Exam/Eval Pt 1

Question 1

What are some things you need to examine subjectively for ROS?

Answer 1

• any issues with vision, hearing, swallowing/eating, talking
• musculoskeletal
• neuromuscular
• cardiopulmonary
• integumentary
• cognitive
• general health

Question 2

What are some things you need to examine objectively for ROS?

Answer 2

• vital signs
• observe movement patterns
• general skin observations
• blood sugar if indicated
• neuro screen

Question 3

red or yellow flag?
loss of consciousness or difficult to arouse?

Answer 3

red

Question 4

red or yellow flag?
sudden worst headache ever experienced

Answer 4

red

Question 5

red or yellow flag?
extreme confusion, inconsistent with previous status

Answer 5

red

Question 6

red or yellow flag?
uncontrolled seizure activity

Answer 6

red

Question 7

red or yellow flag?
acute infection with nuchal rigidity or intense local back pain

Answer 7

red

Question 8

red or yellow flag?
rapid onset of (new or worse) focal neurologic deficits

Answer 8

red

Question 9

red or yellow flag?
evidence of vertebral instability

Answer 9

red

Question 10

red or yellow flag?
non-responsive autonomic dysreflexia

Answer 10

red

Question 11

red or yellow flag?
acute episode of incontinence or saddle anesthesia in undiagnosed SC pathology

Answer 11

red

Question 12

red or yellow flag?
progressive neurologic signs in a known non-degenerative disgnosis

Answer 12

yellow

Question 13

red or yellow flag?
evidence of MN disease

Answer 13

yellow

Question 14

red or yellow flag?
new onset of tremors/involuntary movement

Answer 14

yellow

Question 15

red or yellow flag?
change in autonomic status

Answer 15

yellow

Question 16

red or yellow flag?
progressive chronic change in bulbar cranial nerve signs/symptoms (NOT acute)

Answer 16

yellow

Question 17

red or yellow flag?
constant headache that worsens over time

Answer 17

yellow

Question 18

red or yellow flag?
vertebral artery insufficiency

Answer 18

yellow

Question 19

red or yellow flag?
neurologic signs inconsistent with diagnosis

Answer 19

yellow

Question 20

red or yellow flag?
signs and symptoms of systemic infection

Answer 20

yellow

Question 21

red or yellow flag?
changes in personality or cognitive status

Answer 21

yellow

Question 22

What are the neuro screen components

Answer 22

• cranial nerve screen
• gross AROM/MMT
• DTR
• light touch
• extinction
• cognition
• pronator drift
• babinski/hoffman
• gross PROM
• coordination
• rhomberg eyes closed

Question 23

definition of fatigue

Answer 23

feeling of tiredness, lack of energy, low motivation, and difficulty in concentration

Question 24

subjective measurements of fatigue

Answer 24

VAS
RPE
Fatigue Severity Scale

Question 25

objective measurements of fatigue

Answer 25

sustained effort movement observations 2/6 min walk test 30 sec chair stand TUG Ergometry Sustained muscle contraction or repeated MMT

Question 25

when should you measure vital signs while doing an endurance test

Answer 25

- at rest (before activity) - during activity - 2 minutes into recovery