Station Exam Assessment Techniques

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Questions and Answers

What is the typical number of assessment techniques that may be indicated on the station exam?

  • 3-5
  • 10-12
  • 6-9 (correct)
  • 12-15

What is the crucial step the candidate should take before performing an assessment?

  • State which test is being performed (correct)
  • Ensure the test is performed bilaterally
  • Explain the purpose of the test to the patient
  • Instruct the patient on the expected movements

What should the candidate state to the patient before performing the assessment?

  • The purpose of the test
  • The general procedure of the test
  • The position the patient is expected to be in
  • All of the above (correct)

If the exam requires a bilateral assessment, what should the candidate state to the evaluators?

<p>That the test will be performed bilaterally (A)</p> Signup and view all the answers

What is the order in which the assessments must be performed during the exam?

<p>The tests do not have to be performed in any particular order (B)</p> Signup and view all the answers

What is the basic formula the candidate should follow for each assessment?

<p>Name, Purpose, Instructions, Bilateral (A)</p> Signup and view all the answers

What is the primary purpose of eliciting patient feedback during an assessment?

<p>To grade the test and determine if it is positive or negative (B)</p> Signup and view all the answers

Which of the following is NOT a necessary step in performing an assessment?

<p>Performing the actions of the test in a random order (D)</p> Signup and view all the answers

What should the candidate do if the assessment technique does not rely on patient feedback?

<p>Rely solely on their own observations and feelings (D)</p> Signup and view all the answers

Which of the following is NOT a necessary step in describing the findings of an assessment?

<p>Comparing the findings to a predetermined list of positive/negative criteria (D)</p> Signup and view all the answers

What should the candidate do before performing the assessment?

<p>Ensure the patient is in the appropriate position (C)</p> Signup and view all the answers

What is a key step in the 'Purpose' phase before performing the test?

<p>Stating the general procedure of the test to the patient (B)</p> Signup and view all the answers

During the 'Procedure' phase, what should be the candidate's main focus while assisting the patient?

<p>Ensuring patient's comfort and safety (C)</p> Signup and view all the answers

In the 'Findings' phase, what is the primary purpose of assigning a grade to the test finding?

<p>For evaluating the candidate's performance (B)</p> Signup and view all the answers

What should the candidate do regarding eliciting patient feedback during an assessment?

<p>Elicit feedback early to guide further assessment steps (B)</p> Signup and view all the answers

When assessing bilaterally, what should be clearly stated to the evaluators?

<p>The intent to perform identical actions on each side (D)</p> Signup and view all the answers

In which phase of the assessment process should the candidate describe what was felt or visualized during the test?

<p>'Findings' phase (A)</p> Signup and view all the answers

What is a crucial step for the candidate to follow for each test during the station exam?

<p>Inform the patient which assessment is being done (B)</p> Signup and view all the answers

Why is it important for the candidate to state the purpose of the test to the patient?

<p>To inform the patient of the reason for the test (D)</p> Signup and view all the answers

During the 'Instructions' phase, what should be stated to the patient?

<p>The general procedure of the test (D)</p> Signup and view all the answers

Which aspect should NOT be included when providing instructions to the patient?

<p>The candidate's favorite movie (C)</p> Signup and view all the answers

What is essential for the evaluators to know if the candidate is performing a test unilaterally during the exam?

<p>Whether both arms are being used (C)</p> Signup and view all the answers

Why is it recommended that tests do not have to be performed in the order listed on the exam?

<p>To allow flexibility and adaptability during testing (C)</p> Signup and view all the answers

What is the primary purpose of performing a palpation assessment according to the text?

<p>To identify any palpable abnormality within the structure, including tenderness on touch. (D)</p> Signup and view all the answers

What should the candidate do before performing the palpation assessment?

<p>Tell the patient where they will be placing their hands to start the palpation and where they will be moving their hands to. (B)</p> Signup and view all the answers

What is the crucial step the candidate should take before performing the palpation assessment?

<p>State that they will perform a palpation assessment and identify which anatomical structure they will be palpating. (B)</p> Signup and view all the answers

What should the candidate do during the 'Instructions' phase of the palpation assessment?

<p>Tell the patient what position they will need to be in for the most efficient and effective palpation of the given structure and what to expect from the candidate. (C)</p> Signup and view all the answers

What is the primary purpose of eliciting patient feedback during the palpation assessment?

<p>To identify any palpable abnormality within the structure, including tenderness on touch. (B)</p> Signup and view all the answers

What is a key step in the 'Purpose' phase before performing the palpation test?

<p>Identifying the purpose of performing the palpation assessment. (B)</p> Signup and view all the answers

What is a crucial step for the candidate to follow before performing the assessment?

<p>Explaining the purpose of the test to the patient (D)</p> Signup and view all the answers

What is the primary focus during the 'Procedure' phase when assisting the patient?

<p>Assisting the patient with the general procedure of the test (C)</p> Signup and view all the answers

What should the candidate do regarding eliciting patient feedback during an assessment?

<p>Asking for feedback on what the patient felt or experienced (B)</p> Signup and view all the answers

In which phase should the candidate describe what was felt or visualized during the test?

<p>Findings (D)</p> Signup and view all the answers

What should be clearly stated to the evaluators when assessing bilaterally?

<p>Whether the test is to be done unilaterally (D)</p> Signup and view all the answers

What is considered a common step in providing instructions to the patient?

<p>Describing movements or actions to be performed by the patient (B)</p> Signup and view all the answers

What is the primary purpose of the trail method used in palpating the anatomical structure?

<p>To provide greater certainty in finding the correct structure (A)</p> Signup and view all the answers

What should the candidate do when they have made contact with the correct anatomical structure during the palpation?

<p>Confirm that the location where their hands are placed is where they have identified the anatomical structure to be (B)</p> Signup and view all the answers

What is the candidate expected to do during the 'Check In' step of the palpation assessment?

<p>Check in with the patient about any discomfort, pain, or pressure (C)</p> Signup and view all the answers

What is the candidate expected to do during the 'Contact the Correct Structure' step of the palpation assessment?

<p>Confirm that where their hands are placed is where they have identified the anatomical structure to be (C)</p> Signup and view all the answers

What is the candidate expected to do during the 'Additional Step when Palpating a Muscle' of the palpation assessment?

<p>Palpate and contract the muscle simultaneously (B)</p> Signup and view all the answers

What is the starting landmark the candidate should use when palpating the biceps brachii muscle?

<p>The clavicle (B)</p> Signup and view all the answers

What action should the candidate ask the patient to do during muscle palpation?

<p>Contract the muscle (C)</p> Signup and view all the answers

What should the candidate focus on while palpating towards the insertion of a muscle?

<p>Outline the structure while checking in for tenderness (D)</p> Signup and view all the answers

During the 4 'T's of palpation, what should the candidate enquire about first?

<p>Any pain or tenderness in the area (A)</p> Signup and view all the answers

Why is it important for the candidate to state that they would palpate bilaterally if relevant?

<p>To compare structures and detect differences (C)</p> Signup and view all the answers

What does enquiring about pressure/tenderness during palpation indicate?

<p>Patient care and consideration (D)</p> Signup and view all the answers

Why should the candidate outline the structure while still checking in with the patient for tenderness during palpation?

<p>To demonstrate knowledge to examiners (B)</p> Signup and view all the answers

What is the basic formula the candidate should follow for each assessment during the station exam?

<p>Name the test, state the purpose, and provide instructions to the patient (C)</p> Signup and view all the answers

Why is it recommended that tests do not have to be performed in the order listed on the exam?

<p>To allow the candidate more flexibility in their assessment approach (C)</p> Signup and view all the answers

What should the candidate do before performing the palpation assessment?

<p>Ensure the patient is in the correct position and ready for the assessment (B)</p> Signup and view all the answers

During the 'Procedure' phase of the assessment, what should be the candidate's main focus while assisting the patient?

<p>Guiding the patient through any required movements or actions for the assessment (C)</p> Signup and view all the answers

Why is it important for the candidate to state the purpose of the test to the patient?

<p>To ensure the patient understands the reason for the assessment and is more likely to cooperate (C)</p> Signup and view all the answers

What should the candidate address when providing the clinical impression from a palpation assessment?

<p>The four 'T's: Tenderness, Tone, Texture, and Temperature (B)</p> Signup and view all the answers

How should the candidate state their findings for Tone, Texture, and Temperature during the palpation assessment?

<p>State exactly what they felt during palpation (D)</p> Signup and view all the answers

When should the candidate address the four 'T's during the palpation assessment?

<p>While they are still palpating and outlining the area (A)</p> Signup and view all the answers

How should the candidate address Tenderness during the palpation assessment?

<p>Reiterate what the standardized patient stated (B)</p> Signup and view all the answers

In which order should the candidate address the four 'T's during the palpation assessment?

<p>The order is not specified in the given information (C)</p> Signup and view all the answers

What is the main purpose of performing an acromioclavicular joint palpation assessment?

<p>To identify any abnormalities within the joint structure (B)</p> Signup and view all the answers

During the palpation assessment, where does the candidate typically place their hands before moving towards the AC joint?

<p>On the sternoclavicular joint (C)</p> Signup and view all the answers

What is the recommended positioning for the patient during an acromioclavicular joint palpation assessment?

<p>Laying down on their back (C)</p> Signup and view all the answers

What should the candidate do after palpating over the AC joint of the patient?

<p>Ask about any pain or tenderness experienced by the patient (A)</p> Signup and view all the answers

What is a crucial step before beginning a palpation assessment of the acromioclavicular joint?

<p>Having the patient lay down and providing knee support with a pillow (C)</p> Signup and view all the answers

What should the candidate confirm with the patient before beginning a palpation assessment?

<p>If they have any questions about the test (B)</p> Signup and view all the answers

What should the candidate do during the 'Instructions' phase of an assessment?

<p>State the general procedure of the test to the patient, including patient positioning, hand placement, movements, and bilateral assessment if applicable. (C)</p> Signup and view all the answers

Which of the following is NOT a necessary step when performing an assessment during the station exam?

<p>Providing a detailed anatomical description of the structures being assessed. (C)</p> Signup and view all the answers

Why is it recommended that tests do not have to be performed in the order listed on the exam?

<p>To provide flexibility in case some assessments are contraindicated. (B)</p> Signup and view all the answers

What is the crucial step the candidate should take before performing an assessment?

<p>State the name of the specific test being performed. (A)</p> Signup and view all the answers

If the exam requires a bilateral assessment, what should the candidate state to the evaluators?

<p>That the assessment will be performed bilaterally. (A)</p> Signup and view all the answers

What is a key step in the 'Purpose' phase before performing the test?

<p>Stating the purpose of the test to the patient. (C)</p> Signup and view all the answers

What is the primary purpose of performing a palpation assessment during the 'Check In' step?

<p>To ask the patient for feedback on the process (B)</p> Signup and view all the answers

Where does the candidate typically place their hands before moving towards the AC joint during the palpation assessment?

<p>On the sternoclavicular joint (B)</p> Signup and view all the answers

What is a common step for the candidate to follow before performing an assessment?

<p>Ask about any pain or discomfort experienced (B)</p> Signup and view all the answers

What should the candidate state to the patient during the 'Procedure' phase of the assessment?

<p>'I am moving laterally along your collarbone.' (D)</p> Signup and view all the answers

What aspect should NOT be included when providing instructions to the patient for an acromioclavicular joint palpation assessment?

<p>Order in which assessments will be performed (D)</p> Signup and view all the answers

Why is it crucial for the candidate to indicate on themselves where they will be palpating?

<p>To check for patient understanding (B)</p> Signup and view all the answers

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Study Notes

General Protocol for Assessment Techniques

  • 6-9 assessment techniques may be indicated on the station exam, which may vary by province
  • Each assessment technique follows the same basic formula:
    • Name: State which test is being performed
    • Purpose: State the purpose of the test to the patient
    • Instructions: State the general procedure of the test to the patient
    • Procedure: Perform the correct actions of the test in the correct order
    • Findings: Describe the findings of the test based on the assessment technique

Palpation Assessment Technique

  • Palpation is a valuable assessment tool for Massage Therapists
  • The candidate must demonstrate their ability to perform a quality palpation assessment on the correct anatomical structure
  • Steps for palpation assessment:
    1. Name the test: State which test is being performed and identify the anatomical structure being palpated
    2. Purpose of the test: Identify the purpose of performing the palpation assessment
    3. Patient instructions: Inform the patient of the position they need to be in, what to expect, and where the candidate will be placing their hands
    4. Palpating the anatomical structure:
  • Step 1: Position the patient
  • Step 2: Identify the starting landmark and direction of movement
  • Step 3: Check in with the patient about discomfort, pain, or pressure
  • Step 4: Contact the correct structure and confirm with the patient
  • Step 5: Additional step for palpating a muscle (ask the patient to contract the muscle)
  • Step 6: Outline the structure while checking in with the patient for tenderness
  • Step 7: Check in about pressure/tenderness during the palpation (one of the 4 "T"s of palpation)

4 "T"s of Palpation

  • Tenderness: Enquire about pain or tenderness in the area
  • Tone: State exactly what was felt during palpation
  • Texture: State exactly what was felt during palpation
  • Temperature: State exactly what was felt during palpation

Example of Acromioclavicular Joint Palpation

  • Introduce the test: "I am going to be performing a palpation assessment of the acromioclavicular joint"
  • Purpose of the test: "The purpose of performing a palpation assessment is to identify any palpable abnormality within the structure including tenderness on touch"
  • Positioning: "I will have you lay down on your back, and I will place a pillow under your knees for comfort"
  • Instructions: "I will then place my hands along your collarbone, then move outward towards your AC joint, which is here"
  • Check-in: "Do you have any questions about this test before I begin? Is it okay if I proceed with this test?"
  • Procedure: "I am going to be placing my hands on the sternoclavicular joint and moving laterally along the clavicle. Is my pressure okay? Any pain or discomfort?"
  • Locating the structure: "I am now over the AC joint. Are you experiencing any pain or tenderness as I palpate this area?"
  • Palpating the structure: "The patient has indicated that they are not (or are) experiencing tenderness over the joint as I palpate it"

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