CIL 7/CLL 3 Final study guide

OATS should be monitored and reassessed at each patient visit?

False - reassessed at re-eval

A patient should fill out an OAT form for each complaint they have?

False

A family history of diabetes should be noted as a comorbidity to a patient's diagnosis?

False - risk factor

Tracking must be done for a maximum 2 months past the date of the last documented symptom for nay given complaint?

False - 3 months

Taking a thorough history is important for many reasons. These reasons include all of the following EXCEPT

Letting the patient vent about their job

3 multiple choice options

A patient notes in his ROS that he has previously had headaches. He did not list headaches among his complaints. What is your next step as an intern?

Ask the patient when he last had a headache

3 multiple choice options

During the exam it is not necessary to make detailed notes of the specific type of pain and location of pain?

False

A patient reports low back pain that began 1 year ago, and occurs 4 hours/day, 4 days/week. She rates the pain as 4-5/10 most of the time. Which of the following most closely describes her complaint?

chronic, slight-moderate, occasional lumbalgia

3 multiple choice options

A patient reports experiencing headaches "her whole life", 2 days/month, 6 hours/day. She rates the pain as 8/10 most of the time. Which of the following most closely describes her complaint?

chronic, severe, infrequent cephalgia

3 multiple choice options

A patient reports pain below the right scapula after being tackled in a rugby match one week ago. He rates the pain as 6-7/10, occurring 16 hours/day, 7 days/week. Which of the following most closely describes his complaint?

subacute, moderate, constant thoracic and rib pain

3 multiple choice options

To help your patient, and ensure your paperwork is complete, you may record and write in information for your patient, especially if they implied it?

False - NEVER

Patients with multiple complaints can fill out all their complaints on the Reason For Seeking Care form.

False - multiple complaints use Additional forms

Which of the following is NOT considered a co-morbidity?

Disc herniation

3 multiple choice options

All spinal regional exams are to be performed on every patient regardless of their complaint(s}?

False

In order to save time, you may start your exam while waiting for a floor doctor to sign off on your Case History "Boxes" page?

False

You have been giving care to a patient for 2 weeks and they come in with a new complaint. Your next step is to:

Have them fill outa new complaint form

3 multiple choice options

If a patient is asymptomatic, they can still mark the pain diagram with areas of workout soreness and tension?

False

Your reciprocal this quarter was considered what type of patient?

Transfer patient

3 multiple choice options

Please place the following items in order on the right side of the file.

Newer PDCS > Past paper soaps > most recent exam > Older exams > Original exam > lab requests > DACBR report

3 multiple choice options

Place the following components of your Transfer Exam in order:

OATs > Wellness questionnaire > ROS > Boxes page > Chiro screening exam > Ortho pages > Summary or findings/xray request > Xray narrative

3 multiple choice options

Where do the OATS go in the file?

after the complaints page(s)

3 multiple choice options

All of the following should be documented when taking a history for items circled on the ROS EXCEPT:

these are all correct answers

3 multiple choice options

A new patient comes in with a primary complaint of neck pain. All of the following forms will be completed before the physical exam after approval from a doc EXCEPT:

PDI

3 multiple choice options

All of the following should be documented in the Pain/Type box on the exam except:

positive or negative tests

3 multiple choice options

For this case, what is the best complaint with modifiers?

Subacute constant moderate-to-severe mid back pain with referred pain to the front of her torso

3 multiple choice options

For this case, what is most likely the primary area of subluxation?

Rib Cage

3 multiple choice options

For this case, what is the most likely primary area of spinal subluxation?

Thoracic Spine

3 multiple choice options

For this case, what is the BEST most likely condition given the details provided?

Rib fracture

3 multiple choice options

For this case, what would be the best differential diagnosis?

Bony (Rib) Contusion

3 multiple choice options

For this case, based on your best primary diagnosis, all of the following exams would help rule in your diagnosis EXCEPT:

Valsalva

3 multiple choice options

For this case, which of the following are applicable to be performed?

PDI, Rand-36, Thoracic exam, PHQ-9

3 multiple choice options

For this case, what is/are the co-morbidity/ies (if there are any}?

MM Depression

3 multiple choice options

For this case, what could present as a complicating factor for her healing?

The coach pushing her to get back to working out too soon

3 multiple choice options

During the exam it is necessary to make detailed notes of the specific type of pain and location of pain.

True

A patient should fill out an OAT form for each complaint they have.

False - one functional OATs

If a patient is asymptomatic, no OAT forms need to be completed.

False

A patient reports low back pain that began 1 year ago, and occurs 4 hours day, 4/10 NPRS.

chronic, slight, occasional lumbalgia

3 multiple choice options

A patient reports experiencing headaches "her whole life", 2 days month, 6 hours day. She rates the pain as 8/10 most of the time. Which of the following most closely describes her complaint?

chronic, infrequent, severe cephalgia

3 multiple choice options

A patient notes in his ROS that he has previously had headaches. He did not list headaches among his complaints. What is your next step as an intern?

Perform a cranial nerve exam

Ask the patient when he last had a headache

Have the patient complete a Headache History form

Have the patient complete a MIDAS form

Have the patient complete an HDI form

Ask the patient when he last had a headache

All of the following should be documented in the Pain/Type box on the exam except:

referred pain

type of pain

laterality of pain

location of pain

positive or negative tests

positive or negative tests

A patient with low back pain circles C (current) on the ROS for headache. Your next step is to:

Double check the date of their last headache and have them fill out the Headache History form if appropriate.

T/F: You can take the file to your classroom and work on correcting Blue Dots.

F