Exam Study Guide 3

Question 1

components of the core interview

Answer 1

• HPI
• CC
• pain and symptom assessment
• medical tx and meds
• current fitness level
• sleep related hx
• stress
• final questions

Question 2

key factors to consider: side effects of meds

Answer 2

can mimic musculoskeletal conditions

Question 3

key factors to consider: comorbidities

Answer 3

• contribute to morbidity and mortality

- must be documented in problem list

Question 4

key factors to consider: visceral pain mechanisms

Answer 4

• systemic or viscerorganic origin relieved with PT may have psychologic component

Question 5

reasons for screening: direct access

Answer 5

you take primary responsibility or first contact

Question 6

reasons for screening: quicker and sicker patient base

Answer 6

rapid recovery protocols, but pts have more comorbidities and serious conditions

Question 7

reasons for screening: signed prescription

Answer 7

pt obtains PT script without seeing physician based on similar complaints of musculoskeletal symptoms in the past

Question 8

reasons for screening: medical specialization

Answer 8

may fail to recognize underlying systemic disease

Question 9

reasons for screening: disease progression

Answer 9

• early s/s difficult to recognize

- not all s/s are present during initial eval

Question 10

reasons for screening: pt disclosure

Answer 10

pt may disclose info that is previously unknown to PCP

Question 11

reasons for screening: presence of one or more yellow or red flags

Answer 11

influence need for referral

Question 12

FUPs: signed Rx/patient disclosure FUP

Answer 12

• Did you actually see the physician?

- Did the doctor examine you?

Question 13

red/yellow flags: PMH

Answer 13

• personal of family hx of cancer
• recent infection
• recurrent colds/flus with cyclical pattern
• recent hx of trauma
• hx of immunosuppression
• hx of injection drug use

Question 14

red/yellow flags: risk factors

Answer 14

• substance abuse (alcohol, tobacco, drug)
• age, gender, race, occupation, BMI, lifestyle
• hysterectomy
• exposure to radiation
• domestic violence

Question 15

red/yellow flags: clinical presentation

Answer 15

• insidious onset
• failure of conservative tx
• weight loss
• gradual or cyclical presentation of symptoms
• unrelieved by position change or rest
• s/s persisting longer than expected
• unable to provoke or alleviate symptoms during exam
• no pattern
• bilateral

Question 16

red/yellow flags: pain pattern

Answer 16

• back or shoulder pain
• pain accompanied by full painless ROM
• night pain
• constant and severe
• poorly localized pain
• pain changes with food intake and med use

Question 17

red/yellow flags: associated s/s

Answer 17

• recent report of confusion
• presence of constitutional symptoms or vital signs
• proximal muscle weakness + change in DTR
• joint pain with rash, nodules
• cluster s/s correlated to involvement of certain organs
• unusual menstrual cycles