Scenarios/questions (week 1)

Question 1

When asking patient history what types of questions should we ask the patient?

Answer 1

Open-ended &Closed-ended

Question 2

What does the Acronym SINSS mean and what does it determine

Answer 2

S:severity
I:irritability
N:nature
S:stage
:stability
It determines the vigor and extent of the physical exam and intervention as well as the prognosis

Question 3

If a patient comes in with a 6/10 pain , what type of severity would this patient have?

Answer 3

Moderate severity

Question 4

A patient comes in and states that the pain they experience starts in the morning and gets worse throughout the day. Many ADLs such as reaching,pulling,lifting,and cleaning aggravate the shoulder. The only relief that the patient gets is when they lay down on their back at night. What would the patients irritability be?

Answer 4

Maximal irritability

Question 5

What type of irritability symptom are a Red flag, and what are some examples?

Answer 5

Non-mechanical symptoms
Fever/chills, unremitting night pain, substantial weight loss, frequent or severe headaches

Question 6

What kinds of questions would help you determine the Nature of a patients pain?

Answer 6

When you do movements that aggravate you (area of pain) how long does it last?
What type of pain do you experience when it gets aggravated; sharp,dull, pins and needles,etc. ?

Question 7

What could a sharp pain indicate?

Answer 7

Inflammation

Question 8

What could a vague,dull, and achy pain indicate?

Answer 8

MSK or viscerogenic

Question 9

What could pins and needles, numbness and tingling indicate?

Answer 9

Neuropathic

Question 10

What would a suspicious MSK S&S be?

Answer 10

Unwillingness to move the neck after trauma
Splinting or lack of motion After trauma

Question 11

What the Stage questions determine?

Answer 11

The duration of a patients pain or discomfort

Question 12

At the patients reevaluation, you subjectively get that the patients says they can move more freely without pain, and objectively you determine that the patients ROM has gained 10 degrees and the muscle manual test has shown improvement. In the SINSS acronym which letter does this example fall under?

Answer 12

Stability

Question 13

What are things to consider in a patients history?

Answer 13

Social history
Medical history
Medication
Date and results
Imaging
Occupation
Beliefs and values
Etc.

Question 14

When does observation begin?

Answer 14

From introduction through the intervention

Question 15

What are things that you can observe in a patient?

Answer 15

Conversation
Structural(body type, posture, swelling,asymmetries)
Functional( limping, extremity dominance, compensation)
Guarding
Facial grimaces
Mental
Etc.

Question 16

What does a systems review determine?

Answer 16

Possible health problems that require a consultation with or referral to another healthcare provider

Question 17

Why is a scan or a screen

Answer 17

A general assessment

Question 18

What is a biomechanical exam?

Answer 18

A greater detailed assessment based on the scan findings

Question 19

A patients says that hey feel discomfort when reaching and lifting, Is this a sign or symptom?

Answer 19

Symptom

Question 20

When reviewing a patients chart you see an x-ray that shows a fracture in the humeral head, when evaluating you notice that the patients ROM is limited, is this a sign or symptom?

Answer 20

Sign

Question 21

Can a patient have signs and NO symptoms?

Answer 21

Yes

Question 22

What are the 5 purposes of a Scan or Screen

Answer 22

1: further assess for red flags
2: assess neurovascular status
3; determine if symptoms are referred
4:assess severity of condition
5: identify need for more in-depth bio mechanical exam

Question 23

What does Selective Tissue Tension Testing intel?

Answer 23

AROM
PROM
Resisted Test

Question 24

How much time should we shoot for to complete a scan?

Answer 24

10-15 minutes

Question 25

If a patient complains of shoulder pain on the lateral side of the arm, should we assess only the shoulder?

Answer 25

No, begin with a cervical scan and of negative results move on to shoulder scan

Question 26

What are essential ADLS?

Answer 26

Daily activities that people usually do
Walking, reaching , squatting, bending, turning

Question 27

What are Higher Level ADLs?

Answer 27

Activity’s that not every individual does on the daily
Running,throwing, lifting, jumping

Question 28

What is the purpose for assessing AROM?

Answer 28

To assess the patients willingness/ability to move

Question 29

How is an end feel determined ?

Answer 29

PROM with overpressure

Question 30

During the examination a patient demonstrates full and pain free AROM and PROM without symptoms, what should we do next?

Answer 30

Assess the patients combined motion

Question 31

During a scan, you note that a patient has left sided neck pain during AROM and PROM, when you do the resisted testing you note no pain. What type of tissue is most likely causing these symptoms?

Answer 31

Non-contractile tissue

Question 32

During resisted testing a patient demonstrates weak but painful response? What should be indicated

Answer 32

An acute condition

Question 33

How many second should you hold resisted testing?

Answer 33

3 seconds

Question 34

A patients AROM and PROM while sitting is limited in the neck, but when laying on their back the PROM is no longer limited, what could this indicate?

Answer 34

Hyper-mobile joints in the neck

Question 35

If a patient shows similar restriction with PROM and AROM what could this indicate?

Answer 35

Joint hypo mobility

Question 36

What could multiple joints of weakness indicate?

Answer 36

Possible CNS issue

Question 37

Multiple planes of weakness at one joint could indicate?

Answer 37

Possible acute and/ or severe injury