Assessment - 1/21/16 Lumbar subjective Flashcards
A sedentary job is _______likely to cause LBP when compared to a job requiring lots of material handling.
equally
less
more
equally
- Your pt is a long distance truck driver. name at least two risk factors associated with this occupation
prolonged sitting, F
vibrations
- Name the areas that should be cleared on the body map when pt presents with R LBP
the contralateral side thoracic spine buttocks hips abdomen groin LE bilaterally
- Your Pt had 6/10 pain on admission and now, two weeks later he reports 4/10. Has he improved?
YES- MCID for NPRS is 2 points
- A homemaker can’t think of any reason for her recent onset of LBP. How can you question her further about activities that might have led to the development of LBP?
Are/Were there any changes in your daily activities? Have you changed the type of your appliances
Have you made any changes in the house? furniture, set up, way thing are arranged in relation to each other?
- A pt reports her pain is worst in standing and supine. What is the likely mechanical analysis/ implications of these agg factors?
- extension is the agg factor
- she might present with tight hip flexors and ES as well as loose abdominals
7. Your pt reports being stiff in the morning for about 45 min. Which of the following is most likely to be the source of her pain? degenerative musculoskeletal systemic inflammatory mechanical LBP visceral referred pain
degenerative musculoskeletal
- Why does a PT care about a Pt’s self-assessment of his/her general health status?
for prognosis, outcomes and participation in therapy
Which of the following is not associated with long term oral steroids? Avascular Necrosis Osteoarthritis higher risk of infection muscle weakness
Osteoarthritis
10. Your Pt has a compression fx and severe pain. she’s taking an opioid pain med for the pain and it helps significantly. If you could only warn her about one side effect, which one would you discuss with her and why? nausea addiction dizziness constipation
dizziness
because it interferes the most with physical therapy and she would be at risk of falling again and causing another fx
- Your pt has had an MRI that revealed “ multilevel degenerative disc disease”. Which of the following is least likely to be a negative effect of this radiologic exam?
less likely to believe PT diagnosis if different
increased fear avoidance and reduced participation in exercise
inappropriate reduction in general physical activity
scared into being more motivated to listen and improve
scared into being more motivated to listen and improve
12. Your Pt has a rapid onset of acute LBP and right calf pain. His \_\_\_\_\_\_\_\_\_\_\_is likely to improve his prognosis, but his \_\_\_\_\_\_\_\_is likely to worsen it. rapid onset, leg pain leg pain, rapid onset NA- he has an overall good prognosis NA- he has an overall bad prognosis
rapid onset, leg pain
- The PSFS is applicable only to spine pts
true
false
false
- A high Oswestry score suggests a high level of function
true
false
false
- During the subjective exam, a pt with recent onset of LBP says the MRI shows a disc bulge at L4-L5 disc. There do not appear to be any neurologic symptoms or red flags. The therapist should:
ask for a copy of the radiology report to verify the accuracy of this report before you begin treatment
finish the exam to see whether the exam findings are related to the MRI report
ignore this report because MRI findings aren’t reliable or valid
finish the exam to see whether the exam findings are related to the MRI report
