exam 3 part 2 Flashcards

1
Q

What is the cut off for a spastic vs. flaccid bowel?

A

T12 or below = flaccid bladder

  • loss of spinal defecation reflexes
  • manual removal of stool may be required; meds less effective

T11 and above = spastic

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2
Q

When should both boys and girls be screened for scoliosis?

A

girls: earlier puberty so 9-11
boys: later so 11-13

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3
Q

What cervical motion allows for increased vertebral foramen space?

A

cervical flexion

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4
Q

Pelvic floor muscles should NOT be instated in what disease, as they will make symptoms worse?

A

interstitial cystitis

- thought to be from excessively tight muscles d/t chronic inflammation and pain in the bladder

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5
Q

What does pulse duration dictate for estim?

A

what fibers we recruit (sensory vs motor, gets painful the higher it is)

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6
Q

What does frequency dictate for estim?

A

how many pulses per second are sent

  • higher pps = quicker fatigue
  • desire 50-80pps for appropriate muscle fatigue with strengthening
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7
Q

What GI source of pain can refer to the shoulder?

A

spleen or diaphragm

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8
Q

Where does spleen pain refer to?

A

mid back or scapular regions

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9
Q

Where does esophageal pain refer to?

A

mid-back, head, or neck

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10
Q

If someone complains of lower back, pelvic, or sacral pain, what visceral organ could be referring pain there?

A

colon or appendix pain

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11
Q

What’s the difference between the vestibulocerebellum and the spinocerebellum?

A

vistibulo = adjusts muscle tone in response to vestibular stimuli, esp. maintaining postural coordination and balance control along with eye muscle control

spino = controls muscle tone and synergistic movements of the extremities on the same side of the body

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12
Q

If a patient has an affliction of the basal ganglia, what symptoms might be produced?

A

rigidity, bradykinesia, tremor, postural instability

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13
Q

T/F: Side bending and rotation occurs in the same direction from C2-C7 regardless if C-spine is in flexion or extension.

A

true

- opposite rotation and side bending for AO and AA

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14
Q

How do you perform Adson’s test?

A

you bring arm out into extension while measuring pulse

  • pt extends head and rotates toward test arm
  • pt breathes in a holds breath for a bit
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15
Q

What special tests are done to rule out pronator syndrome?

A

1) passive supination to elongate pronator (compresses median nerve)
2) resisted pronation (compresses median nerve)

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16
Q

T/F: For lymphedema patients, exercise when walking on a treadmill should always be performed with a compression garment or bandage on.

A

true

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17
Q

What is the typical pattern of spasticity in the UE post CVA?

A

scapular retraction, shoulder depression, shoulder IR, elbow flexion, shoulder adduction, forearm pronated, wrist/fingers flexed

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18
Q

What is the most common extra-intestinal complication for patients with Crohn’s disease?

A

arthritis

19
Q

T/F: Hypothyroidism results in decreased metabolic rate.

A

true

20
Q

T/F: Steroids are known to cause distal muscle weakness with prolonged use.

A

false, proximal weakness

21
Q

Describe how rib moves with inspiration/expiration.

A

inspiration: lateral rib goes up, head goes down
expiration: opposite

22
Q

What is a bruit?

A

swishing sound heard in the narrowing of an artery

23
Q

What is Legg-Calve-Perthes disease?

A

avascular necrosis of teh femoral head, insideous onset

  • ages 3-12
  • presents with: antalgic gait, disuse atrophy of hip/thigh, painful limitation of abduction and IR
24
Q

How does slipped capital femoral epiphysis differ from Legg Calve Perthes disease?

A

slipped capital femoral epiphysis

  • older age range (10-16 vs 3-12)
  • just weakness in abductors (vs disuse atrophy)

*BOTH have painful and limited hip IR/abd motion with pain during weightbearing

25
Q

T/F: Slipped capital femoral epiphysis occurs 2x more in the left hip as compared to the right.

A

true

26
Q

What abnormal lung sound is often heard with patients who have heart failure? Why?

A

crackles
- b/c they have compressive atelectasis from pulmonary edema… when they take a deep breath they’re able to open the alveoli so that’s the pop/crackle sound heard

27
Q

T/F: Carpal tunnel symptoms are worse at night.

A

true

28
Q

What’s the big difference between carpal tunnel syndrome vs pronator teres syndrome?

A

both affect median nerve HOWEVER…

- pronator teres demonstrates weakness in pronation, while carpal tunnel is usually limited to fine motor weakness

29
Q

In what disease is lhermitte’s sign typically positive?

A

MS

30
Q

What are typical WBC, hematocrit, and Hb values for a woman?

A
Hb = 12-16
WBC = 5-10,000 (>10,000 = acute infection)
hematocrit = 37-47%
31
Q

What are appropriate treatments for residual limb pain, modality wise?

A

ice
pulsed US
TENS
massage

32
Q

With attempt to decrease biofeedback from hypertonic muscles, what should the gain and spacing be set at for EMG?

A
gain low (aka low detection sensitivity)
spaces close together (to limit cross talk)
  • opposite when trying to recruit more motor units
33
Q

T/F: Baclofen can produce CNS depression.

A

true (aka drowsiness, fatigue, weakness, confusion, vertigo, dizziness, insomnia)

34
Q

What are the risk factors for metabolic syndrome?

A

1) fasting glucose >100
2) elevated BP > 130/85
3) triglycerides >150
4) circumferance of >40in (men) or >35in (women)
5) HDL <40 in men, <50 in women

*diagnosis made if 3/5 present

35
Q

What exercises should be given for patients post c-section?

A

gentle abdominal exercises with incisional support

36
Q

T/F: External stabilization with a support belt is commonly provided to those with diastasis recti.

A

false, more for SI

- there’s a protective splinting for abdominal musculature provided for those with diastasis recti

37
Q

Pts with chronic alcoholism are at higher risk for what other issues?

A

gallstones (and cholecystitis, aka acute gallbladder inflam)

pancreatitis

38
Q

Why would a person with ascites be short of breath?

A

fluid backs up into the lungs, causing SOB

39
Q

How can you differentially diagnose a cervical strain vs facet syndrome?

A

facet syndrome has localized pain present with basically all motions
- cervical strain = pain usually only present with active ROM or when that muscle is on stretch

40
Q

What’s prosopagnosia?

A

difficulty naming people on sight; difficulty with faces that should be remembered

41
Q

What color changes will you see for a patient with PAD?

A

pallor with elevation

redness with dependent position

42
Q

How long is vigorous activity contraindicated for a patient post c-section?

A

6 weeks: no running, cruches, etc

43
Q

What are the environmental modifications for the following: -appropriate width of doorway?

  • grab bars placed how high?
  • toilet seat height?
  • ramp slope?
A
  • 32 in (36in is ideal) for doorway width minimum
  • grab bars placed 33-36in
  • toilet seat 17-19in
  • ramp 1:12