Subjective Exam and Comm

Question 1

What is the first part of the initial visit?

Answer 1

Establish if patient belongs in the clinic

Question 2

What is step one of the subjective exam?

Answer 2

Review baseline/chart review

Question 3

What is step two of the subjective exam?

Answer 3

establish rapport

Question 4

What is step three of the subjective exam?

Answer 4

Gather general info

Question 5

What is step four of the subjective exam?

Answer 5

analyze info/generate hypothesis

Question 6

What is step five of the subjective exam?

Answer 6

Gather specific info (Date of onset, mode of onset, delayed or immediate symptoms, etc)

Question 7

What is step six of the subjective exam?

Answer 7

Plan objective exam

Question 8

What percentage of information needed to make a diagnosis is contained in the subjective exam?

Answer 8

80%

Question 9

What are radicular symptoms?

Answer 9

direct stimulation of a nerve root

Question 10

What type of pain results from radicular symptoms?

Answer 10

sharp, lancinating pain, well-localized to dermatomes

Question 11

What is a visceral referral?

Answer 11

If the problem is organ based - kidney, pancreas, cardiac, etc

Question 12

What type of pain can visceral pain mimic/masquerade as?

Answer 12

MSK

Question 13

What type of referral is warranted when symptoms arise from MSK structure (i.e. facet joint)?

Answer 13

Somatic referral

Question 14

What is a hypersensitive spot typically in skeletal muscle that can be associated with a taut band?

Answer 14

Trigger point

Question 15

Behavior of symptoms is a part of what step of the exam review?

Answer 15

step 5

Question 16

What are aggravating factors?

Answer 16

things that make it worse

Question 17

What are easing factors?

Answer 17

things that make it better

Question 18

What are red flags?

Answer 18

signs/symptoms that may warrant immediate communication with the referring provider or may warrant a referral to another provider

Question 19

What are the categories of red flags?

Answer 19

1. immediate attention
2. require subjective questioning and precautionary exam and treatment procedure
3. require further physical testing and differential analysis

Question 20

What are yellow flags?

Answer 20

symptoms that warrant a referral/consult to a mental health practitioner

Question 21

What are some examples of yellow flags?

Answer 21

psychosocial stress/fear avoidance, anxiety, depression, pain catastrophizing

Question 22

What is SINSS?

Answer 22

Severity, Irritability, Nature, Stage, Stability

Question 23

What are the levels of severity?

Answer 23

Minimal, moderate, high

Question 24

How much does minimal severity affect activities?

Answer 24

do not limit

Question 25

How much does moderate severity affect activities?

Answer 25

limit 40-70%

Question 26

How much does high severity affect activities?

Answer 26

Severely reduces, inhibits activities

Question 27

What are the levels of irritability?

Answer 27

low, moderate, high

Question 28

What does irritability signify?

Answer 28

Time for symptoms to come and go

Question 29

What irritability is someone who tolerates repetitive, sustained activity?

Answer 29

low

Question 30

What irritability is someone who cannot tolerate the activity and pain takes more than 30 mins to subside?

Answer 30

high

Question 31

What irritability is someone who tolerates brief activity and takes about 10 minutes to subside?

Answer 31

moderate

Question 32

What are the options for nature?

Answer 32

MSK or nonMSK(Sinister)

Question 33

What are the stages?

Answer 33

Acute, subacute, chronic

Question 34

What is the time period for acute pain?

Answer 34

0-6 weeks

Question 35

What is the time period for subacute pain?

Answer 35

6-12 weeks

Question 36

What is the time period for chronic pain?

Answer 36

>3 months

Question 37

What does stability refer to?

Answer 37

whether the condition worsens, improves, or stays the same

Question 38

What is the recognition of disease/disorder by a collection of signs and symptoms?

Answer 38

Diagnosis

Question 39

What is the systematic method to identify cause (nature) of symptoms?

Answer 39

Differential Diagnosis

Question 40

What is the predicted optimal level of improvement considering comorbidities, motivation, psychosocial factors, goals/expectation?

Answer 40

Prognosis

Question 41

What are the general signs/symptoms present at time of visit?

Answer 41

constitutional signs

Question 42

What are the questions during the subjective exam to gather information about the musculoskeletal system, cardiovascular system, integumentary system or other body systems?

Answer 42

Systems review

Question 43

What is the ability for patients to come to PT on their own?

Answer 43

Direct access

Question 44

What is Accessible healthcare by clinicians who are accountable for addressing a large majority of personal health care needs, developing sustained partnerships with patients?

Answer 44

Primary care

Question 45

What is Screening for malaise, fever, weight changes, nausea and vomiting?

Answer 45

General health screening

Question 46

Which of the below is a scale used to quantify a patient's pain rating that requires the patient to physically mark where their rating on a scale?

Answer 46

visual analog scale

Question 47

What are the types of communication?

Answer 47

written, verbal, nonverbal

Question 48

What type of communication includes skill in choosing the correct words and questions to ask as well as hearing and understanding the patient?

Answer 48

verbal

Question 49

What type of communication is the nuances of behavior hat can be observed?

Answer 49

Nonverbal

Question 50

What are some types of nonverbal communication?

Answer 50

Facial cues, tones, eye contact, body (language)

Question 51

What are the sources of communication error?

Answer 51

Language, psychological, environmental, speech

Question 52

What is language error?

Answer 52

Vocab understanding

Question 53

What is psychological error for communication?

Answer 53

Is an emotion by the patient deflecting? i.e. stress, fear, sad

Question 54

What is environmental error for communication?

Answer 54

what is the area like? is it noisy, temperature?, time of day? space?

Question 55

What type of question is this?: What increases your pain?

Answer 55

open ended

Question 56

What type of question is this?: Does moving this way increase pain?

Answer 56

Close ended