SPE #1

Question 1

proper SPE etiquette

Answer 1

knock before entering, eye contact and smile, shake hand when entering and leaving, consent, use their name in conversation, ask them if they have any questions

Question 2

S&S of infection

Answer 2

fever, chills, sweats
N&V
enlarged and tender lymph nodes
redness, abscess, swelling, heat
older adults:
mentation changes
subnormal body temp
brady or tachycardia
tachypnea
fatigue
lethargy
decreased appetite

Question 3

Infection review

Answer 3

history, observation for redness and swelling, palpation of lymph nodes (swollen and tender), check vitals (high temp)

Question 4

Cancer S&S

Answer 4

history of cancer
P! that is local and referred (especially at night around the same time that is unchanged by position, non-mechanical)
N&V
loss of appetite
unexplained weight loss
fever, chills, sweats
swollen and NON-tender lymph nodes
unusual fatigue
secondary infections

Question 5

Cancer Review

Answer 5

history and observation
palpation of lymph nodes
check temp

Question 6

GI S&S

Answer 6

P! in neck, trunk, pelvic, shoulder
difficulty swallowing
N&V
food aversions
indigestion and heartburn
full feeling
bowel dysfunction (color, shape, constipation, incontinence)

Question 7

GI review

Answer 7

history and observation (difficulty swallowing, swelling or bloating in LUQ)
abdominal quadrant assessment (left upper quadrant) - auscultation (increased sounds), palpation (tenderness), percussion (abnormal sounds)

Question 8

Cardiovascular S&S

Answer 8

family history of heart attack before the age of 60
angina- P! in chest, shoulder, neck, and face (especially upon exertion, L UE more common)
heart palpatiations
nausea
sweating
SOB/ wheezing
dizziness/ light headed/ fainting
fatigue with minimal exertion
cyanosis
cough

Question 9

cardiovascular review

Answer 9

history
observation (SOB, wheezing, cough, sweating)
abnormal vitals (HR, RR, BP)

Question 10

neurological S&S

Answer 10

N&V
dizziness
visual and auditory dysfunction
bad headache
LMN:
decreased muscle tone
bowel and bladder incontinence
single segment diminished dermatomes/paresthesias
hypoactive DTR
single segment fatigue myotomes
UMN:
increased or spastic muscle tone
spastic or retentive bowel and bladder
multiple segment in face diminished dermatomes
hyperactive DTRs
multiple segment weakness, uncoordinated, paralysis myotomes

Question 11

Neurological review

Answer 11

history and observation
UMN test
mentation changes
superficial reflex abdominal T7-L1
speech, swallowing, vision
dermatomes and DTR

Question 12

Respiratory S&S

Answer 12

P! in neck/upper shoulder
thorax P! made worse by: deep inspiration, coughing, trunk and UE motion, reaching, accessory motion testing
cyanosis
digital clubbing
SOB, wheezing, cough
decreased breath sounds
hyperresonance

Question 13

Respiratory review

Answer 13

history
observation (cyanosis, digital clubbing, SOB, wheezing)
vital signs: altered RR
decreased breath sounds
percussions

Question 14

severity questions

Answer 14

on a scale of 0-10 what is your P!?
does P! affect your ADL? how severely?
medications- are you taking any meds? name? how much? how often? does it help?

Question 15

irritability questions

Answer 15

how easily is this aggravated?
how long does it take to ease off?
do you have to do anything to help it?

Question 16

Stage questions

Answer 16

onset- how did this happen?
was the P! gradual or sudden?
did you experience any sort of trauma?
do you have any prior injuries to this area? Surgeries?

Question 17

nature questions

Answer 17

what type of pain are you experiencing (dull, achey, sharp, shooting, pins and needles, tingling)
when you move, are your symptoms reproduced?

Question 18

stability questions

Answer 18

is your pain staying the same, getting worse, or getting better?
does it change throughout the day- is to worse in the morning, night, afternoon?

Question 19

diagnostic test questions

Answer 19

have you had ant testing or imaging done for this condition? when? what did they show?

Question 20

past medical history questions

Answer 20

do you have any allergies?
Is there and history of heart disease, cancer, heart attack before the age of 60, or others in your immediate family?
Do you have any past medical history with any of these conditions?

Question 21

social history questions?

Answer 21

have you ever partaken in smoking, drinking, or recreational drugs? how often? how long?

Question 22

goals and patient perspective questions

Answer 22

what do you want to get out of this visit/ physical therapy?
what is your view on physical therapy?

Question 23

what is top priority at the beginning of SPE?

Answer 23

sanitizing hands
introducing yourself with your title
informed consent- I may have to ask some questions that may be a little uncomfortable is that okay?
confirming pt identity and biological sex
ask about any allergies