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MSK > Examination > Flashcards

Examination Flashcards

1
Q

When should you observe your patient?

A

From the introduction to intervention

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2
Q

What does dx mean?

A

diagnosis

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3
Q

What does hx mean?

A

history

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4
Q

Initially ask patients open-ended questions for a narrative and then narrow it to more specific questions? True or False

A

True

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5
Q

What is S&S?

A

signs and symptoms

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6
Q

If you encounter a RED Flag S&S what should you do?

A

-require physician referral
-NOT appropriate for physical therapy
-NOT diagnosing (dx) non MSK conditions

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7
Q

The location of the pain (P!) is always the source? T or F
-if false why?

A

False; patient can have referred pain

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8
Q

Not all tissue is in a stage of healing, why not?

A

because the tissue just may be irritated and not damaged

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9
Q

Irritability: mechanical symptoms respond to _________ and non mechanical symptoms responds DO NOT respond to __________

A

movement

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10
Q

Numbness S&S may indicate:

A

peripheral n.

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11
Q

Paresthesias S&S may indicate:

A

spinal n. or n. root

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12
Q

Deep ache S&S may indicate:

A

joint

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13
Q

Shap P! S&S may indicate

A

inflammation

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14
Q

During the Hx, examination trauma can relate to _____ damage.

In contrast, a patient states that the P! gradually came along. Which can mean less severe? T or F

A

tissue; T

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15
Q

In the Hx examination, what do we want to know about the patient’s and/or client’s Medications/Supplements?

A

dosage/frequency
results

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16
Q

Diagnostics tests, dates, and results - in general for imagining should only be used in isolation.

True or False

A

False

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17
Q

Suspicious MSK S&S- neck splinting with lack of side bending could indicate

A

a dens fracture after trauma

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18
Q

Suspicious non-MSK S&S - chest and shoulder pain only on exertion could indicate

A

a cardiovascular issue

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19
Q

When determining a working diagnosis make sure it is always your final decision. True or False

A

False, just provides direction

20
Q

Body type: flatter spine with tighter hips and genu and calcaneal varus

A

rigid

21
Q

Body type: excessive spinal nerves curves with hypermobile hips and genu and calcaneal valgus

A

Flexible

22
Q

What are the two parts of the test and measures?

A

Scan and Biomechanical Exam

23
Q

What are the two parts of the test and measures?

A

Scan and Biomechanical Exam

24
Q

a general assessment-

A

scan

25
Q

a greater detailed assessment of scan findings

A

biomechanical exam

26
Q

Symptoms and signs: subjective and/OR objective?

A

Symptoms- subjective, reported by patient

Signs- objective, measured by clinician

*signs or impairments can be present without symptoms and vice versa

27
Q

What are the main purposes of a scan?

A

-Further assessing for RED FLAG S&S
-Assess neurological status
-Determine if symptoms are referred/radicular (spine to extremity)
-Identify need for biomechanical exam

28
Q

Without recent trauma start with ______ scan

A

spinal scan

29
Q

What are essential ADLs

A

walking, reaching, squatting, bending, turning

30
Q

Higher level ADLS include?

A

Lifting, throwing, jumping, and running

31
Q

WNL =

A

Full, pain free, coordinated motion, and smooth curves

32
Q

What assess wilingness to voluntarily move?

A

AROM

33
Q

Unwillingness to move or splinting is a ________

A

RED FLAG S&S

34
Q

PROM-gentle and passive overpressure is to locate ________

A

end feels

35
Q

What are the following soft tissue techniques?

A

Static stretching
Ballistic Stretching
PNF
Muscle energy
Active Isolated Stretching

36
Q

Mobility may be increased by what ROM

A

AROM

37
Q

Joints with decreases accessory motion or gliding may not be painful, and if not address, may cause painful hypermobile/unstable compensations elsewhere with repetitive use.

A

Hypomobility

38
Q

Why are hypermobile areas usually painful?

A

because the axis of motion is excessive

39
Q

What are accessory motions?

A

roll
spin
glide
slide

40
Q

During Examination it is IMPORTANT that you __________ before asking questions or doing the treatment?

A

Obtain informed consent

41
Q

Symptom(s) and behavior
Onset/Prior injury
Symptoms impact function
Imagining and other diagnostic tests
Patient perspective and goals re: symptoms
Past medical hx/medications

**S&S suspicious of severe MSK or Non-MSK conditions aka RED FLAG S&S
-Require physician referral
-NOT appropriate for PT
-NOT dx non-MSK conditions

A

Hx Examination: Key Components

42
Q

Symptom(s) and Behavior:

A

Location -not always the source
Duration- can help with stages of tissue
Changes- Intensity w/boundaries 0=no P! and 10=hospital
Frequency- variable or constant throughout the day? Improve worsen or stay the same?
Irritability- aggravating and easing factors
Mechanical or non-mechanical- respond to movement or no

           Type:  Paresthesia = Spinal nerve (n) or n. root  Numbness = peripheral n. ,  Deep Ache = joint   Sharp P! = inflammation
43
Q

Hx: Onset =Timing

A

-Trauma or gradual
-Recent or no
-Circumstances and severity
-Prior injury, surgery, Rx, Dates, and Results
-Symptom impact on daily activity
-Awakening (day, evening, night/sleep)

44
Q

Hx: medications/supplements

A

-Dosage/Frequency
-Results

45
Q

Systems Review:

A

determined from hx and observation: assess the worst first

I.E. - symptoms with aerobic exertion infection cardiovascular and respiratory systems

46
Q

Test and Measure have two parts:

A

Scan and Biomechanical Exam

47
Q

List the following scans we have covered:

A
  1. Selective Tissue Tension Testing
    -ROM (AROM, & PROM)
    -Resisted Test
  2. Combined Motions
    3.. Stress Tests
  3. Neurological Test

MSK (4 decks)

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