Exam and Eval

Question 1

Symptom

Answer 1

Any perceptible change in the body or its normal function
When, where, how
Characteristics
Subjective

Question 2

Sign

Answer 2

Any objective evidence of disorder in function

Measurable

Question 3

Comparable signs

Answer 3

a sign elicited as the result of an action, it must correspond to the presenting s/s

Question 4

Provocation tests

Answer 4

Application of controlled tissue loads and stresses to cause occurrence of s/s

Question 5

Tenderness

Answer 5

sensitivity to pain with pressure (level of pressure that evokes a response must be noted and the type of response)

Question 6

Grade 1

Answer 6

c/o pain

Question 7

Grade 2

Answer 7

c/o pain and visually winces

Question 8

Grade 3

Answer 8

winces and withdraws

Question 9

Grade 4

Answer 9

will not allow touch

Question 10

Tolerance

Answer 10

tests irritability (leave what you think is irritable tissue for last)

Question 11

Endurance

Answer 11

can the test be repeated?

How often?

Question 12

Performance

Answer 12

quality must be considered
need to document abnormality
(can walk, but gait might not be normal)

Question 13

History

Answer 13

open ended ?
mechanism/time
what and where is worst problem
descriptors of problem
degree that it impacts client

Question 14

Components of Pain

Answer 14

Physiological
Sensory
Affective
Cognitive
Behavioral
Sociocultural - ethnocultural

Question 15

Sharp and localized pain

Answer 15

superficial lesion

Question 16

Sharp, lancing or shooting pain

Answer 16

nerve

Question 17

Tingling, burning (dermatome) pain

Answer 17

nerve root

Question 18

Dull, aching pain

Answer 18

deep somatic structure

Question 19

Deep/boring unrelenting, intolerable, excruciating

Answer 19

serious pathology

Question 20

throbbing, pounding pain

Answer 20

circulatory

Question 21

physical exam and testing

Answer 21

test unaffected side first

test tissue you think is most involved last

Question 22

Irritability

Answer 22

amount of activity which produces the pain
severity of the pan
time needed for pain to moderate
Usually deemed acute, subacute, or chronic
Helps to determine direction of exam and tx

Question 23

Systems review

Answer 23

musculoskeletal
neuromuscular
integumentary
Cardiopulmonary
*gastrointestinal
*psychological

Question 24

Observataions

Answer 24

assistive devices/supports
physical assist
body shape and size

Question 25

End Feels

Answer 25

Elbow ext - bone
Knee ext - capsular
Hip flex - soft tissue

Question 26

End feel

Answer 26

LOOK AT TABLE

Question 27

Abnormal end feels

Answer 27

Boggy
Spasm
Empty

Question 28

Pain before resistance

Answer 28

acute inflammation

Question 29

Pain at the same time as resistance

Answer 29

subacute condition

Question 30

Resistance before pain

Answer 30

chronic

Question 31

Palpation

Answer 31

palpate unaffefcted side first
superficial and then deeper
use anatomy and rule in or out structures
often will reproduce s/s

Question 32

Resisted isometrics - strong and painless

Answer 32

no lesion

Question 33

Resisted isometrics - strong and painful

Answer 33

mild lesion

Question 34

Resisted isometrics - weak and painless

Answer 34

complete rupture, neurological problem

Question 35

Resisted isometrics - weak and painful

Answer 35

partial rupture, pain inhibition occuring

Question 36

Neurologic Exam Criteria

Answer 36

1. Pt has distal and proximal pain
2. Pt has distal pain without proximal pain and w/o specific trauma
3. Altered sensation
4. Complains of radiating pain, numbness, tingling
5. muscle atrophy
6. special questions are +

Question 37

Components of a neuro exam

Answer 37

Sensory testing (light touch, sharp/dull)
Deep tendon reflexes 
Muscle strength

Question 38

Upper and lower quadrant screens

Answer 38

Clear joint above and below

Clear spine