Clinical Assessment Final Practice Questions Flashcards
“Any loss or abnormality of psychological, physiological, or anatomical structure or function” is one of the definitions of the term:
A) Diagnosis
B) Assessment
C) Impairment
D) Posture
C) Impairment
Which part of SOAP is an interpretation of the subjective and objective information and creates your clinical impression? A) Objective B) Plan C) Assessment D) Subjective
C) Assessment
Which of the following is NOT one of the 5 reasons why RMT’s assess?
A) To create goals of treatment
B) To maintain a professional image
C) RHPA requires it
D) To listen to the patient’s objective findings
D) To listen to the patient’s objective findings
Based on the assessment protocol, which tests are done right before neurological tests? A) Special tests B) Muscle tests C) Joint play examination D) Rule outs
B) Muscle tests
T/F - When performing functional testing, we as clinicians should always support the limb in a secure and comfortable position.
False
Which of the following descriptions explains the high seated position?
A) Patient’s hips at 45 degrees of flexion and knees at 90 degrees of flexion
B) Patient’s hips and knees at 90 degrees of flexion
C) Patient’s hips at 90 degrees of flexion and knees extended
D) Patient’s hips at 90 degrees of flexion and knees at 45 degrees of flexion
B) Patient’s hips and knees at 90 degrees of flexion
T/F - There is little relevance to performing assessment if your patient already has a diagnosis.
False
Which type of pain results from the release of chemical irritants? A) Mechanical B) Referred C) Inflammatory D) Neurological
C) Inflammatory
T/F - When testing a deep tendon reflex, a positive would be pain and weakness.
False - When testing a deep tendon reflex, a positive would be INCONSISTENCY.
During your initial intake with your patient, they describe a pain that is diffuse and broad. You assess them and determine a more localized impairment. When you reassess after about 4 treatments, you have seen an improvement in their pain and the areas are more specific. What is the term to describe this concept? A) Centralization B) Trigger points C) Pain D) Peripheralization
A) Centralization
What is a possible mechanism of injury for a muscle strain? A) Nerve root compression B) Overstretch C) Forceful contraction D) Both B and C
D) Both B and C
If you suspect an injury to your patient’s medial meniscus, what would be the correct order of functional testing?
A) Active free > passive relaxed > active relaxed
B) Passive relaxed > active resisted > active free
C) Active resisted > active free > passive relaxed
D) Active free > active resisted > passive relaxed
D) Active free > active resisted > passive relaxed
What information does a therapist ask upon a positive assessment regarding pain? A) Quality B) Location C) Severity D) Both A and B E) Both B and C
D) Both A and B
Which of the following regarding rule outs is FALSE?
A) They are done unilaterally
B) They are done to the joints above and below the affected/target joint
C) They are done passively followed by overpressure
D) If any positives are found you would have to assess that joint
E) All of the above are TRUE
E) All of the above are TRUE
Mix and match (answers can only be used once):
1) Tingling
2) Sharp
3) Dull ache
4) Noises
A) Meniscal tear
B) Joints
C) Acute inflammation
D) Nerve injury
1) Tingling - D) Nerve injury
2) Sharp - C) Acute inflammation
3) Dull ache - B) Joints
4) Noises - A) Meniscal tear
Crepitus is: A) Audible B) Palpable C) Vibration D) All of the above
D) All of the above
T/F - Hypermobility and hypomobility would be observable and documented when doing active free testing.
True
Which of the following end feels is always considered abnormal? A) Bone to bone B) Capsular C) Tissue stretch D) Tissue approximation
B) Capsular
How would a 2nd degree muscle strain score based on the Cyriax resisted testing scale? A) Strong and painless B) Strong and painful C) Weak and painless D) Weak and painful
B) Strong and painful
If your patient was able to produce movement with gravity eliminated during a muscle test, which grade would they score on the Oxford Muscle testing scale? A) 1 B) 2 C) 3 D) 4
B) 2
T/F - Ask as many leading and open ended questions as possible to help you gather information during your intake.
False
"Final resistance to normal range that would result in injury to tissue" describes which barrier of resistance? A) Physiological B) Elastic C) Anatomical D) End feel
C) Anatomical
Palpation can: A) Assess turgor B) Vary in rate C) Vary in direction D) All of the above
D) All of the above
With a complete Achilles tendon rupture, you would expect to find:
A) Active resisted resting to be weak and painless on the Cyriax muscle testing scale
B) Active resisted testing to be a grade 2 on the Oxford muscle testing scale
C) Active free plantar flexion is present but diminished, and the foot also goes into inversion
D) All of the above
A) Active resisted resting to be weak and painless on the Cyriax muscle testing scale
T/F - Passive relaxed testing could also show a positive that may indicate a contractile tissue injury
True
Which of the following would you NOT be able to determine while watching your patient perform active free shoulder abduction? A) Apprehension B) End feel C) Quality of movement D) Both A and B
B) End feel
T/F - After your intake, you should have a strong indication of the order of range of motion testing to be performed with your patient.
True
What is the term denoting "any position that increases stress to the joints?" A) Postural malalignment B) Standard posture C) Faulty posture D) None of the above
C) Faulty Posture
Which of the following is NOT a reason why we assess posture?
A) Increases effectiveness of treatments
B) Gives important information about soft tissues
C) Poor posture can give rise to pain
D) All of the above are reasons why we assess posture
D) All of the above are reasons why we assess posture
T/F - Hemipelvis, pregnancy, and neurological pathologies are all factors affecting posture.
True
Which postural assessment tool can be used to measure joint angles? A) Algometer B) Goniometer C) Tape measure D) Plumb line
B) Goniometer
What position should you assess your patient's posture in? A) Standing B) Lying C) Seated D) Whatever their natural position is
D) Whatever their natural position is
How far away should you stand from your patient when doing your postural assessment? A) 3-6 feet B) 4-7 feet C) 5-8 feet D) 6-9 feet
C) 5-8 feet
T/F - When assessing posture from a lateral view, you should be in line with the client’s acromion process.
False - When assessing posture from a lateral view, you should be in line with the client’s EXTERNAL AUDITORY MEATUS.
