Exam 2: Manual Therapy

Question 1

Organic and concurrent medical problems are (red/yellow/blue/black) flags

Answer 1

red

Question 2

Iatrogenic, beliefs/coping strategies, and willingness to change are (red/yellow/blue/black) flags

Answer 2

yellow

Question 3

Family reinforcement, work status, insurance are (red/yellow/blue/black) flags

Answer 3

yellow and blue

Question 4

Perception of work, working conditions, work characteristics, and social policy are (red/yellow/blue/black) flags

Answer 4

black flags

Question 5

Red flags are often (affected/unaffected) by spinal movement and have associated movements like _____.

Answer 5

unaffected; heartburn

Question 6

The risk for red flags increase for ages under ___ and over ____ as well as sudden weight gain/loss

Answer 6

20; 50

Question 7

If there (is/is not) a pattern; be highly suspicious of red flags

Answer 7

is not

Question 8

What are the 5 biggest predictors of cancer

Answer 8

personal past history
family history
under 20 or over 50
sudden weight gain/loss
failure to improve within 1 month of treatment

Question 9

If you suspect a patient might have cancer and they are over 50 years old, where might they feel pain at

Answer 9

axial skeleton

Question 10

If you suspect a patient might have cancer and they are under 20 years old, where might they feel pain at

Answer 10

long bones of extremities

Question 11

Describe the progression of symptoms related to cancer

Answer 11

Initially an ache that is diffuse and intermittent
Then turns to an intense ache, constant, and night pain
Then progresses to sharp, severe, and incapacitating pain.

Question 12

When considering cancer, night pain should be a (red/yellow/blue/black) flag

Answer 12

red

Question 13

Night pain challenges the (sensitivity/specificity) as a useful diagnostic indicator for serious spinal pathology because night pain typically only occurs at the (beginning/end) stages

Answer 13

specificity; end

Question 14

_____ pain is synonymous with night pain

Answer 14

neuropathic

Question 15

Describe how to keep safety a key factor in manual therapy

Answer 15

manipulation is best provided with gradual progression of strength and grades couples with continual assessment and reassessment

Question 16

List general contraindications of using manual therapy

Answer 16

1. bony issues like osteomyelitis or osteoporosis
2. Neurological issues like compression syndrome or cervical myelopathy
3. Vascular issues like aneurysms, bleedings disorders/hemophilia, and vertebrobasilar insufficiency
4. Lack of diagnosis and patient consent

Question 17

Pregnancy, herniation, spondylolisthesis, and ligamentous laxity are (contraindications/precautions) of manual therapy

Answer 17

precautions

Question 18

What are some examples of yellow flags

Answer 18

depression, passive coping skills, using the internet for self dx, exercising too much, seeing the cup half empty

Question 19

What are the 6 yellow flags that strongly correlate to how someone recovers

Answer 19

failed treatment
family concerns
fear and anxiety 
persistent pain
job issues
different explanations

Question 20

True or False:

There are no screening tools used to screen for yellow flags

Answer 20

false

Question 21

Yellow flags enter into the system during the ____ stage

Answer 21

processing

Question 22

emotions, behavior, family, work, compensation, and diagnosis/treatment are ____ flags

Answer 22

yellow

Question 23

What are some examples of yellow flag behavior

Answer 23

extended rest
poor compliance
smokers/alcohol
sleep disturbance

Question 24

What are the 6 screening tools used for yellow flags

Answer 24

FABQ
Tampa scale of kinesiophobia
Orebro MS Paing screening questionnaire
Keele Start Back screening 
ALBPS

Question 25

The ____ ____ is the cornerstone in establishing an effective treatment plan

Answer 25

subjective evaluation

Question 26

During the examination we want to determine "SINS", what does SINS stand for

Answer 26

severity irritability nature stage

Question 27

Which part of SINS can be described as debilitating and high intensity

Answer 27

Severity

Question 28

Which part of SINS can be described as small movement causes a lot of pain and takes awhile to subside

Answer 28

irritability

Question 29

Which part of SINS can be described as deep, burning, type of pathology like a nerve root problem

Answer 29

Nature

Question 30

Which part of SINS can be described as prognosis/stage of the disorder

Answer 30

stage

Question 31

What two descriptor words are added to the SINS plus

Answer 31

stability and pain mechanism

Question 32

During an interview, NEVER _____. Always ask a question when needing to clarigy

Answer 32

assume

Question 33

What are five categories of the subjective examination

Answer 33

1. Kind of disorder 2. History 3. Site of symptoms 4. Behavior of symptoms 5. Special questions

Question 34

The kind of disorder is the main problem from the (PT/patient's) view

Answer 34

patient's

Question 35

The "5D's And 3N's" are special questions for what condition

Answer 35

vertebrobasilar insufficiency

Question 36

The "5D's And 3N's" are used to rule out vertebrobasilar insufficiency, what are the five D's

Answer 36

``` dizziness diplopia dysphagia drop attacks dysarthria ```

Question 37

The "5D's And 3N's" are used to rule out vertebrobasilar insufficiency, what is the And for

Answer 37

ataxia

Question 38

The "5D's And 3N's" are used to rule out vertebrobasilar insufficiency, what are the 3N's

Answer 38

nystagmus numbness nausea