Integ PT Exam Patient Exam - Class 3

Question 1

pt assessment

Answer 1

vascular assessment

sensation

skin condition

pitting edema assessment

MS assessment

Question 2

vascular assessment

Answer 2

pule palpation

dopplers

special vascular tests

Question 3

special vascular tests

Answer 3

arterial v. venous

Question 4

pulses should be assesed

Answer 4

bilaterally

femoral

popliteal

DP/PT

Question 5

pulse grading

Answer 5

0 = absent

1+= barley perceptible

2+= diminished

3+= normal

4+= stronger than normal, bounding, possible aneurysm

Question 6

sensation –> asses for

Answer 6

light touch

proprioception

protective sensation

Question 7

asses skin condition –> trophic skin changes

Answer 7

presence of hair

skin moisture/turgor

shininess of skin

nail condition

skin color

Question 8

MS structure

Answer 8

foot and WB mechanics

are there any foot deformities

footwear and gait assessment

Question 9

arterial doppler

Answer 9

asses relative flow of blood

Question 10

how does the arterial doppler work

Answer 10

movement of blood cells causes shift in signal frequency

will be audible

Question 11

how should normal sound –> arterial doppler

Answer 11

pulsatile

Question 12

pulse volume recordings

Answer 12

used w/ arterial doppler

one can visualize waveforms of segmental pressures at different sites of the extremity

Question 13

what do pulse volume recordings asses

Answer 13

site of blockage

Question 14

ankle/brachial index

Answer 14

detects and quantifies arterial dz

Question 15

ABI ratio

Answer 15

systolic pressure of posterior tibial artery to brachial artery

Question 16

what can ABI determine

Answer 16

treatment course of action

Question 17

ABI >1

Answer 17

no arterial occlusion dz

pathological if diabetic

Question 18

ABI 0.8-1.0

Answer 18

minimal sxs

intermittent claudication

Question 19

ABI 0.5-0.8

Answer 19

ischemic rest pain

Question 20

ABI <0.5

Answer 20

tissue necrosis

Question 21

tests for arterial involvement

Answer 21

Rubor of dependency

Venous filling time

Capillary refill time

Arterial doppler

Question 22

tests for venous involvement

Answer 22

Venous doppler

Trendelenberg test

Cuff test

Percussion test

Question 23

documentation –> progress note

Answer 23

SOAP

Question 24

subjective –> PN

Answer 24

Any specific complaints, pain, tolerance to dressing, last dressing change, meals, their praise of their PT’s

Question 25

objective –> PN

Answer 25

how pt is left

interventions

How patient is received, family presence, premedication given, dressing integrity, wound conditions

Question 26

assessment

Answer 26

Patient’s tolerance to treatment, wound progress/regress, dressing efficacy, functional difficulties, patient compliance

goals, discharge options

Question 27

goals

Answer 27

fxnal

HEP

pt/family education

wound

time

Question 28

wound –> goals

Answer 28

Dimensions and depth

Tunneling and undermined areas

Wound bed (granulation tissue, necrotic tissue)

Wound edges (epithelialization)

Question 29

time –> goals

Answer 29

≈ Eight weeks + (any complications / hindrances / risk factors