Exam Principles - Class 2

Question 1

history includes

Answer 1

general info

Question 2

general info from history

Answer 2

age

sex

race

marital status

leisure activities

occupation

Question 3

how can gender be important

Answer 3

certain dzs are more common in one sex than the other

Question 4

how can race be important

Answer 4

race can predispose certain groups to a higher incidence of specific dzs

ex: sickle cell is more common in african americans

Question 5

how can age be important

Answer 5

certain dzs are more common w/in specific age groups

Question 6

how can occupation be important

Answer 6

exposure to extremes of temp, to industrial toxins to extreme levels of mental or emotional pressures

Question 7

location and description of sxs includes

Answer 7

location of the sxs

how the pt describes the sxs

Question 8

once the chief complaint has been described

Answer 8

must screen the remainder of the body for the presence of other sxs

Question 9

investigating the chief complaint also includes

Answer 9

interpreting the terms the pt uses when describing their sxs

Question 10

CV system is described as

Answer 10

throbbing

cramping

pressure

tightness or heaviness in the thoracic, cervical facial or UE

Question 11

nervous system is described as

Answer 11

weakness

poor balance

numbness

pins and needles

Question 12

visceral is described as

Answer 12

ranges from sharp, severe, localized pain to poorly localized dull and vague sensations

Question 13

sxs location

Answer 13

only occasionally helps differential dzs from impairments

but does play an important role in the medical screening process

Question 14

when should sxs location prompt you to refer back

Answer 14

chest pain that extends to the left UE or jaw, etc.

Question 15

as a PT we must know

Answer 15

pain patterns associated w/ various dzs

Question 16

sxs behavior

Answer 16

change in the location, intensity +/or quality of the pt’s complaints as related to activity, cessation of activity and specific body positions

Question 17

sxs from MS dsyfxn can be associated w/

Answer 17

change in posture or physical activity

Question 18

if the pt’s complaints of MS dysfxn do not get not vary with movement or rest

Answer 18

must be suspicious of a pathologic disorder as the cause of sxs

Question 19

what do we want to know –> sxs behavior

Answer 19

how the sxs behave over a 24-hr period

this includes the presence of night pain

Question 20

night pain

Answer 20

pain waking the pt

associated w/ the presence of serious dz

Question 21

who else may experience night pain

Answer 21

pts w/ joint dysfxn and degeneration

Question 22

when should we be concerned –> night pain

Answer 22

pt cannot fall back to sleep

considerable effort is needed to fall back asleep

Question 23

when should we be less concerned –> night pain

Answer 23

if pain awaken the pt and they change positions

easily fall back asleep

Question 24

pt state that the pain they experience at night is the most intense pain that they experience in a 24 hr period

Answer 24

should be concerned

Question 25

we cannot rule out the possibility of dz...

Answer 25

just b/c sxs vary with movement or change in posture ex: fx that occurs w/o trauma

Question 26

ex: fx that occurs w/o trauma

Answer 26

bone has been weakened by another dz

Question 27

sxs history

Answer 27

onset of sxs may also be an important factor in differentiating b/w dz and dysfxn

Question 28

when is the onset of sxs is truly insidious

Answer 28

new sxs occur insidiously during the course of tx if resolves sxs return for no apparent mechanical reason

Question 29

onset is truly insidious should

Answer 29

be concerned about an underlying cause

Question 30

was there a specific incident prior to the oxet of sxs?

Answer 30

pt may have difficulty identifying a specific cuase careful questioning by the therapist may pinpoint the problem

Question 31

medical history

Answer 31

current and past illness subsequent txs family medical history diet tobacco use alc and drug use

Question 32

subsequent tx

Answer 32

medications and surgery

Question 33

systems review

Answer 33

questions that investigate the presence of sxs in each of the major body sxs

Question 34

checklist that review the pts general health

Answer 34

fever/chills/sweats unexplained weight change malaise nausea/vomiting bowel dysfxn numbness and weakness syncope dizziness/light headiness night pain

Question 35

fever/chills/sweats are often associated with

Answer 35

flu

Question 36

fever/chills/sweats may also be associated with the presence of

Answer 36

occult infections or cancer

Question 37

unexplained weight change measurement

Answer 37

5% of BW of 4-week period

Question 38

unexplained weight change is a potential sxs for

Answer 38

gastrointestinal disorders (ulcers and cancer) diabetes hyperthyroidism adrenal insufficiency common infections malignancies depression

Question 39

malaise will

Answer 39

complain of fatigue or loss of energy

Question 39

unexplained weight loss is when

Answer 39

the pt is not trying to lose weight

Question 40

malaise can be the result of

Answer 40

depression infections hypothyroidism diabetes anemia cancer nutritional deficits RA

Question 41

certain meds may produce

Answer 41

malaise as a side effect

Question 42

nausea/vomiting is most directly associated with

Answer 42

gastrointestinal system

Question 43

nausea/vomiting may also denote

Answer 43

pregnancy cancer from meds

Question 44

bowel dysfxn is related tot he

Answer 44

GI system

Question 45

when else can bowel dysfxn be

Answer 45

spinal cord syndrome cauda equina

Question 46

numbness and weakness will lead us to investigate the

Answer 46

nervous system

Question 47

syncope is associated with

Answer 47

inadequate blood flow to the brain

Question 48

dizziness and lightheadedness may be from

Answer 48

meds hypoglycemia (in a diabetic pt)

Question 49

lightheadedness can be

Answer 49

vascular

Question 50

night pain --> systems review

Answer 50

dyspnea dysuria, urinary frequency changes and sexual dysfxns

Question 51

dyspnea could indicate

Answer 51

CV or pulmonary system dz

Question 52

dysuria, urinary frequency changes and sexual dysfxns may indicate

Answer 52

urogenital system

Question 53

investigating pts sxs is often

Answer 53

the first step that first alerts you to the possible need for referral

Question 54

your questioning should reveal

Answer 54

a pattern of sxs usual for impairment driven conditions

Question 55

if sxs dont align with impairment driven conditions

Answer 55

consider an underlying dz

Question 56

suspicious may be based on

Answer 56

atypical description of sxs provided by the pt description that does not make sense

Question 57

description that does not make sense

Answer 57

based on your understanding of basic clinical sciences and your clinical expertise