anxiety, a feeling of fear, dread, and uneasiness. It can be a normal reaction to stress. People often describe the physical sensations of fear accompanied by sweat, feel restless and tense, and have a rapid heartbeat. These can include a racing heartbeat, shortness of breath, dizziness, trembling and muscle tension. Panic attacks occur frequently and unexpectedly and are often not related to any external threat.

Questions
1. The finger-to-nose test evaluates
a) Coordination
b) Cerebellar conditions
c) Proprioception
d) All the above

2. The perception of vibration evaluates
a) The dorsal columns
b) Thalamus integrity
c) Spinal cord performance
d) None of the above

3. According to this video, “When the cerebellum is off you have…”
a) Anxiety
b) Balance issues
c) Digestive problems
d) All the above

4. Weber test helps determine
a) Unilateral conductive hearing loss
b) Unilateral sensorineural hearing loss
c) Cortical integrity
d) Both a and b

5. Stroking the sole of the foot with a sharp object should cause
a) Inhibition of the rectus femoris contralaterally
b) Inhibition of the rectus femoris ipsilaterally
c) Facilitation of the rectus femoris contralaterally
d) All the above

6. Stroking the sole of the foot with a sharp object should cause
a) Facilitation of the gluteus medius ipsilaterally
b) Facilitation of the gluteus medius contralaterally
c) Inhibition of the gluteus medius contralaterally
d) All the above
7. Mobilization of a structural area in question
a) Will not affect a muscle test
b) May cause a change in muscle performance
c) Helps relieve a patient’s anxiety
d) All the above

8. Chiropractic care relaxes tight muscles including the muscles around arteries, which allows for
a) When the muscles relax the arteries open allowing more blood flow
b) More blood flow causes an increase in heat
c) An improved body temperature
d) All the above

9. With the patient supine, turning the head to the right should cause
a) Facilitation of the rectus femoris ipsilaterally
b) Facilitation of the rectus femoris contralaterally
c) Facilitation of the gluteus medius contralaterally
d) All the above

10. Complex movement to the extremities ipsilaterally
a) Helps facilitate the cerebellum ipsilaterally
b) Helps facilitate the cerebellum contralaterally
c) Helps inhibit the cerebellum ipsilaterally
d) Complex movement does not affect cerebellar function

11. With the patient prone, a dysfunctional hamstring test may indicate a
a) Neck problem
b) Sacral problem
c) Extremity problem
d) All the above

12. Anxious patients seem to have a decreased ability to modulate
a) The deep tendon reflex
b) The flexor withdrawal reflex
c) The vibratory stimulus
d) All the above

13. We know we have helped an anxious patient when they
a) Can breathe better
b) When they are more relaxed
c) When they are calmer
d) All the above

14. Anxiety can increase stress hormones which cause
a) Slowed aging
b) Blood sugar imbalance
c) Weight loss
d) All the above

15. Chiropractic helps manage stress by
a) Normalizing autonomic performance
b) Increasing sympathetic tone
c) Decreasing parasympathetic tone
d) All the above

16. Which of the following provides no benefit to anxiety?
a) Exercise
b) Massage
c) Acupuncture
d) Increased stress

17. When stimulated by the deep tendon reflex and/or flexor withdrawal reflex, the straight leg rectus femoris test should be
a) Facilitated ipsilaterally
b) Facilitated contralaterally
c) Inhibited ipsilaterally
d) These stimuli have no bearing on the rectus femoris

18. Stimulation of the deep tendon reflex and/or the flexor withdrawal reflex to one lower extremity should cause
a) Facilitation of the rectus femoris contralaterally
b) Inhibition of the rectus femoris contralaterally
c) The rectus femoris response to remain unchanged relative to the reference test
d) None of the above

19. The healthy human nervous must display
a) Functional reciprocity
b) Normal tingling sense when stimulated
c) Visual changes
d) All the above

20. Any abnormal muscle test
a) Is a window into the patient’s nervous system
b) Indicates proprioceptive dysfunction
c) Increases sympathetic outflow
d) All the above

21. To use functional neurology properly the examiner must understand
a) What indicates a normal test
b) How to identify an abnormal test
c) Locate and treat the area causing the abnormality
d) All the above

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