Quiz 1a

Question 1

3 parts of examination

Answer 1

1. History
2. Systems review
3. Tests and measures

Question 2

____________ is synonymous to clinical judgment

Answer 2

Evaluation

Question 3

3 parts of eval

Answer 3

1. Diagnosis
2. Prognosis
3. Plan of care

Question 4

To modify or redirect interventions prompted by new clinical findings OR failure to respond to PT interventions

Answer 4

Re-examination

Question 5

____________ = impact on pt

Answer 5

Outcomes

Question 6

5 reasons for examination

Answer 6

1. Baseline info
2. Progression
3. Placement decisions
4. Safety
5. Evidence of treatment effectiveness

Question 7

_________________ = why clinicians use certain tools

Answer 7

Clinical utility

Question 8

4 parts of clinical utility

Answer 8

1. Time to administer
2. Costs
3. Pt factors
4. Sensitive to change/responsiveness

Question 9

Difference between sensitivity and responsiveness

Answer 9

Sensitivity: ability to measure change

Responsiveness: ability to measure MEANINGFUL clinical change

Question 10

Intrarater vs interrater

Answer 10

Same therapist multiple times vs. multiple therapists

Question 11

Reliability vs validity

Answer 11

Consistency vs accuracy

Question 12

4 types of validity

Answer 12

1. Face
2. Content
3. Construct
4. Concurrent

Question 13

____________ validity - when I look at a goniometer, can I see that this measures joint position?

Answer 13

Face

Question 14

___________ validity - how they build the test - does it measure what I think it wants?

Answer 14

Content

Question 15

________ validity - statistical reliability

Answer 15

Construct

Question 16

__________ validity - comparing to gold standard

Answer 16

Concurrent

Question 17

Correct referrals/total abnormal x 100 = % of abnormal cases IDed

Answer 17

Sensitivity

Question 18

Correct referrals/total normal x 100 = % of normal cases classified normal

Answer 18

Specificity

Question 19

If a test has high ___________ and the pt tests positive, its very likely that they don’t have the disease

Answer 19

Sensitivity

Question 20

If a test has high _____________ and a pt tests positive, its likely that they do have it

Answer 20

Specificity

Question 21

Elaborate on snout and spin

Answer 21

Sensivity positive = rule out

Specificity positive = rule in

Question 22

False negatives correlate to ____________ referrals

Answer 22

Under

Question 23

False positives correlate with _________ referrals

Answer 23

Over

Question 24

MDC

Answer 24

Minimal detectable change

Question 25

Smallest amount of change needed to exceed measurement variability

Answer 25

MDC

Question 26

MCID

Answer 26

Minimally clinical important difference

Question 27

Clinically meaningful change

Answer 27

MCID

Question 28

MCID is always __________ than MDC

Answer 28

Larger

Question 29

MCID usually compared to _________________

Answer 29

Therapist or pt opinion of meaningful change

Question 30

2 types of instruments

Answer 30

Performance | Self-assessment

Question 31

____________________ instruments do not measure the "real" pt's environment

Answer 31

Performance

Question 32

______________ instruments may not have accurate reporting

Answer 32

Self assessment

Question 33

2 degrees of measurement

Answer 33

Nominal and ordinal

Question 34

____________ measurements: opposites

Answer 34

Nominal

Question 35

_________ measurements: degree to which person can perform

Answer 35

Ordinal

Question 36

Con of ordinal measurement

Answer 36

Not equal separation between categories

Question 37

Con of nominal measurement

Answer 37

Not enough info

Question 38

4 clinical assessment tools

Answer 38

1. Body function 2. Activity 3. Physical function 4. Personal factors