Test 1 Various highlights

Question 1

OPQRST

Answer 1

Onset
Provoking/Palliative
Quality of Pain
Radiation
Severity
Time

Question 2

What should be included in the Informed Consent? (4)

Answer 2

your diagnosis,
management plan,
the date,
patient’s signature

Question 3

What are SOAP notes?

Answer 3

Subjective findings
Objective findings
Assessment
Plan

Question 4

When should you dismiss a patient for a particular condition?

Answer 4

When they have reached maximum medical improvement (MMI)

Question 5

What type of structure is indicated with sharp pain without motion? with motion?

Answer 5

without motion: nerve

with motion: joint

Question 6

What type of structure is indicated with a radiating dull or deep ache?

Answer 6

referred pain (scleratogenous pain)

Question 7

What type of structure is indicated with a deep burning or dull pain?

Answer 7

bone/ligament

more of these on page 9

Question 8

Injuries to ligaments often refer pain into other areas. What type of pattern is this?

Answer 8

scleratomal pattern

Question 9

When pain is radiating, what must the doc establish?

Answer 9

pattern and quality

Question 10

What scale is used to assess the severity of a patient’s pain by having them mark on a 100 mm (10 cm) line in regards to how they perceive their pain?

Answer 10

Visual Analog Pain Scale

Question 11

What is the range of the Borg Pain Scale?

Answer 11

0-10

Question 12

According to the AMA Guides Pain Grading System, what are the 4 levels of severity/intensity?

Answer 12

Minimal
Slight
Moderate
Marked

Question 13

T/F: “Does the pain intensify at night?” is a question used to assess the O of OPQRST.

Answer 13

False; this helps assess T (Time/frequency)

Question 14

What are the 4 ways to grade frequency of pain using AMA Guides?

Answer 14

Intermittent (less than 25% of the time)
Occasional (25-50%)
Frequent (50-75%)
Constant (75-100%)

Question 15

Radiating, sharp, stabbing, and well demarcated pain with an area of sensation attributed to a particular nerve root level

Answer 15

Dermatome pain

Question 16

Pain referral within muscular or fascial tissue

Answer 16

myogenous pain

Question 17

dull, achy, diffuse, and difficult to pinpoint pain referred from somatic structures like cartilage, ligaments, joint capsules or bone

Answer 17

scleratogenous pain

Question 18

What is a bruit?

Answer 18

an abnormal vascular noise from stenosis, compression, or just an anatomical variant

Question 19

What score on the Mini Mental Status Exam would indicate disease/dementia?

Answer 19

20 or below (“normal” scores are from 24-30)

Question 20

T/F: When assessing passive range of motion, the doc reaches end range of motion and feels for what is called “End Feel.”

Answer 20

True

Question 21

What is the technique where the doc uses enough forces/weight to overcome the patient’s muscle in order to test muscle strength, comparing bilaterally?

Answer 21

Break Method

Question 22

An electronic dynamometer is used to accurately assess what?

Answer 22

muscle strength

Question 23

What proportion of fibers are torn with a second degree ligament sprain?

Answer 23

> 1/3 but <2/3

Question 24

T/F: Only 1 of 2500 x-rays detects something not suspected on medical history and physical examination and has an impact on the patient’s care.

Answer 24

True

Question 25

What kind of imaging involves the injection of a water-soluble imaging material directly into the nucleus pulposus of the disc?

Answer 25

Discography

Question 26

cortico refers to?

bulbar refers to?

Answer 26

cortex;

brain stem

Question 27

Where is the lesion most likely if it is affecting cranial nerves V, VII, and VIII unilaterally?

Answer 27

cerebellopontine angle

Question 28

Where is the lesion most likely if it is affecting cranial nerves III, IV, V, and VI unilaterally?

Answer 28

cavernous sinus

Question 29

Where is the lesion most likely if it is affecting cranial nerves IX, X, and XI unilaterally?

Answer 29

jugular foramen (syndrome)

Question 30

What is the most common cause of intrinsic brain stem lesion in a younger patient? in older patients?

Answer 30

multiple sclerosis;

vascular disease

Question 31

Where is the motor Nucleus of the Trochlear Nerve (CN IV) located?

Answer 31

in midbrain at level of inferior colliculus

Question 32

Where is the motor nucleus of the Trigeminal Nerve (CN V) located?

Answer 32

at level of mid pons

Question 33

Where is the motor nucleus of the Facial Nerve (CN VII) located?

Answer 33

near the caudal border of the pons