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Flashcards in Model Procedural Protocol Deck (15)
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1
Q

what are the 13 steps of a physical examination?

A

(STEP 2 MPP)

1) general inspection
2) vitals examination
3) Cranial nerve examination
4) Visceral examination
5) Cerebellar and proprioception evaluation
6) multimodal examination
7) sensory examination
8) muscle strength examination
9) Deep Tendon Reflex examination
10) Superficial, pathological, Visceral reflexes
11) Range of Motion
12) Orthopedic (cervical, thoracic, lumbar, pelvic) Tests
13) Orthopedic Focused complaint tests

2
Q

what are the 5 steps of a chiropractic evaluation?

A

(ALSO STEP 2 MPP)

1) instrumentation
2) static palpation
3) motion palpation
4) leg lengths
5) X-Ray analysis

3
Q

what are the 11 special studies and procedures?

A

(STEP 3 MPP)

1) Radiographic studies
2) labratory studies
3) MRI
4) Ct Scan
5) EMG/NCV
6) EEG
7) EKG
8) Bone Scan
9) Myelography
10) AngioGraphy
11) Thermography

4
Q

what should you do after performin steps 1-3 of the Model Procedural Protocol?

A

(STEP 4) SYSNTHESIS/ASSESMENT

  • explore and group together clues
  • create a problem list in order of priority from life-threatening to non-life-threatening
5
Q

what do you do for STEP 5 working diagnosis?

A

-formulate the working diagnosis that would account for the problems listed

6
Q

what are the three options for a Theurapeutic program?

A

1) Chiropractic management plan
2) Concurrent care
3) Referral for care

7
Q

what could you do under a chiropractic management plan?

A

1) ADJUSTMENTS!!!
2) Physical therapy
3) supports
4) work instructions
5) sleep instructions and activity instructions
6) Exercise instructions
7) Diet instructions

8
Q

what are the two steps of a Report of Findings?

A

1) review findings with the patient and explain impressionof the problem
2) Recommend a therapeutic program

9
Q

what are the four questions all patients what the answers to?

A

1) what is wrong
2) can you help
3) How long will it take
4) how much will it cost

10
Q

what should the informed consent include?

A

1) Diagnosis
2) management plan
3) date
4) patient’s signature

11
Q

What step would you take S.O.A.P notes?

A

STEP 8 Therapeutic Trial

They are recorded on each visit

12
Q

What are S.O.A.P notes?

A

Subjective Findings
Objective Findings
Assesment
Plan

13
Q

what are the procedures of STEP 9?

A
REEVALUATION/REASSESSMENTS
-full exam done yearly or after injury
-regional exam performed every visit
Review symptoms
Repeat examinations if indicated
Repeat special studies if indicated
14
Q

what MPP STEPS do you use to determine the patient status?

A

STEP 6
Step 8
STep 9

15
Q

what are the four things to Patient Status STep 10

A

1) continure with therapeutic program
2) modify therapeutic program
3) recommend consultation or referral
4) dismiss the patient for that condition if they have reached maximum medical improvement