Physical Therapy Examination (incomplete)

Question 1

Initial Exam:
Information gathering/chart review

Answer 1

pt info/demographics such as name, age, gender, language, prior level of function
history of present condition
living situation/architectural barriers
PMH
Diagnostics
Meds
Allergies
Lab tests

Question 2

Diagnostic Imaging

Answer 2

X-rays
Venogram and arteriogram
Tomography
Radionuclide scanning
MRI
Ultrasound

Question 3

Open ended questions

Answer 3

Always start with this type of question
What,Why,When,How,Where,WHo
“Where is your issue?”

Question 4

Closed-Ended

Answer 4

Progress to these if needed
Yes or No answers
“Does your shoulder issue change when you move your neck?”

Question 5

Closed and Biased

Answer 5

Is it better, worse, or no change
“Does your shoulder issue change with overhead reaching”

Question 6

SINSS

Answer 6

Severity, irritability, nature, and stage/stability

Question 7

Principles of examination in regards to communication w/ patient

Answer 7

tell them what you are doing and maintain their dignity, and warn them of exacerbations

Question 8

Principles of examination in regards to position of pt

Answer 8

avoid changing of positions multiple times

Question 9

Principles of examination in regards to which side to test first

Answer 9

test uninvolved side first, if present

Question 10

Vital signs

Answer 10

HR
BP
RR
Temp
Weight
Walking speed

Question 11

Peripheral nerve lesion

Answer 11

obvious right away during observation or examination

Question 12

Nerve root lesion

Answer 12

takes time to develop (5 second hold during MMT)
myotomes

Question 13

Peripheral nerve entrapment presentation

Answer 13

weakness and/or sensory changes distal to entrapment

Question 14

Nerve root lesion presentation

Answer 14

dermatomal distribution of nerve problem
myotomal weakness associated with nerve root

Question 15

When does an initial exam start?

Answer 15

As soon as you greet the pt

Question 16

Motion

Answer 16

AROM before PROM
end feels
patterns
m. length
accessory mobility
soft tissue assessment
integumentary assessment

Question 17

When is joint pathology suspected

Answer 17

if PROM = AROM

Question 18

Joint play movements

Answer 18

an accessory movement that the patient cannot do actively that occurs at a joint

Question 19

Beighton Hypermobility Index Scoring Criteria
Max Score

Answer 19

9

Question 20

Beighton Hypermobility Index Scoring Criteria
Touching the floor

Answer 20

pt can bend and place hands flat on floor w/o bending knees (1 point)

Question 21

Beighton Hypermobility Index Scoring Criteria
Knee

Answer 21

Knees can hyperextend past 0° (1 point for each knee)

Question 22

Beighton Hypermobility Index Scoring Criteria
Elbow

Answer 22

Elbows can hyperextend past 0° (1 point for each elbow)

Question 23

Beighton Hypermobility Index Scoring Criteria
Thumb

Answer 23

Thumb can be bent backward to touch forearm (1 point for each thumb)

Question 24

Beighton Hypermobility Index Scoring Criteria
Little finger

Answer 24

Little finger can be bent backward beyond 90° (1 point for each little finger)

Question 25

What does this mean with individuals with a high Beighton Hypermobility Index Score

Answer 25

Higher risk of repetitive strain and subluxation

Question 26

Ligamentous testing for end ranges

Answer 26

repeat with increasing stress and palpate for muscle contraction

Question 27

Force

Answer 27

MMT 1-RM/10-RM Dynamometry Isokinetic Test Functional Performance Tests

Question 28

Results of resisted isometric testing

Question 29

Results of resisted isometric testing

Question 30

Results of resisted isometric testing

Question 31

Results of resisted isometric testing