Exam 1 content Flashcards

1
Q

Activity pacing

A

Activity scheduling, reducing the speed of activities, taking breaks, maintaining a consistent pace, and separating tasks into manageable components

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2
Q

Attention diversion

A

Distract from pain to reduce the perception of pain and associated stress, such as encouraging exposure to pleasant activities

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3
Q

Cognitive restructuring

A

Identify and change maladaptive thoughts and emotions

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4
Q

Goal setting

A

Develop specific, reasonable, objective, and patient-centered goals

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5
Q

Graded exposure

A

Gradual, systematic progression of exercise from initial tolerable level

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6
Q

Maintenance strategies

A

Create plans to manage flare-ups, anticipate future problems, adherence and progression of exercise program

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7
Q

Problem-solving strategies

A

Define problem, select goal, list alternatives, select solution, implement, evaluate outcome

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8
Q

Chief complaint

A
  • Age
  • sex
  • main problem
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9
Q

History of present illness

A
  • Complete history of current problem
  • Reason the patient is here to see you
  • possible risk factors and all symptoms and prior care
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10
Q

Red/Yellow Flags

A
  • Dizziness, nausea, vomiting, vertigo, drop attacks
  • Cauda Equina syndrome: saddle anesthesia, bowel/bladder incontinence
  • Spinal cord compression: bilateral/quadrilateral paresthesia, facial paresthesia, drop attacks, nystagmus/blurred vision
  • Cancer: Persistent night pains, unrelenting/constant pain, significant/unexplained weight gain or weight loss, loss of appetite, unwarranted fatigue
  • Miscellaneous: Fever, night sweats, pregnancy, emotional disturbances
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11
Q

Past medical history

A

Medical problems that do not relate to this problem

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12
Q

Family history

A

Familial illnesses as they relate

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13
Q

Social and environmental history

A

Drinking, smoking

medications and allergies

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14
Q

What is pathological pain

A

Pain resulting from low activation threshold

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15
Q

What is allodynia

A

pain from normally nonpainful stimulus

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16
Q

What is hyperalgesia

A

long and prolonged response to pain

17
Q

What is Secondary hyperalgesia

A

referred pain

18
Q

What is Nociceptive pain

A

evoked by noxious stimulus

19
Q

What is inflammatory pain

A

invoked by inflammatory process

20
Q

What is central sensitization

A

Pain into the CNS increases ability to feel pain, this can be reversed

21
Q

What is reactive tendinopathy

A

results from acute tensile overload
short term thickening
protective response
Reduce load

22
Q

What is tendon disrepair

A

Attempts of the tendon to heal but with greater matrix breakdown
Neuro vascularization may occur
Manage load

23
Q

What is degenerative tendinopathy

A

Cell death and apoptosis

Progress the load to promote tendon healing

24
Q

What is tissue repair

A

tissue has returned to normal homeostasis with complete return to cellular makeup

25
Q

what is tissue regeneration

A

healing is complete, but the tissue is no longer the same in regards to cellular structure and makeup

tissue is no longer has the same length, width, tensile strength, compressive strength, etc.

26
Q

what is stress shielding

A

The existence of a zone
within a tissue that receives less load
compared to surrounding areas due to the
microinjury of collagen fibers

27
Q

Tendon collagen fibers

A

type 1, ground substance, elastin

28
Q

What is a red flag

A

signs of serious pathology

29
Q

What is an orange flag

A

Psychiatric symptoms

30
Q

What is a yellow flag

A

bad beliefs
bad emotional responses
bad pain behavior

31
Q

What is a blue flag

A

perceptions between work and health

32
Q

What is a black flag

A

system or context obstacles

33
Q

What are the three types of pain

A

Nociceptive
Inflammatory
Pathological

34
Q

FABQ

A

used to screen for fear avoidance beliefs

Patient education - graded exercise - graded exposure - encourage confrontation strategy