Clinical Skills: Documentation, History‑Taking, Interviewing
Interviewing, Communication & Standardized Patients
OMM: Palpation, AGR, TART, Structural Exam
OMM Biomechanics & Techniques
ANS, Viscerosomatic Reflexes, Embryology, Dermatology, PV/Lymph
200
This part of the SOAP note contains the chief complaint, HPI, PMH, medications, allergies, social history, family history, and ROS.
Subjective
200
This interviewing skill requires the clinician to encourage the patient’s narrative using open‑ended prompts before narrowing with guided questions.
Active/Attentive Listening
200
This screening method identifies the region with the most severe bilateral motion restriction before segmental diagnosis.
Area of Greatest Restriction (AGR)
200
This cervical joint provides 50% of total cervical rotation.
Atlantoaxial joint (AA, C1–C2)
200
These spinal levels provide sympathetic innervation to the foregut.
T5-T9
Bonus: what structure provides parasympathetic innervation
400
This mnemonic—OLD CAAARTS PPP—guides the structure of a complete history of present illness.
Onset, Location, Duration, Character, Aggravating/Alleviating, Associated symptoms, Radiation, Timing, Severity, Prior occurrence, Progression, Perceived cause
400
This standardized patient rule requires students to document only what they actually elicited or performed.
SOAP note integrity / No undocumented information
400
What are the four aspects of TART?
T: Tissue Texture Abnormalities
A: Asymmetry
R: Restriction
T: Tenderness
400
This cervical joint primarily performs flexion and extension with coupled rotation and sidebending in opposite directions.
Occipitoatlantal joint (OA)
400
These sacral segments provide parasympathetic innervation to the hindgut and pelvic organs.
S2-S4
600
What calculation is used to quantify tobacco exposure?
Pack‑years: multiplying packs per day by years smoked
600
This phrase should end every line of questioning to ensure completeness during SP encounters.
Anything Else?
600
This palpatory principle teaches clinicians to move slowly, melt into tissues, and assess layer by layer from skin to bone.
Layer by Layer Palpations
600
These principles describe neutral group mechanics (Type I), non‑neutral single‑segment mechanics (Type II), and the effect of motion in one plane on the others.
Fryette's Principles
Bonus: which is which
600
This phenomenon describes a hyperexcitable spinal segment requiring less afferent stimulation to trigger impulses.
Segmental Facilitation
800
This part of the general assessment begins the moment you see the patient and continues throughout the encounter?
General Appearance / Initial Observation
800
This Objective component of the SP physical exam must always be performed and documented, regardless of chief complaint.
Vital Signs
800
his gait phase occurs when the foot is on the ground, comprising about 60% of the gait cycle.
Stance Phase
800
This direct, active technique uses patient muscle contraction against physician counterforce to move tissues toward a new restrictive barrier.
Muscle Energy (ME)
800
These five P’s: pain, pallor, pulselessness, paresthesias, paralysis, describe this emergent vascular condition.
Acute arterial occlusion
1000
What are the 5 Ps for sexual activity?
partners, practices, past history, protection, and pregnancy plans
1000
This type of feedback is given immediately after SP encounters to reinforce communication and clinical skills.
Direct SP Feedback
1000
This landmark located at the highest point of the iliac crest, is the most reliable surface marker for identifying this lumbar vertebra.
L4
1000
This indirect technique treats tender points by placing tissues in a position of ease for 90 seconds before slowly returning to neutral.
Counterstrain
1000
What lesion pattern is this and what disease caused it?
Cluster - Herpes Simplex