Viva exam

Question 1

What does PC stand for and explain it

Answer 1

Present condition- what are they here for. For example tightness

Question 2

What does HPC stand for and explain it

Answer 2

History present condition- has the patient had this injury in the past, e.g do they have a history of tight muscles

Question 3

What does PMH stand for and explain it

Answer 3

Past medical history- things like surgeries, hy cancer

Question 4

What does SH stand for and explain it

Answer 4

Social history- what job do they do, do they play any sport, do they smoke or drink

Question 5

What does DH stand for and explain it.

Answer 5

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.

Question 6

What are the two contraindications

Answer 6

Local contraindications and absolute contraindications

Question 7

Examples of local contraindications

Answer 7

Open wound, fracture, abrasions, tissue tear, varicose veins.

Question 8

Examples of absolute contraindications

Answer 8

Blood clots, cancer, skin allergies, blood disorder, for example haemophilia which is where your blood can’t clot

Question 9

What are the red flags for upper body

Answer 9

5Ds- dizziness, drop attack, double vision, difficulty swallowing and difficulty speaking

Question 10

What are the red flags for Lower limb

Answer 10

Cauda equina syndrome- saddle anesthesia which is altered sensation in groin area
Bilateral leg pain
Loss of bowel/bladder

Question 11

What are some general red flags

Answer 11

Unexplained weight loss, unremitting night pain, unremitting pain

Question 12

Precautions of massage

Answer 12

THREADS (explain what it stands for)
Oesteo arthritis
Hypertension/hypotension- high/low blood pressure

Question 13

Allergy test.

Answer 13

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.

Question 14

Observation- what are the 3 types of gait

Answer 14

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

Question 15

Posture assessment- lower limb

Answer 15

Foot position, antalgic posture

Question 16

Posture assessment- upper limb

Answer 16

Shoulder level, muscle bulk, symmetry/Asymmetry

Question 17

What is Superficial touch

Answer 17

Check skin temp with back of the hand, good side then bad

Question 18

What are the 5 signs of inflammation

Answer 18

Heat, pain, bruising, swelling, not using the injured area

Question 19

What is AROM

Answer 19

The patient moves the joint/limb
Looking for range of movement
Assess the patients facial expressions

Question 20

What is the contractile tissue for AROM

Answer 20

Muscles and tendons

Question 21

What is PROM

Answer 21

Therapist moves the joint through ROM
Patient must have a willingness to relax
Non contractile tissue- bones, ligaments, joint capsule, skin, fascia, nerves

Question 22

What is RROM

Answer 22

Oxford grading scale- 0-5
0 means nothing/no strength
1 Flicker
2 weak
3 Moderate
4 good
5 means max strength