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PTRS 745 Exam 1 Combined and Randomized > SE&OE > Flashcards

SE&OE Flashcards

1
Q

T/F: The diagnosis, problem, and prognosis all fall under the P portion of the SOAP note.

A

False, under A (assessment)

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2
Q

Term: related to the pt’s functional ability, reported by the pt., and/or detected during the objective exam

A

Problem

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2
Q

Term: The amount of activity to produce an exacerbation of symptoms and the time to subside or ease.

A

Irritability

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3
Q

Content: Parts of present history (4)

A
  1. Length of time
  2. Onset of symptoms (stage)
  3. Progression (stability)
  4. Comparison symtpoms now with inital stage
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3
Q

Defn: Spasm end feel

A

Abrupt end

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4
Q

Content: 6 intervention categories to consider for your treatment plan

A
  1. Education
  2. Modalities
  3. TherEx
  4. Manual therapy
  5. Assistive device
  6. Home Exercise Program
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5
Q

Content: Chief complaint (7)

A
  1. Pain
  2. Stiffness
  3. Stability
  4. Sensation of instability
  5. Weakness
  6. Loss of function
  7. Surgery/trauma/immbolization
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5
Q

Diagram: Progress and reasses - Clinical problem solving

A
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6
Q

Term: reversing impairments

A

Remediation

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7
Q

Q: What is the purpose of a special testing during the OE?

A

To confirm your hypothesis

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8
Q

Term: conditions that may change with the intervention

A

Problem

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8
Q

Q: What are important non-verbal communication skills to have during an examination? (2)

A
  1. eye contact 2. body language
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8
Q

Content: 3 things that can be assessed from PROM during the OE

A
  1. AROM was limited
  2. Apply gentle overpressure
  3. End feel
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9
Q

Term: management of anticipated problem

A

Prevention

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10
Q

Defn: Restricted PAM

A

Joint surface and/or surrounding tissues are implicated

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11
Q

Content: Parts of past history (4)

A
  1. Episode frequency
  2. Possible treatments and outcomes
  3. Comparison with the current problem
  4. Activity limiation
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12
Q

Content: Normal End feel (according to Cyriax) (4)

A
  1. Capsular
  2. Bony
  3. Elastic
  4. Soft tissue approximation
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13
Q

Term: symptoms that come and go, could be related to sport or work activities.

A

Over 7 days

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13
Q

Q: Full and pain free ______ suggests normalcy.

A

AROM

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14
Q

Defn: Empty end feel

A

Limitation without tissue resistance but with pain

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15
Q

Content: Using the scanning examination (7)

A
  1. No history or trauma
  2. Radicular signs present
  3. Trauma with radicular signs
  4. Altered sensation in limb
  5. Spinal cord (“long track”) signs
  6. Pt. presents with abnormal patterns
  7. Suspected psychogenic pain
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16
Q

Q: What are the parts of the SOAP note?

A

Subjective, Objective, Assessment and Prognosis, Plan of Care

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16
Q

Term: Information with regards to previous episodes of the same or similar disorders

A

Past history

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17
Q

Term: combination of symptoms and signs that determine a particular condition.

A

Clinical syndrome

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18
Q

Q: What are the 3 stages of symptoms?

A
  1. Acute or inflammatory
  2. Subacute or tissue formation
  3. Chronic or remodeling
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19
Q

Q: What are the two time frames for behavior of symptoms?

A
  1. Over 24 hrs 2. Over 7 days
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20
Q

Content: 4 types of abnormal end feel

A
  1. Springy
  2. Boggy
  3. Spasm
  4. Empty
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22
Q

Term: changes in the environment and tasks

A

Compensation or adaptation

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23
Q

Defn: Excessive PAM

A

Instability or joint laxity

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24
Q

Content: 5 parts of the objective examination

A
  1. Determine structure(s) involved
  2. Confirm/refute hypothesis
  3. Est. baseline
  4. Identify impairments
  5. Determine effect on function
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24
Q

Q: What 3 things can be measured with goniometry?

A
  1. AROM
  2. PROM
  3. Flexibility
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25
Q

Defn: Compression that is painful

A

Joint surface implication

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26
Q

Defn: Boggy end feel

A

Squishy sensation

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28
Q

Content: Types of nociceptive pain (3)

A
  1. visceral - diffuse and difficult to locate
  2. Deep somatic
  3. Superficial somatic
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28
Q

Q: What 4 vital signs are important to take note of?

A
  1. Temperature
  2. HR
  3. BP
  4. RR
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28
Q

Q: What does the following MMT finding imply? Strong and painless

A

Normal finding

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29
Q

Term: pain that is burning, tingling, electrical, stabbing, or pins and needles

A

Peripheral nervous system

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31
Q

Q: What is SINSS used for?

A

The base for the assessment

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32
Q

Q: What are the two key components to severity?

A
  1. Intensity 2. Functional ability
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33
Q

Term: intensity of symptoms and the effect on functional ability

A

Severity

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35
Q

Q: What are important verbal communication skills to have during an examination? (5)

A
  1. ask one question at a time 2. speak slowly 3. avoid medical jargon 4. make no assumptions 5. belief and empathy
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35
Q

Term: pain that is superficial, sharp, and well defined

A

Superficial somatic

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36
Q

Q: What part of the SOAP note contains information on function?

A

Objective

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36
Q

Content: SE (6)

A
  1. Pt. profile
  2. Chief complaint
  3. Body chart
  4. Behavior of symptoms
  5. History
  6. Pt. goal
37
Q

Q: What are some examples of functional tests?

A

Hop test, doulbe legged squat test, maximum jump height, etc

38
Q

Q: With passive movements and ligamentous testing, both the _________ and ________ (end feel) of opening are important.

A

Degree, quality

38
Q

Content: PAM (3)

A
  1. Also called joint glides
  2. Assess the accessory movements
  3. Determine: hypo/norm/hypermobile
39
Q

Term: includes tests and measures

A

Objective examination

40
Q

T/F: The least stable joint is the knee.

A

False: Shoulder

41
Q

Content: Things to put on the body chart (5)

A
  1. Location/target area
  2. Description of pain
  3. Clear other (pain free) areas
  4. Assign each pain (P1, P2, etc)
  5. Establish a relationship between symptoms
43
Q

Term: pain that is dull, aching, and poorly localized

A

Deep somatic

44
Q

Content: Positives when determining prognosis (3)

A
  1. Pt. age
  2. Understands condition
  3. Motivated
45
Q

T/F: You should warn the pt. of potential exacerbations or painful parts of the OE.

A

True

47
Q

Term: Collecting information from patients or responsible parties

A

Subjective examination

48
Q

Diagram: Behavior of Symtpoms

A
49
Q

Content: 8 components of the OE

A
  1. Observation/posture
  2. Scanning/screening to rule out/in spine
  3. ROM - active and passive
  4. Joint play
  5. MMT
  6. Palpation
  7. Special tests
  8. Functional tests
50
Q

Content: 5 things that can be assessed from AROM during the OE

A
  1. Symptoms reproduction
  2. Quantity of ROM
  3. Integrity of contractile and inert tissue
  4. Presence of muscle substituion
  5. CPR
50
Q

Q: What is goniometry used for?

A

Assessment and reassessment

51
Q

Q: What are some examples of balance tests?

A

Single leg stance, start test, TUG

52
Q

Content: Planning the objective examination (5)

A
  1. Reflect if you’ve got everything
  2. Decide on peripheral/spinal exam
  3. SINSS - P/C
  4. Extent of exam
  5. Movements/tests that will confirm hypothesis
53
Q

Q: Define the acronym SINSS

A

Severity, irritability, nature, stage, stability

53
Q

Q: What does the following MMT finding imply? Weak or painful contraction (3)

A
  1. Rupture
  2. Palsy
  3. Neuropathy
54
Q

Term: pain that is sickening, deep, squeezing, and dull

A

Visceral

56
Q

Content: Negatives when determining the prognosis (3)

A
  1. Chronic condition
  2. Job
  3. No improvement with treatment (recurrence)
57
Q

Q: What makes distraction painful?

A

Tearing of connective tissue

58
Q

Q: What does the following MMT finding imply? Strong and painful

A

Minor muscle lesion

60
Q

Q: Irritability: standing for 30 min aggravates, sitting for 5 min eases - What is the level or irritability?

A

Min

61
Q

Term: identifies the relationship between the findings of the subjective and objective evaluation

A

Clinical judgement

62
Q

Q: The following items fall under what category of the SE?

  • General health, medication, BP, previous operations, lab results, imaging, CV or resp problems
A

Special questions

63
Q

Content: consider the following 1. Movement dysfunction 2. Neurophysiological symptoms 3. Contraindications 4. Illness experience and behavior 5. Treatment objectives 6. Prognosis - short and long term effects

A

First hypotheses

64
Q

Q: What does PAM stand for?

A

Passive articular mobility

65
Q

Defn: Normal PAM

A

Integrity of joint and surrounding tissues

66
Q

Q: What does the following MMT finding imply? Weakness (other source)

A

Preform a reassessment

67
Q

Content: 3 ways to assess flexibility

A
  1. Using end feel
  2. Postural analysis
  3. Special tests (SLR, Ober, etc)
69
Q

Content: Hypotheses based on history (4)

A
  1. Precautions and contraindications
  2. Sources of dysfunction
  3. Psychosocial factors
  4. Management
70
Q

Q: With ligamentous testing, ________ with increasing stress.

A

Repeat

72
Q

Content: Key points to remember while performing an objective examination (7)

A
  1. Tell pt. what you’re doing
  2. Test normal side 1st
  3. Do active, then passive, then resisted isometric movements
  4. Do painful movements last
  5. Apply overpressure to test end feel
  6. Repeat/sustain positions if history indicates
  7. Take baseline signs
73
Q

Content: SE - Patient Profile (5)

A
  1. Age
  2. Occupation
  3. Current daily activity level
  4. Recreation/hobbies
  5. Psychosocial factors
74
Q

Content: 2 types of compression

A
  1. Eases pain
  2. Painful
75
Q

Q: With myotome testing, make sure that contractions are held for _____ ________.

A

5, seconds

76
Q

Q: What about distraction eases pain?

A

Articular surfaces are implicated

77
Q

Q: For what part of the SOAP note would you use clinical judgement?

A

Assessment or evaluation

79
Q

Q: Severity: painful, but can perform all work activities - What is the level of severity?

A

Low

80
Q

Term: stage lasting 10 days to weeks

A

Subacute

81
Q

Term: predicting the pt’s recovery

A

Prognosis

82
Q

T/F: Putting the SINNS together helps in determining the diagnostic hypothesis.

A

True

83
Q

Q: What limits distraction?

A

Contracture of connective tissues

85
Q

Content: Hypotheses based on location (5)

A
  1. Nature of symptoms
  2. Source of movement impairments
  3. Tissue mechanisms
  4. Neurophysiological symptom mechanism
  5. Precautions
86
Q

Q: How many grades are involved in the Maitland approach?

A

I to V

88
Q

Defn: Springy end feel

A

Rebound sensation

89
Q

Content: Pain sensations (2)

A
  1. Nociceptive
  2. Peripheral nervous system
90
Q

Q: What part of the SOAP note contains reported symptoms?

A

Subjective

91
Q

Q: What are the three key components to irritability?

A
  1. Amount of activity 2. Exacerbation 3. Subside
92
Q

Content: Scanning exam for the peripheral joint assessment: Perform in the spine (2)

A
  1. Active and passive movements
  2. Resisted isometric movements
93
Q

Q: Clinical problem sovling involves ______________ _______________.

A

Continued, assessment

94
Q

Content: Two types of unrestricted PAM

A
  1. Normal
  2. Excessive
95
Q

Q: During what part of the SOAP note is the diagnosis determined?

A

Assessment or evaluation

96
Q

Term: stage lasting 7-10 days

A

Acute

97
Q

Q:Our clinical judgment allows us to raise “________ ___________”

A

working, hypotheses

99
Q

Q: What are the two components to keep in mind when evaluating the behavior of symptoms?

A
  1. Severity 2. Irritability
100
Q

Term: stage lasting more than several weeks

A

Chronic

102
Q

Contents: 3 things to observe during an OE

A
  1. Posture
  2. Movement limitation
  3. Care giver support
103
Q

Defn: Compression that eases pain

A

Joint capsule implication

104
Q

Content: 3 types of Distraction

A
  1. Limited
  2. Painful
  3. Eases pain
105
Q

Content: Scanning/Screening - “Quick look” (4)

A
  1. Rule out possibility of referral symptoms (esp. from spine)
  2. Confirm where pathology located
  3. Ensure correct diagnosis
  4. No more than 5-10 minutes
106
Q

Content: Parts of the assessment (4)

A
  1. Diagnostic hypothesis (SINSS)
  2. Problem list
  3. Intervention plan (Rx)
  4. Prognosis
107
Q

Term: details with regard to the present episode

A

Present History

108
Q

Q: What percent of the information you need comes from the subjective examination?

A

80-90%

PTRS 745 Exam 1 Combined and Randomized (8 decks)

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