Subjective

Question 1

subjective portion checklist

Answer 1

chief complaint
health history
pyschosocial
screening tools
outcome measures
RAPPORT

Question 2

what is the difference between an “orange” and “red” level of concern

Answer 2

orange - further investigation by physician

red - ER

Question 3

what are some screening tools for chronic pain

Answer 3

Orebro
STarT Back

Question 4

what are screening tools for pain catastrophizing? significant score?

Answer 4

PCS
>30

Question 5

what is a screening tool for kinesiophobia? significant score?

Answer 5

TSK-11
11-44 (higher more avoidant)

Question 6

what is a screening tool for fear avoidance? significant score?

Answer 6

FABQ
>15 for physical activity
>34 for work

Question 7

major difference between an orange and red on yellow flag screening

Answer 7

orange - referral due to mental illness symptoms

red - referral to ER for emergency care response due to severe mental illness (ie suicide)

Question 8

how is therapeutic alliance formed in subjective? what is it an indicator of

Answer 8

explains flow of visit to patient by setting expectations

the outcome of patient

Question 9

what do we need to understand about the chief complaint

Answer 9

history
location/behavior of symptoms
previous treatments

Question 10

what external factors could affect one’s chief complaint

Answer 10

functional status in roles / demands upon the patient

patient’s goals/expectations

Question 11

what do we use to evaluate symptom behavior

Answer 11

SINSS

Question 13

what does SINSS stand for

Answer 13

Severity
Irritability
Nature
Stage
Stability

Question 14

health history includes

Answer 14

review of systems (red flag screen)
surgeries
allergies
illnesses
health habits
history of abuse
pertinent family med hx

Question 15

local factors that affect MSK tissue healing

Answer 15

tissue perfusion
infection
implants/foreign matter

Question 16

what affects healing of MSK tissue

Answer 16

local
systemic
synergistic

factors

Question 17

how does tissue perfusion and oxygenation affect tissue healing

Answer 17

initial hypoxia stimulates healing, but prolonged can lead to chronic inflammation

Question 18

what systemic factors affect tissue perfusion

Answer 18

smoking
DM

Question 19

when is infection most relevant

Answer 19

after surgical procedures or open injuries

Question 20

how does infection affect healing

Answer 20

prolonged inflammation
increased bacteria (oxidative stress)
biofilms
matrix metalloproteinases

Question 21

what danger does foreign matter and implants pose

Answer 21

trigger immune response via macrophages
inflammation
inhibit cell differentiation
increase osteolysis

Question 22

what danger do bioabsorbable materials pose

Answer 22

prolonged joint effusion

Question 23

how does age affect healing

Answer 23

slows rate of nerve regeneration, tendon healing, muscle recovery

Question 24

what inflammation stages are affected by aging

Answer 24

hemostasis, inflammation, proliferation and remodeling are affected

Question 25

how do estrogen and androgens affect healing

Answer 25

estro - improved
andro - delay, but essential for muscle and nerve regeneration

Question 26

what medications affect tendon healing

Answer 26

NSAIDS
glucocorticoids

Question 27

what is age associated traits are caused by smoking

Answer 27

increased:
muscle atrophy
strength loss
oxidative stress on tissues

Question 28

what happens initially after stopping cigarette smoking

Answer 28

blood flow increase
oxygenation
glucose and lactate levels return to normal levels

Question 29

what happens 4 weeks after cessation of cigarettes

Answer 29

endothelial function are back to level of non-smoker

Question 30

what happens 2 weeks after cessation of cigarettes

Answer 30

platelet aggregation effects are reverse

Question 31

what happens 20 years after cessation of cigarettes

Answer 31

c-reactive protein
fibrinogen
white blood cell count
levels of hemostasis

Question 32

what does diabetes affect

Answer 32

vascular function
angiogenesis
increased oxidative stress

Question 33

what does obesity cause the body to be in

Answer 33

a pro-inflammatory state

Question 34

how does obesity affect wound closure

Answer 34

delay healing due to relative avascularity of subcutaneous adipose tissue

skin folds around incision can allow for bacterial growth

Question 35

protein recommendations for each life stage

Answer 35

younger adults - 0.8g/kg
older adults - 1g/kg
chronic wounds - 1.25-1.5g/kg

Question 36

step ranges and associated benefits

Answer 36

2200 = lower mortality and CVD risk
9000-10500 = lowest mortality

Question 37

the patient’s perception of the chief complaint allows for the PT to

Answer 37

bridge gap between patient expectation and possible outcomes

Question 38

understanding the patient’s:
family social
personal circumstances
environmental barriers

allows the PT to understand

Answer 38

contextual factors and how they can link to prognosis

Question 39

compare patient recovery expectations and treatment expectations

Answer 39

Patient recovery expectations are commonly associated with patient outcomes

Patient treatment expectations were less clear with patient outcomes

Question 40

what are the major variables that determine recovery expectations

Answer 40

pain
progress
performance
treatment

Question 41

how has MSK patient care changed?

Answer 41

framework associated with
- providing a plan
- management
focused around patient education, centered care, healthy lifestyle

x Empathy x Honesty x Empowerment

–> last slide graphic…. probably not important but oh well.