EEO:Lecture 1

Question 1

What are the two components of a PT Examination?

Answer 1

Patient History (formulation of a hypothesis) and Tests and Measures (strengthen or refute hypothesis)

Question 2

What is the difference between the examination and evaluation?

Answer 2

eXamination: patient hX and tests/measures

evaluation: synthesis all data, diagnosis, prognosis

Question 3

biopsychosocial model - biology component

Answer 3

how does your body work?

-metabolism, immunity, recovery,, hormones, exercise, age, sex, genetics, pathogens, digestion

Question 4

biopsychosocial model - social component

Answer 4

What’s around you?

-friends and family, job, coworkers, boss, education, physical environment, tribe and community, culture and society

Question 5

biopsychosocial model - psychology component

Answer 5

What’s your mindset?

-thoughts, feelings and perceptions, expectations and goals, memories and predictions, worries, worldview and perspective, values and priorities

Question 6

Expressive language consists of:
__% Body language
__% Tone
__% Language

Answer 6

55% Body Language
38% Tone
7% Language

Question 7

Open ended questions: pros and cons

Answer 7

Pros: Good when a patient has difficulty opening up

Cons: Timing, over the top answers

Question 8

Close ended Questions: Pros and Cons

Answer 8

Pros: clarity, specificity, narrow down

Cons: “cut off” responses, limiting knowledge

Question 9

Grade Response Questions: Pros and Cons

Answer 9

Pros: Quantify, clarify obscure answers, goal setting

Cons: Follow up questions needed

Question 10

Multiple Option Questions: Pros and Cons

Answer 10

Pros: clarify without limiting patient, helpful with trying to identify patterns, helps jog memory

Cons: Too easy to fall into a time saving measure or shortcut

Question 11

what is usually the origin of pain when it is described as achy?

Answer 11

muscular

Question 12

what is usually the origin of pain when it is described as burning?

Answer 12

neural or muscular

Question 13

what is usually the origin of pain when it is described as shooting, lightning, electrical?

Answer 13

nerve root irritation

Question 14

what is usually the origin of pain when it is described as coldness?

Answer 14

may be due to lack of blood flow

Question 15

what is usually the origin of pain when it is described as hotness?

Answer 15

localized inflammation or infection

Question 16

what is usually the origin of pain when it is described as clicking, snapping, popping?

Answer 16

ligament/tendon dysfunction

Question 17

what is usually the origin of pain when it is described as joint locking?

Answer 17

cartilage, tear, loose body, joint malalignment

Question 18

what is usually the origin of pain when it is described as global weakness/fatigue/no clear pattern?

Answer 18

cardiovascular dysfunction

Question 19

what is usually the origin of pain when it is described as whole body pain?

Answer 19

central somatization, chronic pain

Question 20

What is a reg flag when asking about a 24 Hour pain pattern?

Answer 20

constant, intense pain, worse PM and wakes from sleep

Question 21

Joint pain/stiffness, worse in AM is

Answer 21

inflammatory
Ex: RA

Question 22

joint pain and stiffness less in AM, worse with activity is

Answer 22

degenerative
Ex: OA

Question 23

Back pain worse in Am, better after a few hours and worse again in PM is

Answer 23

disc pathology

Question 24

pain varies throughout day, activity, or position is

Answer 24

muscular

Question 25

Examples of Pain Neuroscience Education Questions

Answer 25

" How often do you spend a day having to think about your pain?" "How often does it preoccupy your thoughts?"

Question 26

True or False: A finding of one red flag is usually not cause for immediate medical attention

Answer 26

True

Question 27

What determines which performance outcome to use and the vigor of the ROM exam?

Answer 27

level of irritability

Question 28

central lower chest pain with excessive belching/gas with eating and intolerance to fatty foods may indicate ___________ referred pain

Answer 28

gall bladder

Question 29

REVIEW REFERRED PAIN PATTERS DIAGRAM!

Answer 29

Question 30

Red Flags requiring immediate attention

Answer 30

- Anginal pain, unresolved in 10-20 minutes - angina w/ nausea, vomiting, sweating - DM w/ confusion, lethargic, changes in mental alertness - incontinence, saddle anesthesia -anaphylactic shock

Question 31

ABCS of Radiographic Evaluation

Answer 31

A- alignment B- bone density C- cartilage spaces S- soft tissues

Question 32

What does AOx3 mean?

Answer 32

alert and oriented times 3 - know who they are -know where they're at -know timeframe

Question 33

What is the most important part of subjective interview?

Answer 33

Patient Goals! - specific functional tasks the patient hopes to improve

Question 34

Re-evaluation is usually done after _ weeks of PT

Answer 34

4

Question 35

What is important to ask during the re-evaluation?

Answer 35

On a scale of 0-11% fully recovered, where do you feel you are now? - perceived improvement

Question 36

When examining a patient with vague pain in the right shoulder region, which diagnosis is LEAST likely to be included in your hypothesis list related to their chief complaint?

Answer 36

Pain originating from the spleen | spleen refers pain to left shoulder

Question 37

In the state of Texas, which type of doctor CANNOT prescribe patients to physical therapy?

Answer 37

optometrists

Question 38

When performing a patient interview on a “talkative” patient, the use of open-ended questions will help streamline their answers?

Answer 38

false

Question 39

You are evaluating your next patient. Which of the following is an immediate red flag that should be acted upon immediately? Dizziness Vomiting Fever Angina with profuse sweating Pain >8/10 at worst

Answer 39

Angina with profuse sweating

Question 40

expressive component consists of?

Answer 40

body lang, tone, language -filler words, posture, face expressions, avoid medical jargon