AAPMR Question Bank Pearls Flashcards
What is the treatment for grade III and IV osteochondritis dissecans?
surgery
At what level is a cervical epidural injection preformed?
C7-T1
Which model of rehabilitation utilizes synergistic patterns?
Brunnstrom
Which model of rehabilitation works from proximal to distal muscles?
Bobath
What medication increases GI motility by activating type 2 chloride channels
Lubiprostone
Percentage wise, how accurate are blind SI joint injections?
20%
What LV wall thickness is concerning?
> 13mm
What type of ganglion block is used to treat trigeminal neuralgia?
Gasserian
How do you calculate heart rate reserve?
Heart Rate Reserve = Max HR - Resting HR. Target heart zone to use of 70 - 85% of reserve.
What defines A-A instability in Down Syndrome?
Atlantodens Interval (ADI) > 3.5mm
What is the most powerful predictor of recovery after TBI?
Length of PTA
What is the most frequent cause of stroke?
Large vessel thrombosis
Which steroid has the longest duration of action?
Betamethasone
What plane are the cervical facet joints oriented in?
coronal oblique
What plane are the thoracic facet joints oriented in?
coronal
What plane are the lumbar facet joints oriented in?
sagittal oblique
What type of cancer are SCI patients at increased risk of?
squamous cell bladder cancer
What is the main source of club foot?
abnormal talus
how do dorsal column nerve fibers differ from spinothalamic nerve fibers?
dorsal column nerve fibers are large and myelinated and spinothalamic nerve fibers are small and unmyelinated
Most common hormone dysfunction after TBI?
growth hormone deficiency
What shoulder deformity are patients with brachial plexus palsy at increased risk for?
posterior subluxation
How does cold temp affect CMAPs?
larger and longer
What diagnostic feature of ALS does the Awaji Criteria notably include?
Fasciculations
Does a transplanted heart develop systolic or diastolic dysfunction?
diastolic
What is Sinding-Larsen-Johansson Syndrome?
osteochondrosis and traction epipysitis at the inferior pole of the patella
What is the most common cause of TBI-related ED visit?
Fall
What should you suspect in a patient who has a lateral tibial plateau fracture (Segond fx)?
ACL tear
What classes of medication can increase the effect of botox?
aminoglycosides and anticholinergics
What is the most common cause of voiding dysfunction in the elderly?
overactive bladder
Where is the GRF during midstance?
anterior to the ankle, anterior to the knee, posterior to the hip
A rigid heel will cause what type of moment at the knee?
flexion
How does an LSO orthosis affect the circulatory system?
It elevates intra-abdominal pressure
At what age should you start intermittent catheterization in the pediatric SCI population?
3yo
At what age can children start self-catheterization?
5-7yo
What is the inheritance pattern for myotonic dystrophy?
AD
What is the most common symptom in post-traumatic syringomyelia?
pain
What type of wrist splint can provide a mechanical advantage for grasp?
wrist cock-up
what artery can compress CN V?
Superior cerebellar artery
Where should you palpate to evaluate for a navicular stress fracture?
between the tib anterior and EHL tendons
What percent of seizure related car accidents are prevented by using a 12 month seizure free interval before return to driving?
80%
What innervates the SI joint?
L5 dorsal ramus and S1-S3 lateral branches
What type of neuropathy is seen with repetitive hip flexion and in snowboarders?
pudendal
What is the usual inheritance pattern of SMA?
autosomal recessive
What is the highest level of complete SCI that can be independent with bowel care and transfers?
C7
What is the most common cause of ischemic stroke in children?
arteriopathy
What it the most commonly dislocated joint in the hand?
PIP
Where is the rotator interval of the shoulder located?
between the supraspinatus and subscapularis tendons
What is the most common cause of congenital limb deficiencies?
vascular conditions
What is the most common joint involved in JIA?
knee
What maneuver increases the murmur associated with HOCM?
Valsalva
what is the number one cause of post-stroke disability in nursing home residents?
urinary incontinence
What is the most common level of cervical radiculopathy?
C7
What are the most common signs of tethered cord?
weakness and worsening gait
