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CAPE: Med Cond 1 > CAPE 2 > Flashcards

CAPE 2 Flashcards

1
Q

RLA Level 1

A

No response: total assistance

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2
Q

RLA Level 2

A

Generalized response: total assistance

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3
Q

RLA Level 3

A

Localized response: total assistance

Responds to painful, auditory, visual stimuli.
Responds inconsistently to simple commands.

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4
Q

RLA Level 4

A

Confused/agitated: maximal assistance

  • Non-purposeful movement
  • Can perform motor activities (sitting, reaching, walking)
  • Hitting, foul behavior, yelling, restlessness, decreased attention span
  • No short-term memory

Use familiar, simple tasks the patient enjoys doing
- washing hands
- catching object

Redirect if agitated
Ignore inappropriate commentary
Do not force pt. to do activities
Low stimulation

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5
Q

RLA Level 5

A

Confused, inappropriate non-agitated: maximal assistance

  • Impaired recent memory
  • Unable to learn new information
  • Able to follow simple commands with external cues/assistance
  • May get stuck on basic needs (going home, going to sleep, etc.)
  • May be able to perform previously learned tasks when structured.

External cues and structure!

Keep conversations brief, correct misinformation and move on

Change subject if patient becomes argumentative.

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6
Q

RLA Level 6

A

Confused appropriate: moderate assistance

  • Emergence from PTA
  • Memory is improving but still requires assist
  • Focal deficits become apparent (L vs R sided weaknesses)
  • decreased problem-solving ability
  • can perform familiar tasks in non-distracting environment w/ modA-SUP
  • unaware of safety risks

Consistently follows simple directions

Rapid, exaggerated changes in mood with strong emotions/feelings

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7
Q

RLA Level 7

A

Automatic, appropriate: minimal assistance for ADLs

  • A&Ox4
  • Able to perform familiar tasks w/ minA
  • Initiates routine w/ decreased recall
  • Minimal supervision for safety w/in routine activities
  • Unable to think about consequences of decision
  • overestimates abilities
  • MinA w/ carry over of new learning
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8
Q

RLA Level 8

A

Purposeful, appropriate: SBA

  • completes familiar tasks in distracting environment
  • uses of assistive memory devices w/ SBA
  • IND w/ learned activities
  • Overestimates or underestimates abilities
  • Understands consequences of actions w/ minA
  • improved organization

Depressed, irritable, easily frustrated, argumentative

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9
Q

RLA Level 9

A

Purposeful, appropriate: SBA on request

  • initiates and carries out familiar tasks SBA on request
  • SBA to adjust to task demands

Depressed, easily irritable, easily frustrated

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10
Q

RLA Level 10

A

Purposeful, appropriate: modified independent

  • can handle multiple tasks simultaneously
  • initiates and completes tasks however may require increased time
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11
Q

Main goal for RLA 2-3

A

Stimulation

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12
Q

Main goal for RLA 4-5

A

Allowing
Encouraging patient to be a more active participant in therapy

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13
Q

Main goal for RLA 7-10

A

Initiation
More structure
New learning
Gaining independence
Return to optimal level of function and participation

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14
Q

TBI exam considerations

A

Communication
Cognition
Ability to follow commands
Level of assistance

MMT/ROM
Skin breakdown
Hypertonia
UMN signs
Functional mobility
Balance

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15
Q

TBI intervention considerations

A

ROM/stretching/contracture prev.
Skin protection/bed mobility
Balance/weight shifting
Functional mobility
Challenge cognition/memory simultaneously if appropriate

Could speak out loud in CAPE about how you may educate caregivers or about prescription of adaptive equipment

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16
Q

Glasgow coma scale: verbal response

A

5 - oriented
4- confused orientation
3- inappropriate words
2- incomprehensible sounds
1- nil

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17
Q

Glasgow coma scale: eye opening

A

4 - spontaneous
3 - to speech
2 - to pain
1 - nil

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18
Q

Glasgow coma scale: motor response

A

6 - obeys
5 - localizes (pushes away from painful stimuli)
4 - withdraws
3 - abnormal flexion
2 - extensor response
1 - nil

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19
Q

UMN signs

A

hyperreflexia
spasticity
positive babinski

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20
Q

LMN signs

A

hyporeflexia
flaccid paralysis
atrophy

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21
Q

Clavicle fx MOI

A

FOOSH
Fall onto shoulder
Direct blow to shoulder

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22
Q

Clavicle fx examination considerations

A

Signs:
- drooping shoulder
- snapping/cracking sound
- swelling, bruising, tenderness

DDx:
SC or AC joint injury
Rib fx
Shoulder dislocation
RTC

Complications:
- pneumothorax, subclavian a./v. injury, brachial plexus injury

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23
Q

Subacromial pain syndrome test cluster

A

Arc of pain
Neer’s
Hawkin’s
Resisted ER at side

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24
Q

Rotator cuff pathology/partial tear test cluster

A

Empty can
Full can
Champagne toast
Resisted ER at 45

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25
Q

Extra-articular long head of biceps test cluster

A

Speed’s
Yergason’s

26
Q

Intra-articular long head of biceps test cluster

A

Active compression
Throwers
Palpation

27
Q

Full thickness tear test cluster

A

Drop arm (supraspinatus)
Belly press (subscapularis)
Internal rotation lag sign (subscapularis)
External rotation lag sign (infraspinatus)

28
Q

SLAP tear test cluster

A

Active compression
Modified dynamic sheer
Biceps load 2
Resisted supination w/ ER (in supine)

29
Q

MDI test cluster

A

Load and shift
Sulcus sign
Hyperabduction

30
Q

Anterior labral tear test cluster (bankart)

A

Load and shift
Sulcus sign
Anterior apprehension

31
Q

Posterior labral tear test cluster

A

Kim
Jerk

32
Q

AC joint test cluster

A

Cross-body adduction
AC resisted abduction
Active compression

33
Q

Cubital tunnel test cluster

A

Elbow flexion test
Shoulder IR test
Tinnel’s
Froment’s
Wartenberg

34
Q

Lateral epicondylalgia test cluster

A

Palpation
Resisted wrist ext (cozen’s)
Passive wrist flexion/elbow ext/UD (Mill’s)
Third finger sign

35
Q

Radial tunnel syndrome test cluster

A

Palpation
Third finger sign

36
Q

Medial epicondylalgia test cluster

A

Resisted wrist flexion
Passive wrist extension

37
Q

Median nerve test cluster

A

Pronator teres syndrome test
OK sign (anterior interosseous nerve)

38
Q

UCL injury test cluster

A

Valgus stress test (0 & 30)
Moving valgus stress test

39
Q

RCL injury test cluster

A

Varum stress test (0 & 30)

40
Q

Biceps rupture test cluster

A

Hook test
Biceps squeeze test

41
Q

PPPD

A

chronic; peripheral

  • Head impulse test
  • Dynamic visual acuity
  • Balance subjectively poor but actually has great balance
  • Sensation of motion
  • Visual motion
42
Q

BPPV

A

acute; peripheral

HiNTs - CNS red flag screen
Head impulse test (peripheral)
Nystagmus
Test of skew

Dynamic visual acuity
Dix hall-pike
Roll test

43
Q

Vestibular hypofunction

A

VOR

Balance
Head impulse test
Dynamic visual acuity
Gaze stability w/ head turns (aka VOR)
Rotary chair test
Sensation of motion

44
Q

Heart referred pain pattern

A

Left chest, left arm

45
Q

Stomach referred pain pattern

A

Mid thoracic spine, xyphoid process

46
Q

Gallbladder referred pain pattern

A

RUQ, RLQ

47
Q

Kidney referred pain pattern

A

Low back, pelvis, medial thigh, groin

48
Q

Lung referral pain pattern

A

anterior/posterior neck and upper trapezius

49
Q

liver and gallbladder referred pain pattern

A

R neck/shoulder, R low back

50
Q

Auscultation

A

auscultate 4 quadrants before palpation

listen for bowel sounds

51
Q

Percussion

A

all 4 quadrants

identify presence of fluid or solid masses

dull vs resonant

52
Q

Rebound tenderness (blumberg’s sign)

A

Palpate deeply and slowly away from suspected or painful area, remove quickly

+ for peritonitis if pain experienced in area of inflammation

53
Q

McBurney’s point

A

Palpate deeply halfway between umbilicus and R ASIS

Severe pain is + for appendix

54
Q

Iliopsoas sign

A

Patient raises each leg w/ or w/o resistance

+ for appendicitis if ipsilateral lower quadrant pain

55
Q

Murphy’s sign

A

Place fingers below R costal margin at mid-clavicular line as pt. exhales

Ask pt. to inhale while pressing tips of fingers upward; gall bladder descends

+ sign for gall bladder inflammation if abrupt cessation of inspiration

56
Q

Murphy’s percussion

A

Place one hand flat over kidney, percuss w/ ulnar surface of opposite fist

+ if intense pain

57
Q

Opioids

A

Taken for pain

SE:
drowsiness
dizziness
constipation
respiratory depression

58
Q

Beta blockers

A

Lowers BP, causes heart to beat slower and with less force

SE:
fatigue
dizziness
SOB
hypotension

59
Q

ACE inhibitor

A

high BP, heart failure

SE:
fatigue
headache
hypotension
cough

60
Q

Hallmark features of pulmonary embolism

A

Tachypnea: 16 breaths per minute or greater

Tachycardia: >100 bpm

Sudden onset dyspnea

Chest pain (acute in onset)

Hypotension

Oxygen desaturation

Cough

CAPE: Med Cond 1 (5 decks)

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