Exam 1 Flashcards
Which one of the following positions is recommended for obtaining consistent blood pressure measurements?
Sitting with arm in a horizontal, supported position at heart level
Which one of the following population groups should be consistently tested for underlying hypertension because of its higher incidence?
African Americans
When are the Korotkoff’s sounds audible while measuring blood pressure?
Upon beginning to lower the pressure of inflated cuff
A 67 year old female smoker with a family history of high blood pressure and heart disease presents with acute onset neck pain, headache, and blood pressure of 175/100 mm Hg. What should the physical therapist do first?
Refer patient for assessment by a physician
According to the staging system developed by the International Society of Lymphology, which one of the following BEST describes Stage I lymphedema?
Soft swelling that pits with pressure
Which option BEST describes a grade II pressure ulcer?
Partial thickness skin loss of dermis, without slough
Each of the following is true about lymphedema except:
Pitting edema is classified as more severe than brawny edema
Each of the following is a recommendation advocated for the prevention or management for lymphedema except:
Use of a hot tub for relaxation or to perform repetitive exercises to promote circulation
Which of the following factors associated with breast cancer surgery and adjuvant therapy is least likely to contribute to impaired shoulder mobility?
Chemotherapy
Which of the following is the least advisable means of preventing limitations of the glenohumeral joint and improving shoulder ROM after mastectomy?
Pendulum exercises
The purpose of the lymphatic system is to collect and transport fluid from the
Interstitial spaces to venous system
Signs and symptoms of chronic venous insufficiency can include any of the following except:
Severe pain with the limb in an elevated position
Which of the following describes the severity of lymphedema from least to most severe
Pitting, brawny, weeping
Your patient presents with right upper extremity lymphedema. The edema is soft and pitting without evidence of tissue fibrosis and patient reports that elevation of extremity reduces the swelling temporarily. What stage of lymphedema do you document?
Stage I-Reversible
Intervention goals for lymphedema include all of the following except
Resolving the lymphedema and returning the lymphatic system to a normal state
Lymphatic dysfunction may result from all of the following except
diet
which of the following is a true statement about lymphedema?
it is a natural immune response to trauma
There are many interventions used to manage the signs and symptoms of lymphedema. Of the following, which is considered to be the least effective based on current evidence?
Pneumatic compression pump
Which of the following is NOT a clinical sign of a superficial partial-thickness burn?
Diminished sensation of deep pressure
which of the following processes does not occur during proliferative stage of dermal healing?
remodeling of collagen
Which one of the following is the best physical therapy course of action for a patient who sustained partial thickness burns to bilateral hands and forearms and presents with good hand function, no limitation in ROM, and good compliance with HEP?
encourage active use of hands and monitor ROM
A patient underwent split thickness skin grafting to bilateral lower legs 5 days ago and is now cleared for mobility and ambulation. Which one of the following goals justifies the use of figure-of-eight pattern elastic bandages to the lower extremities prior to ambulation?
support new graphs and promote venous return
T/F pressure injuries can happen to anyone who is immobilized for a long period of time regardless of age?
True
A patient presents with a very painful left LE. Upon skin checks, it is noted that their left lower leg is cool to the touch, has a darkened (purple/bluish) color, and a weak pulse. This is most likely a result of:
Arterial insufficiency
Venous insufficiency refers to
inadequate drainage of venous blood from a body part
T/F: 80% of all leg ulcers are due to arterial insufficiency
false
T/F: arterial insufficiency wounds are not painful
false
nutrition is important for proper healing of all wounds. A PTA should encourage patients with wounds to increase which of the following nutrients?
protein, vitamin a, vitamin c
Documentation of wound characteristics should include all of the following except:
how it happened
Arterial insufficiency can be defined as
a lack of adequate blood flow to a region of the body
Regardless of the nature of injury, most all wounds heal by the same phases. What is the correct order for healing phases of wounds?
inflammation, proliferation, maturation
The lymphatic system runs
parallel to the venous system
The most common site used to palpate a pulse is
radial
T/F: when checking or monitoring a pulse. we look for the following: rate, rhythm, quality
true
the temperature regulating center is located in which structure of the brain
hypothalamus
observation is an important way to obtain information about our patients. your patient has bluish gray lips and fingertips. the correct way to describe this is
cyanosis
which of the following is not considered a vital sign by the Guide to Physical Therapy Practice, but can provide important information to a PTA while providing treatment?
pulse ox
the most common source of burns for children under the age of 5 in the US is:
scalding due to hot liquids
T/F: the epidermis is the outermost level of skin and is responsible for protecting us from the outside environment. the epidermis if the thickest layer of our skin
false
which of the following classification of burns is the correct order from least to most severe?
epidermal, superficial partial thickness, deep partial thickness, full thickness, and subdermal
