Patient Evaluation & Treatment Planning Flashcards
7 cards from real CMT practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Patient Evaluation & Treatment Planning flashcards as text
When using the International Classification of Functioning (ICF) model in treatment planning, 'participation restrictions' refers to:
Answer: Problems experienced in involvement in life situations
Participation restrictions in the ICF model describe problems a person experiences in involvement in life situations, such as inability to return to work or recreational activities.
A patient's muscle energy technique (MET) treatment session reveals that the right sacral sulcus is deep, the right inferior lateral angle (ILA) is posterior-inferior, and the lumbosacral spring test is positive. This presentation is consistent with:
Answer: Right-on-right forward sacral torsion
A deep right sulcus with a posterior-inferior right ILA and a positive spring test on the sacral base indicates right-on-right forward sacral torsion.
Which red flag finding during a patient intake warrants immediate medical referral before initiating manual therapy?
Answer: Saddle anesthesia with recent bowel/bladder dysfunction
Saddle anesthesia combined with bowel or bladder dysfunction suggests cauda equina syndrome, a surgical emergency requiring immediate medical referral.
A treatment plan goal is measurable if it includes which of the following components?
Answer: A specific, quantifiable criterion for success with a target date
Measurable goals must specify a quantifiable criterion (e.g., pain ≤2/10, ROM ≥120°) and include a target date to allow objective tracking of progress.
During palpation of lumbar segments, a manual therapist identifies a rigid vertebra with restricted spring and tenderness. The most appropriate initial intervention would be:
Answer: Grade I oscillation to reduce pain and promote fluid exchange
Grade I oscillations are appropriate for acutely painful, restricted segments as they work within pain-free range to promote neurophysiological pain inhibition.
The concept of 'joint end-feel' during passive range of motion testing helps the therapist distinguish between:
Answer: Normal anatomical limits and pathological restrictions
End-feel quality (firm, hard, empty, springy, boggy) reveals whether a range of motion limit is a normal anatomical boundary or a pathological restriction.
In a patient with chronic neck pain, the fear-avoidance model predicts that catastrophizing beliefs about pain will most likely lead to:
Answer: Avoidance behavior, disuse, and increased disability
According to the fear-avoidance model, catastrophizing leads to fear, avoidance of movement, disuse, and a self-perpetuating cycle of increased disability.