Viva exam Flashcards
What does PC stand for and explain it
Present condition- what are they here for. For example tightness
What does HPC stand for and explain it
History present condition- has the patient had this injury in the past, e.g do they have a history of tight muscles
What does PMH stand for and explain it
Past medical history- things like surgeries, hy cancer
What does SH stand for and explain it
Social history- what job do they do, do they play any sport, do they smoke or drink
What does DH stand for and explain it.
Drug history- is the patient taking prescribed drugs or over the counter drugs. Could suggest there is a real problem.
Important to know when the last time they took them and how long they have been taking them for.
What are the two contraindications
Local contraindications and absolute contraindications
Examples of local contraindications
Open wound, fracture, abrasions, tissue tear, varicose veins.
Examples of absolute contraindications
Blood clots, cancer, skin allergies, blood disorder, for example haemophilia which is where your blood can’t clot
What are the red flags for upper body
5Ds- dizziness, drop attack, double vision, difficulty swallowing and difficulty speaking
What are the red flags for Lower limb
Cauda equina syndrome- saddle anesthesia which is altered sensation in groin area
Bilateral leg pain
Loss of bowel/bladder
What are some general red flags
Unexplained weight loss, unremitting night pain, unremitting pain
Precautions of massage
THREADS (explain what it stands for)
Oesteo arthritis
Hypertension/hypotension- high/low blood pressure
Allergy test.
Location of where you would do the allergy test- on the back of the hand between thumb and index finger, if an allergy presents wipe cream off and change it.
Observation- what are the 3 types of gait
Antalgic- abnormal pattern of walking, e.g limp.
Trendelenburg- abnormal gait resulting from weakness in the glute medius.
Drop foot- neuro problem, usually from a peroneal nerve injury
Posture assessment- lower limb
Foot position, antalgic posture
Posture assessment- upper limb
Shoulder level, muscle bulk, symmetry/Asymmetry
What is Superficial touch
Check skin temp with back of the hand, good side then bad
What are the 5 signs of inflammation
Heat, pain, bruising, swelling, not using the injured area
What is AROM
The patient moves the joint/limb
Looking for range of movement
Assess the patients facial expressions
What is the contractile tissue for AROM
Muscles and tendons
What is PROM
Therapist moves the joint through ROM
Patient must have a willingness to relax
Non contractile tissue- bones, ligaments, joint capsule, skin, fascia, nerves
What is RROM
Oxford grading scale- 0-5
0 means nothing/no strength
1 Flicker
2 weak
3 Moderate
4 good
5 means max strength
