Patient Assessment and Evaluation Flashcards
7 cards from real COKO 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 Assessment and Evaluation flashcards as text
During a postural assessment, a kinesiologist observes that a client's right shoulder is elevated and the head is laterally flexed to the right. This pattern is most consistent with which condition?
Answer: Right-sided upper trapezius hypertonicity
Ipsilateral shoulder elevation combined with lateral head flexion toward that side typically indicates hypertonicity of the upper trapezius on that same side.
A kinesiologist is assessing a client's knee using the McMurray test. The test is considered positive when the client reports which finding?
Answer: A palpable or audible click with pain during knee rotation and flexion
A positive McMurray test is indicated by a palpable or audible click accompanied by pain during combined rotation and flexion of the knee, suggesting meniscal pathology.
When documenting a client's pain using the SOAP note format, where would you record the client's self-reported pain level of 6/10?
Answer: Subjective
Self-reported information, including pain ratings given by the client, is recorded in the Subjective section of a SOAP note.
A kinesiologist performs a Thomas Test and observes that when the tested hip is passively extended, the contralateral knee extends slightly. This finding suggests tightness in which structure?
Answer: Hip flexors and rectus femoris
In the Thomas Test, failure to fully extend the hip combined with contralateral knee extension indicates tightness of the hip flexors and rectus femoris.
Which outcome measure is most appropriate for tracking functional mobility and fall risk in older adult clients in a kinesiological assessment?
Answer: Timed Up and Go (TUG) test
The Timed Up and Go test is a validated, widely-used measure of functional mobility and fall risk specifically designed and normed for older adults.
During a gait assessment, a kinesiologist notes that a client demonstrates contralateral hip drop during single-leg stance. This observation is most indicative of weakness in which muscle group?
Answer: Ipsilateral hip abductors
Contralateral (Trendelenburg) hip drop during stance indicates weakness of the ipsilateral hip abductors, which normally stabilize the pelvis during single-leg support.
A kinesiologist is conducting a pre-participation health screening. A client discloses a family history of sudden cardiac death in a first-degree relative before age 50. What is the most appropriate next step?
Answer: Refer the client to a physician before initiating any exercise program
Family history of premature sudden cardiac death is a significant cardiovascular risk flag that requires medical clearance before initiating an exercise program.