Scanning Examination and Blood Pressure Assessment
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Questions and Answers

What is one situation where the scanning examination is particularly useful?

  • No previous surgeries on the spine
  • History of multiple traumas
  • Normal sensation in the limb
  • Presence of radicular signs (correct)
  • Which of the following is NOT a part of the spinal assessment during the scanning examination?

  • Sensory scan of spine
  • Active movements
  • Joint play (correct)
  • Peripheral joint scan
  • How does the scanning examination impact the overall assessment time?

  • It adds a few minutes to the assessment (correct)
  • It significantly reduces the assessment time
  • It has no effect on the assessment time
  • It varies depending on the examiner
  • Which assessment is performed in both the spinal and peripheral assessments of the scanning examination?

    <p>Passive movements</p> Signup and view all the answers

    Who developed the concepts related to the scanning examination?

    <p>James Cyriax</p> Signup and view all the answers

    What is the minimum rest period recommended before taking a blood pressure measurement?

    <p>5 minutes</p> Signup and view all the answers

    Which classification indicates elevated blood pressure for an adolescent aged 13-15 years?

    <p>Systolic: 130-139, Diastolic: 85-89</p> Signup and view all the answers

    How should the cuff fit when measuring blood pressure?

    <p>It should be two-thirds of the upper arm's circumference.</p> Signup and view all the answers

    What action should be taken if blood pressure readings vary by more than 6 mm Hg?

    <p>Repeat the measurement.</p> Signup and view all the answers

    At what frequency should manometers used for taking blood pressure be calibrated?

    <p>Every six months</p> Signup and view all the answers

    What is the role of a nerve root in relation to the spinal cord?

    <p>It connects to the spinal cord and supplies multiple peripheral nerves.</p> Signup and view all the answers

    Which of the following nerve roots contribute to the median nerve?

    <p>C6, C7, C8, and T1</p> Signup and view all the answers

    What might symptoms from a nerve root lesion resemble?

    <p>Peripheral nerve symptoms but differ in signs.</p> Signup and view all the answers

    What is a critical component of a sensory scan during examination?

    <p>Utilization of concepts like 'contractile' and 'inert' tissues.</p> Signup and view all the answers

    Which examination method helps differentiate dermatomes from peripheral nerve distributions?

    <p>Thorough physical examination.</p> Signup and view all the answers

    What is the main purpose of the observation phase in an assessment?

    <p>To gain information on visible defects and abnormalities</p> Signup and view all the answers

    Which of the following is NOT a type of pain behavior observed in patients?

    <p>Flagging</p> Signup and view all the answers

    When observing a patient's posture, what should the examiner look for?

    <p>asymmetries relevant to the assessed problem</p> Signup and view all the answers

    Which bony landmarks should align in a normal body alignment from the side?

    <p>Tip of the nose, xiphisternum, umbilicus</p> Signup and view all the answers

    What is a Trendelenburg sign associated with?

    <p>Pelvic drop due to weak hip abductors</p> Signup and view all the answers

    What type of deformity resolves when posture changes?

    <p>Functional deformities</p> Signup and view all the answers

    Which signs indicate muscle wasting in soft-tissue contours?

    <p>Visible lack of muscle definition</p> Signup and view all the answers

    During initial observation, how should the examiner analyze the patient?

    <p>Using their dominant eye for bilateral comparison</p> Signup and view all the answers

    What is the significance of pelvic position in posture assessment?

    <p>It affects the stability and alignment of the spine</p> Signup and view all the answers

    Which phrase best describes 'guarding' in pain behavior observation?

    <p>Abnormally stiff and interrupted movement</p> Signup and view all the answers

    What is the normal respiratory rate for toddlers aged 1-3 years?

    <p>20-30 breaths per minute</p> Signup and view all the answers

    What is the recommended order of testing during a physical examination?

    <p>Active movements first, passive movements second, followed by painful movements last</p> Signup and view all the answers

    What is a crucial step before performing an examination on a patient?

    <p>Obtaining valid consent from the patient</p> Signup and view all the answers

    Which of the following is NOT considered a red flag in examination?

    <p>Mild discomfort when moving</p> Signup and view all the answers

    At what age group does the heart rate range from 120 to 160 beats per minute?

    <p>Newborn (1-12 months)</p> Signup and view all the answers

    What should be the temperature for preschoolers aged 3-5 years?

    <p>98.6°F (37.0°C)</p> Signup and view all the answers

    During the examination, what should be evaluated first?

    <p>Active movements of the joint</p> Signup and view all the answers

    What should be avoided during joint movements in an examination?

    <p>Active movements that cause pain</p> Signup and view all the answers

    What is the weight range for infants aged 1-3 years?

    <p>4.5-7 kg</p> Signup and view all the answers

    During the ligamentous testing, what is emphasized?

    <p>Note the quality of the end feel</p> Signup and view all the answers

    What might indicate inflammation in a patient during an examination?

    <p>Heat, swelling, and redness</p> Signup and view all the answers

    What characterizes recent scars as opposed to older ones?

    <p>Recent scars tend to be red due to the presence of capillaries.</p> Signup and view all the answers

    What is the appropriate diastolic blood pressure range for school-age children (6-12 years)?

    <p>48-80 mmHg</p> Signup and view all the answers

    Which expression might indicate a patient's discomfort during examination?

    <p>Tense and apprehensive facial expression</p> Signup and view all the answers

    For adolescents aged 13-17 years, what is the normal diastolic blood pressure range?

    <p>55-105 mmHg</p> Signup and view all the answers

    Crepitus in the joints is characterized by which of the following?

    <p>Snapping, clicking, or grinding sounds</p> Signup and view all the answers

    What indicates that a patient may be experiencing severe symptoms during an examination?

    <p>Night pain that disrupts sleep</p> Signup and view all the answers

    What should be done if a movement causes a patient pain during examination?

    <p>Apply gentle pressure to the affected area</p> Signup and view all the answers

    What is the first step to be taken before examining a joint?

    <p>Obtain valid, informed consent from the patient</p> Signup and view all the answers

    Why is bilateral testing performed during a joint examination?

    <p>To establish a baseline for normal movement</p> Signup and view all the answers

    When should painful movements be performed during a joint examination?

    <p>Last, to prevent escalation of pain during the examination</p> Signup and view all the answers

    What should be considered when applying overpressure during the examination?

    <p>Use extreme caution to avoid exacerbating symptoms</p> Signup and view all the answers

    During which phase of examination is the end feel of a joint assessed?

    <p>During active range of motion (AROM)</p> Signup and view all the answers

    What is a key sign that may warrant immediate medical consultation?

    <p>Elevated body temperature especially prolonged</p> Signup and view all the answers

    What should be noted regarding symptoms during the examination?

    <p>Symptoms could be exacerbated during examination</p> Signup and view all the answers

    What is the purpose of myotome testing?

    <p>To identify any weakness in muscle groups related to nerve roots</p> Signup and view all the answers

    How should resisted isometric movements be performed?

    <p>In a neutral or resting position to minimize stress</p> Signup and view all the answers

    What should be monitored during repeated active or passive movements?

    <p>Changes in symptoms, movement patterns, or weakness</p> Signup and view all the answers

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