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PT Exam - 1 > Review of Basic Components of an Exam - Class 1 > Flashcards

Review of Basic Components of an Exam - Class 1 Flashcards

1
Q

5 elements of pt/client management

A
  1. examination
  2. evaluation
  3. dx
  4. prognosis
  5. intervention
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2
Q

4 parts of a PT evaluation

A

subjective

objective

assessment

plan

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3
Q

what is a prognosis

A

determination of the level of optimal improvement

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4
Q

how might a px be attained

A

through intervention

amount of time required to reach that level

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5
Q

history =

A

subjective interview

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6
Q

when is an item subjective (pt 1)

A

the pt (or family member) tells the therapist the pt’s history

the pt (or family member) tells the therapist something about the pt’s lifestyle or home situation

the pt tells the therapist his emotions or attitudes

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7
Q

when is an item subjective (pt 2)

A

the pt states his or her goals (ex: I’am really angry about…)

the pt voices a complaint

the pt reports a response to tx (ex: a decrease in pain intensity)

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8
Q

a subjective item is…

A

anything the pt (or designated family member) tells the therapist that is relevant to the pt’s case or present condition

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9
Q

things that must occur during the interview/history

A

info transfer

establish communication

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10
Q

establish communication

A

make eye contact

match verbal and nonverbal behavior

clarify when needed

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11
Q

subjective questioning should determine

A

chief complaint

previous bouts of same illness

other medical problems

meds

factors that decrease/increase their sxs

occupation, MOI, pt goals and recreational activities

determine precautions

nature of the problem

site of the sxs

onset

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12
Q

chief complaint

A

complete description of the problem

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13
Q

meds

A

what are they taking

why are they taking them

side effects

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14
Q

factors that decrease/increase their sxs

A

what makes it better/worse

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15
Q

determine precautions

A

did the dr tell them not to do anything

is there anything else you want to tell me before tx

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16
Q

nature of the problem

A

includes quality of the pain, irritability and variability

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17
Q

quality of the pain, irritability and variability

A

can you describe the pain to me (don’t let them)

when do you experience the pain

how’re you in the morning/night

are there certain things that make it worse/better

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18
Q

site of the sxs

A

can pt location the area w/ one finger, any other areas?

do sxs move around

do they radiate

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19
Q

onset

A

how and when did this start

rapid? gradual?

following trauma or overuse

insidious onset

when was the first episode of these sxs

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20
Q

insidious onset

A

seems to be progressing in an unimportant way when it is actually really important

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21
Q

when we are finished with the history

A

we want to know their story

hopefully not a familiar story

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22
Q

physical examination =

A

objective information

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23
Q

observation

A

you are noticing exactly what they are doing

do not be obvious be be thorough

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24
Q

inspection

A

you are comparing side to side

specific and obvious observations

25
Q

ex. of inspection

A

A-P

distal to proximal

symmetric

skin color

atrophy

26
Q

palpation

A

involves systematic touching

feeling for tone, levels, texture and temp

27
Q

what motion is tested first

A

active ROM

28
Q

active ROM

A

want to see what they could do on their own

29
Q

what does active ROM give us

A

info about contractile and non-contractile tissue

gives some info about muscle strength
–> can perform against gravity = at least a 3

30
Q

passive ROM provides

A

info about the inert structures surrounding the joint

31
Q

inert structures =

A

capsule and ligs

32
Q

resisted ROM

A

provides info on contractile tissue

when we do MMT

33
Q

neurologic testing

A

sensory

tone

reflexes

34
Q

sensory tests

A

provides info on nerve damage on sensory level

35
Q

how’re sensory tests done

A

by dermatomes

36
Q

dermatomes

A

area of skin supplied with afferent nerve fibers by a single posterior spinal nerve root

goes by spinal levels

37
Q

tone

A

provides info about extent of nerve damage and abnormal muscle tone

38
Q

what does tone assess for

A

spasticity

rigidity

etc.

39
Q

reflexes

A

provides info about nerve damage on a motor level

40
Q

tests and measures =

A

special tests

41
Q

special tests

A

tests that are appropriate to the area being examined

42
Q

what do special tests help indicate

A

specific pathology present

43
Q

correlation or analysis of further findings =

A

evaluation

assessment

44
Q

what are we constructing in the evaluation

A

an asset and problem list

45
Q

what are we determining in the evaluation

A

which findings will be placed in each category

46
Q

what does the evaluation help determine –> goals

A

what goals to be set

a long-term goal is set for each problem in the problem list

47
Q

what does the evaluation help –> problem

A

isolate the problem

allow you to focus in on the problem

not over treat or treat in “general”

48
Q

what does the evaluation help set

A

priorities

some problems such as pain may need to be addressed first to achieve the next step

49
Q

the evaluation should be state in

A

fxnal terms

necessary and followed up with long term goals

50
Q

what does an evaluation help determine –> PT

A

need for PT or the pt’s rehab potential

51
Q

evaluation will determine any

A

inconsistencies b/w the objective findings and pt’s complaints

everything should make sense

52
Q

treatment plan =

A

plan of care

plan

53
Q

what will we describe for each anticipated goal

A

one or more types of interventions

54
Q

plan will include

A

frequency that the pt must be seen

the quantities, levels and amounts needed for tx

55
Q

plan may also have

A

the progression the pt will follow

equipment used if not already stated

equipment needed and/or ordered for the pt

any family involvement used or needed

possible referral to other sources

56
Q

re-examination

A

evaluative process throughout tx

57
Q

re-exams must be done

A

at regular intervals or w/in tx sessions

58
Q

re-exam will provide

A

treating therapist with important info concerning the effectiveness of their interventions

if the pt has improved

59
Q

effective re-exams will guide

A

future tx sessions

PT Exam - 1 (15 decks)

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