Review of Basic Components of an Exam - Class 1

Question 1

5 elements of pt/client management

Answer 1

1. examination
2. evaluation
3. dx
4. prognosis
5. intervention

Question 2

4 parts of a PT evaluation

Answer 2

subjective

objective

assessment

plan

Question 3

what is a prognosis

Answer 3

determination of the level of optimal improvement

Question 4

how might a px be attained

Answer 4

through intervention

amount of time required to reach that level

Question 5

history =

Answer 5

subjective interview

Question 6

when is an item subjective (pt 1)

Answer 6

the pt (or family member) tells the therapist the pt’s history

the pt (or family member) tells the therapist something about the pt’s lifestyle or home situation

the pt tells the therapist his emotions or attitudes

Question 7

when is an item subjective (pt 2)

Answer 7

the pt states his or her goals (ex: I’am really angry about…)

the pt voices a complaint

the pt reports a response to tx (ex: a decrease in pain intensity)

Question 8

a subjective item is…

Answer 8

anything the pt (or designated family member) tells the therapist that is relevant to the pt’s case or present condition

Question 9

things that must occur during the interview/history

Answer 9

info transfer

establish communication

Question 10

establish communication

Answer 10

make eye contact

match verbal and nonverbal behavior

clarify when needed

Question 11

subjective questioning should determine

Answer 11

chief complaint

previous bouts of same illness

other medical problems

meds

factors that decrease/increase their sxs

occupation, MOI, pt goals and recreational activities

determine precautions

nature of the problem

site of the sxs

onset

Question 12

chief complaint

Answer 12

complete description of the problem

Question 13

meds

Answer 13

what are they taking

why are they taking them

side effects

Question 14

factors that decrease/increase their sxs

Answer 14

what makes it better/worse

Question 15

determine precautions

Answer 15

did the dr tell them not to do anything

is there anything else you want to tell me before tx

Question 16

nature of the problem

Answer 16

includes quality of the pain, irritability and variability

Question 17

quality of the pain, irritability and variability

Answer 17

can you describe the pain to me (don’t let them)

when do you experience the pain

how’re you in the morning/night

are there certain things that make it worse/better

Question 18

site of the sxs

Answer 18

can pt location the area w/ one finger, any other areas?

do sxs move around

do they radiate

Question 19

onset

Answer 19

how and when did this start

rapid? gradual?

following trauma or overuse

insidious onset

when was the first episode of these sxs

Question 20

insidious onset

Answer 20

seems to be progressing in an unimportant way when it is actually really important

Question 21

when we are finished with the history

Answer 21

we want to know their story

hopefully not a familiar story

Question 22

physical examination =

Answer 22

objective information

Question 23

observation

Answer 23

you are noticing exactly what they are doing

do not be obvious be be thorough

Question 24

inspection

Answer 24

you are comparing side to side

specific and obvious observations

Question 25

ex. of inspection

Answer 25

A-P distal to proximal symmetric skin color atrophy

Question 26

palpation

Answer 26

involves systematic touching feeling for tone, levels, texture and temp

Question 27

what motion is tested first

Answer 27

active ROM

Question 28

active ROM

Answer 28

want to see what they could do on their own

Question 29

what does active ROM give us

Answer 29

info about contractile and non-contractile tissue gives some info about muscle strength --> can perform against gravity = at least a 3

Question 30

passive ROM provides

Answer 30

info about the inert structures surrounding the joint

Question 31

inert structures =

Answer 31

capsule and ligs

Question 32

resisted ROM

Answer 32

provides info on contractile tissue when we do MMT

Question 33

neurologic testing

Answer 33

sensory tone reflexes

Question 34

sensory tests

Answer 34

provides info on nerve damage on sensory level

Question 35

how're sensory tests done

Answer 35

by dermatomes

Question 36

dermatomes

Answer 36

area of skin supplied with afferent nerve fibers by a single posterior spinal nerve root goes by spinal levels

Question 37

tone

Answer 37

provides info about extent of nerve damage and abnormal muscle tone

Question 38

what does tone assess for

Answer 38

spasticity rigidity etc.

Question 39

reflexes

Answer 39

provides info about nerve damage on a motor level

Question 40

tests and measures =

Answer 40

special tests

Question 41

special tests

Answer 41

tests that are appropriate to the area being examined

Question 42

what do special tests help indicate

Answer 42

specific pathology present

Question 43

correlation or analysis of further findings =

Answer 43

evaluation assessment

Question 44

what are we constructing in the evaluation

Answer 44

an asset and problem list

Question 45

what are we determining in the evaluation

Answer 45

which findings will be placed in each category

Question 46

what does the evaluation help determine --> goals

Answer 46

what goals to be set a long-term goal is set for each problem in the problem list

Question 47

what does the evaluation help --> problem

Answer 47

isolate the problem allow you to focus in on the problem not over treat or treat in "general"

Question 48

what does the evaluation help set

Answer 48

priorities some problems such as pain may need to be addressed first to achieve the next step

Question 49

the evaluation should be state in

Answer 49

fxnal terms necessary and followed up with long term goals

Question 50

what does an evaluation help determine --> PT

Answer 50

need for PT or the pt's rehab potential

Question 51

evaluation will determine any

Answer 51

inconsistencies b/w the objective findings and pt's complaints everything should make sense

Question 52

treatment plan =

Answer 52

plan of care plan

Question 53

what will we describe for each anticipated goal

Answer 53

one or more types of interventions

Question 54

plan will include

Answer 54

frequency that the pt must be seen the quantities, levels and amounts needed for tx

Question 55

plan may also have

Answer 55

the progression the pt will follow equipment used if not already stated equipment needed and/or ordered for the pt any family involvement used or needed possible referral to other sources

Question 56

re-examination

Answer 56

evaluative process throughout tx

Question 57

re-exams must be done

Answer 57

at regular intervals or w/in tx sessions

Question 58

re-exam will provide

Answer 58

treating therapist with important info concerning the effectiveness of their interventions if the pt has improved

Question 59

effective re-exams will guide

Answer 59

future tx sessions