4.3 - PT Final Exam 1 Review (Section 3)

Question 1

Describe the innervation of the deep peroneal nerve

Answer 1

Motor: Anterior compartment - TA, EHL, EDL

Sensory: space between base of 1st & 2nd digits

Question 2

What chest x-ray findings are likely to be present in an individual w/ GBS that has developed atelectasis due to restricted mobility?

Answer 2

Increased density w/ a shift of the trachea toward the affected lung

Question 3

Which muscle is MOST important to protect during the first 6 weeks following a TSA?

Answer 3

Subscapularis

Question 4

Why is a joint replacement contraindicated in neuropathic arthropathy?

Answer 4

Poor rate of healing & risk of complications

Question 5

Describe the presentation of GBS vs myasthenia gravis

Answer 5

GBS
- Distal to proximal muscle weakness
- Weakness of extremities
- Absent DTRs
- Sensory disturbances
- Rapid progression of symptoms

Myasthenia Gravis
- Proximal to distal muscle weakness
- Gradually progressing
- NO sensory changes
- Cranial nerves often affected first - eye muscle weakness, ptosis (eyelid drooping), difficulty chewing, fatigue of muscles of facial expression

Question 6

Can myasthenia gravis be exacerbated by pregnancy?

Answer 6

Yes

Question 7

What medication is often administered for myasthenia gravis?

Answer 7

Aricept (Donepezil)
- Inhibits the enzyme responsible for destruction of Ach

Prednisone
- Helps reduce inflammation

Question 8

Why should patients w/ lymphedema avoid hot baths and saunas?

Answer 8

Will increase the body’s temperature and may result in additional lymph fluid accumulation

Question 9

Should patients with lymphedema wear compression garments while exercising?

Answer 9

Yes

Question 10

Define prosopagnosia

Answer 10

Difficulty recognizing faces

Due to damage to the visual association area in the occipital lobe

Question 11

Problems completing bimanual tasks may be indicative of what type of stroke?

Answer 11

ACA due to damage to the corpus callosum

Question 12

Describe the WB precautions for an OATS procedure

Femoral condyle
Patellar repair

Answer 12

Femoral condyle: FWB allowed at 8-12 wks post-surgery

Patella: FWB allowed at 4 wks post-surgery

Question 13

Describe what is done during on osteochondral autograft & allograft procedure

Answer 13

Articular cartilage and bone are transplanted from either a cadaveric donor (allograft) or from the patient (autograft)

Question 14

Describe the ROM norms for the wrist

Answer 14

Flx: 80 deg
Ext: 70 deg
Ulnar dev: 30 deg
Rad dev: 20 deg

Question 15

Describe the Rancho Los Amigos Scale for Levels of Cognitive Functioning

Answer 15

Level 1: No response
Level 2: Generalized response
Level 3: Localized response
Level 4: Confused & agitated
Level 5: Confused & inappropriate
Level 6: Confused & appropriate
Level 7: Automatic & appropriate
Level 8: Purposeful & appropriate

Question 16

What are herbeden’s nodes?

What are they associated with?

Answer 16

Small, pea-sized bony growths that occur at the DIP joint

Associated w/ OA of the hand

Question 17

Why is heat contraindicated following acute joint bleeds?

Answer 17

Heat will increase vasodilation & worsen bleeding

Question 18

Define hemophilia

Answer 18

Inherited genetic disorder that prevents blood from clotting properly

Question 19

Who is a power assist manual w/c most appropriate for?

Answer 19

Patients who are able to self-propel a w/c, but have limited endurance

Question 20

Describe the WB precautions following resection & debridement of an acetabular labral tear

Answer 20

PWB for up to 2 weeks, then gradual progression of WB based on pain

Question 21

Describe the ROM precautions following an acetabular labral tear resection

Answer 21

Hip flexion limited to 90 deg
Hip abd to neutral
Hip ext to neutral

For 10-14 days

Question 22

alendronate (Fosamax)

Indications
MOA
Adverse reactions

Answer 22

Bisphosphonate class of medications

Indications:
- Osteoporosis

MOA:
- Prevents bone breakdown and increases bone density

Adverse Reactions:
- Hypercalcemia

Question 23

Describe the capsular pattern of the GH joint

Answer 23

Loss of ER > abd > IR

Question 24

Describe the inverted supinator sign

Answer 24

Brachioradialis DTR

(+) = finger flexion, elbow extension

Indicative of UMN lesion, cervical myelopathy

Question 25

Which of the following is NOT a contraindication for TENS over the low back?

Demand cardiac pacemaker
Pregnancy
RA
Unstable arrhythmia

Answer 25

RA
- This is NOT a contraindication for TENS

Question 26

Which of the following items is a PT LEAST likely to document on a patient’s daily encounter note?

Interventions performed
NPI number
Professional designation
Provider license number

Answer 26

NPI number

Documentation should include a PT’s license number
NPI number may be used for billing, but billing is often performed under the provider number for the facility

Question 27

Describe the Halstead Maneuver test

Answer 27

For Thoracic Outlet Syndrome

Continuously palpate radial pulse
Abduct arm to 45 deg
Extend shoulder to 45 deg
Externally rotate UE
Patient turns head away from the side being tested & extends C-spine