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NMS 1 > The History > Flashcards

The History Flashcards

0
Q

What is an example of identifying data?

A 
Name
Age
Handedness
Nationality/race
Sex
Occupation
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1
Q

What are the 4 general important things you should obtain during history taking?

A

Identifying data
Source of referral
Source of history
Chief complaint

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2
Q

What are some examples of source of referral?

A

Another clinician
Insurance carrier
Whomever..

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3
Q

What are some examples of source of history?

A

How was the history obtained

  • patient
  • parent
  • interpreter
  • Reviewed previous medical records
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4
Q

What are the examples for chief complaint?

A

The chief complaint list should consist of the complaints and/or symptoms that brought the patient into the office

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5
Q

What does opqrst stand for?

A 
Onset
Provoking/palliative
Quality
Radiation
Severity
Time/frequency
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6
Q

Sharp pain on motion indicates a problem with what structure?

A

Joint

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7
Q

Constant pain indicates a problem with what structure?

A

Joint or nerve

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8
Q

Burning and/or hot feeling would be what structure?

A

Nerve

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9
Q

Sharp pain not on motion is what structure

A

Nerve

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10
Q

Stabbing or lightening like pain would be what structure?

A

Nerve

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11
Q

Tingling and/or numbness indicates what structure?

A

Nerve

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12
Q

Cramping/knot and/or spasm is what structure?

A

Muscle (bag of worms)

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13
Q

What structure will cause a dull ache?

A

Muscle (bag of worms)

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14
Q

What structure will cause radiating dull or deep ache?

A

Referred pain: scleratogenous pain

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15
Q

What structure will cause a deep burning or dull pain?

A

Bone/ligament

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16
Q

What structure will cause pinpoint pain over paraspinal tissue

A

Myofascial trigger point

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17
Q

What structure will cause a crawling sensation (formication)?

A

Myofascial pain

18
Q

What structure will cause throbbing pain?

A

Vascular

19
Q

What structure will cause well localized pain?

A

Peripheral

20
Q

What structure will cause diffuse pain?

A

Central

21
Q

What types of pain are related to nerves?

A 
Constant (joint or nerve)
Burning and/or hot feeling
Sharp pain not on motion
Stabbing or lightening like pain
Tingling and/or numbness
22
Q

What will nerve pain follow when radiating?

A

Specific dermatomal pattern

23
Q

How will muscle pain act when radiating?

A

Be localized pain and may refer to peripheral areas. Follow a specific pattern called myotomal patterns

24
Q

Injuries to ligament refer pain into pattern areas called?

A

Sclerotia patterns

25
Q

What is the pain scale where a patient marks on a 100mm line to rate their pain?

A

Visual analog pain scale

26
Q

What is the Borg pain scale?

A

(0-10) rating scale 0 is no pain, 10 being worst pain ever

27
Q

According to the AMA what is the rating for when the signs or symptoms constitute an annoyance but cause no impairment in the performance of a particular activity?

A

Minimal

28
Q

According to AMA what is the rating for when the symptoms or signs preclude any activity that precipitates the signs or symptoms?

A

Marked

29
Q

According to AMA what is the rating for when the sign or symptoms can be tolerated but would cause some impairment in the performance of an activity that precipitates the symptoms or signs?

A

Slight

30
Q

According to AMA what is the rating for when the symptoms and signs would cause marked impairment in the performance of an activity that precipitates the symptoms or signs?

A

Moderate

31
Q

According to AMA how often is intermittent pain?

A

Less than 25% of the time when awake

32
Q

According to AMA what is frequent pain?

A

Between 50% and 75% of the time awake

33
Q

According to AMA how frequent is occasional pain?

A

Between 25%and 50% of the time awake

34
Q

According to AMA how often is constant pain?

A

Between 75% and 100% of the time when awake

35
Q

What is the benefit of a good examination?

A

First: determine if lesion in musculoskeletal system is present
Second: determine location of problem
Third: what pathological conditions could cause lesion
Fourth: careful analysis of history and examination to determine which condition is most likely present

36
Q

What is dermatome pain?

A

Radiating, sharp,stabbing, and well demarcated. Area of sensation attributed to a particular nerve root level

37
Q

What is myogenous pain?

A

Pain referral within muscular or facial tissue

38
Q

What is scleratogenous pain?

A

Dull, achy, diffuse and difficult to pinpoint. This is referred pain from somatic structures, cartilage, ligament, joint capsule, or bone

39
Q

What should you look for during an unofficial inspection of the patient?

A

Gait and stance
Is eye contact made?
Is clothing appropriate for weather
Color and moisture of skin

40
Q

What areas should you check with auscultation?

A

Supra clavicles area
Anterior neck
Temples bilaterally
Eyes and skull (may reveal Bruins within the school)

41
Q

What might cause a bruit?

A

Vessel stenosis
External compression
Normal anatomical variant

42
Q

Where can temperature be taken?

A 
Oral
Rectal
Axillary
Tympanic membrane 
Temporal

NMS 1 (20 decks)

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