Mod 4-7

Question 1

Eval note Problem description

Answer 1

chief complaint (w/ med & PT Dx)
contradindications
med. record info
functional limitations

Question 2

Eval note Subjective description

Answer 2

current/past med. history
complaints/symptoms
prior level of function
patient roles & goals

Question 3

Eval note Objective description

Answer 3

info from exam that’s reproducible & reference for outcomes
interventions provided & pt. response
pt/fam education given*

Question 4

Eval note Assessment description

Answer 4

PT’s interpretation/comparison of S& O data
identify/relate impairment, AL, PR
goals & justification
prognosis & rehab potential

Question 5

Eval note Plan description

Answer 5

plan for intervention activities
frequency/duration of services
equipment needs
estimated discharge plan

Question 6

when documenting pain, obtain:

Answer 6

pain level
location of pain
which pain profile used

Question 7

indirect interventions (3)

Answer 7

coordination/communication, documentation, pt/client instruction

Question 8

Therapeutic Exercise examples

Answer 8

strength, endurance, ROM/flexibility exercises
gait for distance/endurance

Question 9

Neuromuscular Re-education examples

Answer 9

reeducate movement, balance, coordination, kinesthesia, posture, proprioception (seated, standing)

Question 10

Gait Training examples

Answer 10

gait or stair/curb negotiation
include assistive device, assist level etc

Question 11

Therapeutic Activity examples

Answer 11

functional training
transfer, body mechanics, bed mobility, lifting, I/ADLs, w/c management, gait for distance

Question 12

Massage examples

Answer 12

effleurage, petrissage, tapotement, friction, vibration

Question 13

Manual Therapy examples

Answer 13

mobilization, manipulation, manual lymph drainage, manual traction, myofascial release

Question 14

Physical & mechanical agents examples

Answer 14

ultrasound, electrical stimulation (TENS), paraffin bath, biofeedback, hydrotherapy, mechanical traction, vasopneumatic device, hot/cold pack

Question 15

validity

Answer 15

ability to measure what it’s supposed to

Question 16

reliability

Answer 16

extent of consistency & error-free
interrater vs intrarater (same person)

Question 17

Types of Vital Signs

Answer 17

HR/pulse (bpm)
BP (mm Hg)
SaO2 (%)
RR (breaths/min)
(also pain rating)

Question 18

A-F Formula Components
& 5 Component Method

Answer 18

Actor (Who)
Behavior (What)
Condition (How)
Degree (How)
Expected Time Frame (goals only*) - (When)
Function (Why)

Question 19

daily goals

Answer 19

for critical thinking practice, in assessment
-relate to any level of ICF

Question 20

STGs/anticipated goals

Answer 20

relate to impairment level
-in assessment

Question 21

LTGs/ functional outcomes

Answer 21

relate to activity/participation level

Question 22

Privacy Act of 1974

Answer 22

pt.’s right to obtain copy of medical records

Question 23

HIPAA

Answer 23

health insurance portability & accountability act

Question 24

HIPAA Privacy Rule

Answer 24

national standards to protect, use and disclose PHI

Question 25

HIPAA Security Rule

Answer 25

(under the privacy rule)
protects electronic PHI

Question 26

FERPA

Answer 26

Family Education Rights & Privacy Act
student provides written permission to disclose edu. records

Question 27

Who determines ethical responsibilities in PT?

Answer 27

APTA

Question 28

Who determines legal responsibilites in PT?

Answer 28

HIPAA & state/federal laws

Question 29

insurance fraud

Answer 29

intentionally billing for items/services that weren’t provided
billing services for higher reimbursement than was provided

Question 30

insurance abuse

Answer 30

billing for unnecessary items
excessively charging for a service
misusing billing codes (upcoding)

Question 31

Anti-Kickback Statute

Answer 31

prohibits the offer/payment/solicitation of something of value to induce/reward referrals or to generate business

Question 32

Stark Law

Answer 32

prohibits physicians from referring Medicare patients to an entity which they have a financial relationship

Question 33

provider of liability/malpractice insurance

Answer 33

Healthcare Providers Service Organization (HPSO)

Question 34

Incident report examples

Answer 34

adverse treatment outcome (burn, fall, skin tear)
procedural breakdown (confidentiality breach)
catastrophic event (medical error)

Question 35

CMS

Answer 35

center for medicare/medicaid services

Question 36

PMH

Answer 36

previous medical history

Question 37

IFSP

Answer 37

individualized family service plan

Question 38

IEP

Answer 38

individualized education plan

Question 39

RTC

Answer 39

return to clinic

Question 40

mod I

Answer 40

modified independent
requires AD to complete activity

Question 41

Supervision (S)

Answer 41

requires vc or is safety concern

Question 42

SBA

Answer 42

stand by assist
requires close watch of therapist w/ verbal/visual cues

Question 43

CGA

Answer 43

contact guard assist
therapist makes contact w/ pt due to unsteadiness

Question 44

min A

Answer 44

minimum assist
pt. performs 75-99% of task

Question 45

mod A

Answer 45

moderate assist
pt performs 25-75% of task

Question 46

max A

Answer 46

maximum assist
pt. performs less than 25% of task

Question 47

dependent (D)

Answer 47

therapist provides 100% of physical assistance

Question 48

ICD

Answer 48

international classification of diseases

Question 49

THA

Answer 49

total hip arthroplasty

Question 50

AFO

Answer 50

ankle foot orthosis

Question 51

FIM

Answer 51

functional independent measure

Question 52

MHP

Answer 52

moist hot pack

Question 53

f/u

Answer 53

follow up