5.1 - PEAT Exam 1 (Section 1)

Question 1

Describe the presentation of Lyme disease

Answer 1

“Bullseye rash”

Systemtic signs:
Fever
Chills
Headache
Sore throat

Question 2

What is scleroderma?

Describe the clinical presentation

Answer 2

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

Question 3

Describe the clinical presentation of psoriasis

Answer 3

• Dry, erythematous, keratinous plaques
• Commonly found in the scalp, extensor surfaces of the extremities

Question 4

Describe the special tests for an ankle syndesmosis injury

Answer 4

DF ER Stress Test
Squeeze test - Compression of mid / distal shafts of tibia & fibula

Question 5

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?

Answer 5

Wheals - a sign of cold hypersensitivty
Discontinue cryotherapy. Not a medical emergency

Question 6

How could you differentiate between palpitations due to excessive caffeine intake vs cardiac abnormalities?

Answer 6

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

Question 7

What is hematocrit?
Describe the normal values

Answer 7

• The proportion of blood that is composed of RBCs

Normal = “45”
F: 36-47%
M: 41-50%

Question 8

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?

Answer 8

A nutritionist to investigate level of protein

Question 9

Describe the innervation of the dorsal scapular N

Answer 9

Rhomboids (major & minor)
LS

Question 10

How may gait training be performed for patient’s w/ Rancho Level IV cognitive functioning after a TBI

Answer 10

Walking in parallel bars w/ supervision

Require stability due to lack of coordination
Closed environment may help with patient’s impaired attention

Question 11

Define apraxia

Answer 11

Difficulty performing skilled, purposeful actions

Question 12

Horizontal nystagmus is a symptoms of what CNS problem?

Answer 12

Cerebellar problem (ex: CVA of anterior inferior cerebellar artery)

Question 13

Apraxia is a sign of what type of CVA?

Answer 13

MCA lesion

Question 14

Describe the ROM norms for the big toe

Answer 14

70 eg ext
45 deg flx

Question 15

Describe factors that would result in a delay recovery for plantar fasciitis

Answer 15

Presence of comorbidities
Obesity
History of additional LE pathologies

Question 16

What is meralgia paresthetica?

Answer 16

Entrapment of the lateral femoral cutaneous nerve

Question 17

Abnormal sensation of lateral edge of L foot
Weakness of L hip abductors

Which nerve root levels are MOST likely affected?

Answer 17

L5- S1

Muscle controlling hip abduction are innervated at L4-S1

Question 18

How is scoliosis named?

Answer 18

Based on the direction of the curve

L scoliosis = L curve
(L side is the convex side)

Question 19

Define levoscoliosis

Answer 19

A curve to the L

Question 20

Define dextroscoliosis

Answer 20

A curve to the R

Question 21

Describe Bell’s palsy

Answer 21

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

Question 22

Describe each of the following types of practice:

Massed
Distributed
Blocked
Random

Answer 22

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

Question 23

Which location of pain is MOST consistent with bladder infection?

Answer 23

Suprapubic area
Lower back

Question 24

Describe the appropriate method for MMT of the latissimus dorsi

Answer 24

• 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

Question 25

Is myalgia a common MSK symptom of hypothyroidism?

Answer 25

Yes

Question 26

A patient has acute RA involving the wrist joints. What intervention is MOST appropriate?

Answer 26

Splints w/ wrists in a neutral position

Splints can be used to rest the involved joints, prevent excessive movement, and reduce mechanical stress

Passive stretching aren’t appropriate for an ACUTE RA flare-up

Question 27

Should unilateral axillary crutches be used for restricted WB gait?

Answer 27

No

BIL axillary crutches should be used

Question 28

Would a child with hip dysplasia likely demonstrate symmetrical or asymmetrical thigh and gluteal folds?

Answer 28

Asymmetrical thigh and gluteal folds