MSK 1A

Question 1

Examination

Answer 1

gathering info to determine pts problems and intervention plant

Question 2

goal of examination

Answer 2

evaluate levels of pathology, impairment, activity and participation

Question 3

what does an examination rely on?

Answer 3

accuracy of findings and quality of testing

Question 4

what three things to consider with test selection

Answer 4

Reliability of test
validity - measures what its supposed to
significance - probability of something happening

Question 5

evaluation

Answer 5

combining clinical experience with best available clinical evidence to determine diagnosis, prognosis and interventions

Question 6

screening tests at _______
diagnostic tests towards the _____
minimize ___ when possible

Answer 6

beginning
end
pain

Question 7

exam components

Answer 7

pt hx
systems review
observation
UQ/LQ scan
ROM
muscle performance
joint play
palpation
special tests

Question 8

subjective: start with ___ ended questions and then use ____

Answer 8

open
closed

Question 9

pt centered interview model includes

Answer 9

1. exploring pts disease/doagnosis and its effects on their life
2. Understanding the whole person
3. finding common ground with intervention
4. advocating prevention and health promotion
5. enhancing pt-provider relationship
6. providing realistic expectation

Question 10

Systems review includes

Answer 10

limited exam of all systems
general health/intake forms
vital signs
*pain

Question 11

what is one important thing to look for in your observations?

Answer 11

irritability level

Question 12

structural vs functional deformities

Answer 12

structural - do not change with body position (ex -scoliosis)

functional - change with body position

Question 13

reasons to scan

Answer 13

no obvious MOI
proximal cause for distal symptoms
non mechanical sounding symptoms

Question 14

LQ scan review

Answer 14

observe
gait
functional movements
lumbar ROM
myotomes
dermatomes
DTR
UMN testing
Lumbar and SIJ stress tests
LE ROM
neurodynamic tests
palpation

Question 15

UQ scan review

Answer 15

observe
cervical ROM
UE ROM
cervical compression and distraction
myotomes
dermatomes
DTR
UMN
ULTT
palpation

Question 16

Thoracic exam review

Answer 16

observation
vitals
thoracic ROM
dermatomes
myotomes
DTR (abdominal)
UMN
Neurodynamic testing
aortic pulse and abdominal palpation
chest auscultation

Question 17

what is the foundation for rational pt care?

Answer 17

clincal decision making

Question 18

common tools used in PT (clinical decision making)

Answer 18

pattern recognition** most common

categorical reasoning (buckets)

narrative reasoning

collaborative reasoning

diagnostic reasoning**

Question 19

a Dx is only made when

Answer 19

all potential causes for S&S are ruled out (scary stuff)

Question 20

if you perform one special test, can you make a diagnosis?

Answer 20

no!

Question 21

decision-making process is multi-faceted _____ process that combines what two things?

Answer 21

flexible

combines implicit knowledge and accumulated clinical experience

Q

Question 22

T/F: one red flag does not a diagnosis make

Answer 22

true

build a case, look for patterns that do or do not match MSK conditions and pain generators

Question 23

prioritize impairments by

Answer 23

symptom severity
tissue involved
underlying cause of activity and participation limitations

Question 24

if S&S are unclear, what should you do

Answer 24

refer