Overview

Question 1

key competencies for primary care PT

Answer 1

*Differential Diagnosis of MSK vs non-MSK
*Preventative care- health promotion, health protection, & health education
Management of neuromusculoskeltal injuries
radiological review of plain films, bone scan and MRI
review lab vales relevant
pharmacology

Question 2

Components of PT primary care visit

Answer 2

Screening for s/sx requiring physician referral
efficient history & physical exam of pt for primary problem area
consultation/discussion w/physician regarding scope of pt problem & medical dx as needed
intervention- direct, consultation, education
specialty referrals, as appropriate & in conjunction with PCM

Question 3

Review of Systems

Answer 3

Fatigue 
Malaise
Fever, chills, sweats
weight loss, gain
nausea, vomitting
dizziness, lightheadedness
paresthesia, numbness
weakness
change in mentation, cognitive abilities

Question 4

Cervical & shoulder pain

Answer 4

Cardiovascular, Pulmonary, GI

Question 5

Thoracic spine pain

Answer 5

cardiovascular, pulmonary, GI, genitourinary

Question 6

Lumbar-pelvic pain

Answer 6

GI, Urogenital, peripheral vasculitis

Question 7

Midhumerus, femur to digit pain

Answer 7

peripheral vasculitis, cancer

Question 8

Inconsistent symptom pattern

Answer 8

psychological, endocrine, neurologic, rheumatic disorders, adverse drug reaction

Question 9

Uterus

Answer 9

LS junction, sacrum, thoracolumbar

Question 10

Ovaries/testes

Answer 10

lower abdominal, sacral (more ant)

Question 11

Kidney

Answer 11

TL junction (ipsilateral), mid lumbar, lower abdominal, upper abdominal

Question 12

ureter

Answer 12

groin, medial/proximal thigh, upper abdominal, suprapubic, TL, iliac crest

Question 13

prostate gland

Answer 13

sacral, perineal, testes, TL

Question 14

Esophagus

Answer 14

suprasternal & upper abdominal

Question 15

stomach

Answer 15

upper abdominal, mid to low thoracic spine

Question 16

small intestine

Answer 16

mid thoracic spine

Question 17

pancreas

Answer 17

upper abdominal, lower Thoracic spine, upper lumbar spine

Question 18

large intestine

Answer 18

lower abdominal, middle lumbar spine, buttock

Question 19

sigmoid colon

Answer 19

upper sacral, suprapubic, left lower quadrant abdomen

Question 20

gallbladder

Answer 20

R upper abdominal, central & R sided mid to lower thoracic spine, R scapula

Question 21

Liver

Answer 21

R middle & lower thoracic spine, R cervical spine

Question 22

Common bile duct

Answer 22

upper abdominal, middle thoracic spine

Question 23

Heart

Answer 23

cervical anterior, jaw, teeth, upper thorax, epigastric, L upper extremity, R shoulder & UE

Question 24

lungs & bronchi

Answer 24

ipsilateral thoracic spine, chest wall, cervical (when diaphragm involved)

Question 25

diaphragm

Answer 25

cervical spine

Question 26

Sensitivity

Answer 26

true-positive rate (reliable negative)
Rule OUT
proportion of true-positive subjects among all subjects who have the condition of interest

Question 27

Specificity

Answer 27

True-negative rate (Reliable positive)
Rule IN
“proportion of true-negative subjects among all subjects without the condition”