NEW
Font size
Worksheetsphysiotherapy assesssment and clinimetrics
Total questions: 18
Worksheet time: 9mins
Pain perceived in the shoulder when a patient reaches for an object above 90° of reflection should be classified under the ICF as:
Activity
Participation
Function
Structure
Environmental factors
Mark the CORRECT answer:
ICD-10 provides a functional diagnosis to the physiotherapist
The components of the ICF are two types: functioning/disability on one hand, and contextual factors on the other
The ICF provided an exclusive functional diagnosis for the physiotherapist
All statements are INCORRECT
Mark the CORRECT answer:
Visceral pain is often confused with somatized musculoskeletal pain
Neuralgic pain is exclusive to radiculopathy
Inflammatory pain usually has an important nocturnal component
A and C are correct
B and C are correct
Horner’s signs may be associated with:
Tumor in lung apex
Lumbar instability
Major cranio-cervical instability
Pelvic tumor
Large lumbar disc herniation
A patient points with one finger to pain over the right lateral region of the neck, next to the C5 spinous process. What is the most likely pain source?
Right C5-C6 facet joint
Left C5-C6 facet joint
Right upper trapezius muscle, upper fibres
Right C6 nerve root
Nuchal ligament
Mark the correct answer regarding the physiotherapy act:
Whenever a technique is applied, the patient must be kept informed
The professional recording the clinical history must identify themselves
Each professional will have their own clinical record and be responsible for its custody
A and B are correct
B and C are correct
Mark the correct answer:
Breach of professional secrecy is a crime covered by civil law
When completing a clinical history, verbatim transcription of the patient’s information is allowed
A physiotherapy progress report has a different structure from the discharge report
None of the above
An orthopaedic test with sensitivity of 55% and specificity of 93% is:
Good for diagnosing the pathology of negative
Good for ruling out the pathology of negative
Good for diagnosing the pathology is positive
Good for ruling out the pathology if positive
None is correct
Which of the following diagnostic validity indices must be very low for the test to be valid?
Negative likelihood ratio
Positive likelihood ratio
Negative predictive value
Positive predictive value
Reliability
Mark the correct answer regarding the PDI (pain disability index):
It’s a disability scale associated with low back pain
It’s maximum score is 70
The higher the score, the better the patients condition
The Spanish cross-cultural adaptation was done by Dr. Kovacs’ team
Factor analysis showed division into 3 dimensions: daily activities, leisure activities and vital activities
Which of the following types of interviews would be preferred by a physiotherapist?
Patient-oriented interview model
Directed or structured interview to take less time
Semi-structured interview
Health-provider-oriented interview based on beneficence
A and C are correct
Regarding factors influencing joint range of motion (Rom):
When have greater ROM due to pelvic structure and hormonal factors
Body mass index is a determining factor
Passive warm-up and dynamic stretching increase ROM
Examiner experience doesn’t influence results
A and C are correct
If we find the following goniometric measurement: 120°/15°/0°, we would say:
The patient has 120° flexion, 15° abduction and 0° extension
The patient has 105° total flexion, but there is 15° flexion
The patient has 120° extension, 15° internal rotation and 0° flexion
The patient has 135° total flexion
All answers are incorrect
Regarding active joint ROM, mark the INCORRECT answer:
If there’s pain, it doesn’t allow us to discriminate between contractile and non-contractile components
Active ROM is less than passive ROM
Its measurement allows us to guide the rest of the physical exam
It consists of the patient performing the movement with the therapists help
It informs us about coordination, strength and ROM
Regarding assessment of muscle strength using active movement against resistance (isometric manual tests):
They can be used to assess function with minimal resistance
A main limitation is they cannot be used for joints with limited mobility
If the muscle is tensed energetically and painlessly, there is no musculo-tendinous lesion
They can be used to assess the whole limb’s musculature
All are correct
To make the muscle strength test as sensitive and reliable as possible, mark the incorrect:
Place the patient in their most comfortable position
Be able to palpate and detect muscl activity
Be sensitive to identify differences in muscle volume
Know the effect of fatigue on results and diseases sensitive to it (e.g, myasthenia gravis)
Know muscle action and fiber direction
Mark the CORRECT answer regarding the BESS (Balance Error Scoring System):
If our patient scores 56, they have a low risk of falling
It evaluates balance through 14 items
If our patient can only reach a certain distance, they may have a high risk of falls
It is the test or choice for evaluating athletes after concussin
It’s the adapted version for children of another scale
Regarding trendelenburg gait, mark the correct answer:
It may suggest neuromuscular impairment
My patient may have circulation problems causing limping
Characterised by disappearance of arm swing with trunk antepulsion
Typical in patients with gluteal muscle weakness
A and D are correct
