Exam 3 Study Flashcards

1
Q

A 60 year old female had a THA. What advice would you give for home?

A
  • Precautions: No bending hip, no crossing legs, no toeing in, pillow between legs in bed, up with good and down with bad with stairs. Avoid sleeping on affected side.
  • Home exercise: Walker. Ankle pumps. Quad sets. Glute squeezes. Standing Abduction. Isometric strengthening.
  • Family education
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2
Q

You have 2 patients with s/p TKA 4 weeks . One with 60 degrees flexion and edema and the other with 90-120 Flexion with mm weakness. What HEP would you give for each?

A

Patient 1:
- Edema Control: PRICE, Patellar mobilization, Self Massage
- Exercises : Quad sets, Heel slides, SLR, calve pumps. Nustep.
Abduction/Abduction. Mini lunge stretch. Patellar mobilization. Soft tissue massage.
Patient 2:
- Exercises: Recumbent Bike, Standing leg curls, terminal knee Extension with TB, SLR, Abduction/Adduction, ankle pumps. Mini lunges, heal slides. Hip extensions. LAQ, SAQ.

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3
Q

A truck driver comes in with an ACL tear. What are his options and what would you do?

A

Options:
- Allograft: From a cadaver. Higher infection rates which may delay return to function and work. Wouldn’t have to recover another part of body.
- Autograph: From a hamstring/ patellar tendon. More stable. Lower infection rates. Would have to recover from hamstring tendon cadaver.
Exercises:

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4
Q

What would you do for Ankle sprain management?

A

Phase1: wbat

  • PRICE
  • Estim
  • Joint protection
  • Isometric dorsiflexion/eversion (Avoid plantarflexion/inversion)

Phase2: FWB (avoid stresses)

  • PRICE
  • Heel cord
  • Theraband exercises
  • Stationary bike
  • Protection

Phase3: FWB (Protection during activities)

  • Cold/Hot pack
  • Running/Jumping
  • Plyometric
  • Balance and stability exercises on BAPS
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5
Q

What does achilles tendon repair/rehab depend on?

A

Protocol and surgery

*(Relative rest, eccentric calf stretch and strengthening, plyometrics, gradual return to activity)

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6
Q

What is medicine half-life? What is the reaction in older pt?

A
  • Rate that drug clears from body

- Slower in elderly (due to slower body functions)

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7
Q

What can corticosteroids steroids cause? What is the truth about its application?

A
  • Osteoporosis

- Only a little goes to bloodstream

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8
Q

What is not an anti-inflammatory medicine for pain?

A

Acetaminophen (Tylenol)

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9
Q

What causes a MCL injury?

A

Knee Valgus

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10
Q

When should CMP (continuous passive motion) not be used?

A

Vigorous exercise (During sleep)

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11
Q

What doesn’t have to be done with a meniscus tear?

A

Surgery

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12
Q

With THA (THR), when would you use a dislocation protection brace?

A

Past history of hip dislocation

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13
Q

What is the best bed position for THA (THR)?

A

Supine

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14
Q

What can we tell a healthy person about hip fx

A

Exercise and mobility can improve the prevention of a hip fx

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15
Q

What is it called when there is necrosis of the head and femur? How would you treat a child or hold a baby with this condition?

A
  • Legg Calve Perthes Disease (Coxa Plana)

- Treat child with abduction orthosis, hold baby with leg abducted

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16
Q

What type of shoe should you give to a pronated foot pt?

A

Shoe last with heel-counter

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17
Q

What is the advantage of hip resurfacing (hemiarthroplasty)?

A

Less bone removal

*(Lower number of dislocation due to purposeful reconstruction of larger metal head size)

18
Q

What is a stable hip fx? What is an example?

A
  • Single fx, no disruption of pelvic ring, WB may or may not be tolerated
  • Heavy compression to illiac crest
19
Q

What is the function of orthotics?

A

Improve balance and proprioception

*(decrease pronation speed, improve shock absorbstion, normalize gait)

20
Q

Why is ankle arthrosesis better than total ankle arthroplasty and vice versa?

A

(Better)AA:Last a lifetime
(Better)TAA: Better ROM/Short immobilization
*AA can last up to 12 weeks NWB
*TAA can have broken hardware

21
Q

What should you do for plantar fasciitis?

A

Stretch plantarflexors (calf muscles)

  • pain over medial border/tuberosity of calcaneus
  • worse in the morning when walking
22
Q

What is the BOSU used for?

A

Ankle strengthening/ROM/balance and proprioception

23
Q

What is the most important task when having a diabetic foot?

A

Inspect foot everyday

24
Q

What is the total gym not mostly used for?

A

Closed Kinetic Chain (CKC) exercises

25
Q

What complication is associated with significant blood loss and shock following a fx?

A

Pelvic Fx (Unstable)

26
Q

Lying on the side is bad for which soft tissue injury?

A

Trochanter Bursitis

27
Q

What does a supinated foot need with shoes?

A

Shock absorption (due to excessive stability)

28
Q

What is a side effect of Dantrolene?

A

Difficulties in breathing

29
Q

What tendon is used in achilles (ankle) repair?

A

Peroneus Brevis (sometimes p. Tibial tendon)

30
Q

What should you know about sacrococcygeal joint?

A
  • Usually fused but can be mobile

- Mobilized from inside

31
Q

How does a foot with RA look?

A
  • Begins with Synovitis
  • Hallux Valgus
  • Pronated
  • results in AA (fusion)
32
Q

What shoe would you give a person with a high arch/supinated foot?

A

Curve last (shock absorption)

33
Q

What should we do with pt. S/p TKA 8 weeks after surgery with edema?

A

?

34
Q

With a ORIF hip, what should be avoided?

A

Flexion (and?)

35
Q

How should over use injuries be treated?

A

With rest and gradual increase of duration/intensity/volume

36
Q

What type of repair typically uses a brace for knee?

A

ACL Phase Min to Mod

37
Q

What causes lateral epicondylitis?

A

Over use of extensors

38
Q

With an excessive posterior trunk lean, what is weak?

A

Hip extensors

39
Q

What is Morgan’s neuroma?

A

Bundle of swelling around nerves in 3rd and 4th interspace

40
Q

How to get rid of Hallux Valgus?whats another name for it?

A

Bunionectomy (bunion)

41
Q

The anterior drawer test is often used for what ligament assessment?

A

ACL

42
Q

CPRS is also known as _______, and does what?

A

RSD (regional sympathetic dystrophy); is characterized by severe pain and sensitivity, swelling, and changes in the skin.
*Can happen in foot