Deck 1: Introduction to Screening for Referral in Physical Therapy

Question 1

Which element of the patient management model, according to the Guide to Physical Therapist Practice, consists of assessment or judgment of the patient's data/condition?

A) Examination
B) Evaluation
C) Prognosis
D) Diagnosis

Answer 1

B
Examination is defined as a history, systems review, and tests and measures according to the patient's condition. Diagnosis is determined within the scope of practice, and prognosis is the projected outcome.

Question 2

Which of the following is not one of the four categories of preferred practice patterns in the Guide to Physical Therapist Practice?

A) Musculoskeletal
B) Integumentary
C) Visceral
D) Neuromuscular

Answer 2

C
Although they are not diagnostic labels, the Guide groups the preferred practice patterns into four categories of conditions that can be used to guide the examination, evaluation, and intervention. These include musculoskeletal, neuromuscular, cardiovascular/pulmonary, and integumentary categories.

Question 3

Which of the following is a symptom?

A) Unusual skin color
B) Hematoma
C) Effusion
D) Pain

Answer 3

D
Signs can be seen, heard, smelled, measured, photographed, shown to someone else, or documented in some other way. Symptoms are a reported indication of disease that are perceived by a client but cannot be observed by someone else.

Question 4

A physical therapist finds a yellow flag symptom during the screening process of a new patient. What is the appropriate action by the physical therapist?

A) Make an appropriate referral.
B) Send the patient to the emergency department immediately.
C) Slow down and think about the need for further screening.
D) Aggressive further screening is required.

Question 5

What type of physical therapy describes a philosophy of whole-person care?

A) Direct access
B) Autonomous practice
C) Secondary care physical therapy
D) Primary care physical therapy

Question 6

Neuromuscular signs and symptoms are sometimes observed in clients receiving physical therapy because of an adverse reaction. What is the most likely source of this adverse reaction?

A) Visceral pain mechanisms
B) Comorbidities
C) Lack of progress with physical therapy interventions
D) Side effects of medication

Question 7

What is the purpose of the review of symptoms during the screening progress?

A) Guide the physical therapist to the appropriate intervention
B) Help diagnose the patient's specific dysfunction
C) Recognize clusters of associated signs and symptoms
D) Speed the evaluation process

Question 8

What state was the first to pass a scope of practice law that allowed direct access to physical therapists?

A) California
B) Nebraska
C) New York
D) Ohio

Question 9

Symptoms that present bilaterally are always

A) Yellow flags
B) Red flags
C) Originated in the peripheral nervous system
D) Originated in the central nervous system

Question 10

Which of the following is defined as a comparison of symptoms of similar diseases and laboratory/procedure results?

A) Physical therapy and differential diagnosis
B) Evaluation
C) Medical differential diagnosis
D) Examination

Question 11

When a serious disorder is missed during the physical therapy screening process, what is the most likely cause of this mistake?

A) Lack of special tests
B) Lack of proper referrals
C) Lack of adequate history
D) Lack of diagnostic testing

Question 12

Which of the following would not be a red flag for a physician referral during a physical therapy screening?

A) Resting systolic rate 200 mm Hg
B) Resting heart rate 100 beats/min
C) Unusual fatigue
D) Blood in urine

Question 13

According to the Goodman Screening for Referral Model, what should be done first when screening a patient?

A) Medical history
B) Personal and family history
C) Risk factor assessment
D) Clinical presentation

Question 14

What is the key to prevention of further significant comorbidities or complications of a medical problem?

A) Early detection and referral
B) Proper special testing
C) Correct imaging studies
D) Direct access by a physical therapist

Question 15

Risk factor assessment and risk reduction fall under which type of disease prevention?

A) Primary prevention
B) Secondary prevention
C) Tertiary prevention
D) Health promotion and wellness