group presentations

Question 1

which of type muscle fiber loss does not contribute to sarcopenia?

Answer 1

type 1

Question 2

What two cutoffs that suggest the need for diagnostic imaging (MRI, DXA, CT) to assess muscle mass in a patient >65 years old?

Answer 2

gait speed .8m/s and low grip strength

Question 3

What are three interventions have been studied in delaying the effects of sarcopenia?

Answer 3

Resistive exercise
Amino acid supplementation
NMES

Question 4

what are the three screening tools used to diagnose? cachexia?

Answer 4

Body composition (fat-free mass index)
>5% weight loss within the last 12 months
Nutritional intake

Question 5

Your patient is a 58 yo male who has been in remission for prostate cancer for 2 months. He has lost 10% of his body weight in the last 6 months. He reports decreased appetite and feeling tired when he goes up the stairs. What two appropriate exercise(s) for this patient?

Answer 5

Leg press: 8-12 reps to fatigue x 3 sets, 3x/week

Walking: 5/10 on RPE, 30 minutes, 5x/week

Question 6

What are two cancer related fatigue measures?

Answer 6

MFI

FSI

Question 7

What are four common aspects of a clinical presentation of someone with myasthenia gravis?

Answer 7

dropping eyelid
SOB
difficulty swallowing
double vision

Question 8

Should a patient with myasthenia gravis be treated with high-intensity exercise?

Answer 8

No

Question 9

What is affected by the immune system due to myasthenia gravis?

Answer 9

nictotinic receptors

complement proteins

Question 10

what are three aspects of the clinical presentation of lupus?

Answer 10

arthritis of multiple joints
butterfly rash
low grade fever

Question 11

what is an example of a patient with a bad lupus prognosis?

Answer 11

38 y/o male patient diagnosed with SLE, glomerulonephritis, and positive lupus anticoagulant 22 years ago.

Question 12

Can PT cure lupus?

Answer 12

No

Question 13

What does increased vascular resistance in pulmonary arteries results from?

Answer 13

Reduced endothelin-1 and increased nitric oxide and prostacyclin

Question 14

What is used as the gold standard for diagnosing pulmonary artery hypertension?

Answer 14

Right heart catheterization

Question 15

What is an example of a PAH patient where exercise intervention contraindicated?

Answer 15

65 y.o. w/ group I PAH, reports severe dizziness with initiation of exercise

Question 16

What are two physiological scenarios that can result in feelings of fatigue in a patient with PAH?

Answer 16

Less oxygen at the site of the muscles

Fiber type switching from type 1 to type 2

Question 17

What are common signs/symptoms of CA that PTs can assess?

Answer 17

Night sweats
Fatigue
Unexplained weight loss

Question 18

Which patient education piece may be the LEAST helpful regarding this patient s/p Achilles Tendon Rupture?

Answer 18

Encouraging the patient to avoid activity and stay in bed

Question 19

Fibromyalgia classified as?

Answer 19

A CNS disorder

Question 20

Which is an intervention is appropriate for a patient presenting with severe fibromyalgia symptoms on the day of their PT visit?

Answer 20

Begin with relaxation techniques, move on to exercise below 5 RPE

Question 21

What is the gold standard of medication for fibromyalgia treatment?

Answer 21

There is no single accepted treatment, medications should be individual to patients presentation and response

Question 22

What are the goals of therapy for RA?

Answer 22

improve/maintain function
pain relief
support with ADLs

Question 23

Which joints are most commonly affected by RA?

Answer 23

Ankle
Wrist
PIP

Question 24

What is an example of an exercise prescription that would be appropriate for someone with RA?

Answer 24

Walk for 20 minutes at moderate intensity with 5 minute rest, walk for another 20 minutes

Question 25

What is an example of a sx are NOT reported in PPS (Post Polio syndrome)?

Answer 25

spasticity

Question 26

Exercise Considerations for PPS should NOT include…

Answer 26

strengthening

Question 27

What is the most significant impairment with PPS that impacts therapy?

Answer 27

fatigue