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Correlative Patient Assessment > Quiz 3 > Flashcards

Quiz 3 Flashcards

(52 cards)

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1
Q

What are the “never miss” red flags for cancer that the doctor must ask about during the history?

A
  1. Unexplained weight loss
  2. Pain that does not improve with rest or positional change
  3. Night sweats
  4. Pain that wakes you up from sleeping
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2
Q

What are the two types of bowel/bladder control problems that are considered red flags for cauda equina syndrome?

A
  1. Urinary retention (most common symptom)
  2. Urinary and/or fecal incontinence
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3
Q

What are the “never miss” red flags for infection that the doctor must ask about during the history?

A
  1. Recent fevers
  2. Recent infections
  3. Recent surgeries or invasive procedures
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4
Q

What are the “never miss” red flags for spine related pain in the cervical or thoracic region?

A

Myelopathy
1. Stiffness or weakness in the legs (ex. difficulty walking)
2. Clumsiness in the fingers

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5
Q

What are the “never miss” red flags for spine related pain in the lumbar or sacral region?

A

Cauda Equina Syndrome
1. Saddle anaesthesia
2. Problems with bladder or bowel control

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6
Q

What body systems must be investigated during the review of systems in a patient with thoracic pain?

A
  • Cardiac
  • Respiratory
  • Upper gastrointestinal
  • Musculoskeletal
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7
Q

What body systems must be investigated during the review of systems in a patient with low back (lumbar or sacral) pain?

A
  • Gastrointestinal
  • Genitourinary
  • Musculoskeletal
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8
Q

What body systems must be investigated during the review of systems in a patient with shoulder pain?

A
  • Cardiac
  • Respiratory
  • Upper gastrointestinal
  • Musculoskeletal
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9
Q

What body systems must be investigated during the review of systems in a patient with neck pain?

A
  • Cardiac
  • Respiratory
  • Musculoskeletal
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10
Q

What body systems must be investigated during the review of systems in a patient with extremity pain?

A
  • Musculoskeletal
  • Nervous
  • Peripheral vascular
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11
Q

What body systems must be investigated during the review of systems in a patient with suboccipital pain?

A
  • Musculoskeletal
  • Nervous
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12
Q

What body systems must be investigated during the review of systems in a patient with abdominal pain?

A
  • Gastrointestinal
  • Genitourinary
  • Cardiac (upper abdominal pain)
  • Respiratory (upper abdominal pain)
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13
Q

What body systems must be investigated during the review of systems in a patient with chest pain?

A
  • Cardiac
  • Respiratory
  • Upper gastrointestinal
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14
Q

What body systems must be investigated during the review of systems in a patient with headaches or other neurologic symptoms suggesting a CNS or cranial nerve lesion?

A
  • Mental status
  • Cranial nerves
  • Motor
  • Sensory
  • Reflexes
  • Coordination
  • Stance and gait
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15
Q

What are the common symptoms related to the cardiac system?

A
  • Chest pain
  • Palpitations
  • Difficulty breathing (with mild exertion or lying down)
  • Ankle swelling
  • Fainting
  • Lightheadedness when standing
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16
Q

What are the common symptoms related to the respiratory system?

A
  • Cough
  • Productive cough (mucous, blood)
  • Wheezing
  • Difficulty breathing
  • Chest pain with breathing
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17
Q

What are the common symptoms related to the peripheral vascular system?

A
  • Cold hands/feet
  • Leg pain with walking that is relieved by rest
  • Leg cramps
  • Varicose veins
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18
Q

What are the common symptoms related to the upper gastrointestinal system?

A
  • Difficulty swallowing
  • Heartburn
  • Stomach pain
  • Nausea
  • Vomiting
  • Black stools (melena)
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19
Q

What are the common symptoms related to the lower gastrointestinal system?

A
  • Lower abdominal pain
  • Cramps
  • Constipation
  • Diarrhea
  • Bloody stools
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20
Q

What are the common symptoms related to the musculoskeletal system?

A
  • Muscle cramps
  • Muscle weakness
  • Muscle/joint pain
  • Swelling
  • Stiffness
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21
Q

What are the common symptoms related to the neurologic system?

Study These Flashcards
A
  • Headache
  • Loss of consciousness
  • Tremors
  • Seizures
  • Incoordination
  • Numbness and/or weakness (face or body)
  • Bowel or bladder control
  • Cranial nerve symptoms
22
Q

What are the four major categories of disorders used in the differential diagnosis of spine pain?

Study These Flashcards
A
  1. Mechanical and Radicular Spine Disorders
  2. Non-Mechanical Spine Disorders
  3. Other Disorders
  4. Visceral Disorders
23
Q

What are the techniques listed in the course notes that are used by doctors to generate a list of differential diagnoses?

Study These Flashcards
A
  • Key clues
  • Cluster of clues
  • Template matching
  • Pattern Recognition
  • Etiologic categories (VINDICATE)
24
Q

What does the V stand for in the acronym VINDICATE?

25
What does the first I stand for in the acronym VINDICATE?
Infectious
26
What does the N stand for in the acronym VINDICATE?
Neoplastic
27
What does the D stand for in the acronym VINDICATE?
Degenerative/drugs
28
What does the second I stand for in the acronym VINDICATE?
Inflammatory
29
What does the C stand for in the acronym VINDICATE?
Congenital
30
What does the A stand for in the acronym VINDICATE?
Autoimmune
31
What does the T stand for in the acronym VINDICATE?
Traumatic/toxic
32
What does the E stand for in the acronym VINDICATE?
Endocrine/nutritional/metabolic
33
Which orthopedic nerve traction test is most likely to be positive for radicular pain in a patient with a L2 radiculopathy?
Femoral nerve traction test
34
Which orthopedic nerve traction test is most likely to be positive for radicular pain in a patient with a L5 radiculopathy?
Straight leg raise
35
Which orthopedic tests are the exception to the rule of testing on the asymptomatic side first?
- Goldthwait - Smith-Peterson - Straight leg raise
36
What disorders would result in sharp spine pain (positive test) during spinous percussion?
Bony pathologies such as: - Fracture - Neoplasm - Infection
37
When performing the Prone Instability Test, low back pain decreased with extensors contracted. What is indicated?
Anterior shear instability
38
When performing the Prone Instability Test, low back pain persists with extensors contracted. What is indicated?
Anterior shear intolerance
39
What active care would you recommend to a patient with anterior shear instability?
Lumbar stabilizing exercises
40
What active care would you recommend to a patient with anterior shear intolerance?
Avoidance of postures, motions, or loads that create anterior shear forces
41
The Prone Instability Test is often positive in patients with __?
Facet pain secondary to hypermobility or instability
42
When performing the Static Prone Lumbar Extension Test, a patient with low back pain and leg pain experiences a decrease in leg pain. What condition is this indicative of?
Posterior disc derangement
43
When performing the Static Prone Lumbar Extension Test, a patient with low back pain and leg pain experiences a decrease in low back pain. What condition is this indicative of?
Posterior disc derangement
44
When performing the Static Prone Lumbar Extension Test, a patient with low back pain and leg pain experiences a increase in low back pain. What conditions are indicated?
Facet or neural arch pathology
45
When performing the Static Prone Lumbar Extension Test, a patient with low back pain and leg pain experiences an increase in radiating leg pain. What condition is indicated?
Radiculopathy
46
When performing the Passive Lumbar Extension Test, the patient experiences an increase in low back pain. What condition is indicated?
Facet or neural arch pathology
47
When performing the Passive Lumbar Extension Test, the patient experiences a decrease in low back pain. What condition is indicated?
Disc derangement
48
When performing the Passive Lumbar Extension Test, the patient experiences a radiating leg pain. What condition is indicated?
Radiculopathy
49
What muscle is innervated by the L4 nerve root but NOT the deep peroneal nerve?
Tibialis posterior
50
What muscle is innervated by the deep peroneal nerve but NOT the L4 nerve root?
Extensor hallucis and extensor digitorum
51
What syndrome must be ruled out in all patients with a T1 radiculopathy?
Horner's syndrome
52
What neurological disorder must be considered in the differential diagnosis of a patient with multiple episodes of varying neurological symptoms?
Multiple sclerosis

Correlative Patient Assessment (3 decks)

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