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M Eval > Principles And Concepts > Flashcards

Principles And Concepts Flashcards

1
Q

Meaning of SMART

A

smart maneagble attainable realistic time bound

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2
Q

Which of these is not a relevant question:
What is the pt’s age and sex?
What is the pt’s occupation?
How many children does the pt have?
When did the symptoms started?

A

How many children does the pt have?

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3
Q

Medical diagnosis VS PT impression

A

Medical: Based on the pathologic or pathophysiologic state at the cellular level

PT: Based on a cluster of signs and symptom of impairment, functional limitation or disability

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4
Q

Why do we need to Assess?

A

Make sure that each patient/client is an appropriate candidate for PT.
To recognize areas that are beyond the scope of Physical Therapy
To determine what biomechanical or neuromusculoskeletal problem is present
Give the correct treatment or treat the problem as specifically as possible
Be cost-effective as possible

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4
Q

Components of Musculoskeletal Assessment

A

Pt history
Observation
Palpation
Examination of movement
Special tests
Reflexes and cutaneous distribution (Yung nerves, (CN 1-12), Brachial plexus)
Joint play movements
Diagnostic imaging

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5
Q

Components found in the Subjective part of the assement

A

Patient story
demographics (
History of present illness (HPI)
PMHx
FMHx
PSEHx
c/o
goal
ancillary procedure

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5
Q

Components of the Objective part

A

OI
Palpation
MMT
ST
OM
ROM

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6
Q

Components of Assessment

A

PT goals
Plan

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7
Q

Type of Notes that is
Pattern is the SOAP
Lahat ng findings nakapasok
necessary information from pt.
PCPI (body system)
Req na nandito yung SOAP.

A

Initial Evaluation (IE)

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8
Q

Type of Notes that is
Every session of the patient
Usually sa S part nalang (chief complaint ng patient) then OAP na

A

Daily PT Notes/PT Notes

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8
Q

Type of Notes that is
For every 6th and 12th session
Common practice eto pero dependent sa timetable ng clinic
Minsan dito na lang yung doctor nagbabase
minsan ginagawang RE notes

A

Progress Notes

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9
Q

Type of Notes that is
Wala na past medical history and family history (subjective). (Retake lang)

A

Re-evaluation Notes (RE notes)

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10
Q

Type of Notes that is
After madischarge ano pinakapresent the function ni pt. (Example: Independent overhead activities without pain)
Ano yung kaya na nya ngayon. (Na di nya kaya sa IE notes)
Home exercise program na gagawin ni pt.

A

Discharge Notes

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10
Q

Type of Note that is
Kapag namatay na si pt
A narrative about the patient
Ikaw gagawa kapag ikaw ang last na nakita ng patient

A

Expiring Notes

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10
Q

A 52 year old, self-referral male is examined in physical therapy. The client states that over the last three months he has experienced increasing neck stiffness pain at night. He also communicates that within the past week he had several episodes of dizziness. The client has a family history of cancer and has smoked two packs of cigarettes a day for the last twenty years. The client denies any other significant past medical history and lists the dates of his last medical examination as 10 years ago. The therapist’s most appropriate action is to?

A. Treat the client conservatively and document any changes in the client’s status
B. Inform the client that he is not a candidate for physical therapy
C. Refer the client to his primary care physician
D. Examine the patient thoroughly for any other ssx

A
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11
Q

Abnormally stiff, interrupted or rigid movement while moving the joint or body from one position to another

A

Guarding

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12
Q

A stationary position in which a fully extended limb supports and maintains an abnormal distribution of weight

A

Bracing

12
Q

Any contact between hand and injured area (i.e., touching, rubbing, or holding the painful area

A

Rubbing

13
Q

Obvious facial expression of pain that may include furrowed brow, narrowed eyes, tightened lips, corners of mouth pulled back and clenched teeth

A

Grimacing

13
Q

Obvious exaggerated exhalation of air usually accompanied by the shoulders first rising and then falling; patients may expand their cheeks first

A

Sighing

14
Q

Deformities
Structural VS Functional VS Dynamic

A

Structural - permanent or cannot be easily changed
Functional - can be changed with instruction
Dynamic - abnormal movement

15
Q

How do you find out if a pt has edema and not just swelling?

A

swelling = OI
to confirm if its edema = Palpation

16
Q

In palpation what grade is Pt complains not allow palpation of the joint

A

Grade IV

17
Q

In palpation what grade isPt complains winces and withdraw

A

Grade III

17
Q

In palpation what grade isPt complains of pain and winces

A

Grade II

17
Q

In palpation what grade isPt complains of pain

A

Grade I

17
Q

In edema palpation what scale is EID; rebounds > 30

A

4
severe

18
Q

In edema palpation what scale isEID; rebounds within 15-30 sec

A

3
moderate

19
Q

In edema palpation what scale is easily identified depression (EID) rebounds <15 sec

A

2
mild

20
Q

In edema palpation what scale is barely perceptible depression

A

1
trace

21
Q

T or F
Non-Pitting Edema less severe than Pitting Edema

A

FALSE
Non-Pitting Edema mas severe kesa sa Pitting Edema

21
Q

Active Range of Motion (AROM) “physiologic”
PROM Passive Range of Motion “anatomic”

A

note

22
Q

GONIOMETER Landmarks
Fulcrum?
Prox. Arm?
Distal Arm ?

A

GONIOMETER Landmarks
Fulcrum - middle part
Prox. Arm - Fixed Arm, Stabilizing arm (w/o red label)
Distal Arm - Moving Arm

23
Q

Hypomobile vs Hypermobile

A

Hypomobile
does not start with 0 degrees or ends prematurely/does not reach the normal value
Hypermobile
excessive movement either at the beginning or end of the motion

23
Q

Normal end feel and their descriptions

A

Soft end feel - Muscle approximation

Firm end feel - Feelings of stretching
ex: Shoulder flexion, stretch felt on the area below the axilla

Hard end feel - Bone-to-bone contact
Ex. elbow and knee extension (olecranon process and olecranon fossa)

24
Q

Group of muscles innervated by single nerve root
With myotome testing, make sure that contractions are held for 5 seconds

A

MYOTOME

25
Q

C2-C3 =
C4 =
C5 =
C6 =

A

C2-C3 neck flexors
C4 shoulder shrug, scapular upward rotation
C5 shoulder abductors, elbow flexors
C6 wrist extensors, pronators

25
Q

C7 =
C8 =
T1 =

A

C7 elbow extensors, wrist flexors, finger extensors
C8 finger flexors, wrist ulnar deviation
T1 finger abductors

26
Q

L2 =
L3 =

A

L2 hip flexors, adductor
L3 knee extensors

27
Q

L4 =
L5 =
S1 =

A

L4 ankle dorsiflexors
L5 big toe extensors, hip abductors
S1 ankle plantarflexors, evertors, hip extensors

M Eval (15 decks)

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