Final

Question 1

Which is a button and which is freeform:

• -Record active
• -Resting VAS

Answer 1

Record active = button

Resting VAS = freeform

Question 2

Where do you enter information not pertaining to the chief complaint?

Answer 2

freeform

Question 3

What is the differential diagnosis?

Answer 3

list of potential diagnosis

Question 4

What is a diagnostic study?

Answer 4

studies that go above and beyond what is done in the office (i.e. lab work, CT’s, etc.)

Question 5

What is a prognosis and how is it classified?

Answer 5

How you expect the patient to do

–(poor, fair, good, excellent)

Question 6

What 4 forms are used with a new patient encounter?

Answer 6

• • Health questionnaire
• • History form
• • Post history critical thinking form
• • Post exam critical thinking worksheet

Question 7

A basic physical exam includes what 3 things?

Answer 7

• • System exam relating to the complaint
• • comprehensive ortho-neurological exam
• -vital signs

Question 8

If you plan to adjust all areas of the spine, what needs to be done?

Answer 8

screening exam in all areas

–(i.e. SLR, Kemps, Bakody, etc.)

Question 9

The process involved in starting a patient and working up to an adjustment includes what 6 things?

Answer 9

• • Demographic
• • History
• • Exam
• • Diagnostic studies
• • ROF
• • Adjustment

Question 10

Where should you wear your badge?

Answer 10

on collar or lapel

Question 11

When is a clinic jacket required?

Answer 11

if not wearing clinic approved polo

Question 12

What constitutes an exam in the clinic?

Answer 12

• • Regional,
• • Physical
• • Outcome Assessment
• • Vitals

Question 13

What goes on a radiology requisition?

Answer 13

– Clinical impression
– Reason for taking Xray
– Patient history
==== (is it gold standard, what to do if positive)

Question 14

What are the parts of a SOAP note?

Answer 14

• • Subjective
• • Objective
• • Assessment
• • Plan

Question 15

What info goes in the “S” for SOAP notes?

Answer 15

– Symptoms

== What the patient tells you

Question 16

What info goes in the “O” for SOAP notes?

Answer 16

– Measurable and Observable data

== What you found

Question 17

What info goes in the “A” for SOAP notes?

Answer 17

– Impression of current condition

== What you think

Question 18

What info goes in the “P” for SOAP notes?

Answer 18

• • What you will do
• • What you did
• • How you will do it

Question 19

PART is listed where in the SOAP note?

Answer 19

“O” – Part of the objective findings

Question 20

What does PART mean?

Answer 20

P = pain/tenderness
A = asymmetry/alignment
R = ROM abnormality
T = Tissue, Tone, Texture, Temp abnormality

Question 21

Is pain a subjective or objective finding?

Answer 21

Subjective

Question 22

To demonstrate a subluxation based on physical examination, 2 of the 4 PART criteria are required.
–What are they?

Answer 22

one of which must be A (asymmetry) or R (ROM)

Question 23

Writing goals - what 3 things should be included?

Answer 23

• • Need a tool to measure (neck pain disability index)
• • Timeframe (2 weeks)
• • Parameter (50% healed)