Examination

Question 1

When should you observe your patient?

Answer 1

From the introduction to intervention

Question 2

What does dx mean?

Answer 2

diagnosis

Question 3

What does hx mean?

Answer 3

history

Question 4

Initially ask patients open-ended questions for a narrative and then narrow it to more specific questions? True or False

Answer 4

True

Question 5

What is S&S?

Answer 5

signs and symptoms

Question 6

If you encounter a RED Flag S&S what should you do?

Answer 6

-require physician referral
-NOT appropriate for physical therapy
-NOT diagnosing (dx) non MSK conditions

Question 7

The location of the pain (P!) is always the source? T or F
-if false why?

Answer 7

False; patient can have referred pain

Question 8

Not all tissue is in a stage of healing, why not?

Answer 8

because the tissue just may be irritated and not damaged

Question 9

Irritability: mechanical symptoms respond to _________ and non mechanical symptoms responds DO NOT respond to __________

Answer 9

movement

Question 10

Numbness S&S may indicate:

Answer 10

peripheral n.

Question 11

Paresthesias S&S may indicate:

Answer 11

spinal n. or n. root

Question 12

Deep ache S&S may indicate:

Answer 12

joint

Question 13

Shap P! S&S may indicate

Answer 13

inflammation

Question 14

During the Hx, examination trauma can relate to _____ damage.

In contrast, a patient states that the P! gradually came along. Which can mean less severe? T or F

Answer 14

tissue; T

Question 15

In the Hx examination, what do we want to know about the patient’s and/or client’s Medications/Supplements?

Answer 15

dosage/frequency
results

Question 16

Diagnostics tests, dates, and results - in general for imagining should only be used in isolation.

True or False

Answer 16

False

Question 17

Suspicious MSK S&S- neck splinting with lack of side bending could indicate

Answer 17

a dens fracture after trauma

Question 18

Suspicious non-MSK S&S - chest and shoulder pain only on exertion could indicate

Answer 18

a cardiovascular issue

Question 19

When determining a working diagnosis make sure it is always your final decision. True or False

Answer 19

False, just provides direction

Question 20

Body type: flatter spine with tighter hips and genu and calcaneal varus

Answer 20

rigid

Question 21

Body type: excessive spinal nerves curves with hypermobile hips and genu and calcaneal valgus

Answer 21

Flexible

Question 22

What are the two parts of the test and measures?

Answer 22

Scan and Biomechanical Exam

Question 23

What are the two parts of the test and measures?

Answer 23

Scan and Biomechanical Exam

Question 24

a general assessment-

Answer 24

scan

Question 25

a greater detailed assessment of scan findings

Answer 25

biomechanical exam

Question 26

Symptoms and signs: subjective and/OR objective?

Answer 26

Symptoms- subjective, reported by patient Signs- objective, measured by clinician *signs or impairments can be present without symptoms and vice versa

Question 27

What are the main purposes of a scan?

Answer 27

-Further assessing for RED FLAG S&S -Assess neurological status -Determine if symptoms are referred/radicular (spine to extremity) -Identify need for biomechanical exam

Question 28

Without recent trauma start with ______ scan

Answer 28

spinal scan

Question 29

What are essential ADLs

Answer 29

walking, reaching, squatting, bending, turning

Question 30

Higher level ADLS include?

Answer 30

Lifting, throwing, jumping, and running

Question 31

WNL =

Answer 31

Full, pain free, coordinated motion, and smooth curves

Question 32

What assess wilingness to voluntarily move?

Answer 32

AROM

Question 33

Unwillingness to move or splinting is a ________

Answer 33

RED FLAG S&S

Question 34

PROM-gentle and passive overpressure is to locate ________

Answer 34

end feels

Question 35

What are the following soft tissue techniques?

Answer 35

Static stretching Ballistic Stretching PNF Muscle energy Active Isolated Stretching

Question 36

Mobility may be increased by what ROM

Answer 36

AROM

Question 37

Joints with decreases accessory motion or gliding may not be painful, and if not address, may cause painful hypermobile/unstable compensations elsewhere with repetitive use.

Answer 37

Hypomobility

Question 38

Why are hypermobile areas usually painful?

Answer 38

because the axis of motion is excessive

Question 39

What are accessory motions?

Answer 39

roll spin glide slide

Question 40

During Examination it is IMPORTANT that you __________ before asking questions or doing the treatment?

Answer 40

Obtain informed consent

Question 41

Symptom(s) and behavior Onset/Prior injury Symptoms impact function Imagining and other diagnostic tests Patient perspective and goals re: symptoms Past medical hx/medications **S&S suspicious of severe MSK or Non-MSK conditions aka RED FLAG S&S -Require physician referral -NOT appropriate for PT -NOT dx non-MSK conditions

Answer 41

Hx Examination: Key Components

Question 42

Symptom(s) and Behavior:

Answer 42

Location -not always the source Duration- can help with stages of tissue Changes- Intensity w/boundaries 0=no P! and 10=hospital Frequency- variable or constant throughout the day? Improve worsen or stay the same? Irritability- aggravating and easing factors Mechanical or non-mechanical- respond to movement or no Type: Paresthesia = Spinal nerve (n) or n. root Numbness = peripheral n. , Deep Ache = joint Sharp P! = inflammation

Question 43

Hx: Onset =Timing

Answer 43

-Trauma or gradual -Recent or no -Circumstances and severity -Prior injury, surgery, Rx, Dates, and Results -Symptom impact on daily activity -Awakening (day, evening, night/sleep)

Question 44

Hx: medications/supplements

Answer 44

-Dosage/Frequency -Results

Question 45

Systems Review:

Answer 45

determined from hx and observation: assess the worst first I.E. - symptoms with aerobic exertion infection cardiovascular and respiratory systems

Question 46

Test and Measure have two parts:

Answer 46

Scan and Biomechanical Exam

Question 47

List the following scans we have covered:

Answer 47

1. Selective Tissue Tension Testing -ROM (AROM, & PROM) -Resisted Test 2. Combined Motions 3.. Stress Tests 4. Neurological Test