5.1 - PEAT Exam 1 (Section 1) Flashcards
Week 5, Monday
Describe the presentation of Lyme disease
“Bullseye rash”
Systemtic signs:
Fever
Chills
Headache
Sore throat
What is scleroderma?
Describe the clinical presentation
Autoimmune disease that causes inflammation and fibrosis (thickening) of the skin
Clinical Presentation:
- Raynaud’s phenomenon
- Tightening of skin
- Appearance of a rash is NOT typical
Describe the clinical presentation of psoriasis
- Dry, erythematous, keratinous plaques
- Commonly found in the scalp, extensor surfaces of the extremities
Describe the special tests for an ankle syndesmosis injury
DF ER Stress Test
Squeeze test - Compression of mid / distal shafts of tibia & fibula
A patient reports having developed raised, red patiches of skin that lasted for 24 hrs after application of a cold pack.
What is this?
What should be done from a medical management standpoint?
Wheals - a sign of cold hypersensitivty
Discontinue cryotherapy. Not a medical emergency
How could you differentiate between palpitations due to excessive caffeine intake vs cardiac abnormalities?
Excessive caffeine intake:
- Palpitations occurs after caffeine intake
- Brief onset
- Typically not associated w/ pain, dizziness, or light-headedness
Cardiac abnormalities:
- Often associated w/ dyspnea, fainting, or severe light-headedness or dizziness
What is hematocrit?
Describe the normal values
- The proportion of blood that is composed of RBCs
Normal = “45”
F: 36-47%
M: 41-50%
If a patient has a pressure injury that has showed no signs of healing for 4 weeks, who should the PT recommend a consultation with?
A nutritionist to investigate level of protein
Describe the innervation of the dorsal scapular N
Rhomboids (major & minor)
LS
How may gait training be performed for patient’s w/ Rancho Level IV cognitive functioning after a TBI
Walking in parallel bars w/ supervision
Require stability due to lack of coordination
Closed environment may help with patient’s impaired attention
Define apraxia
Difficulty performing skilled, purposeful actions
Horizontal nystagmus is a symptoms of what CNS problem?
Cerebellar problem (ex: CVA of anterior inferior cerebellar artery)
Apraxia is a sign of what type of CVA?
MCA lesion
Describe the ROM norms for the big toe
70 eg ext
45 deg flx
Describe factors that would result in a delay recovery for plantar fasciitis
Presence of comorbidities
Obesity
History of additional LE pathologies
What is meralgia paresthetica?
Entrapment of the lateral femoral cutaneous nerve
Abnormal sensation of lateral edge of L foot
Weakness of L hip abductors
Which nerve root levels are MOST likely affected?
L5- S1
Muscle controlling hip abduction are innervated at L4-S1
How is scoliosis named?
Based on the direction of the curve
L scoliosis = L curve
(L side is the convex side)
Define levoscoliosis
A curve to the L
Define dextroscoliosis
A curve to the R
Describe Bell’s palsy
A neurological disorder that causes temporary weakness or paralysis of the face
Dysfunction of the Facial CN
Idiopathic
Diagnosis of exclusion
Clinical Presentation:
- Weakness / paralysis of one half of the face
Describe each of the following types of practice:
Massed
Distributed
Blocked
Random
Massed - rest time is much less than the practice time
Distributed - practice intervals in which the practice time is equal to or less than the rest time
Blocked - practice sequence organized around one task performed repeatedly, uninterrupted by practice of any other tasks; not related to the amount of time spent performing the task
Random - practice sequence in which several various tasks are ordered randomly across trials
Which location of pain is MOST consistent with bladder infection?
Suprapubic area
Lower back
Describe the appropriate method for MMT of the latissimus dorsi
- Prone position
- Palms facing upward
Gravity eliminated position: sidelying w/ the upper arm supported
Palms facing down (shoulder ER) would allow compensation w/ long head of triceps