Exam 1: Evaluation Concepts

Question 1

Diagnostic tests are gathered from the _____ and physical ______.

Answer 1

History and physical examination

Question 2

The patient interview is designed to do 5 things. One of them is to determine if the patient’s problem can be _____ by the PT with a consultation or if they should be referred elsewhere.

Answer 2

treated

Question 3

The patient interview is designed to do 5 things. One of them is to determine the type/classification of ____ they are experiencing

Answer 3

pain

Question 4

The patient interview is designed to do 5 things. One of them is perform a general health ______ to identify problems outside the scope of physical therapy

Answer 4

screening

Question 5

The patient interview is designed to do 5 things. One of them is establish the location, character, pattern, frequency, and intensity of symptoms and any aggravating and _____ factors

Answer 5

easing

Question 6

The patient interview is designed to do 5 things. One of them is to determine the patient’s expectations and ____ for treatment

Answer 6

goals

Question 7

The patient interview is designed to do 5 things. One of them is to establish _____ with the patient

Answer 7

rapport

Question 8

The use of _____ _____ forms should be a routine part of orthopedic manual physical therapy practice

Answer 8

medical screening

Question 9

When should a medical screening form be filled out by a patient?

Answer 9

During the initial visit prior to seeing the PT. The PT should follow up with any yes responses during the eval

Question 10

What would be considered a yellow flag?

Answer 10

Any psychosocial problem like being depressed, under stress, or pregnant

Question 11

On the medical screening form there are three questions about depression. The first two questions ask about specific feelings and emotions related to depression that can be answered by circling yes or no. The third questions asks if the patient would like to seek help for depression. Explain the sensitivity and specificity behind these questions

Answer 11

If the first two are both answered no, then there is high sensitivity and low specificity. If all three questions are answered with a yes, then the specificity goes way up.

Question 12

What category of red flags do the following conditions fall under:

cancer, diabetes, high blood pressure, heart disease, angina, stroke, osteoporosis/arthritis

Answer 12

prior history of disease

Question 13

What category of red flags do the following conditions fall under:

A change in your health, nausea/vomiting, fever/chills, weight change, numbness, appetite changes, bowel changes, SOB, dizziness, URI or UTI

Answer 13

Health changes

Question 14

What category of red flags do the following conditions fall under:

History of allergies/asthma, bronchitis, kidney disease, ulcers, STD, seizures, currently pregnant, depressed, or under stress

Answer 14

pertinent medical history

Question 15

What category of red flags do the following conditions fall under:

date of last physical examination and current medications

Answer 15

pertinent medical history

Question 16

What category of red flags do the following conditions fall under:

Are your symptoms getting worse, the same, improving
How are you able to sleep at night

Answer 16

symptom stability and sleep

Question 17

What category of red flags do the following conditions fall under:

Do you or have you in the past smoked Tabaco or drink alcoholic beverages

Answer 17

general health habits

Question 18

What category of red flags do the following conditions fall under:

do you have a problem with hearing, speech, vision, communication

Answer 18

factors affecting the interviewing process

Question 19

Establishing aggravating and easing factors assist in formulating the initial hypothesis. The aggravating factors can then be used a patient specific markers of the _____ treatment and the easing factors assist in guiding treatment _____

Answer 19

response; planning

Question 20

During the history and subjective examination of the basic evaluation, which question is a psychosocial question

Answer 20

Are there other factors that might be influencing your condition

Question 21

What are the parts of the basic eval

Answer 21

history, systems review, tests and measures

Question 22

What form aids in performing a system review for the PT

Answer 22

a medical screening form

Question 23

____% of the information necessary for a diagnosis comes from the patient interview

Answer 23

85

Question 24

How do you know if evidence or a treatment is relevant

Answer 24

If it will have an effect on the patient’s condition it is considered to be relevant

Question 25

Clinical reasoning is the application of ______ ____ and clinical skills to patient management on an individual level

Answer 25

relevant knowledge

Question 26

Clinical reasoning is the application of relevant knowledge and ______ _____ to patient management and on an individual level

Answer 26

clinical skills

Question 27

What are the four with an added fifth things patients want to know when they visit a PT.

Answer 27

1. What is wrong with me
2. What can I do about it
3. What is the PT going to do about it
4. How long will it take
5. How much will it cost

Question 28

Why is the added 5th question about how much PT care will cost important to the patient and the PT

Answer 28

The PT should make sure the patient is getting the quality of care that they are paying for.

Question 29

Research says that if you ask someone about their pain ____ times, their pain will (increase/decrease).

Answer 29

3; increase

Question 30

When asking someone about their pain levels, we want to avoid saying the word “pain” because it could increase their symptoms. What should we ask the patient instead of saying the word “pain”

Answer 30

Ask about the specific symptoms they are feelings. For example, “how is the tingling sensation in your leg?”