Exam B

Question 1

EMG insertional activity

Answer 1

burst of electrical activity

Question 2

EMG in normal, non-contracting muscle

Answer 2

electrical silence

Question 3

EMG in relaxed denervated muscle

Answer 3

fibrillation potentials (spontaneous activity)

Question 4

EMG in contracted muscle undergoing reorganization

Answer 4

polyphasic potentials

Question 5

symptoms of hypoglycemia

Answer 5

feeling weak, dizzy, nauseous, sweating, unsteady

Question 6

clinical manifestations of postpolio syndrome

Answer 6

myalgia, new weakness and atrophy, excessive fatigue with minimal activity

Question 7

contraindications for short wave diathermy

Answer 7

children (growth plates), implanted devices (pacemakers, neural simulators, insulin pumps)

Question 8

how long after CABG before moderate to heavy resistance training?

Answer 8

3 months, after that begin with 30-40% 1RM UE, 50-60% LE

Question 9

how long after CABG before moderate to heavy resistance training?

Answer 9

3 months, after that begin with 30-40% 1RM UE, 50-60% LE

Question 10

symptoms of cataracts

Answer 10

gradual loss of vision, central vision first

Question 11

symptoms of glaucoma

Answer 11

gradual loss of vision, peripheral first, then central, progressing to total blindness

Question 12

Homonymous hemianopsia

Answer 12

loss of half of visual field (i.e. right side in both eyes); occurs following stroke/TBI

Question 13

heteronymous hemianopsia

Answer 13

loss of half of visual field (i.e. central or peripheral in both eyes); occurs following stroke/TBI

Question 14

heteronymous hemianopsia

Answer 14

loss of half of visual field (i.e. central or peripheral in both eyes); occurs following stroke/TBI

Question 15

treatment emphasis in knee injury (ACL, meniscus)

Answer 15

closed chain quad and hamstring strengthening to attain terminal knee extension

Question 16

lower motor neuron lesion symptoms

Answer 16

decreased tone, hyporeflexia, muscle weakness with fasciculations

Question 17

Bell’s palsy

Answer 17

LMN lesion affecting facial nerve (motor to face and taste on anterior tongue)

Question 18

visual confrontation test

Answer 18

from sides, bring pen from either side of pt’s head to front, pt indicates when they see the finger. Testing for peripheral vision/hemianopsia

Question 19

symptoms of upper cervical fracture

Answer 19

headaches, dizziness, neck pain with guarding, sensation of lump in throat. Requires CT scan to confirm

Question 20

chair position of least lumbar disc compression

Answer 20

seat pan to backrest angle of 90-110 deg, arm rests, lumbar support

Question 21

ECG finding representative of myocardial ischemia

Answer 21

> 1 mm ST depression, horizontal or downsloping

Question 22

skin changes in hypothyroidism

Answer 22

dry and cool

Question 23

ideational apraxia

Answer 23

inability to perform a purposeful motor act, either automatically or on command

Question 24

anosognosia

Answer 24

lack of awareness of the presence or severity of one’s deficits

Question 25

somatognosia

Answer 25

impairment in body scheme

Question 26

what direction does stability ball roll for posterior pelvic tilt

Answer 26

forward

Question 27

statistical test to compare 3 or more tx groups

Answer 27

ANOVA

Question 28

Chi squared test

Answer 28

non-parametric tests used to compare data in the form of frequency counts

Question 29

Spearman’s rho

Answer 29

statistical test to correlate ordinal data

Question 30

fluent aphasia communication techniques

Answer 30

(Wernicke’s aphasia) word salad, auditory comprehension impaired. best to use demonstration and gestures.

Question 31

non-fluent aphasia communication techniques

Answer 31

(Broca’s aphasia) pt cannot speak, but can understand verbal communication

Question 32

general description of sxs with bulging disc w/o nerve compression

Answer 32

centralized gnawing pain with loss of proprioception

Question 33

festination

Answer 33

abnormal and involuntary increase in speed of walking in an attempt to catch up with a displaced CG due to patient’s forward lean.

Can use a toe wedge to help displace CG back to normal

Question 34

initial imaging to detect stress fx

Answer 34

radiograph and bone scan

Question 35

ambulation potential for high level myelomeningocele

Answer 35

household with RGO and loftstrand crutches

Question 36

typical neuromuscular changes with AIDS

Answer 36

ataxia, paresis with gait disturbances, loss of fine motor coordination. possible peripheral neuropathy with distal pain and sensory loss

Question 37

SI dysfunction special test cluster

Answer 37

SI gapping, SI compression, thigh thrust test, sacral thrust, Gaenslen’s

Question 38

typical UE spasticity patterns

Answer 38

shoulder adductor, forearm pronation, elbow, wrist, finger flexors

Question 39

encouraging finger extension

Answer 39

slowly stroke finger extensors in proximal to distal direction

Question 40

lateral medullary (Wallenberg’s) syndrome

Answer 40

dec pain and temp on ipsilateral face, nystagmus, vertigo, nausea, dysphasia, ipsilateral Horner’s syndrome, contralateral loss pain and temp in body

caused by occlusion of PICA (Posterior inferior cerebellar artery)

Question 41

estim on infected wound: cathode/anode?

Answer 41

cathode in wound - negative current bacteriocidal effect

Question 42

most common infection transmitted to healthcare workers

Answer 42

Hep B

Question 43

signs and sxs of hyperthyroidism

Answer 43

increased HR and RR, palpitations, dysrhythmia, breathlessness, tremors, hyperkinesia, nervousness, increased DTR’s, weakness, fatigue, atrophy, heat intolerance

Question 44

MRSA precautions

Answer 44

open wounds contained in dressing, therapist gloved for any direct contact with pt’s intact skin or surfaces or articles in close proximity to pt. all equipment cleaned before and after use. bring to treatment room as soon as possible, do not treat in open gym

Question 45

SACH foot

Answer 45

provides saggital plane motion and limited frontal plane motion

Question 46

supranuclear palsy

Answer 46

caused by stroke in internal capsule. paresis or paralysis of muscles in lower half of face of contralateral side

Question 47

deviated trachea causes (left)

Answer 47

right hemothorax
right pneumothorax
right pleural effusion

left lung collapse

Question 48

initial biofeedback protocol

Answer 48

high detection sensitivity with electrodes placed close together to avoid picking up signals from adjacent muscles