USA - Differential Diagnosis - Units 1-4 and 6-8

In the context of screening for referral, primary purpose of a diagnosis is:

Direct access is the only reason physical therapists must screen for systemic disease.

A patient/client gives you a written prescription from a physician, chiropractor, or dentist. The first screening question to ask is:

Screening for medical disease takes place:

Physical therapists are qualified to make a human movement system diagnosis regarding primary neuromusculoskeletal conditions, but we must do so in accordance with:

Medical referral for a problem outside the scope of the physical therapy practice occurs when:

Physical therapy evaluation and intervention may be part of the physician’s differential diagnosis.

What is the effect of NSAIDs (e.g., Naprosyn, Motrin, Anaprox, ibuprofen) on blood pressure?

Most of the information needed to determine the cause of symptoms is contained in the:

A risk factor for NSAID-related gastropathy is the use of:

After interviewing a new client, you summarize what she has told you by saying, “You told me you are here because of right neck and shoulder pain that began 5 years ago as a result of a car accident. You also have a ‘pins and needles’ sensation in your third and fourth fingers but no other symptoms at this time. You have noticed a considerable decrease in your grip strength, and you would like to be able to pick up a pot of coffee without fear of spilling it.” This is an example of:

Screening for alcohol use would be appropriate when the client reports a history of accidents.

What is the significance of sweats?

Spontaneous uterine bleeding after 12 consecutive months without menstrual bleeding requires medical referral.

Which of the following are red flags to consider when screening for systemic or viscerogenic causes of neuromuscular and musculoskeletal signs and symptoms:

You should assess clients who are receiving NSAIDs for which physiologic effect associated with increased risk of hypertension?

Instruct clients with a history of hypertension and arthritis to:

Alcohol screening tools should be:

What is the best follow-up question for someone who tells you that the pain is constant?

A 52-year-old woman with shoulder pain tells you that she has pain at night that awakens her. After asking a series of follow-up questions, you are able to determine that she had trouble falling asleep because her pain increases when she goes to bed. Once she falls asleep, she wakes up as soon as she rolls onto that side. What is the most likely explanation for this pain behavior?

Referred pain patterns associated with impairment of the spleen can produce musculoskeletal symptoms in:

Associated signs and symptoms are a major red flag for pain of a systemic or visceral origin compared to musculoskeletal pain.

Words used to describe neurogenic pain often include:

Pain (especially intense bone pain) that is disproportionately relieved by aspirin can be a symptom of:

Joint pain can be a reactive, delayed, or allergic response to:

Bone pain associated with neoplasm is characterized by:

Pain of a viscerogenic nature is not relieved by a change in position.

Referred pain from the viscera can occur alone but is usually preceded by visceral pain when an organ is involved.

A 48-year old man presented with low back pain of unknown cause. He works as a carpenter and says he is very active, has work-related mishaps (accidents and falls), and engages in repetitive motions of all kinds using his arms, back, and legs. The pain is intense when he has it, but it seems to come and go. He is not sure if eating makes the pain better or worse. He has lost his appetite because of the pain. After conducting an examination including a screening exam, the clinical presentation does not match the expected pattern for a musculoskeletal or neuromuscular problem. You refer him to a physician for medical testing. You find out later he had pancreatitis. What is the most likely explanation for this pain pattern?

When assessing the abdomen, what sequence of physical assessment is best? 1.) [blank_start]Inspection[blank_end] 2.) [blank_start]Auscultation[blank_end] 3.) [blank_start]Percussion[blank_end] 4.) [blank_start]Palpation[blank_end]

A line drawn down the middle of a lesion with two different halves suggests:

Pulse strength graded as 1 means:

During auscultation of an adult client with rheumatoid arthritis, the heart rate gets stronger as she breathes in and decreases as she breathes out. This sign is:

Body temperature should be taken as part of vital sign assessment:

A 23-year-old female presents with new onset of skin rash and joint pain followed 2 weeks later by GI symptoms of abdominal pain, nausea, and diarrhea. She has a previous history of Crohn’s disease, but this condition has been stable for several years. She does not think her current symptoms are related to her Crohn’s disease. What kind of screening assessment is needed in this case?

Pursed-lip breathing in the sitting position while leaning forward on the arms relieves symptoms of dyspnea for the client with:

Palpitations lasting for hours or occurring in association with pain, shortness of breath, fainting, or severe lightheadedness require medical evaluation.

Peripheral vascular diseases include:

Which statement is the most accurate?

What are the primary signs and symptoms of CHF?

When would you advise a client in physical therapy to take his/her nitroglycerin?

Neurologic symptoms such as muscle weakness or muscle atrophy may be the first indication of:

Back pain with radiating numbness and tingling down the leg past the knee does not occur as a result of:

Pain associated with pleuropulmonary disorders can radiate to the:

The presence of a persistent dry cough (no sputum or phlegm produced) has no clinical significance to the therapist.

Dyspnea associated with emphysema is the result of:

The presence of pain and anxiety in a client can often lead to hyperventilation. When a client hyperventilates, the arterial concentration of carbon dioxide will do which of the following?

Common symptoms of RESPIRATORY ACIDOSIS would be most closely represented by which of the following descriptions?

Bleeding in the gastrointestinal (GI) tract can be manifested as:

What is the significance of Kehr’s sign?

What areas of the body can GI disorders refer pain to?

A 56-year-old client was referred to PT for pelvic floor rehab. His primary symptoms are obstructed defecation and puborectalis muscle spasm. He wakes nightly with left flank pain. The pattern is low thoracic, laterally, but superior to iliac crest. Sometimes he has buttock pain on the same side. He doesn’t have any daytime pain but is up for several hours at night. Advil and light activity do not help much. The pain is relieved or decreased with passing gas. He has very tight hamstrings and rectus femoris. Change in symptoms with gas or defecation is possible with:

Which of the following are common medications, taken by clients seen in a physical therapy practice, that are likely to induce GI bleeding.

Which of the following are clues to the possible involvement of the GI system?

A 65-year-old client is taking OxyContin for a “sore shoulder.” She also reports aching pain of the sacrum that radiates. The sacral pain can be caused by:

Body temperature should be taken as part of vital sign assessment: