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Student Clinic Orientation > Newest Final > Flashcards

Newest Final Flashcards

1
Q

Your Full spine patient has cervical, thoracic lumbar and pelvic x-rays on file from one year ago taken by a previous intern. Which segments, if any, should you analyze for your current CMR and document in the Patient Care plan?

A. Top 3 cervical segments
B. Lowest lumbar, sacrum and ilium on side of lowest lumbar spinous rotation
C. All other segments found subluxated and listed on current Chiropractic and screening PHysical Exam (yellow)
D. All of the above
E. None

A

All of the above!

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2
Q

What does the Q is OPQRST stand for?

A

Quality

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3
Q

It is completely appropriate to answer the “Related Symptoms” question with “none”. True or False?

A

False

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4
Q

Why is it important to find out about Activities of Daily Livings (ADLs) and Extended ADLs?

A

To set functional goals for the patient’s care

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5
Q

For Review of Systems, what are important pieces of information to ask?

A

Onset Date
Resolved Date
How it was resolved

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6
Q

What does PART stand for?

A

Pain and Asymmetry
Restricted movement and Tone changes
Pain and Tissue Changes

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7
Q

Pain findings with ROM are documented BOTH in the objective freeform section and in the objective ROM section.

A

True

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8
Q

The final diagnosis is listed in EHR in the ICD9 section and also in the General Assessment section where associations between different diagnosis are made. True or false?

A

True

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9
Q

You only need restricted motion for a listing. You do not need to have soft tissue findings. True or False?

A

False

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10
Q

Student interns are expected to be in the clinic a minimum of how many days per week?

A

3

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11
Q

It is acceptable to leave a voice mail message to cancel a patient’s appointment. True or false

A

False

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12
Q

The following appointments MUST be scheduled

New patient
re-physical
Physical continuation
ROF
All of the above
A

all of the above

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13
Q

If a patient has not be in for less than 60 days, they must have a ______.

A

Reassessment

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14
Q

If a patient has not been in for more than 1 year, they must have a _____.

A

Restart

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15
Q

A CMR must be completed in order to schedule a ROF

A

True!

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16
Q

Food and drink (except for bottled water with a secure cap) are not permitted ANYWHERE in the clinic

A

True

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17
Q

How many RAs are completed before a re-physical?

A

2

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18
Q

Frequency of care and when your next visit will be is included in this part of the SOAP note

A

Plan

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19
Q

RAs must be completed every 30 or 45 days in CC-HOP. True or false?

A

True

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20
Q

The part of the SOAP note that reports the patient’s response to your questions regarding how they are doing is the _____

A

Subjective

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21
Q

CMRs must be completed within how many business days after physical is completed and signed off?

A

6 days

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22
Q

Interns are expected to dress in proper clinic attire when conducting ANY clinic business, including paperwork.

A

True

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23
Q

This OAT is always done on PAPER, is the only OAT that measures health and is the only OAT you want a score of 50 or above on

A

SF-36

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24
Q

Your patient presents with LBP, in addition to SF-36, you would have them complete which OATS?

A

QVAS, Oswestry

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25
Q

Patient presents with LBP, neck pack and headaches. That OATS you need completed are?

A

QVAS, Oswestry (low back), NDI (neck) and HDI (Headache)

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26
Q

OATS are important for creating goals for your patient and their care plan

A

TRUE

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27
Q

On the CMR note, the subjective speed note contains a well written narrative about the patient’s chief complaint.

A

True

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28
Q

An informed consent is required after each new patient physical and after each existing patient re-physical before any care can be provided.

A

True

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29
Q

It is appropriate for a symptomatic patient to have a 45 day care plan.

A

True

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30
Q

The faculty clinician prepares the Radiology Request for the patient.

A

FALSE

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31
Q

What criteria is needed for ordered full spine films?

A

Thermal instrumentation showing deviations of heat of more than 4 degrees
Intersegmental trophic changes or edema around facet joint
Motion restriction of intersegmental unit in any one of 3 planes.

(Answer is all of the above)

32
Q

The ROF must be done after every physical/re-physical. True or false?

A

True

33
Q

The ROF…

  • allows you to educate your patient
  • outlines your plan of care for your patient
  • instructs your patient in home care recommendations
  • outlines your goals for care
  • all of the above
A

All of the above!

34
Q

The patient can begin care before the ROF is completed. True or false?

A

False

35
Q

Which of the following is/are required to complete the CMR process for credit?

A

Complete all paper and EHR notes
Complete CMR credit form
Complete intern case log

36
Q

On the first visit after the CMR, what must be completed before you request a faculty clinician to assist you?

A

ROF reviewed with and signed by the patient

37
Q

The patient must be questioned about all “current” complaints (PCs) and an update provided in the Subjective Speed Note on each visit after the CMR. True or false

A

True

38
Q

Interns can order films for pathology, technique or both. True or false

A

True

39
Q

The intern must document a differential diagnosis, rationale and all appropriate OATs forms to be completed on the HHW and have the faculty clinician approve the HHW before beginning the next examination.

A

True

40
Q

The first source for information when creating ADLs and goals would be?

A

Functional limitations from history

41
Q

Quantitative requirements to complete CLIN3608 incude 15 adjustments and 2 physicals. 9th quarter requires cumulative 50 adjustments (minimum of 20) and 5 physicals (3 minimum).

A

True

42
Q

Pre and post thermography (tytron) scans along with supine leg checks are to be completed for Toggle patients for every adjustment

A

True

43
Q

How often should a re-assessment be scheduled in student clinic on a patient which a chief complaint of headaches and associated neck pain?

A

Every 30 days

44
Q

The patient care plan may only be changed with supervising Faculty clinician’s approval

A

True

45
Q

A 46-year old female patient is complaining of acute LBP and headaches. Besides the SF-36, which OATs forms should the intern have this patient complete?

A

QVAS (acute pain), HDI (headaches), Oswestry (RODI) (LBP)

46
Q

If found during your chiropractic and screening physical exam, which of these should be included in your initial clinical impressions?

  • VSC
  • Pelvic dysfunction
  • Postural abnormalities
  • Associated conditions
  • All of the above
A

All of the above

47
Q

For documentation of diagnoses in the Assessment section of the EHR note, ICD9 codes and PC codes can be used interchangeably

A

False

48
Q

The most preferable types of goals will relate to what?

A

Patient’s ability to perform certain functions

49
Q

The history of your new patient’s secondary complaint is fully documented on which form?

A

PCP (not AHHW?)

50
Q

SOAP notes are used to document the patient’s current condition and response to previous care

A

True

51
Q

On initial consultation, your new patient complains of cervical pain. Depending on the information found from their history, your clinician may have you complete a blue regional problem-focused exam in addition to the yellow chiropractic and screening exam form.

A

True

52
Q

What paper form is always required when requesting x-rays?

A

Radiology Request Form

53
Q

Your current patient was involved in an auto accident since his last visit for which he has retained an attorney and medical care. Can this patient remain under care in the student clinic?

A

No!

54
Q

How many days to complete the CMR from the onset of your history/physical?

A

30

55
Q

Pain is elicited on cervical ROM and foraminal compression. WHat information is required of you?

A

Site, severity and quality

56
Q

According to the assigned reading from Mosby’s, purpose of conducting a patient history interview includes what?

A

Educate and motivate the patient
Develop a relationship with the patient
Determine the chief complaint and history of present illness (HPI)

57
Q

BP, pulse and respiration are always taken bilaterally

A

False

58
Q

First line of the EHR Patient Care Plan (PCP) will usually indicate that there are items that need to be completed. The PCP should be reviewed each visit for items that need to be completed and upcoming reassessment dates.

A

True

59
Q

Your pre-adjustment findings such as leg-checks, static and mo-pal findings are documented in the objective speed note.

A

True

60
Q

On a routine adjustment visit, the first problem code (PC) listed in the subjective speed note should be the patient’s chief complaint

A

True

61
Q

How long does the intern have to present the case to Life U radiologists after shooting their radiographic studies?

A

2 business days

62
Q

On the first visit after you and the supervising clinician sign the CMR, what two forms must be completed by you and signed by both patient and clinician before any kind of care may be rendered?

A

ROF, CMR

63
Q

Your patient has not been in the clinic for 65 days. What must be done before you can you adjust the patient?

A

Re-Physical

64
Q

The patient has different BPs in each arm. What action should you take?

A

Retake the BP to confirm readings.
Try using a different sized cuff for the patient’s arm
Bring findings to the attention of a supervising clinician

65
Q

In campus C-HOP, all musculoskeletal complaints with symptoms within the past 90 days should be considered current.

A

True!

66
Q

According to her HHI, your 25-year old patient has no symptoms or complaints. Which OATs form would you have the patient complete?

A

SF-36

67
Q

After completing the initial consultation and history, the intern should:

A

Have the doctor review and sign off on the history, then complete the exam

68
Q

Items that should NOT be presented with the written ROF include:

Presenting symptoms
Frequency of care
Reassessment and/or re-exam dates
Referrals
ICD-9 codes
A

ICD-9 codes

69
Q

A 17-year-old male patient is complaining of dizziness and acute neck pain. Besides the SF-36, which OATs form should the intern have this patient complete?

A

DHI, NDI, QVAS

70
Q

Your new patient presents for their physical without symptoms and with no history of back pain. On initial ROM exam, you elicit a 2/10 pain at L5 and 20/25 degrees extension. Which of these OATs does this finding require?

A

None.

71
Q

According to PART guidelines, a “listing” for VSC in the spinal analysis part of the physical exam needs to have at least 2 of the 4 findings, one of which must be:

A

Restricted motion

(recall that PART=Pain and Asymmetry
Restricted movement and Tone changes
Pain and Tissue Changes)

72
Q

You complete a HHW and AHHW for your 26-year-old new patient for his neck pain, headaches, lbp and shoulder injury. You complete a CC-HOP screening examination. Which regional exam will most likely be required of you?

A

Shoulder

73
Q

Life U Clinic Intern Handbook Level I includes important information on adjusting under supervision, clinic attire, business cards and patients’ rights.

A

True

74
Q

Your 70 y/o female patient presents for re-physical. Her chief complaint is LBP and left leg pain. Are you required to perform cervical ROM as well as cervical orthopedic, neurological and chiropractic examinations on this patient?

A

Yes

75
Q

An existing patient presents with new complaint of knee pain. What should be completed first?

A

AHHW?

Student Clinic Orientation (2 decks)

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