5.5 - PEAT Exam 1 (Section 5) Flashcards
Week 5, Friday
Should NMES be used for patients w/ myasthenia gravis?
No
MG is characterized by a failure of neural transmission at the neuromuscular junction. Thus, NMES would be ineffective
Describe a myasthenia crisis
A life-threatening complication of myasthenia gravis that occurs when the muscles that control breathing become too weak to function
Describe the clinical presentation of herpes zoster
“Shingles”
Pain & paresthesia followed by a unilateral rash along the affected dermatome
Rash, NOT scales
- Rash includes vesicular eruptions
When should PT be scheduled for a patient w/ Parkinson disease?
1 hour after antiparkinsonian medications are given
- Assists in avoiding effects of end-of-dose akinesia
Describe IFSP vs IEP
IFSP - Individualized Family Service Plan
- Used for children 36 months of age or younger (3 yo)
IEP - Individualized Education Plan
- Used for children older than 36 months (3 yo)
According to IDEA regulations, where should services by providing?
In the child’s natural environment
- Ex: home
What should be the primary emphasis during the first weak of treatment of a stage 3 pressure injury?
Removal of necrotic tissue!
- To prevent spread of infection and facilitate wound healing
Managing wound exudate would be secondary goal following this
What are the components of complete decongestive therapy (CDT) for patients w/ lymphedema?
Manual lymphatic drainage
Compression therapy
Decongestive exercises
Should BP ever be measured in an arm w/ lymphedema?
NO
Should BP ever be monitored in an arm w/ an arteriovenous shunt?
NO
If both arms are inappropriate for measuring BP, what is the next location to assess BP?
Thigh - auscultation at the popliteal artery
Alternatives LE sites - proximal to the popliteal artery; posterior tibial artery w/ auscultation proximal to the ankle
Can NOT assess BP at the femoral triangle because this is too high for placement of a BP cuff
Describe sacral nutation vs counternutation
Nutation = anterior rotation (superior aspect of sacrum rotates anteriorly)
Counternutation = posterior rotation (superior aspect of sacrum rotates posteriorly)
If an 18 yo patient is accompanied by his parents, who should sign the informed consent form?
The patient should, as he is not a minor
Describe the function of the ductus deferens (vas deferns)
A tube that transports sperm from the epididymis to the urethra
A patient w/ a recent prostatectomy has urinary incontinence. Loss of support to which structure is MOST likely contributing to the incontinence?
Urethra
Prostatectomy –> removal of the prostate gland
- Prostate gland provides mechanical support to the urethra between the bladder neck & the penis
Describe the kinematics of the knee during heel off (terminal stance)
Knee extension at 0 deg
For a patient w/ a lesion proximal to the dorsal root ganglion, a sensory nerve conduction velocity test will reveal that conduction times are…
Why?
within normal limits
- Sensory never conduction test only measures the distal component of a peripheral nerve
- This technique would not detect abnormalities in a lesion proximal to the dorsal root ganglion
What muscles are affected first from corticosteroid-induced catabolism?
Proximal muscles of the LE & UE
Difficulty climbing stairs is often reported first
Distal musculature (ex: hand movements) are typically spared until the late stages of the steroid-induced myopathy
Reiter Syndrome
What is it?
Reiter Syndrome - “Reactive Arthritis”
A form of reactive arthritis that can follow an infection
Infections that most often cause the disease are spread through sexual contact –> infections of the bladder, urethra, penis, or vagina
Clinical Presentation:
- Urethritis –> burning sensation during urination; discharge from penis; polyuria
- Conjunctivitis
- Arthritis
Ankylosing Spondylitis
What is it?
Clinical Presentation
(Axial Spondyloarthritis)
An inflammatory disease that causes the vertebrae to fuse over time
Clinical Presentation
- Pain, stiffness, and loss of motion in the back
- Insidious onset of back pain in SI joints & gluteal regions –> progresses to involve entire spine
- Morning stiffness lasting >30 min
“Bamboo spine”
Bipartite patella
What is it?
Clinical presentaiton
A congenital condition that occurs when the patella is made of two bones instead of a single bone
- Failure of the patella to fuse
Clinical Presentation:
- Often asymptomatic
- Typically occurs in CHILDHOOD
- Typically BIL
- Pain & tenderness at the distal pole of the patella
What is a normal ejection fraction?
55-75%
“2/3rd”
ST segment depression during activity is considered diagnostic of what?
Myocardial ischemia
Describe how to ascend stairs with a SPC
Strong leg up first, followed by the cane and weaker LE
