Scenerios/questions (week 2)

Question 1

True or false… when doing a stress test on a patient you should apply gentle, rapid and deep force.

Answer 1

False
When doing a stress test on a patient you should apply gentle, brief and shallow force

Question 2

A patient states that they have no pain when initially doing the stress test. What should be the next step?

Answer 2

You should then apply a slower,larger,and deeper force and hold for 10 seconds.

Question 3

What type of tissue is generally tested by doing a stress test?

Answer 3

Non-contractile tissue

Question 4

When you distract the joint in a patient and they indicate increased pain what type of tissues could be involved?

Answer 4

Capsule,ligament, or annulus

Question 5

When you distract a joint a the patient indicates decreased pain what types of tissue could be involved?

Answer 5

Joint surface tissue Cartilage, nucleus pulposus, bone or spinal nerve

Question 6

When you compress a joint and the patient indicates decreased pain what type of tissue could be involved?

Answer 6

Capsule,ligament, or annulus

Question 7

What do we usually lose sensory function first?

Answer 7

-The neurons are smaller and more susceptible to compression
-More numerous

Question 8

A patient comes in and you do a neurological sensory test… you note that their light and sharp touch are WNL what should we do next?

Answer 8

Test for hyperesthesia

Question 9

When doing a neurological test on a patient you shaft that the patient scored a 1 on the sensory test… what does this mean?

Answer 9

The patient has diminished sensation in the area being treated

Question 10

A patient scores a 3 on the sensory testing… what does this mean

Answer 10

The patient is experiencing hyperesthesia

Question 11

What score is WNL for neurological testing?

Answer 11

2

Question 12

What is the grading scale for DTR?

Answer 12

0: absent;LMN condition
1+: hyporeflexive; LMN condition
2+:WNL
3+:Hyperreflexive- brisk large arc but normal dampening; UMN condition
4+: clonus; >3 beats; UMN condition
5:substained clonus

Question 13

How to we do a myotomes stress test?

Answer 13

Hold patient in shortened position and ask them to resist you for 10 secs

Question 14

What is a red flag S&S when doing neurological testing?

Answer 14

Patient who has positive test in all other neuro test but the neurodynamic mobility test is negative.

Question 15

A patient comes in with a nerve issue, the patients symptoms include atrophy in muscle, urinary incompetence, and the DTR scored a 1. Would this be a LMN OR UMN issue?

Answer 15

LMN

Question 16

A patient scores a 3+ on the vascular test… is this good or bad?

Answer 16

Depends, but not good because it could indicate cardiac problems

Question 17

What indicates joint hyper mobility/instability during stress testing?

Answer 17

A late and soft end feel

Question 18

What is the area of skin supplied by spinal nerve?

Answer 18

Dermatome

Question 19

What level of severity should be indicates if both distraction and compressing at the some joint increase symptoms during stress testing?

Answer 19

Acute

Question 20

A patient comes in with gradual onset of multiple segment weakness and multiple segments with decreased sensation. What should we do next?

Answer 20

Refer the patient to a physician