2 Part II Flashcards
Thoracic-level SCI. Pressure relief activities should be performed:
every 15 to 20 minutes
A PT notes the presence of a right Bell phenomenon. Which additional findings is MOST likely to be present?
Decreased taste sensation on the tongue. The facial nerve (CN VII), while primarily motor, does carry some sensations, particularly taste sensation from the anterior two-thirds of the tongue
Ptosis or sagging of the eyelid occurs with weakness of the levator palpebrae muscle. The levator palpebrae muscle is innervated by
the oculomotor nerve (CN III).
Pain and temperature sensation from the face (jaw) is carried by
the trigeminal nerve (CN V).
A 78-year-old pt is being treated for OA of the knees reports centralized lower thoracic pain and epigastric pain that’s relieved by eating. Which step would be MOST important in screening for the cause of the new symptoms?
Ask if the patient is taking a high dose of nonsteroidal anti-inflammatory drugs (NSAIDS). A high percentage of hospitalizations of the aging population with GI complaints are due to the effects of nonsteroidal anti-inflammatory drugs
Hip osteoarthritis is characterized by
hip pain that increases with 15° of hip medial (internal) rotation, morning stiffness that lasts approximately 1 hour, and an age of over 50 years. Hip IR and hip FL are commonly limited as the osteoarthritis progresses. Literature indicates that this presentation has an 86% sensitivity and 75% specificity for hip osteoarthritis
a PT notes the presence of a capsular pattern without radicular pain. To help establish the cause of the capsular pattern, the therapist should NEXT:
ask the patient if there has been any prior trauma to the shoulder joint. One of the most common causes of a capsular pattern in the shoulder is traumatic arthritis following injury to the shoulder. The capsular pattern may gradually develop over time
A patient has adhesive capsulitis of the shoulder joint. The range-of-motion examination reveals restricted lateral (external) rotation and abduction of the shoulder. Which of the following mobilization procedures should be performed for the patient FIRST?
Distraction - separates the joint surfaces and is used as a test of joint play. The distraction can also help increase joint play. Distraction may also be used in conjunction with the other mobilization techniques listed.
A posterior trunk lean is associated with
weak hip extensors (especially gluteus maximus). Double and single leg bridging would specifically target hip extensors and gluteus maximus.
A pt with peripheral vascular disease comes to PT for evaluation of leg pain that gets worse when walking. The patient will MOST likely also have:
relief of pain with the legs in the dependent position - most likely has intermittent claudication caused by arterial insufficiency. Placing pt’s legs in the dependent position facilitates blood flow and reduces pain.
When the right side of the heart starts to fail
fluid collects in the feet and lower legs, causing pitting edema
Medial (internal) rotation of the left hip is limited. This could be caused by
hypomobility of the left hip capsule or tightness of the left lateral (external) rotators, especially the piriformis.
Torticollis is named for
the side of the affected sternocleidomastoid. (Head points to the side it is named for)
If a transtibial prosthesis has an excessively firm heel wedge, the patient is MOST likely to walk with:
excessive knee flexion in foot flat (loading response). Upon heel contact, the heel section compresses, partially absorbing the ground impact and thus permitting a controlled plantar flexion. If the heel is too stiff, the knee flexes too soon and excessively on initial contact
A patient with which dx would MOST likely benefit from pursed-lip breathing during exercise
Emphysema is an obstructive lung disease for which pursed-lip breathing may be beneficial.
treatment of a patient with low postural tone?
Joint approximation applied through the shoulders to the trunk - joint approximation is the most appropriate technique for improving low postural tone.
Which of the following examination findings is indicative of developing nerve root signs?
A fading deep tendon reflex with repetitive tapping indicates developing nerve root signs.
Frequent position changes with deep breathing and coughing will help prevent
development of atelectasis
In the Froment test. Both thumbs (1st digits) should stay extended during the test. If the thumb (1st digit) flexes, it is indicative of
weakness of the adductor pollicis with substitution by the flexor pollicis longus, which is usually due to a lesion of the ulnar nerve.
Which cranial nerve is important in mediating the pupillary light reflex?
CN III oculomotor nerve
Which of the following positions is MOST effective to actively stretch the lumbrical muscles?
Metacarpophalangeal extension and interphalangeal flexion
signs or symptoms is MOST likely to be present in a patient with symptomatic hyperthyroidism?
Increased tendon reflexes - Hyperthyroidism is an excessive secretion of thyroid hormone. It is associated with increased deep tendon reflexes
The T4 lymphocyte count is used to assess immune status in patients with
HIV or AIDS
Thrombocytopenia is an acute or chronic decrease in the number of
platelets in the circulation
What is the close-packed position of the hip?
Medial (internal) rotation with extension and abduction
After THA, which activity is LEAST appropriate for the first week of therapy?
Active left hip abduction in right sidelying position - generally recommended that against-gravity hip abduction exercises not begin until 5 to 6 weeks after surgery.
