6.1 - PEAT Exam 2 (Section 1)

Question 1

What body part should assessment of posture in a wheelchair begin with?

Answer 1

Pelvis

Question 2

Describe rhythmic initiation (PNF)

Answer 2

Therapist passively moves the individual through the desired motion several times

Allows patients to become familiar with and learn the movement

Question 3

Describe the MOA of ACE inhibitors

Answer 3

Inhibit angiotensin-converting enzyme
- ACE converts Angiotensin I to Angiotensin II
- Angiotensin II causes vasoconstriction and increases sympathetic input
- Decreasing angiotensin II also increase Na+ excretion by kidneys –> reduces blood volume

Outcome:
- Reduce peripheral vascular resistance (vasodilation)
- Increase venous capacitance

Venous capacitance - amount of blood in a vein at a specific pressure

Question 4

Which of the following conditions is a CONTRAINDIATION for mechanical traction of the cervical spine?

Muscle spasm
Hypomobility of the spine
Decreased UE sensation
RA

Answer 4

RA

Cervical traction may benefit UE sensation impairments by reducing pressure on nerve fibers

Question 5

A patient exhibiting pronation of the feet is likely to demonstrate what impairments during a squat?

Answer 5

Medial (internal) rotation of the tibia & resulting genu valgus

Question 6

When is a child indicated for a TLO for scoliosis?

Answer 6

Curvature of 25-45 deg
Until the child is of sufficient age to have a spinal fusion performed (10+ years of age)

Question 7

What “tight” muscles are often involved in thoracic outlet syndrome?

Answer 7

Anterior scalene
Pec minor

Question 8

Is Raynaud disease a precaution or contraindication for iontophoresis?

Answer 8

NO

Question 9

Is peripheral neuropathy a precaution or contraindication for iontophoresis?

Answer 9

Precaution (decreased sensation)

Question 10

While walking on a treadmill during Phase II cardiac rehab following CABG, a patient reports a new onset of chest pain and dyspnea. What should the PT instruct the patient to do?

Answer 10

Cease walking with the therapist reassesses the patient’s vital signs

An episode of stable angina is an indication to terminate exercise testing and reassess vital signs
These symptoms do not constitute a medical emergency. PT should reassess vitals and ask the patient to take ntg, if prescribed

Question 11

What are vocational rehab services?

Answer 11

Helps people w/ disabilities find and keep a job

Question 12

Describe the presentation of a PVC on an EKG

Answer 12

“Wide & bizzare”

Wide QRS complex
Absent P wave

Question 13

What findings would indicate the presence of a Stage 1 pressure injury on a patient w/ darkly pigmented skin?

Answer 13

Intact area of skin that is warm & purple

Stage 1 Pressure Injury:
- Intact skin
- Warmth
- Color change (may look purple rather than red in people w/ darkly pigmented skin)

An intact blister w/ a boggy feel is characteristics of a deep tissue injury

Question 14

Describe the clinical presentation of dermatitis

Answer 14

• Itching
• Tenderness to touch
• Inflammation
• Presence of vesicles and crusting
• Either unilateral or BIL distribution
• LACK of fever
• NORMAL temperature of the LEs

Question 15

What is atrophie blanche?

Answer 15

Describe a pattern of scarring that occurs after an ulcer heals