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HOME STRETCH Flashcards

1
Q

12 wks post fracture - functional phase goals are what

A

restore joint kinematics
attain full ROM pain free
JOINT MOBS to improve motion, dec guarding, lengthen tissue around joint

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2
Q

Children with juvenile RA ambulate with

A

Decreased cadence
Decreased PF range
Decreased hip ext
Increased ant pelvic tilt

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3
Q

water immersion US protocol

A

plastic basin with tap water

Move transducer 0.25 in away from the body surface

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4
Q

Pinching btw the thumb and tip of index finger would be good for what

A

Median nerve injury - CTS

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5
Q

Squeezing hand grip with elastic band resistance would be good for what

A

Cubital tunnel ulnar entrapment

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6
Q

Thumb opposition would be good for what

A

Median nerve

Deficits in thumb abd and opp

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7
Q

Squeeze therapy putty btw sides of fingers would be good for what

A

Lumbrical and interossei weakness
Innervated by ulnar
Affected when entraped at hamate (Guyon)

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8
Q

Horizontal nystagmus is a symptom of what type of lesion

A

Cerebellar

Like AICA

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9
Q

Ataxic gait is a symptom of what type of problem

A

Cerebellar

Like of basilar artery

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10
Q

Apraxia is a symptom of what type of problem

A

Middle cerebral artery lesion

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11
Q

L2-L3 sensation

A

anterior/medial thigh

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12
Q

L3-L4 sensation

A

L3 anteromedial thigh

L4 lower thigh, ant knee, shin

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13
Q

L5 - S1 sensation

A

L5 - lateral lower leg, dorsum of foot

S1 - pinky toe, lateral lower lower leg

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14
Q

Hip abduction myotome

A

L4-S1

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15
Q

Hip flexion myotome

A

L1-L4 (L2)

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16
Q

Hip add myotome

A

L2-L3

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17
Q

Knee flex myotome

A

L4-L5

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18
Q

Hip ext myotome

A

L4-L5

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19
Q

S1-S2 sensation

A

Post thigh and leg

Perineal region

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20
Q

Med with large impact on healing time

A

Long term steroid usage!

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21
Q

Upper trap action

A

Alone - elevates shoulder

Coupled with lower trap and SA will produce upward rot of scapula

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22
Q

Post deltoid action

A

Ext
Abd
ER

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23
Q

Rhomboid action

A

Retract
elevate scap
Doward rot of scap

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24
Q

Teres major action

A

Ext
Add
IR shoulder

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25
Q

International guidelines for prevention and treatment of pressure injuries includes referral of all individuals with pressure injury to who

A

A nutritionist for early assessment and intervention for nutritional problems

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26
Q

Plantar fasciitis - things that would contribute toa prolonged recovery

A

BMI greater than 25

Decreased big toe extension - normal is 70 degrees

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27
Q

Assessment of anterior tibiofibular ligament

A

Compression of the shafts of the tibia and fibula at mid calf
Syndesmosis ligament injury

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28
Q

Talar tilt test is for what and how

A

Ankle in neutral DF

Evaluate calcaneofibular ligament

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29
Q

Parrafin good for

A

Chronic conditions with no active swelling
Chronic OA of fingers
NOT CRPS (heat might aggravate)

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30
Q

ACL tear - closed vs. open chain

A

Closed chain puts less stress on ACL - appropriate for subacute (wk 4)
Open (esp last 25 ext) puts inc tension on ACL

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31
Q

ACL tear - straight leg raise

A

No stress on ACL - can be done in acute phase

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32
Q

ACL tear - plyometrics

A

Functional phase (week 10)

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33
Q

Oswetry scoring

A

lower number = better

0-100% disability

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34
Q

Most common presentation for enlargement of the prostate is

A

Difficulty initiating the urine stream

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35
Q

Symptoms of heart failure exacerbation

A

SOB

Dependent edema

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36
Q

Psoriasis is commonly found where

A

Scalp

Extensor surfaces of extremities

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37
Q

Footwear for someone with diabetes

A

Soft lining for protection from excess friction and pressure
NOT leather (unless is soft leather that will confrom to abnormalities)
Laces, straps, or velcro
SNUG fit around heel

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38
Q

Triglyceride level norm

A

Below 150

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39
Q

Waist measurement greater than ___ is risk factor for metabolic syndrome

A

35 in for women

40 for men

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40
Q

Meralgia Paresthetica is what

A

Entrapment or injury to the lateral femoral cutaneous nerve (a purely SENSORY nerve)
Injury affects sensation to the lateral thigh

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41
Q

Massed practice

A

Sequence of practice and rest where the rest time is much less than the practice time

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42
Q

Distributed practice

A

Practice intervals are equal to or less than the rest time

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43
Q

Blocked practice

A

Sequence organized around one task performed repeatedly, uninterrupted by practice of any other task
NOT based on time spent performing the task

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44
Q

Random practice

A

Several various tasks are ordered randomly across trials

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45
Q

Max torque of knee extensors reaches peak at

A

60 degrees of knee flexion

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46
Q

Groin pain is associated with what genitourinary problems

A

Upper urinary tract problems

Kidney or ureter infection

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47
Q

Sacral pain is associated with

A

Colon CA and colitis

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48
Q

Bladder infection is associated with

A

LBO

Suprapubic area

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49
Q

Junctional rhythm originates from the

A

AV instead of the SA node

P waves are missing!

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50
Q

Muscle ache (myalgia) common with hyper or hypothyroidism

A

Hypothyroidism

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51
Q

Most appropriate intervention with acute RA of wrist

A

Splints with wrists neutral position

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52
Q

What is important to monitor when pt is on coumadin/warfarin/anticoagulant

A

INR!
When on anticoag INR is between 2 and 3
Risk of bleeding with activity if higher than this

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53
Q

Erythrocyte sedimentatin rate is used to identify

A

inflammatory or necrotic processes

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54
Q

Red blood cell count is used to assess

A

oxygen carrying capacity of the blood

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55
Q

Hemoglobin measures the

A

oxygen carrying capacity of the red blood cells

56
Q

KAFO is often used (with SB) for what reasons

A

When mm of the knee are weak and muscles of the ankle are absent
It can substitute for a lack of mm activity

57
Q

Pts with emphysema have a hard time breathing with exercise - why?

A

alveolar dilation!

58
Q

Neuroma can cause what kind of pain descriptors

A

Sharp, shootingm and localized pain

59
Q

Arm exercise typically results in ____ oxygen uptake when compared to leg exercise

A

Arm exercise typically results in 30-40% lower max oxygen uptake than leg exercise

60
Q

Hopping on one foot - gross motor that is appropriate for what age

A

age 4 should be able to hop on one foot
Kick ball
Catch ball

61
Q

Kicking a stationary ball
Fast walking
Walking with assistance on stairs
appropriate for what ages

A

18 months to 3 years

62
Q

Dribbling basketball
Riding bike
Skipping
what age?

A

5-6 years

63
Q

Catching large ball
Riding tricycle
Running short distances
What age?

A

2-3 years

64
Q

Hopping on one foot
Kick ball
Catch ball
What age

A

4 years

65
Q

Spinal mm atrophy - if not sitting then what outcome

A

Unlikely to walk and will require power mobility

66
Q

OSteochondritis dissecans - common joints

A

Knee
Talus
Elbow

67
Q

Complication of quadriceps contusion

A

Myositis ossificans
Caused by heterotopic bone formation on the femur
During quad cx, mm belly rubs on bone and causes sharp pain

68
Q

Signs of severe dehydration in infant

A

Inc RR
Sunken in fontanelle
Cold hands and feet
Unable to cry

69
Q

Long term effects for what type of practice

A

RANDOM!

Due to higher cog processes that are required

70
Q

S/S of unilateral vestibular lesion

A

Vertigo
Postural instability
Oscillopsia
Disequilibrium

71
Q

Increased residual volume is seen in obstructive or restrictive

A

Obstructive

72
Q

Increased functional residual capacity is seen in obstructive or restrictive

A

Obstructive

73
Q

Ascites - what resp findings

A

Inc fluid in peritoneal cavity causing distention
Puts inc pressure on diaphragm and thoracic cavity
May lead to restrictive pattern!!!

74
Q

Decreased nspiratory reserve volume is component of obstructive or restrictive

A

Restrictive

75
Q

Ascites - can be classified as obstructive or restrictive

A

Restrictive

76
Q

Decreased FEV1 with obstructive or restrictive

A

Obstructive

77
Q

Hypoglycemia s/s

A

HA
Blurred vision
Slurred speech

78
Q

S/S of diabetic ketoacidosis

A 
HA
Acetone breath
Dehydration
Weak and rapid pulse
Kussmaul respirations
Hyperosmolar copa 
Polyuria, thirst, neuro abnormalities and stupor
79
Q

Vit B 12 deficiency s/s

A 
HA
Cog changes
Dementia
Ataxia
Psychosis
Peripheral neuropathy
80
Q

Airborne - what pressure

A

Negative!

Direction of airflow is from outside adjacent space into the room

81
Q

Furosemide is used for what

A

Diuretic - used for HTN

82
Q

Metformin is used for hwat

A

Diabetes

83
Q

Atenolol is used for what

A

Beta blcoker used for HTN, angina

84
Q

Sweat glands - what layer

A

Dermis

85
Q

Thermoregulation through insulation - what layer

A

SubQ

86
Q

Thermoregulation through sweating - what layer

A

Dermis

87
Q

Hoehn and Yahr classification is used for what

A

Parkinsons!

88
Q

Hoehn and Yahr classification - stage 4 =

A

moderate to severe range

89
Q

Exercise for someone with UE lymphedema - what sequence

A

Proximal to distal!

Cervical, shoulder, elbow, and then wrist

90
Q

Orthostatic hypotension - s/s

A

With acute cervical injury is common to see
Dizziness/Light headed
Ringing in the ears
When in vertical position like sitting or standing

91
Q

Common complication with myelomeningocele

A

Hydrocephalus - occurs in 25% or more
An additional 60% develop it after surgical closure of their back lesion
Between 80-90% of children with hydrocephalus will require CSF shunt

92
Q

Anterior mm of rotator cuff

A

Subscap

IR

93
Q

Posterior mm of rotator cuff

A

Infraspinatus

Teres minor

94
Q

Shoulder mob in direction of anterosuperior direction is to improve

A

horizontal abduction

95
Q

Shoulder mob in direction of posteroinferior direction

A

horizontal adduction

96
Q

ALS develops over

A

months or years

97
Q

Rapidly ascending bilateral weakness and paresthesias (but no anesthesia) makes you think of

A

GBS

98
Q

Ulnar deviation involves what myotome

A

C8

99
Q

Thumb ext involves what nerve roots

A

C6-C8

100
Q

Osgood Schlatter disease is what

A

Apophysitis of the tibial tubercle
Usually in pubescent individuals
Report pain and tenderness over tibial tubercle

101
Q

Meniscal tear - common symtoms

A

catching and pain at end range flexion

102
Q

Glut med is innervated by what

A

Superior gluteal nerve

L5 - S1

103
Q

The adductor magnus is innervated by

A

L4

104
Q

Iliopsoas is innervated by what nerve

A

Femoral

L2-L4

105
Q

Pectineus is innervated by what nerve

A

Obturator nerve

L2-L3

106
Q

Presence of significant Q wave

A

MI

107
Q

Premature atrial complex is indicated by what

A

an R wave that is close to the preceding R wave

108
Q

Supraventricular tachycardia is indicated by what

A

Indicated by a diminished P wave

109
Q

Atrial fibrillation is characterized by

A

inconsistent, irregular R-R intervals

110
Q

Radiating upper extremity pain, SOB, and diaphoresis are signs of

A

MI

111
Q

Undiagnosed, or poorly controlled diabetes - urine output

A

increased

112
Q

Exercise will raise or lower blood glucose levels in patients with undiagnosed type 2 diabetes

A

Exercise will likely raise it

113
Q

Type 2 diabetes - tend to have what heart rate

A

Reduced

114
Q

Stocking and glove pattern of loss of sensation is present with who

A

Diabetic neuropathy

115
Q

Vital capacity =

A

IRV + TV + ERV

116
Q

Functional residual capacity =

A

ERV + RV

117
Q

IC =

A

IRV + TV

118
Q

EC =

A

ERV + TV

119
Q

TLC =

A

IRV + TV + ERV + RV

120
Q

Pts with COPD will likely have what lung value be decreased

A

VITAL CAPACITY

Air expelled after pt takes max ins and exp

121
Q

COPD - RV will be

A

INCREASED

Air remaining in lungs when ERV has been exhaled

122
Q

COPD - TLC will be

A

INCREASED

Destruction of alveolar walls

123
Q

COPD - vital capacity will be

A

DECREASED!

IRV + TV + ERV

124
Q

COPD - FRC will be

A

INCREASED

air trapping - amount in lungs after quiet exhalation

125
Q

Coffee ground emesis

A

Upper GI bleed
(small intestine and above)
Peptic ulcer or esophageal varices

126
Q

It is impossible to raise the arm overhead without action of what muscle

A

Serratus anterior

127
Q

What muscle being used when POE to plank

A

Serratus anterior

128
Q

If blood glucose is low (less than 100) what needs to be done for someone with insulin pump

A

reduce insulin infusion dose

If no pump - give carb snack

129
Q

Fetal alcohol syndrome characteristics

A 
Maxillary hypoplasia 
Elongated mid face
Short, upturned nose 
Short attn span
Poor growth
130
Q

Fetal alcohol syndrome - problems with what activity

A

Fine motor dysfunction
Visuomotor deficits
Balance problems
Weak grasp

131
Q

Sympathetic nerves from the pelvic plexus are most active during what phase of micturation

A

Filling

132
Q

Parasympathetic nerves from the pelvic plexus are most active during what phase of micturation

A

Emptying!

Fire to contract the bladder and begin emptying

133
Q

1+ pulse means what

A

Diminished

result of reduced SV, EF, and/or increased vascular resistance

134
Q

2+ pulse meands what

A

Normal

135
Q

3+ pulse means what

A

Moderately increased pulse amplitude

Associated with increased SV and EF

136
Q

4+ pulse means what

A

Markedly inc pulse amp and associated with inc SV and EF

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