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musculo final > final exam > Flashcards

final exam Flashcards

1
Q

how much does an PT work for a minimal assistance transfer?

A

25%

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2
Q

how much does an PT work for a moderate assistance transfer?

A

50%

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3
Q

when using a transfer board with a patient what way should they look?

A

look away from the moving direction over PT shoulder

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4
Q

what is the standard wheelchair measurements?

A

width 18”
depth 16”
height 20”

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5
Q

when going up the curb with a wheelchair what is the best way to do so?

A

forward

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6
Q

when going down the curb with a wheelchair what is the best way to do so?

A

backward

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7
Q

patients often require physical assistance when moving in bed, what is the most effective approach to applying force to assist the patient?

A

apply force more centrally

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8
Q

to minimize repositioning, where should a patient who is about to lie down, sit on the edge of the bed?

A

one third of the way down from the head of the bed

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9
Q

when is it most likely that a stepstool will be required for transfers between chairs and plinths?

A

when the table surface is above the patients gluteal folds

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10
Q

what is Center of mass (COM)

A

the balance point of an object

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11
Q

what is the best way for a wheelchair user to negotiate very steep slopes?

A

go up slope using a zigzag path

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12
Q

your patient is a 43 y/o woman with MS who needs a wheelchair for occasional use, especially for locomotion over long distances. Her husband will push her during such trips. He will also put the chair in the car trunk for transportation. What is the most appropriate leg rest for this patient?

A

removable swing-away leg rests

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13
Q

What is the normal height stairs should be for external accessibility?

A

maximum 7in in height
no less than 11 in in tread

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14
Q

how high should handrails be mounted above floor surface?

A

30-34in

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15
Q

how should Ramps be set up for external assessability?

A

1 in rise
12 in run
width at least 36 in

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16
Q

what should a doorway entry be

A

minimum of 32” with the door opened to 90 deg

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17
Q

how many grab bars should a toilet have

A

2 grab bars (36 in from floor)

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18
Q

how many grab bars should a tub have?

A

3 grab bars (33-36 in from floor)

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19
Q

when assessing the bath tub for accessibility and safety, grab bars should be placed on which walls surrounding the tub?

A

head end, side wall and foot end of tub

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20
Q

how many feet is needed for a wheelchair to make a 360 deg turn

A

5 feet

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21
Q

what are principle of universal design?

A

low physical effort
tolerance of error
flexibility in use
intuitive use

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22
Q

what is the minimum width for an interior doorway to be accessible ?

A

32 in

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23
Q

what accurately represents optimal alignment for the monitor when assessing positioning at the computer work station?

A

top of monitor Is at eye level

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24
Q

what can drag force be controlled by?

A

shape and speed

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25
Q

what is premature fatigue

A

excersicing in water that is too warm

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26
Q

for pt doing vigorous exercise in water what is a good temperature to keep it at

A

85

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27
Q

what is convection?

A

loosing heat to the movement of water

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28
Q

what is the ranked order for pain location of hip OA?

A

Greater trochanter
groin
anterior thigh
buttock

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29
Q

what is chemical pain?

A

constant pin
high levels of pain
easy aggravation of pain by all movements

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30
Q

what is mechanical pain

A

intermittent pain
variable response to NSAIDs

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31
Q

what is the capsular pattern for hip?

A

flexion
abduction
IR

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32
Q

what is scour test for?

A

OA
Labral pathology
osteochondral defect
osteonecrosis

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33
Q

what is a positive scour test?

A

pain, grinding, catching or crepitus

34
Q

what is the FADIR or anterior labral test for?

A

femoroacetabular impingement
anterior labral tear

35
Q

what is FABER/patricks test for

A

PSIS/buttocks
GT/Thigh
Knee

36
Q

what is the flexion-adduction test for?

A

legg-calve perches disease and scfe
sinister pathology like fracture and cancer

37
Q

what is the 3 muscle kendal test for?

A

tight illiopsoas, rectus femurs, or TFL

38
Q

what is a positive kendal test if the pt end position is hip flexion and ER

A

tight Iliopsoas

39
Q

what is a positive kendal test if the pt end position is hip flexion and knee extension

A

tight rectus femoris

40
Q

what is a positive kendal test if the pt ends in hip flexion and hip AB

A

tight TFL/ITB

41
Q

what is obers test for

A

Tight ITs, can use for OA vs Trochateric bursitis

42
Q

what is Craigs test for ?

A

retroversion/ ante version

43
Q

what is trendelenburg test for?

A

hip OA or labral tear
trochanteric bursitis
IT band syndrome

44
Q

what is patellar pubic percussion test?

A

test for fracture of hip
tap patella
(+) = diminished percussion on side of pain

45
Q

what is FAIR test for?

A

sciatic nerve and piriformis

46
Q

what are the motions for fair test?

A

60 deg hip flex
90 deg hp flx
hip add to table

47
Q

what does the tug test measure?

A

a pt who takes > 12 sec to complete the TUG test is at high risk for fall

48
Q

what should you do for pt in the acute inflammatory phase?

A

modalities to promote healing
use of AD as needed
grade 1 and II joint mopbs
submaximal isometrics
passive range of motion exercises

49
Q

what should you do for pts in the subacute (proliferative) phase?

A

AAROM
AROM
multiangle submaximal ispmetrics
muscle endurance training
manual therapy grade 3 and 4
gentle flexibility exercises
progressive balance and stability exercises
CV endurance exercise

50
Q

what are the parameters for strength

A

3-5 sets
6-12 reps

51
Q

what are the parameters for endurance

A

3-5 sets
20-30 reps

52
Q

what are the parameters for tendon

A

3-5 sets
30-40 reps

53
Q

what are the parameters for ligament

A

1000’s of reps

54
Q

what are the parameters for cartilage

A

hours of reps

55
Q

what exercises should you do in the chronic maturation phase

A

eccentric exercises
sport-specific training
manual therapy and flexibility training

56
Q

what is the best exercise for gluteus medius

A

side plank abduction with dominant leg on bottom

57
Q

what is the best exercise for glute Maximus

A

front plank with hip extension

58
Q

what is grade I for mobilization

A

small amplitude out of resistance
goal to reduce pain

59
Q

what is grade II for mobilization

A

A large amplitude out of resistance
goal to reduce pain

60
Q

what is grade III for mobilization

A

large amplitude INTO resistance
goal to reduce joint stiffness

61
Q

what is grade IV for mobilization

A

A small amplitude into resistance
goal to reduce joint stiffness

62
Q

what is derangement syndrome?

A

presence of directional preference with RAPID change in symptoms

63
Q

during repeated movement, if the patients symptoms centralize what should you do?

A

that movement usually turns into our treatment

64
Q

what should the end feel for lumbar flexion be?

A

firm

65
Q

what should the end feel for extension be?

A

firm or hard

66
Q

what should the end feel for side-bending/rotation be?

A

firm or hard due to approximation of the zygopophyseal joints

67
Q

what does central P-A pressure (PAIVMS) improve?

A

extension

68
Q

what does unilateral P-A PAIVMS improve

A

active sidebending, extension, rotation

69
Q

what does transverse pressure improve

A

active rotation

70
Q

what is hicks clinical prediction rule for spinal stabilization

A

prone instability test
aberrant trunk motion
SLR >90
Age <40

71
Q

what is a positive SLR test

A

indicative of a nerve root compression secondary to disc protrusion or extrusion

72
Q

what does pain < 30 deg of hip flexion on a SLR indicate?

A

acute sponyloithesis
gluteal abscess
disc protrusion or extrusion
tumor of the buttock
acute dural inflammation
a malingering patient

73
Q

what does pain at > 70 during SLR of hip flexion indicate?

A

tightness of hamstrings
gluteus maximus
hip capsule
hip or sacroiliac

74
Q

how do you do tibial nerve testing

A

dorsiflex and EV

75
Q

how do you perform sural nerve testing

A

IV and DF

76
Q

how do you perform fibular nerve testing

A

PF and IV

77
Q

How do you perform the slump test?

A

pt places arm behind back
pt slumps
PT apply over pressure
have pt extend knee
tell pt to DF
ask to lift neck to see if symptoms go away

78
Q

what is prone knee bend

A

pt lay on table arms at side
examiner places hand on pelvis
pt bends knee until reproduction of symptoms

79
Q

what is prone instability test

A

pt lay w torso on table
examiner perform a central PA pressure over spin
pt lift feet off floor
(+) = pain goes away

80
Q

what is the quadrate test?

A

pt ext, SB then Rot
(+) test if reproduction of pt concordant signs

musculo final (1 decks)

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