Examination Principles Flashcards
1
Q
Flow of procedure
A
- history
- observation
- screens
- palpation
- AROM
- PROM
- resisted movements (MMT)
- accessory movements (joint mobility)
- special tests
2
Q
LMNO for history
A
- location of symptoms
- medical history/MOI
- neurological symptoms
- occupation
3
Q
PQRST for history
A
- palliating & provoking symptoms
- quality
- region
- severity
- timing
4
Q
Constitutional Symtoms
A
- fever
- weight loss
- fatigue
- night sweats
- day sweats
- shortness of breath
- syncope/dizziness
- sleep pattern change
- nausea/vomiting
- change in bowel habits
5
Q
General red flags: pain that is
A
- uncontrolled with analgesics
- not reproduced/exacerbated by your evaluation
- worsens at night or with rest
- exacerbates with general activity
- bilateral
- encompasses several dermatomes
6
Q
What is included in a cardiovascular screen
A
- HR
- BP
- respiratory rate (RR)
- pulses
- observation (nail beds, hair growth, color of extremity)
7
Q
What are the different neurological screens
A
- upper quarter screen
- lower quarter screen
- cranial nerves if indicated
8
Q
What to look for during palpation
A
- temperature
- moisture
- swelling
- pain/tenderness
- changes in muscle tone
- atrophy
- asymmetry
9
Q
What to look for in resisted muscle testing
A
- symptom response in 3 different ranges
- strength bilaterally
10
Q
What is your hypothesis when AROM & PROM are painful & limited in the same direction
A
- inert tissue (ligamentous, cartilage, bone)
11
Q
What is your hypothesis when AROM & PROM are painful & limited in opposite directions & resisted motion is painful in 3 positions
A
- contractile tissue
12
Q
What is your hypothesis when AROM is limited & PROM improves significantly or WNL (within normal limits) & painless
A
- motor control
