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PT Exam - 1 > Exam Principles - Class 2 > Flashcards

Exam Principles - Class 2 Flashcards

1
Q

history includes

A

general info

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2
Q

general info from history

A

age

sex

race

marital status

leisure activities

occupation

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3
Q

how can gender be important

A

certain dzs are more common in one sex than the other

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4
Q

how can race be important

A

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

ex: sickle cell is more common in african americans

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5
Q

how can age be important

A

certain dzs are more common w/in specific age groups

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6
Q

how can occupation be important

A

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

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7
Q

location and description of sxs includes

A

location of the sxs

how the pt describes the sxs

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8
Q

once the chief complaint has been described

A

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

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9
Q

investigating the chief complaint also includes

A

interpreting the terms the pt uses when describing their sxs

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10
Q

CV system is described as

A

throbbing

cramping

pressure

tightness or heaviness in the thoracic, cervical facial or UE

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11
Q

nervous system is described as

A

weakness

poor balance

numbness

pins and needles

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12
Q

visceral is described as

A

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

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13
Q

sxs location

A

only occasionally helps differential dzs from impairments

but does play an important role in the medical screening process

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14
Q

when should sxs location prompt you to refer back

A

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

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15
Q

as a PT we must know

A

pain patterns associated w/ various dzs

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16
Q

sxs behavior

A

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

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17
Q

sxs from MS dsyfxn can be associated w/

A

change in posture or physical activity

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18
Q

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

A

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

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19
Q

what do we want to know –> sxs behavior

A

how the sxs behave over a 24-hr period

this includes the presence of night pain

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20
Q

night pain

A

pain waking the pt

associated w/ the presence of serious dz

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21
Q

who else may experience night pain

A

pts w/ joint dysfxn and degeneration

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22
Q

when should we be concerned –> night pain

A

pt cannot fall back to sleep

considerable effort is needed to fall back asleep

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23
Q

when should we be less concerned –> night pain

A

if pain awaken the pt and they change positions

easily fall back asleep

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24
Q

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

A

should be concerned

25
Q

we cannot rule out the possibility of dz…

A

just b/c sxs vary with movement or change in posture

ex: fx that occurs w/o trauma

26
Q

ex: fx that occurs w/o trauma

A

bone has been weakened by another dz

27
Q

sxs history

A

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

28
Q

when is the onset of sxs is truly insidious

A

new sxs occur insidiously during the course of tx

if resolves sxs return for no apparent mechanical reason

29
Q

onset is truly insidious should

A

be concerned about an underlying cause

30
Q

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

A

pt may have difficulty identifying a specific cuase

careful questioning by the therapist may pinpoint the problem

31
Q

medical history

A

current and past illness

subsequent txs

family medical history

diet

tobacco use

alc and drug use

32
Q

subsequent tx

A

medications and surgery

33
Q

systems review

A

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

34
Q

checklist that review the pts general health

A

fever/chills/sweats

unexplained weight change

malaise

nausea/vomiting

bowel dysfxn

numbness and weakness

syncope

dizziness/light headiness

night pain

35
Q

fever/chills/sweats are often associated with

A

flu

36
Q

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

A

occult infections or cancer

37
Q

unexplained weight change measurement

A

5% of BW of 4-week period

38
Q

unexplained weight change is a potential sxs for

A

gastrointestinal disorders (ulcers and cancer)

diabetes

hyperthyroidism

adrenal insufficiency

common infections

malignancies

depression

39
Q

malaise will

A

complain of fatigue or loss of energy

39
Q

unexplained weight loss is when

A

the pt is not trying to lose weight

40
Q

malaise can be the result of

A

depression

infections

hypothyroidism

diabetes

anemia

cancer

nutritional deficits

RA

41
Q

certain meds may produce

A

malaise as a side effect

42
Q

nausea/vomiting is most directly associated with

A

gastrointestinal system

43
Q

nausea/vomiting may also denote

A

pregnancy

cancer

from meds

44
Q

bowel dysfxn is related tot he

A

GI system

45
Q

when else can bowel dysfxn be

A

spinal cord syndrome

cauda equina

46
Q

numbness and weakness will lead us to investigate the

A

nervous system

47
Q

syncope is associated with

A

inadequate blood flow to the brain

48
Q

dizziness and lightheadedness may be from

A

meds

hypoglycemia (in a diabetic pt)

49
Q

lightheadedness can be

A

vascular

50
Q

night pain –> systems review

A

dyspnea

dysuria, urinary frequency changes and sexual dysfxns

51
Q

dyspnea could indicate

A

CV or pulmonary system dz

52
Q

dysuria, urinary frequency changes and sexual dysfxns may indicate

A

urogenital system

53
Q

investigating pts sxs is often

A

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

54
Q

your questioning should reveal

A

a pattern of sxs

usual for impairment driven conditions

55
Q

if sxs dont align with impairment driven conditions

A

consider an underlying dz

56
Q

suspicious may be based on

A

atypical description of sxs provided by the pt

description that does not make sense

57
Q

description that does not make sense

A

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

PT Exam - 1 (15 decks)

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