Lecture 1A

Question 1

gathering info from pt and family to determine the problem and intervention plan

Answer 1

examination

Question 2

statistical term describing probability of something happening

Answer 2

significance

Question 3

strength relies on the ___ and ____ of findings of testing

Answer 3

accuracy and quality

Question 4

process of combining clinical experience w/ best available clinical evidence to determine diagnosis, prognosis, and interventions

Answer 4

evaluation

Question 5

exam tips

Answer 5

screening test at beginning
diagnosing towards end and provocation
minimize pain when possible

Question 6

determine what components to include and exclude during examination. here are the following:

Answer 6

subjective questions
scanning exams
tests and measures
outcome measures
etc

Question 7

systems review can guide PT to determine which structure/system need more investigation and includes assessment of general health and vital signs

Answer 7

MSK neuro CVP, integ, GI, GU
always consider that it may be something else

Question 8

always do this throughout the exam and ask yourself if the patient:
- prefer seated or standing
- change position often
- require AD
- makes eye contact or no
- discomfort
- does the history match

Answer 8

observations

Question 9

structural vs functional deformity

Answer 9

s: doesn’t change with body position
f: changes with body position

Question 10

what helps with narrowing search for source of symptoms to a specific body region?

Answer 10

scanning exam

Question 11

T/F: you won’t always need to do a scanning exam, but you should still do a systems review

Answer 11

True

Question 12

read scanning exams slides 20-21

Question 13

common clinical decision-making tools used in the clinic:

Answer 13

• pattern recognition*
• categorical reasoning
• narrative reasoning
• collaborative reasoning
• diagnostic reasoning**

Question 14

the foundation for rational pt care is

Answer 14

clinical decision-making

Question 15

decision-making process is multi-faceted _____ process that combines implicit knowledge and accumulated clinical experience

Answer 15

flexible…. PT do not rush to diagnose or based off only few findings

Question 16

1. one red flag does NOT _____
2. Prioritizing impairments by Sx severity, tissue involved, underlying cause of activity and participation limitations
3. better to refer in cases where S&S are _____

Answer 16

diagnose
unclear