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MS 1 > Subjective and Objective Exams > Flashcards

Subjective and Objective Exams Flashcards

1
Q

3 things that make up a PT Examination

A

history/current health status
systems review
tests and measures

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2
Q

sign vs. symptom

A 
sign= physical exam finding in a joint or other structure that is "abnormal"
symptom= something the pt c/o (pain, N/T, aching, etc)
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3
Q

What is a cluster or sings and symptoms that characterize a particular condition?

A

a syndrome

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4
Q

Exam in a nutshell?

A

1) is it neuromm in nature or non-neuromm?
2) come up with 3 possible hypothesis…
3) perform objective exam, hypothesis modification
4) develop treatment plan and modify PRN

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5
Q

use of good verbal communication skills is the key to which approach?

A

Maitland

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6
Q

items such as asking one question at at time, speaking slowly, using layman’s terms, avoiding baised questions, not assuming anything and showing empathy to the patient are all key aspects of which approach?

A

maitlands

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7
Q

What are SINSS?

A 
Severity
irritability
nature
stage
stability
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8
Q

what is a comparable sign?

A

sign that is found during an OE and reproduces the pt’s pain

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9
Q

what part of the exam do u find the body chart and descriptions of the symptoms?

A

S

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10
Q

what all goes into a SE? (8 things)

A 
pt profile
chief complaint
body chart
symptom behavior (agg., easing, 24 hr.)
special Qs
systems review (if necessary) 
current history (MOI, comorbidities, other tx?)
past history
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11
Q

What are the 10 special questions?

A

1) GH (general health)
2) WL/WG
3) RA
4) VA
5) A/S
6) CS (cord symptoms- bilateral N/T, gait disturbances)
7) CE cauda equina (bowel/bladder dysfunction, saddle paresthesia)
8) Diagnostic imaging?
9) C/S (will increase pain in load sensitive injuries)
10) Meds

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12
Q

Progression of OE for pt. positioning

A

standing–>supine–>sidelying–>prone–>Sitting

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13
Q

OE in standing

A

posture, gait, palpation, clearing, neuro exam, AROM with and w/o OP, MMT, fxnl tests, special tests

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14
Q

OE in supine

A

palpation, girth measurements, clearing, sensation, AROM, PROM, mm length tests, mmt, special tests, neurodynamics tests, passive accessory movement testing

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15
Q

OE in sidelying

A

passive accesory movement testing, mm length, MMT

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16
Q

OE in prone

A

palpation, clearing, complete spine exam (PAIVMS and PIIVMS), AROM, PROM, mm length, MMT, special tests, neurodynamic tests

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17
Q

OE in sitting

A

palpation, clearing, neuro exam (finger to nose, rapid alternating movements etc.), AROM, PROM, passive accessory movement testing, MMT, special tests

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18
Q

REVIEW UQ and LQ clearing…

A

Aye Aye Cap’n

19
Q

Axillary nerve

A

C5, 6

20
Q

Musculocutaneous nerve

A

C5,6

21
Q

radial N

A

C5,6,7,8

22
Q

median N

A

C6,7,8, T1

23
Q

Ulnar

A

C7,8, T1

24
Q

Femoral

A

L1-4

25
Q

obturator

A

L2-4

26
Q

Sciatic

A

L4-S3

27
Q

superfiscial peroneal N

A

L4-S2

28
Q

deep peroneal

A

L4-S2

29
Q

Tibial N.

A

L4-S3

30
Q

Consistency of repeated measures

A

reliability

31
Q

degree to which a test measures what it is intended to measure

A

validity

32
Q

ability to correctly identify anyone who HAS the disorder, Negative result RULES OUT

A

Sensitivity

33
Q

ability of a test to correctly identify ppl that do NOT have the disorder, positive RULES IN

A

specificity

34
Q

incorporating validated functional scales in an OE in a clinic?

A

functional outcomes measures

35
Q

What is Cyriax’s scanning examination?

A

combo of observation, pt history, segmental exam, AROM, PROM, MMT, special tests and STT (selective tissue tension techniques) that is performed until the clinician is confident that no serious pathology is present.

36
Q

indications to perform a segmental neuro exam?

A

weakness or paresthesia, no obvious MOI or pathology

37
Q

where are symps located to perform an UQ SNE (segmental neuro exam)

A

below AC joint/medial border of scapula

38
Q

where are symps to indicate performing a LQ SNE

A

below gluteal fold/groin

39
Q

components of a SNE

A

myotomes, reflexes, dermatomes

40
Q

what do SNEs test?

A

the motor, sensory and elit disturbances of a specific nerve root!

41
Q

when do u perform a PNE (peripheral neuro exam)

A

when there is a peripheral injury, compression, nerve injury, weakness or pasesthesia with obvious MOI

42
Q

When do u perform a CNE? (central neuro exam)?

A

head trauma, stroke, cord compression, UMNL

43
Q

what is in a CNE?

A

clonus, tone, babinski, reflexes, sensation

MS 1 (11 decks)

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