CCPE Flashcards

(92 cards)

1
Q

What must you do before any patient interaction in the CCPE?

A

Handwashing.

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2
Q

What must you do immediately after handwashing?

A

Introduce yourself with name and role (student physical therapist).

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3
Q

What key items must be obtained in the patient history?

A

Age, occupation, medications/allergies, PMH, general health, level of function, signs/symptoms.

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4
Q

What is a red flag?

A

A finding suggesting a serious medical condition requiring referral.

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5
Q

What are common red flags PTs must recognize?

A

Chest pain, shortness of breath, neurological deficits, unexplained weight loss, fever, night sweats, bowel/bladder changes.

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6
Q

What are cardiac risk factors?

A

Hypertension, hyperlipidemia, diabetes, smoking, family history, obesity, age (M>45, F>55), sedentary lifestyle.

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7
Q

What vitals must be collected in CCPE?

A

HR, BP, RR, SpO2, pain level.

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8
Q

What is normal adult HR?

A

60–100 bpm.

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9
Q

What is normal adult BP?

A

<120/80 mmHg.

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10
Q

What is normal adult respiratory rate?

A

12–20 breaths/min.

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11
Q

What is normal adult SpO2?

A

95–100%.

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12
Q

What number is used for pain scale?

A

0–10 numeric rating.

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13
Q

What screening exam must be performed on ALL cases?

A

Upper Quarter OR Lower Quarter screen depending on patient report.

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14
Q

When is an Upper Quarter screen appropriate?

A

Neck, shoulder, arm symptoms or unclear complaint.

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15
Q

When is a Lower Quarter screen appropriate?

A

Low back, hip, leg symptoms or unclear complaint.

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16
Q

What does an Upper Quarter screen include?

A

C-spine AROM, dermatomes, myotomes, reflexes, UE strength, UE sensation.

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17
Q

What does a Lower Quarter screen include?

A

L-spine AROM, dermatomes, myotomes, reflexes, LE strength, LE sensation.

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18
Q

What are the UE myotome tests?

A

C5: abduction, C6: elbow flexion/wrist extension, C7: elbow extension, C8: finger flexion, T1: finger abduction.

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19
Q

What are the LE myotome tests?

A

L2: hip flexion, L3: knee extension, L4: dorsiflexion, L5: great toe extension, S1: plantarflexion.

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20
Q

What are common UE dermatomes?

A

C5 lateral arm, C6 thumb, C7 middle finger, C8 pinky, T1 medial forearm.

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21
Q

What are common LE dermatomes?

A

L3 medial knee, L4 medial ankle, L5 dorsum of foot, S1 lateral foot.

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22
Q

What reflexes are tested in UQ screen?

A

Biceps (C5-6), brachioradialis (C6), triceps (C7).

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23
Q

What reflexes are tested in LQ screen?

A

Patellar (L3-4), Achilles (S1-2).

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24
Q

When should you include a balance screen?

A

If patient history or age suggests fall risk or impaired balance.

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25
What is a quick balance test to perform in CCPE?
Tandem stance or single-leg stance.
26
What indicates abnormal balance?
Unable to hold ≥10 seconds in listed stance.
27
28
What does FITT stand for?
Frequency, Intensity, Time, Type.
29
What is intensity for strength training?
60–80% 1RM or RPE 7–8.
30
What is recommended frequency for strength?
2–3 days/week.
31
What is recommended time (volume) for strength?
8–12 reps, 2–3 sets.
32
What is appropriate type for strength?
Multi-joint functional movements or machine/free weight exercises.
33
34
What is the expected CCPE requirement for strengthening?
Select and demonstrate exercises for TWO separate muscle groups.
35
What are good CCPE-safe strength exercises for lower body?
Sit-to-stand, bridges, step-ups, squats.
36
What are good CCPE-safe strength exercises for upper body?
Rows, wall push-ups, biceps curls, shoulder abduction with band.
37
38
What is intensity for stretching?
Low load, mild discomfort, no pain.
39
What is frequency for stretching?
At least 2–3 days/week, ideally daily.
40
What is time for stretching?
Hold 20–30 seconds; 2–4 reps per muscle.
41
What does CCPE require for stretching?
Demonstrate TWO exercises to improve soft tissue extensibility.
42
What are examples of safe CCPE stretches?
Hamstring stretch, pec doorway stretch, quad stretch, gastroc stretch, upper trap stretch.
43
44
What VO2 estimation test is appropriate for CCPE?
YMCA 3-minute step test OR 6-minute walk test.
45
What step height for YMCA test?
12 inches.
46
What cadence is used in YMCA step test?
96 bpm.
47
What does 6MWT measure?
Submaximal aerobic endurance and functional capacity.
48
49
What aerobic mode can you recommend?
Walking, cycling, elliptical, swimming—depending on patient preference and safety.
50
What aerobic frequency is recommended?
3–5 days/week.
51
What aerobic intensity is recommended?
Moderate (40–59% HRR or RPE 12–13).
52
What aerobic time is recommended?
20–60 minutes depending on tolerance.
53
54
What model guides the CCPE clinical reasoning process?
The Patient/Client Management Model.
55
What are the components of the Patient/Client Management Model?
Examination, Evaluation, Diagnosis, Prognosis, Intervention, Outcomes.
56
What belongs in the examination?
History, systems review, tests and measures.
57
What belongs in evaluation?
Interpretation of data, clinical judgment, identifying impairments and limitations.
58
What belongs in prognosis?
Predicted level of improvement and timeframe.
59
What belongs in the plan of care?
Goals and interventions.
60
What belongs in outcomes?
Measurable changes in function and impairment.
61
62
What should goals look like?
Patient-centered, functional, measurable, time-bound.
63
What is an example of a functional goal?
Patient will walk for 10 minutes without rest to improve cardiovascular fitness within 4 weeks.
64
What should short-term goals address?
Impairments (strength, ROM, balance).
65
What should long-term goals address?
Functional tasks and participation.
66
67
What is essential in professional communication?
Use of lay language and avoiding medical jargon.
68
What is required clothing for CCPE?
Street clothes, Creighton name tag, professional appearance; no jeans, no open-toed shoes.
69
What jewelry is allowed?
Small earrings, plain chain, wedding band only.
70
Can you chew gum during the CCPE?
No.
71
What grooming standards are required?
Clean hair, trimmed nails, neutral polish only.
72
What must you bring to CCPE?
Examination kit and wristwatch.
73
74
What question will faculty often ask during strengthening demonstration?
What muscles are being targeted and why is this exercise appropriate?
75
What question will faculty ask during stretching demonstration?
What structures are you lengthening and what is the purpose?
76
What question may faculty ask about vitals?
Interpret the values and identify if safe to exercise.
77
What question may faculty ask about red flags?
Which symptoms, if present, require medical referral?
78
What question may faculty ask about cardiac risk stratification?
Is this patient low, moderate, or high risk for exercise-intolerant conditions?
79
What question may faculty ask about FITT?
Explain your aerobic prescription using FITT.
80
81
What BMI classification is 31?
Obese class I.
82
What BMI classification is 28.3?
Overweight.
83
What BMI classification is 36.6?
Obese class II.
84
What BMI classification is 21?
Normal weight.
85
86
For a 73-year-old preparing for hiking, what considerations are needed?
Balance, endurance, leg strength, fall-risk reduction.
87
For a 35-year-old preparing for a physical job, what considerations are needed?
Strength, lifting mechanics, aerobic fitness.
88
For a caregiver of grandchildren, what is important?
Core strength, functional mobility, endurance.
89
90
What is the purpose of systems review?
Identify health conditions that may modify or contraindicate exercise.
91
92
What must you do if a red flag is found?
Stop assessment and refer to appropriate medical provider.