Book Questions Flashcards
In the context of screening for referral, primary purpose of a diagnosis is:
To guide the plan of care and intervention strategies
True or false; Direct access is the only reason physical therapists must screen for systemic disease
False
A patient/client gives you a written prescription from a physician, chiropractor, or dentist. The first screening question to ask is:
Did the physician (dentist, chiropractor) examine you?
Screening for medical disease takes place:
Throughout the episode of care
Physical therapists are qualified to make a human movement system diagnosis regarding primary neuromusculoskeletal conditions, but we must do so in accordance with:
The State Practice Act
Medical referral for a problem outside the scope of the physical therapy practice occurs when:
No apparent movement dysfunction exists
No causative factors can be identified
Findings are not consistent with neuromuscular or musculoskeletal dysfunction
Client presents with suspicious red-flag symptoms
True or false; Physical therapy evaluation and intervention may be part of the physician’s differential diagnosis.
True
What is the effect of NSAIDs (e.g., Naprosyn, Motrin, Anaprox, ibuprofen) on blood pressure?
Increase blood pressure
Most of the information needed to determine the cause of symptoms is contained in the:
Subjective examination
A risk factor for NSAID-related gastropathy is the use of:
Antidepressants
After interviewing the client you [repeat their entire life story back to them] This is an example of
Paraphrasing technique
True or false; Screening for alcohol use would be appropriate when the client reports a history of accidents.
True
True or false; Spontaneous uterine bleeding after 12 consecutive months without menstrual bleeding requires medical referral.
True
Which of the following are red flags to consider when screening for systemic or viscerogenic causes of neuromuscular and musculoskeletal signs and symptoms:
a. Fever, (night) sweats, dizziness
b. Symptoms are out of proportion to the injury
c. Insidious onset
d. No position is comfortable
All of them
A 52-year-old man with low back pain and sciatica on the left side has been referred to you by his family physician. He has had a discectomy and laminectomy on two separate occasions about 5 to 7 years ago. No imaging studies have been performed (e.g., x-ray examination or MRI) since that time. What follow-up questions should you ask to screen for medical disease?
The first question should always be, “Did you actually see your physician?” Then ask questions directed at assessing for the presence of constitutional symptoms. For example, after paraphrasing what the client has told you, ask, “Are you having any other symptoms of any kind in your body that you haven’t mentioned?” If no, ask more specifically about the presence of associated signs and symptoms, including naming constitutional symptoms one by one
You should assess clients who are receiving NSAIDs for which physiologic effect associated with increased risk of hypertension?
Water retention
Instruct clients with a history of hypertension and arthritis to:
Inform their primary care provider of both conditions
Alcohol screening tools should be:
Brief, easy to administer, and nonthreatening
What is the best follow-up question for someone who tells you that the pain is constant?
Do you have that pain right now?
A 52-year-old woman with shoulder pain tells you that she has pain at night that awakens her. After asking a series of follow-up questions, you are able to determine that she had trouble falling asleep because her pain increases when she goes to bed. Once she falls asleep, she wakes up as soon as she rolls onto that side. What is the most likely explanation for this pain behavior?
Minimal distractions heighten a person’s awareness of musculoskeletal discomfort.
Referred pain patterns associated with impairment of the spleen can produce musculoskeletal symptoms in:
Left shoulder
True or false;Associated signs and symptoms are a major red flag for pain of a systemic or visceral origin compared to musculoskeletal pain.
True
Words used to describe neurogenic pain often include:
Crushing, shooting, pricking
Pain (especially intense bone pain) that is disproportionately relieved by aspirin can be a symptom of:
Neoplasm
Joint pain can be a reactive, delayed, or allergic response to:
Medications
Chemicals
Infections
Artificial sweeteners
Bone pain associated with neoplasm is characterized by:
Increases with weight bearing
