Exercice Flashcards

1
Q

120 patients were involved in a study to compare effectiveness and recovery time of physiotherapy rehabilitation provided within a group with an individualized program provided at home for improving participants’ outcomes after total joint replacement surgery for 12 weeks. The first group admitted to the study entered the exercise group, and patients in the following 4 months entered the home physiotherapy group.

What type of design?
PICO?

A

Cohort design

P: patients after total joint replacement surgery
I: one in exercise group
   Cohort design
C: one group home physiotherapy group
O: effectiveness and recovery time
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2
Q

The effect of core stability (treatment B) training on balance and mobility in three (3) patients presenting multiple sclerosis. 8 weeks of treatment between baseline (A) measurement and final measurement.

What type of design?

A

Single case design

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3
Q

What are the experiences of sexuality of young men with spinal cord injury? What is the SPIDER?

A
S- Young men with SCI
PI- sexuality
D- Interview or focus group
E- Experiences with / attitudes towards
R- Qualitative study
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4
Q

You have a female patient who has recently been diagnosed with SLE (Systemic lupus erythematosus) Her rheumatologist suggested she start on Plaquenil for her joint pain, but she is interested in alternative therapies because she heard about success a neighbor had with turmeric tea. What is the PICO?

A

P- patients with SLE
I- turmeric tea
C- Plaquenil (standard drug therapy)
O- reduction of joint pain

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5
Q

What are the coping skills of parents of children with autism undergoing behavioral therapy in schools? What is the SPICE?

A
S- Schools
P- Parents of children with autism
I- Behavioural therapy
C- None
E- Coping skills, attitudes
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6
Q

In a practice, a physiotherapist wants to assess if the use of a massage chair therapy vs basic physiotherapy is better to decrease low back pain in patients. 80 patients were divided in two matching groups, with age, height, weight and low back pain level as criteria.

What type of design?

A

Cohort design

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7
Q

How do people who care for their spouse with Parkinson’s disease deal with the pain their spouse is experiencing? What is the PICo?

A

P- Spouses of people with PD who act as their carers
I- Ability to deal with their loved one’s pain
Co- Home caring environment

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8
Q

80 Parkinson disease patients were randomly allocated (computer) in two different groups: one control group receiving usual care (n=40) and one group receiving a stretching training (n=40) in addition to the usual care. Hip Range of motion was measured in both group after 8 weeks.

What type of design?

A

RCT

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9
Q

50 patients with BPCO participated to 6 weeks physical activity program. The 6 minutes walk test was done before the program, at mid-term and at the end of the program.

What type of design?
PICO?

A

Before and After

P: patient with BPCO
    Before-After design
I: 6 weeks physical activity program
C: none
O: 6 minutes walk test
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10
Q

Jenni comes to your antenatal clinic. She would like to consider a waterbirth, but wants to know if being born underwater, compared with being born on ‘dry land’, would present any additional risks to her baby. What is the PICO for this research question?

A

P: newborn babies
I: water birth
C: dry land birth
O: risks for the baby

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11
Q

Your patient has a history of blood clots and after they came in to your clinic with right calf discomfort and tightness, you’re concerned about DVT (Deep vein thrombosis). You remember reading about the limitations of duplex ultrasound and calfveins, and are wondering if a d-dimer assay can help you rule out DVT more accurately. What is the PICO?

A

P- One adult
I- d-dimer assay
C- ultrasound
O- DVT problem

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12
Q

Your patient, who owns a bakery, recently participated in their employer’s wellness program. Their BMI is within a normal range, but they have a family history of obesity, and are concerned about the impact carbs may have on maintaining a healthy weight. What is the PICO?

A

P- pts w/ family history of obesity
I- carb intake; specific diet?
C- no
O- keeping BMI below 25; healthy weight management

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13
Q

The description of the case of a patient with cervical spondylotic myelopathy that tried a mixed treatment of manual therapy and therapeutic exercise to decrease pain, paraesthesia in the upper limb.

What type of design?

A

Case-study

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14
Q

An orthopedic surgeon has to decide which of the proposed hip orthosis he will keep for the future. He retrieves 80 patients: 40 received hip orthosis A and 40 received hip orthosis B. He will explore the recovery time, the pain level and the duration at the hospital to take his decision.

What type of design?

A

Case-control design

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15
Q

George wants to discuss the possibility of a vasectomy. He says he has heard something about vasectomy causing an increase in testicular cancer later in life. You know that the risk of this is low but want to give him a more precise answer. What is the PICO for this research question?

A

P: adult male
I: vasectomy
C: none
O: testicular cancer

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16
Q

The Vo2max of 40 children presenting mild cerebral palsy was evaluated after 8 weeks of training. Children received the same endurance training every day for one hour.

What type of design?

A

Before-After design

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17
Q

Mrs. T. is suffering of a frozen shoulder. Coming back from a congress you have learned about this new specific training for treating her shoulder. You are willing to measure the Range of motion (5 times each time) of the shoulder through the process 4 times a week for 6 months. You see an improvement at the end of the treatment.

What type of design?
PICO?

A

Single case design

P: single patient with frozen shoulder
    Single case design
I: specific training 
C: none
O: ROM of the shoulder
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18
Q

286 patients with low back pain of more than six weeks’ duration were divided in 2 groups randomly: routine physiotherapy or advice on remaining active from a physiotherapist. Primary outcome was scores on the Oswestry disability index at 12 months. Secondary outcomes were scores on the Oswestry disability index (two and six months), scores on the Roland and Morris disability questionnaire and SF-36 (2, 6 and 12 months), and patient perceived benefit from treatment (2, 6, and 12 months).

What type of design?
PICO?

A

RCT

P: patients with low back pain of more than 6 weeks
I: routine physiotherapy
C: advice on remaining active from a physiotherapist
O: Oswerty disability index, Roland and Morris disability questionnaire and SF-36 scores at 2, 6 and 12 months + perception of benefice at 2, 6 and 12 months

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19
Q

What does the acronym PICO stand for?

A

P: Population and Problem
I: Intervention
C: Comparison or Control
O: Outcome

20
Q

The cross-sectional area of gastrocnemius muscle was measured in elderly (>65 yr), middle aged (30-65 yr) and young adults (18-30 yr) to evaluate the effect of ageing on this outcome. 90 participants volunteered.

What type of design?

A

Cross-sectional design

21
Q

Which of the following is true?

(i). Academic writing should consist of simple short sentences.
(ii). Academic writing is not based on hearsay.
(iii). Employability is one of the characteristics of academic writing.
(iv). Academic writing is based on critical thinking.

A. (ii) and (iv) are true.
B. (ii), (iii) and (iv) are true
C. (i) and (iii) are true.
D. Only (i) is true.

A

A. (ii) and (iv) are true.

22
Q

Identify three citation errors in this bibliography

  1. Yeo, A., James, K., & Ramachandran, M. (2015).Normal lower limb variants in children. British Medical Journal, h3394.doi:10.1136/bmj.h3394
  2. United Nations. (2019). Libya: $202 million needed to bring life- saving aid to half a million people hit by humanitarian crisis. https://news.un.org/en/story/2019/02/1031981.

3 Goldin, C. D., & Katz, L. F. (2008).The race between education and technology. Belknap Press of Harvard University Press.

A

1- Items in APA style biography should not be numbered
2- The items in bibliography its not listed in alphabetical order
3- In the first sentence, the title should not been in Italian style, but British Medical Journal should be

23
Q

How would you cite a picture copied from a website in the text of your essay using the APA style?

A. Above the picture, write the family names of the authors and the year of publication of the picture.

B. Below the picture, write the figure number, the family names of the authors and the year of publication of the picture.

C. Above the picture, write the figure number and title. Then Below the picture, write Note. A description of the picture and citation details.

D. Above the picture, write Note. A description of the picture and citation details. Then below the picture, write the figure number and title.

A

The correct answer is C

24
Q

Which of the following is true about the methodology of Economic analysis and what Economic analysis is used for?

A. All intangible costs are monetised based on minimum wage and Economic analysis are used to determine insurance pay out.

B. All tangible costs are monetised based on minimum wage and Economic analysis are used to determine insurance pay out.

C. The most appropriate sampling method is purposive sampling and Economic analysis are used to determine the salary of Physiotherapists.

D. The most appropriate sampling method is snowball and Economic analysis are used to determine the number of new cased of Spinal cord injury.

A

The correct answer is A

25
Q

Mention 4 direct costs related to the economic analysis of spinal cord injury for the life time of a 35 year old father of 2

A

Home modification to accommodate the patient’s new level of ability, these may be elevators or accessible rooms and bathrooms.

Vehicle modifications to allow the vehicle to transport wheelchairs.

Ongoing physiotherapy.

Depending on the level of severity of the injury, the patient may need a personal aid to be with them at all times. This may be a nurse or a nurse assistant.

26
Q

Is the cold call method of recruitment in breach of the ethical principles of research participant informed consent?

A

The Cold call method of participant recruitment does not violate the principles of informed consent as long as it is used in the right context and for the right type of research study design

27
Q

Which of the following is true about research participant recruitment?

A. People are more likely to participate in Randomised Controlled clinical trials than any other type of research.

B. Difficulties with recruitment can be solved by advertising that participants will be paid if they participate till the end of the study.

C. For reasons of equality, research information must be provided to all potential research participants in the same format.

D. For people who have no capacity to consent to participate in research, they can be included in research based on their advance directive.

A

The correct answer is D

28
Q

What is critical appraisal of published research?

A. It is a standardised process of assessing the trustworthiness of the methods and the results of research publications.

B. It is a standardised process of searching databases such as Cochrane Library for the full text of research publications.

C. It is a standardised process of clinical decision making to achieve the best clinical outcomes for patients.

D. It is a standardised process of asking answerable clinical questions based on research question formats such as the PICO format.

A

The correct answer is A

29
Q

Which of the following is true about the critical appraisal of scientific literature?

A. One of the objectives is to achieve value for money and it is the second step of Evidence based practice.

B. One of the objectives is to find the full text of research articles and it is the third step of Evidence based practice.

C. One of the objectives is to determine the validity of research results and it is the fourth step of Evidence based practice.

D. One of the objectives is to determine research rigor and it is the third step of Evidence based practice.

A

The correct answer is D

30
Q

How do you critique a published research article?

A. By giving your opinion on whether the authors used formal or informal writing.

B. By giving your opinion on the qualifications of the authors.

C. By giving your opinion on the methods used by the authors based on evidence.

D. By giving your opinion based on whether the research article can be found on www.pubmed.gov or not.

A

The correct answer is C

31
Q

Which of the following is true about the Phenomenology approach to qualitative research?

A. The goal is to determine how people make sense of their live situation based on theoretical sampling.

B. The goal is to formulate theory for phenomenon based on purposive sampling.

C. The goal is to determine how people make sense of their live experiences and purposive sampling of participants is required.

D. The goal is to determine how people cope with their experience based on specified assumptions.

A

The correct answer is C

32
Q

What is qualitative research?

A
33
Q

Which of the following statements is true?

A. Confounding happens when there is at least one other variable that has an association or a causal relationship with the dependent variable.

B. The opinions of qualitative research participants are biased by confounding Factors.

C. Confounding cannot occur if both the confounding factor and the independent variable have the same effect on the dependent variable.

D. Confounding will occur if the confounding factor is an intermediate step in the pathway of the relationship between the dependent and the independent variable.

A

The correct answer is A

34
Q

Which of the following is true about case series research?

A. Participants are allocated into either treatment group or control group.

B. The goal is to compare treatment outcomes between the intervention group and the control groups.

C. To goal is to describe how a group of individuals respond to intervention.

D. During the study, the researcher makes every effort to prevent cointervention.

A

The correct answer is C

35
Q

Is magnesium more effective to remove pain compared to stretching in athletes with muscle cramp?

What is the PICO?

A

P: muscle cramp, athletes

I: magnesium

C: stretching

O: no pain

36
Q

QUANTITATIVE STUDY EXAMPLE

High quality longitudinal study designs such as RCTs are needed to understand whether resistance training can improve body composition for adolescents who are clinically obese.

Research Question?

A

Is resistance training more effective than usual care in improving body composition in adolescents who are clinically obese?

37
Q

QUALITATIVE STUDY EXAMPLE

The meaning of exercise for young overweight people has not been explored in the literature.

Research Question?

A

How do adolescents with a diagnosis of clinical obesity experience and make sense of exercise and weight loss training programmes?

38
Q

SYSTEMATIC REVIEW EXAMPLE

The effectiveness of training programs for long-term weight loss for adolescents who are overweight is inconsistent.

Research Question?

A

How effective are training programs for long-term weight loss for adolescents who are overweight?

39
Q

During a weekend tournament, players from one team wore waterproof, SPF 35 sunscreen, while players from the other team did not wear any sunscreen. At the end of the volleyball tournament players’ skin from both teams was analyzed for texture, sun damage, and burns. Comparisons of skin damage were then made based on the use of sunscreen.

What study design?

A

Cohort design

  • One group not exposed to situation of interest
    VS
    One group exposed to situation of interest
  • Allocation of groups not under control
40
Q

Twenty elite Luxembourgish rugby players received a training camp at LUNEX university. Their exercise capacity was assessed 1 week before the start of the training camp and when the training camp ended.

What study design?

A

Before-after design

  • Assess and compare outcomes before and after intervention
41
Q

One LUNEX student was asked to rate his/her satisfaction of the teaching of the quantitative research module with a 10-point scale.

What study design?

A

Case-study

  • Descriptive information exposure - outcome
  • no control group
42
Q

Forty LUNEX students were recruited to investigate the impact of an additional statistics course on the mark of the dissertation. Students were divided via pulling a straw into a group who received the additional statistics course (n=20) and a group who did not receive this course (n=20).

What study design?

A

RCT

  • Random allocation
  • 1 experimental group vs 1 control group
  • Test effectiveness of intervention
43
Q

At 01/01/2020, the drop-out rate in physiotherapy will be analyzed.

What study design?

A

Cross-sectional design

  • At 1 point in time (date)
44
Q

Number of times a balance board made contact with the floor after a strength (treatment B) and proprioceptive training (treatment C) after an ankle sprain (n=3)

What study design

A

Single case design

  • Baseline (A) and treatment/intervention (B)
45
Q

A LUNEX teacher wants to understand why some students (n=20) did not attend his courses and why others (n=20) did. For the latter, he will explore differences between the two groups in terms of age, gender and background.

What study design?

A

Case-control design

  • Cases (with a specific characteristic or situation) vs controls
  • -> compare differences