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1/18 Flashcards

1
Q

what term?
Irregular respiration pattern characterized by a period of apnea followed by gradually increasing depth of respirations
- common with depression of the cerebral hemisphere (e.g., coma), basal ganglia disease, occasionally with congestive heart failure.

A

Cheyne-Stokes respiratory pattern

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2
Q

what term?

Irregular respiration pattern characterized by highly variable respiratory depth and intermittent periods of apnea

A

Biot respirations

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3
Q

acute exercise, pt has COPD

what do you expect with incremental exercise?

A

elevated heart rates and blood pressures with incremental exercise

  • increased hypoxemia
  • compensatory response, and exercise can continue as prescribed with continued monitoring of vital signs.
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4
Q

what test for function of the patient’s longus colli and longus capitis?

A

craniocervical flexion test or the deep neck flexor endurance test

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5
Q

+ FADIR indicates?

A

hip anterior acetabular labral tears

  • may also have groin pain
  • MOI: rotational injury.
  • painful clicking
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6
Q

what motions aggravate transient synovitis of hip?

A

IR and abduction

- also have active antalgic gait

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7
Q

what motions aggravate trochanteric bursitis?

A
  • passive hip adduction
  • resisted ER, abduction, extension (glutes)
  • sidelying on involved side
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8
Q

trochanteric bursitis pop

A

age 40-60

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9
Q

removal of chest tube may result in what condition?

how to rule out condition prior to mobilization?

A

pneumothorax- collapsed lung, when air leaks into the space between your lung and chest wall
radiograph

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10
Q

what term?

heart rate reserve) x (%intensity) + (resting heart rate

A

karvonen formula, heart rate reserve HRR fomula

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11
Q

how to calculate HR max?

A

220-age

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12
Q

treatment for whiplash injury

  • acute
  • subacute
  • long term
A

acute- modalities, stretch, pain management
subacute - cervical proprioception exercises, deep neck flexor strengthening
long term- change movement patterns with active exercise, increase the endurance of the type I fibers, improve cervical proprioception

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13
Q

what happens to muscle fibers after whiplash injury?

A

change in muscle fiber type from type I slow-twitch to type II fast-twitch in the deep cervical flexors

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14
Q

ultrasound which frequency has higher max temp

  • 3 or 1 MHz?
  • higher or lower intensity?
A

3MHz, less depth

higher intensity

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15
Q

what level SCI injury?

  • dependent in bed mobility and transfers
  • use a power wheelchair independently as the primary means of mobility
A

C1-4

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16
Q

what level SCI injury?

  • able transfers and bed mobility with assistance OR dependent
  • Power wheelchair mobility is the recommended mode of mobility, with modified independence as the highest level.
A

C5

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17
Q

what level SCI injury?

  • transfers with some assistance
  • likely to be able to perform bed mobility independently with assistance needed only for leg management at times.
  • Manual wheelchair mobility will be possible over level surfaces, but assistance will be required over unlevel surfaces such as rough terrain and curbs.
A

C6

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18
Q

what level SCI injury?

  • perform transfers with modified independence and may not need a transfer board.
  • able to perform bed mobility without assistance
  • wheelchair mobility over most surfaces, including ramps and rough terrain
A

C7-8

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19
Q

why perform valgus/varus stress test in 20deg knee flexion

A

isolate MCL or LCL

full extension would involve other ligaments

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20
Q 
pathology?
anterior shoulder pain
\+ clunk test
repetitive overhead throwing
diagnosis?
A

SLAP lesion, labral lesion

magnetic resonance arthrogram

21
Q

adhesive capsulitis - how to diagnose?

A

contrast arthrography radiograph

22
Q

what pathology? diagnose with

anterior-posterior bilateral radiograph with weights

A

AC injury

23
Q

characteristics of arterial wound

A
  • wound on dorsum of the foot, lateral leg, or toes
  • minimal edema initially, only if limb is held in a dependent position
  • minimal exudate
  • severe pain
  • deep, punched out
  • involving even tendon and bone.
24
Q

characteristics of neuropathic ulcer?

A
  • forefoot area, specifically on the metatarsal heads, toes, or over an area of increased weight-bearing that may be present because of a foot deformity.
  • typically not found on the leg
25
Q

characteristics of pressure injury

A
  • over a bony prominence, such as the lateral malleolus or calcaneus.
  • taut, shiny, hardened skin around the wound
  • edema limited to that area.
26
Q

characteristics of Venous wound

A
  • irregularly shaped, large
  • medial leg
  • moderate-severe edema
  • aching pain that worsens when the leg is in a dependent position and decreases when the leg is elevated
27
Q

lesion of what CN

  • diplopia
  • compensate for the diplopia by tilting the head anteriorly and laterally toward the side of the normal eye
  • cannot look down and in
  • lead to torticollis
A

Trochlear CN 4, superior oblique muscle

28
Q

lesion of what CN

  • loss of taste
  • paralysis of the muscles of facial expression
  • loss of salivation and tear production
A

CN7 bells palsy

29
Q

lesion of what CN

  • hearing loss and vestibular symptoms,
  • loss of balance,
  • vertigo, nystagmus
  • impaired ability to maintain gaze.
A

CN 8 vestibulocochlear nerve

30
Q

lesion of what CN

- deviation of the tongue to weak side during protrusion of the tongue.

A

CN 12 hypoglossal nerve

31
Q

what stage lymphedema?

  • pitting edema
  • edema reduced w elevation
  • able to pinch skin on dorsum foot (- stemmers sign)
A

Stage 1 (reversible) lymphedema

32
Q

what stage lymphedema?

+ stemmers sign

A 
Stage 2 (spontaneously irreversible) or Stage 3 (lymphostatic elephantiasis)
- inability to pinch a fold of skin over the dorsum of the foot
33
Q

surgeries that are contraindications for postural drainage

A

spinal fusions

eye surgeries.

34
Q

what MMT?
prone
glenohumeral joint at 90° of abduction and laterally (externally) rotated
apply resistance anteriorly

A

middle trapezius muscle

35
Q

what MMT?

prone position with the shoulder extended, adducted, and medially (internally) rotated

A

latissimus dorsi

36
Q

what MMT?
prone
arm at 90° of abduction and medial (internal) rotation of glenohumeral joint
resistance applied anterior

A

rhomboid major

37
Q

what MMT?

prone position with the arm extended diagonally overhead and the shoulder is medially (externally) rotated

A

Lower trapezius

38
Q

what diagnosis?

  • child
  • typically affects the T7–T10 region
  • pain is worse with prolonged standing or sitting.
  • posture is characterized by excessive thoracic kyphosis and lumbar lordosis
  • active rotation in sitting position is painful
A

Scheuermann disease, Scheuermann’s kyphosis

  • condition in which a child has too much curvature (or kyphosis) in the middle of the back.
  • Kyphosis typically occurs during periods of accelerated growth.
39
Q

major risk factor for compression fracture

A

osteoporosis, decreased bone mineral density

40
Q

what region of spine does spondylolisthesis and disc issues occur?

A

lumbar

41
Q

what are pros of Sensory-level electrical stimulation?

A
  • can cover a large area

- effective for treating chronic pain

42
Q

what dressing appropriate for a granular wound that is draining?

A

foam
collagen
calcium alginate
- all highly absorbent, good for granular wound

43
Q

triceps innervation
nerve?
spinal nerves?

A

radial nerve (C7–C8)

44
Q

deltoid and brachialis nerve innervation
nerve?
spinal nerves?

A 
axillary nerve (C5–C6)
musculocutaneous nerve (C5–C6)
45
Q

supinatorinnervation
nerve?
spinal nerves?

A

radial nerve from the C6

46
Q

Chorea-type movements are related to pathological condition of what part of brain?

A

basal ganglia

47
Q

what devices can you PWB?

A

crutches
walker
- prefer least restrictive

48
Q

intervention for Atelectasis

A 
Deep breathing (diaphragmatic breathing) 
- common after abdominal surgery

-practice test review (8 decks)

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