PT Diagnosis/Screen and Triage

Question 1

PT guide to Physical Therapist practice 3.0 was revised to…

Answer 1

use ICF language; include the catalog of tests and measures

Question 2

APTA activities have focused on determining selected tests and measures through initiatives such as..

Answer 2

evaluation database to guide effectiveness task forces and PT now

Question 3

Concepts that inform PT diagnosis/prognosis

Answer 3

ICF/Biopsychosocial model, evidence-based practice, professional values, quality assessment

Question 4

Evaluation is the process where PT’s …. individual’s response to tests and measures; … the test and measure data with other info collected during the history; determine a … or … amenable to physical therapist management; determine a … including …. for physical therapist management; develop a …..

Answer 4

interpret
integrate
diagnosis or diagnoses
prognosis, goal 
plan of care

Question 5

Urgent vs emergency care:
Urgent
emergency

Answer 5

seizures, falls

unresponsiveness, falls?, sudden unexplained symptoms

Question 6

When there is swelling in an extremity, what should we do?

Answer 6

could be possible DVT

assess for changes from the initiation of therapy to the last visit. Only an emergency when a sudden change as occurred.

Question 7

Painful swelling PT response

Answer 7

first take a short history
second, assess whether a person is short of breath, has chest pain, or is light-headed
third, examine extremities to determine if swelling is unilateral or bilateral
finally, check for distal pulses

Question 8

Chest pain response

Answer 8

first check vitals

second if person has history and has nitro pills, use them.

Question 9

If BP is lower than normal what do you do?

Answer 9

lower persons head below level of heart to maintain BP to brain

Question 10

When should symptoms subside after a nitro?

Answer 10

15 min

Question 11

When there is shortness of breath but no open wound on the chest, but the chest moves unevenly with every breath, suspect what and what response should you have as a PT?

Answer 11

broken ribs

firmly support the injured side until EMS arrives

Question 12

If there is shortness of breath and an open wound in the neck or chest, do what?

Answer 12

close immediately

Question 13

Sucking sound in the chest wound means…

Answer 13

air is entering the person’s chest cavity with each breath which can lead to lung collapse.

Question 14

What should a PT do when they hear a sucking sound in the chest wound?

Answer 14

bandage with plastic wrap, bag or gauze covered in vasoline sealing it except for one corner

Question 15

Seizures are usually…

Answer 15

not a medical emergency

Question 16

What do we do as PT when someone has a seizure?

Answer 16

document events before, during and after

Question 17

Seizure causes

Answer 17

disorders of cerebral blood flow, disorders of blood, structural problems, phyciatric conditions, migraines

Question 18

Syncope

Answer 18

fainting

Question 19

Autonomic Dysreflexia

Answer 19

occurs in people with SCI

Question 20

Autonomic Dysreflexia is most common with which spinal level and up?

Answer 20

T6

Question 21

What symptoms are associated with Autonomic Dysreflexia?

Answer 21

starts as a headache and flushed sensation;
brady or tachycardia;
elevated BP is more consistent with the condition

Question 22

What causes Autonomic Dysreflexia?

Answer 22

uninhibited ANS that occurs in SCI;

full bladder, impacted bowel, DVT can stimulate ANS and cause response

Question 23

Autonomic Dysreflexia PT response first..

Answer 23

elevate the head and allow blood pooling in the feet to decrease cardiac output and bring BP down.

Question 24

Autonomic Dysreflexia PT response second…

Answer 24

look for the cause of the dysreflexia check for DVT etc.

Question 25

Autonomic Dysreflexia PT response third…

Answer 25

if nurse or doctor is one hand communicate with them on meds

Question 26

With brain trauma, the highest likelihood of violence is during…

Answer 26

ADL work

Question 27

During a psychological emergency, what should the second response?

Answer 27

stay minimum 2 feet away from the violent person and at a 45 degree angle from the person. Have a plan if someone is in trouble.

Question 28

SBAR

Answer 28

situation
background
assessment
recommendation