ECC Documentation & Record Keeping 2

Question 1

When documenting a horse's response to equine chiropractic treatment, which outcome measure is most clinically relevant to record?

Accepted Answer

Changes in range of motion at treated vertebral motion units

Answer

Objective changes in range of motion at treated spinal segments provide clinically meaningful outcome data for reassessment and continuity of care.

Question 2

Which section of an equine chiropractic SOAP note is most appropriate for recording static and motion palpation findings?

Accepted Answer

Objective

Answer

Palpation findings are physical examination data and belong in the Objective section of the SOAP note.

Question 3

A referral letter from a veterinarian authorizing chiropractic care should be retained in the patient file for at least how long according to standard professional guidelines?

Accepted Answer

A minimum of 3–7 years or per state law

Answer

Medical and professional records, including veterinary referral letters, should be kept a minimum of 3–7 years or per the applicable state statute.

Question 4

Which of the following best describes the purpose of recording a horse's performance history at the initial intake?

Accepted Answer

To establish a baseline for correlating musculoskeletal findings with functional demands

Answer

Performance history provides context linking the horse's workload and discipline to the musculoskeletal complaints being evaluated.

Question 5

In equine chiropractic records, 'CSM' typically refers to what finding?

Accepted Answer

Chiropractic subluxation mechanism

Answer

CSM (Chiropractic Subluxation/Spinal Manipulative lesion) is the standard term for a vertebral motion unit with altered position, motion, or function noted in chiropractic documentation.

(ECC) Equine Chiropractic Certification Practice Test

(ECC) Equine Chiropractic Certification Practice Test

ECC Documentation & Record Keeping 2