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Boards Review > Clinical Science 2 > Flashcards

Clinical Science 2 Flashcards

1
Q

Petrissage Technique:

A

Mm squeezing, mm stripping, wringing, picking up, skin rolling, kneading

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2
Q

What dermatome shares the Obturator Nerve Sensory distribution?

A

Sensory distribution to medial thigh
L2 - upper med thigh
L3 - lower med thigh around med Condyle of knee

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3
Q

What is a positive Babinski sign? (In adults)

A

EXT of big toe when foot is stroked ( in adults)

Tests for upper motor Neuron lesion if positive on both sides; lower motor Neuron lesion if positive on only one side

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4
Q

Possible Scoliosis Postural Modifications:

A 
....if one humerus is shorter than the other:
Adjust arm on chair
Avoid side bending
Ears at shoulders 
Shoe insoles
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5
Q

Description of Quadrant Test:

A
  • Instruct standing client to extend, side bend, and rotate the lumbar spine to the affected side
  • Apply an Inferiorly directed over pressure to the shoulder on the affected side
  • Assessment may also be performed with the client seated
  • when performed on C-spine it’s called Spurlings test
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6
Q

Describe “Direct Fascial Technique”:

A

Direct fascial techniques take the fascia TOWARDS the restriction / adhesion. This engages the tissue barrier which can them carefully be taken beyond the barrier which breaks down the bonds between the connective tissue fibres

Pg 45 Rattray

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7
Q

Bell’s Palsy (Lesion of Cranial Nerve VII)

A

Unable to wink, (can’t close eye on affected side)

Unable to make an “O” with mouth

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8
Q

Tx protocol for Acute Edema

A

Distal + Onsite work is CI’d

Elevate limb, lymph drainage performed proximally, ice

Swedish to compensatory side

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9
Q

Why is lymph drainage indicated?

A

To reduce pain and congestion

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10
Q

In crossed pelvic syndrom; which mms are lengthened, and are taut?

A

Tight Erector Spinae, quads, psoas

Weak Abdominals and Gluts Max, hamstrings

Check Magee

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11
Q

Positioning during pregnancy: (1st, 2nd, 3rd trimesters)

A

1st Trimester: Prone, Supine, Sidelying

2nd: Sidelying, Supine with pillow under Right hip, Seated/semifowler

Sidelying on Left side relieves pressure

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12
Q

Duchenes Dystrophy:

A

A rare recessive X-linked form of muscular dystrophy
Early childhood onset affecting all voluntary mms
Involves heart and breathing mms in late stage
Life expectancy is aprox 25 yrs

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13
Q

Depuytren Contracture:

A

Idiopathic contracture of Palmer Fascia

= Flexion deformity of the fingers

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14
Q

Treating Spasticity

A

Slow rhythmical Swedish techniques (stroking, palmar kneading, vibrations, etc.)
GTO release
Stimulation of the Antagonist

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15
Q

Special Test for Sciatica: Straight Leg Raise Test =

A

Radiating leg Pain at 30 - 70*,
then back off 10% and Dorsi FLX foot (Braggards Test)

Straight Leg Raise with ADDuction + Int Rot so positive sign for short piriformis mm

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16
Q

Golgi Tendon Organs (GTO)

A

Senses changes in mm tension

Proprioceptive sensory receptor organ that is at the Origin and Insertion of skeletal mm fibres

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17
Q

Slump Test=

A

Positive if the client feels Pain along the spine

sometimes down limb is experienced at level of the lesion

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18
Q

Diabetes Mellitus Type 2:

A

Can be controlled by diet and exersize in early stages

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19
Q

Ligament condition that is not present with a mm pathology

A

Ligamentous Laxity

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20
Q

Migraine Tx:

A

Gentle massage to hands and feet

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21
Q

Questions for Client with Asthma Inhaler:

A

Where is it?
When did you last use it?
What is it for?

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22
Q

In the 2nd Trimester….

A

General Petrissage is indicated

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23
Q

When a client [resents with one leg longer than the other:

A

The longer leg is held in ADDuction with tight Adductor mms in Stance Phase

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24
Q

Joint Mob to increase Elbow Flexion:

A

Anterior glide at Humerulnar Joint

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25
Q

Joint mob to increase hip Flexion:

A

Inferior Glide ( through transverse plane)

26
Q

Joint Mob to increase Ankle Dorsiflexion

A

Posterior glide of Talus on Tibia

27
Q

Slow Amplitude / Low Velocity Oscillations creates:

A

An Anesthetic Response

28
Q

Capsular pattern of the GH jt:

A

External Rot > ABduction > Internal Rot

29
Q

Capsular pattern of the elbow:

A

Flexion > Extension

30
Q

Capsular Pattern of the Wrist

A

Equal Flexion / Extension

Equal ulnar / radial deviation

31
Q

Capsular pattern of the hip (AF jt):

A

FLABIR > EXT, ADD, Ext Rot

32
Q

Capsular pattern of the knee

A

Flex > Ext

33
Q

Capsular pattern of the Ankle:

A

Plantar FLX > Dorsiflx

34
Q

Axial traction (Distraction) of the hip resulting in Pain =

A

Inguinal Hernia
Or
Femoral neck Fracture

35
Q

Fractioning the lower cervical facets:

A

Patients neck is placed into Flexion

36
Q

When neck is side flexed:

A

The vertebral bodies translate to OPP side
+
Rotate to the same side

37
Q

Movements of Quadrant Test:

A

EXT + Side FLX + ipsilat Rot

38
Q

Whiplash grading (WAD):

A 
0 = No Complaints
1= Pain, tenderness, stiffness
2= Tender to touch + loss of AROM
3= Decreased deep reflex, weakness, sensory deficits
4= Fracture or Dislocation
39
Q

Degenerative Arthritis of the C-spine is found:

A

At C4 - C5

40
Q

3rd Class Levers

A

Increase Speed and decrease mm size

ex biceps lifting weight in hand, tweezers

41
Q

Example of a 1st class lever:

A

Atlanta-Occipital Joint

42
Q

Empty end feel=

A

Acute Bursitis

43
Q

Push-ups strengthen:

A

Serratus Ant

44
Q

Shrugging the shoulders strengthens:

A

Upper Traps

45
Q

Colles Fx often leads to:

A

Reflux Sympathetic Dystrophy

46
Q

Pronation of foot=

A

Eversion + Dorsiflx +ABduct

47
Q

Compression of joints aids in:

A

Extension

48
Q

Distraction of joints aids in:

A

Flexion

49
Q

Multiple Sclerosis :

A

Often Assoc. with emotional liability
Euphoria
Depression

50
Q

Supine to Sit test:

A

Leg from short to Long = Post pelvic Rot

SLoP

51
Q

Luminous infrared Penetration Depth

A

5 - 10mm

52
Q

Inverse Square Law (light source):

A

1/4 of the distance is 16x the intensity

53
Q

Ultraviolet CI’s:

A
  • Diabetic Gangrene
  • TB
  • Heart Disease
54
Q

Pre Central Gyrus controls:

A

Voluntary Contractions

55
Q

Joint Play

A

All accessory movements (slide/glide, Spin, Roll)

56
Q

When checking reflexes:

A

You must do 5 repetitions per tendon before grading a reflex “Abnormal”

57
Q

A “normal” reflex grade:

A

Grade 2

58
Q

Myotome for Inversion / Plantar Flexion

A

S1/S2

59
Q

Temperature to make fascia pliable:

A

37 - 38 degrees

60
Q

How do you administer emergency nitroglycerine?

A

Sublingually

61
Q

Define Pharmacokinetics

A

How drugs enter the body
Reach their site of action
And make their exit

62
Q

Four stages of preganancy:

A

1 - Stage of Dialation
2 - Stage of Expulsion
3 - Placental Stage
4 - Recovery Phase

Boards Review (8 decks)

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