Intervention

Question 1

what are the goals of patient interview

Answer 1

establish rapport, past mHx, history of present illness, CC, functional limitations/baseline status

Question 2

what do you use patient interview for

Answer 2

determine if they are appropriate for PT, develop hypothesis, plan physical examination

Question 3

what are elements of establishing rapport

Answer 3

active listening, nonverbal cues, patient centered interview, patient goals, open-ended questions

Question 4

how can you obtain past medical history

Answer 4

interview, self report measures, questionnaire with targeted follow up

Question 5

components of a health history

Answer 5

• demographics: age, race, education level
• social history: occupation, activities, habits, family hx, support system and dependents
• past medical/comorbidities
• medications
• feelings of depression
• feeling unsafe at home
• recent weight loss/gain, nausea/vomiting, dizziness, fatigue weakness, fever, chills, sweats, numbness or tingling

Question 6

possible chief complaints

Answer 6

pain, stiffness, weakness, numbness, joint locking or giving way (consider referred pain)

Question 7

compare paresthesia vs anesthesia

Answer 7

paresthesia = numbness or tingling caused by irritation or compression if a nerve
anesthesia = lack of feeling

Question 8

describing pain

Answer 8

behavior and quality, location, severity/intensity, irritability, stability

Question 9

what are the 3 options when seeing a new patient

Answer 9

• refer to another health care provider
• PT treat with consult from other healthcare provider
• PT treat independently

Question 10

what are general red flags for referral

Answer 10

severe unremitting pain, pain not affected by position or medication, severe pain at night, severe pain with no history of injury, severe spasm

Question 11

What are cancer red flags

Answer 11

• persistent night pain
• constant, unremitting pain
• unexplained wt loss
• unusual lumps or growths
• unwarranted fatigue
• history of cancer
• age >50

Question 12

what are cardiovascular red flags

Answer 12

• shortness of breath
• dizziness
• chest pain/heaviness
• constant & severe calf pain or swelling/redness, especially with history of decreased activity
• pulsating pain
• discolored or painful feel
• unexplained swelling

Question 13

what are GI/urinary red flags

Answer 13

• frequent or severe abdominal pain
• frequent heartburn/indigestion
• frequent nausea/vomiting
• altered bladder function
• unusual mensural irregularities

Question 14

what are neurologic red flags

Answer 14

• altered hearing
• frequent/sever headaches w/o history of injury
• problems swallowing or with speech
• balance/ coordination problems/ falling
• fainting spells (drop attacks_
• sudden weakness

Question 15

what are characteristics of high irritability

Answer 15

resting pain, pain before resistance or end range, recent trauma, symptoms easily increased

Question 16

how do you treat a patient with high irritability

Answer 16

pain control, inflammation, no significant stretch or resistive exercise

Question 17

what are characteristics of low irritability

Answer 17

no significant resting pain, pain w/ over pressure resistance before pain, symptoms mild and stable

Question 18

how do you treat a patient with low irritability

Answer 18

restore impairments, strength, flexibility

Question 19

what are uses of electrical stimulation

Answer 19

• neuromuscular disfunction (NMES/FES)
• pain (TENS)
• wound/tissue healing (HVPC)
• drug delivery (ionto)
• electrical muscle stimulation {denervation} (EMS)
• edema management
• evaluate nerve and muscle injury - NCV testing

Question 20

what are the types of electrical current

Answer 20

• direct current (DC)
• alternating current (AC)
• pulsatile current

Question 21

what is the unit of current in electrical stimulation

Answer 21

milliamps

Question 22

what is ohm’s law

Answer 22

V=I * R