clinical reasoning

Question 1

transforming declarative knowledge into procedural knowledge

Answer 1

clinical reasoning

Question 2

create a standard examination approach 
Focus on problem solving
Make thinking visible
Observing and reflecting on your experiences
Integrating evidence into clinical care

Answer 2

Tools to improve clinical reasoning skills

Question 3

Clinical reasoning process

Answer 3

medical screening
Differentiation of exam findings
Diagnosing tissue irritability and disability
identification of best intervention strategies

Question 4

the process of dichotomously ruling in/out the presence of red/yellow flags prior to treatment

Answer 4

screen

Question 5

the process of integrating and evaluating subjective and objective finding s to distinguish various conditions

Answer 5

differential diagnosis

Question 6

Age
body chart/pain diagram
aggravating/easing factors, 24 hours
special questions
system screening questions
abnormal reflexes or motor changes, gait defects

Answer 6

Red flags

Question 7

patient profile
body chart
fear avoidance scale
pain catastrophizing scale
depression/anxiety scale

Answer 7

yellow flags

Question 8

mechanism of symptoms

Answer 8

nociceptive
centrally evoked
peripheral
autonomic
biopsychosocial

Question 9

sources of symptoms

Answer 9

local

referred

Question 10

local sources of symptoms

Answer 10

joint: disc, cartilage, meniscus, capsule, lig
soft tissues: bursa, muscle, fascia, blood vessels, lymph
bone
nerves

Question 11

referred sources of symptoms

Answer 11

viscera
nerve roots
somatic tissues
other joints

Question 12

behavior of symptoms

Answer 12

severity
irritability
relationship of symptoms
is the disorder inflammatory or mechanical

Question 13

objective exam levels

Answer 13

level I: screening
Level II: differentiation of hypothesis and tissue irritability/function
Level III: determination of best interventions

Question 14

Interpretation of glides

hypomobile and painless

Answer 14

a chronic fibrotic non-irritable condition

Question 15

Interpretation of glides

hypomobile and painful segment

Answer 15

acute/subacute, joint lock or irritation

Question 16

Interpretation of glides

hypermobile and painless

Answer 16

normal or compensation for other hypomobile segments

Question 17

Interpretation of glides

hypermobile and painful segment

Answer 17

instability or irritable hypermobility

Question 18

testing in the highly irritable

Answer 18

minimal if any test to rule out

Question 19

testing in the moderately irritiable

Answer 19

min mod testing to rule out

test to rule in

Question 20

testing in the minimally irritable

Answer 20

min limitations

organize test to rule in followed by rule out

Question 21

manual therapy for muscle restiction

Answer 21

muscle stretching
hold/relax
nerve flossing

Question 22

manual therapy for joint restriction

Answer 22

manipulation
grade III or IV mob
passive physiological motion

Question 23

manual therapy for capsular restriction

Answer 23

grade IV mob
prolonged stretch
distraction with or w/o movement

Question 24

manual therapy for extreme hypomobility or pain through ROM

Answer 24

passive physiological motion

Question 25

Manual therapy for Disc/DDD

Answer 25

mckinzie protocol
traction
rotations
disc hydration exercises

Question 26

manual therapy for Acute nerve root

Answer 26

Gentle traction
rotations (I, II)
modalities

Question 27

manual therapy for chronic nerve root

Answer 27

unilaterals
rotations
nerve glides

Question 28

manual therapy for acute facet

Answer 28

rotations
unilaterals
manipulation

Question 29

manual therapy for chronic facet

Answer 29

rotations
unilateral 
transverse
manipulation
soft tissue

Question 30

manual therapy for spondylosis

Answer 30

through range techniques
traction
mobility/stability exercises

Question 31

cognitive behavioral based physical therapy

Answer 31

motivational interviewing
use of a graded activity plan
allow patient to rate their goals
focus on problem solving and behavioral modification