Exam (elaborations)

Ortho Quiz 1 Exam Questions And Answers

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Course
ONP-C

Institution
ONP-C

what is often considered the most important part of the examination - ANS the history what are the parts of the patient client management model (5) - ANS -exam -eval -diagnosis -prognosis/POC -interventions Parts of an examination - ANS 1) history 2) systems revie...

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Uploaded on October 29, 2024
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Type Exam (elaborations)
Contains Questions & answers

ortho quiz 1 exam questions and answers

Institution ONP-C
Course ONP-C

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Ortho Quiz 1 Exam Questions And
Answers

what is often considered the most important part of the examination - ANS the history

what are the parts of the patient client management model (5) - ANS -exam
-eval
-diagnosis
-prognosis/POC
-interventions

Parts of an examination - ANS 1) history
2) systems review
3) T&M

Stages of healing - ANS Acute: 7-10 days
Sub-Acute: 10 days- several weeks
Chronic: > several weeks

Mode of onset: Acute vs Insidious - ANS Acute- they can give u a story of what happened

Mode of onset: Traumatic vs atraumatic - ANS Traumatic: MOI
Atraumatic: Gradual

Systemic vs MSK - ANS MSK- typically influenced by mvmt or positions

Systemic- cant be relieved

Intermittent pain causes - ANS usually caused by prolonged postures, loose intra-articular
body, impingement of a MS structure

Systems we look @ in systems review - ANS MSK, neurological, CV, pulmonary,
integumentary, GI, GU

What are we looking for in skin color and what are the causes of it - ANS Cyanosis
(blue-ish discoloration that indicates poor circulation)
-could be bc pulmonary edema, CHF, venous obstruction

,Cancer Red Flags (6) - ANS -night pain
-constant pain
-unexplained weight loss
-loss of appetite
-unusual lumps/growth
-excessive fatigue

What is a scanning exam/how is it dif than systems review - ANS -systems review is just
making sure they're good canidate for PT
-scanning exam is ruling out other causes of this pain/symptom referral/ ensure correct dx

when would u do a scanning exam? when would u not? - ANS DO IT: if things arent adding
up/ if you have a gut feeling it might not be just a hip issue for example / spinal cord signs / etc

DO NOT: post surgery (cuz we know the cause) or definite hx of trauma

what if you are not sure if you should do scanning exam? - ANS DO IT

Should all dermatomes & myotomes have deep tendon reflexes? - ANS oh yes

grading of deep tendon reflexes - ANS Zero= absent
1+ = diminished (a slight response)
2+ = normal (brisk response)
3+ = exaggerated (a very brisk response compared to other side)
4+ = clonus (when a tiny lil tap elicits a repeating reflex)

what to start w/ for T&M - ANS big picture items (like posture / functional activity etc)

some reasons why we do T&M - ANS -confirm or refute hypothesis
-reproduce symptoms
-establish baseline data so we can make goals

how to choose a T&M - ANS do the one w the most purpose toward confirming or refuting
hypothesis

some things to look for in informal T&M observation - ANS -body language/guarding
-sitting posture
-facial expression
-apprehension/fear
-attitude
-assistance
-family support

Formal T&M Observation things to look for - ANS -body alignment/deformity

, -symmetry
-soft tissue contoures
-limb size/shape/temp/etc
-skin color
-swelling/redness
-pt willingness to move

Osteokinematics
-what type of mvmt - ANS physiological mvmt
YOU CAN SEE IT

Arthrokinematics
--what is it/what type of mvmt - ANS accessory mvmt
-motion of bone surfaces w/in joint

how do u measure osteokinematics? arthrokinematics? - ANS Osteo= goni
Arthro= joint play

Things to look for w/ AROM - ANS -obvi the quantitiy of mvmt but also other things like the
rhythm, their willingness to move, symptom reproduction, pattern of restriction, etc

what would be a pattern of restriction - ANS like if flexion hurts, does extension hurt as
well?

do u want to start or end w/ their most painful movement? - ANS end with it bc otherwise
you might cause pain that leads to false positives

AROM contraindications/precautions - ANS -suspect fx
-fracture healing process
-surgical considerations
-irritable joint
-excessive pain

POSSIBLE CAUSES OF LIMITATION OF AROM - ANS -strength
-flexibility
-NM control
-pain
-arthrokinematics

What info are we looking for from PROM - ANS -quantity
-quality (like how they react & where they complain of discomfort & end feel)
-pattern of restriction
-hyper or hypomobility
-accesory motion

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