Model Procedural Protocol

Question 1

what are the 13 steps of a physical examination?

Answer 1

(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

Question 2

what are the 5 steps of a chiropractic evaluation?

Answer 2

(ALSO STEP 2 MPP)

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

Question 3

what are the 11 special studies and procedures?

Answer 3

(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

Question 4

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

Answer 4

(STEP 4) SYSNTHESIS/ASSESMENT

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

Question 5

what do you do for STEP 5 working diagnosis?

Answer 5

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

Question 6

what are the three options for a Theurapeutic program?

Answer 6

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

Question 7

what could you do under a chiropractic management plan?

Answer 7

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

Question 8

what are the two steps of a Report of Findings?

Answer 8

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

Question 9

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

Answer 9

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

Question 10

what should the informed consent include?

Answer 10

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

Question 11

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

Answer 11

STEP 8 Therapeutic Trial

They are recorded on each visit

Question 12

What are S.O.A.P notes?

Answer 12

Subjective Findings
Objective Findings
Assesment
Plan

Question 13

what are the procedures of STEP 9?

Answer 13

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

Question 14

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

Answer 14

STEP 6
Step 8
STep 9

Question 15

what are the four things to Patient Status STep 10

Answer 15

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