Exam

Question 1

Multidiscinplinary care vs interdiscinplinary care

Answer 1

Multi: each profession is a stand alone. Discipline specific goals
Inter: each professional overlaps (e.g. the psycologist reinforces what the physio has said). they work collaboriatively and have the same goal

Question 2

PROMIS 29

Answer 2

assesses symptoms and function:

pain interference, sleep, physical function, anxiety, depression, satisifaction with social roles, fatigue, etc.

Question 3

Ageing skeleton

Answer 3

lose bone marrow and calcium, bones shrink, lose flexbilit and become brittle, break after 5 deg of bending (15 deg in young person), discs dry so we lose 2-5cm of height,

Question 4

Ageing muscles and soft tissue

Answer 4

3-5% of musle mass per decade after 30, by age 70 you may have lost 30%
40% loss of strength at 70 if you are inactive
10 of mass and 15% of strength after 10 days in hospital
soft tissue is generally weaker, less elastic

Question 5

Ageing skin and fat

Answer 5

become thinner in your 70s and 80s because loss of muscle mass, loss of appetite and losing teeth,
skin and epithelial tissue become thinner, less elastic and brittle therefore may break, bruise, tear and become pigmentned

Question 6

Ageing cells

Answer 6

cell walls change therefore less easy to takke up 02 ad nutrients therefore decreased healiing rates
Incresed rates of cell mutation

Question 7

Ageing CVS

Answer 7

blood vessel walls harden and thin, plaque build up, heart loses 1% per year of resrve capacity after 30,

Question 8

Ageing vision and hearing

Answer 8

visual accomodation goes (distance)
develop cataracts (becasue of UV)
lose 40% of night vision by age 70
hearing loss begins at 40s, high frequencies go first

Question 9

Ageing mind

Answer 9

short term memory loss is nomral but loss of how to do thigs, how to at appropraitely, difficulty with comprehnsion is not good sign
will always rememeber music

Question 10

Surgery consideraions

Answer 10

Hip OA and surgery: avoid FADIR
Knee replacements: do not flex past 110 deg
Shoulder reco: loss of 10-15% of ROM, abduction elevaation, external rotation

Question 11

Chronic pain coping inventory

Answer 11

assesses guarding, resting, asking for help, relaxation, task persistane, exercise stretch, seeking socail suppport, coping self statmetns

Question 12

FABQ

Answer 12

assess fear avoidance beleifffs of work and of PA.

Question 13

Forms for EPC

Answer 13

General pracitioner mngmnet plan (GPMP)
team care arrgementes (TCA)
Seperate referral for ecah service

Question 14

Requirements of osteo for EPC

Answer 14

need to do written report at first and last consultation, must treatfor at least 20 mins and only 1:1 must keep erferral form for 2 years

Question 15

DVA elligibility

Answer 15

veterans, former members of ADF, members of peacekeeping, war widowers, austalian mariners, children of veterans, person from overseas who is entitle for treeamtne

Question 16

DVA requirements

Answer 16

MUST have referral from GP, can only treat what htey have been referred for, need updte every 12 months, GOLD: anything they need for all conditions, they are permanently incapacitated, covered for equiptment and medical aids. covers injuries from war, cacners or mental health. TB within 15 years of service
WHITE: can only be covered for their accpeted services
ORANGE: only pharmaceuticals!

Question 17

DVA and osteo

Answer 17

can only treat them as needed- unncessary treatmentn will not be coered, you have the power to determine treatment, $64.25 and NO GAP, DVA does not cover late fee

Question 18

Work Safe

Answer 18

do not need referral first pre- approved, a certificate of capacity needs to be filled out, first COC has to be done by GP (ax 14 dys) and then thereafter osteo (max 28 days)
osteopathy treatment notification (OS100) by 5th consultation, one for you, one for agent, one for employer

Question 19

Types of TAC

Answer 19

rapid recovery: 80% of tac, sprains, strains,
Supported revoery: were rapid recovery but becasue of other issues they do not heal within the nrormal healing time.
Independance branch: serious, brain or spinal cord injuries, 1%, lifelong journey with TAC

Question 20

Ageing brain

Answer 20

20-60 loss of 0.1% of neuron tissue per year, acccelerateaes after 60, by 90 you lose 10% of brain tissue, 150g
noxious stuff is in higher concentrations, ie aluminum, iron, free radials. leads to cognitive decline
other systems become less efficient: kindys, loss of BBB (hippocampus first), toxins in bone nad fat are relase at 60
gyri thin and sulci become deeper, bigger ventricles
27% loss of cerebral flow , 0.38 per year

Question 21

Ageing neurotransmitters

Answer 21

loss of noreadrenaline- memory, learning, F or F
glutamate, plasticity,
dopaine, reward and movements
serotinin,mood and food

Question 22

peripheral nerves and age

Answer 22

die back: mitochondrial loss, myelin degen, axonn shrink, particularly c fibres which autonomic function
arent protected by BBB+ increase in toxins

Question 23

affect of ageing on function

Answer 23

short + episodic memory loss
word skill loss after 70
slower reaction time
mood changes
more suscepitable to neuroactive drugs

Question 24

Definition of disability and frailty

Answer 24

Disability: restriction in performing usual tasks
Frailty: propensity to deteriorate in he face of a stressor

Question 25

PULSE acroym

Answer 25

P-physical condition: frailty, hand wasting, tremors, oedmea,
U- upper limb function: gross movements and manual dexterity
L- Lower limb: 6m walk test, 10-12 obstacles, transfers, TUG test: armless chair- walk 3m, turn 180, sit down again, <14 sec
S-sensory:
E- excretory function

Question 26

objective measurements of pain sensitivity

Answer 26

sharp hyperalgesia
allodynia
cold hyperalgesa< 5/10 pain
nerve mechanosensitivity (neurodyanmic tests + palpation of nerves > 1 sensitsd)
pressure hyperalgesia
conditioned pain modulation 
temporal summation