RED FLAGS
unable to ambulate immediately following injury, pinpoint tenderness to one of the following regions: navicular, metatarsal, distal fibula/malleolus, distal tibia/malleolus
ankle fracture
What is the grade given to a reflex that is considered normal?
2+
What does the APTA stand for?
American Physical Therapy Association
What is the MAX number of timed units that can be billed if you see a patient for 34 minutes? (AMA)
4 units (at least 8 min per separate timed unit)
landed awkwardly on ankle while playing soccer 1 week ago, pain localized to lateral ankle and tender, negative ottowa ankle rules, positive ankle anterior drawer and talar tilt
lateral ankle sprain
SUDDEN numbness or weakness unilaterally in face/arm/leg, confusion, difficulty with vision, moving, and balance, severe headache without know cause, nausea or vomiting
stroke
What MMT value is classified as "Full ROM against gravity, mild resistance"?
4-/5
How many clinicians are currently employed at Prevail PT?
10 (including Bruk)
In order to comply with the PTA - PT visit rule, how many visits can the PTA see a patient before needing to see a PT?
4 visits (sees PT on 5th)
Front knee pain onset overtime in the last month or so after taking up running, went from 0 miles to 20 per week. Localized to anterior knee inferior to knee cap, tender, positive anterior step down test.
Patellar Tendonitis
post operative, unilateral LE swelling, tenderness in calf, discoloration and changes in skin temperature, paresthesia in affected lower leg
deep vein thrombosis (DVT)
What 5 things make up the clinical predication rule for meniscal pathology?
- History of catching or locking reported by the patient
- Joint line tenderness
- Pain with forced hyperextension (modified bounce home test)
- Pain with maximal passive knee flexion
- Pain or audible click with McMurray's maneuver
What business was previously in this building space right before Prevail PT?
Action Auto Parts
According to Prevail PT cheat sheet, which 3 insurances follow the 8-Minute Rule for billing?
Medicare, VA, Triwest
Onset after bending over to grab 45# plate, sharp pain in low back, at its worse can feeling shooting symptoms down the back of the leg and into foot. Positive slump and passive SLR. worsens with lumbar flexion, improves with extension
Discogenic Low back pain with radiculopathy
History of Smokers, hypertensions, CVD, other aneurysms, atherosclerosis. Palpation of abdominal aorta that is outside 2 finger lengths left from the belly button
abdominal aortic aneurysm
What is the Minimally Clinically Important Difference (MMCID) for the Oswestry Disability Index?
9-15 pts (different papers have multiuple findings)
What is the name of Phil Arminger's Book?
Stretching for Functional Flexibility
What $ amount is the Medicare threshold before KX modifier would need to be applied?
$2150
gradual onset of medial wrist pain no inciting event, pain with abd of thumb and passive stretching of EPL and APL, localized tenderness to the radial styloid process and APL/EPL tendons, + finkelstein's test
DeQuervian's Syndrome (tenosynovitis)
recent onset of saddle anesthesia, bladder dysfunction, sexual dysfunction and bowel incontinence. Motor and sensory loss, reflex changes, low back pain accompanied by pain radiating into one or both legs, bladder and bowel paralysis
cauda equina syndrome
Name at least one muscle group tested (myotome) for each of the following spinal levels: L4, L5, S1
- L4: ankle dorsiflexion/inversion - tibialis anterior
- L5: big toe extension - extensor hallucis longus, knee flexion - medial Hamstring, hip abduction - gluteus medius
- S1: eversion - fibularis muscles, plantarflexion - gastrocnemius and soleus
When did Prevail PT officially open in it's current building? (month + year)
July 2019
What is the name of our new billing company?
Lincoln Reimbursement Solutions
runner with lower leg pain, localized to anterolateral portion of lower legs bilaterally. No pain with ADLs, pain onsets once they start running describes as tight and achy; if continues to push through symptoms can even start to feel numbness in the area and onto the dorsal aspect of foot. Pain decreases after stopping activity, and eventually stops hurting all together with rest.
Chronic Exertional Compartment Syndrome