Medical Rehabilitation Flashcards
What is an example of a relative contraindication for performing complete decongestive therapy for lymphedema?
new pathologic limb fracture
Which centrally acting sympatholytic hypertensive medication can worsen erectile dysfunction?
clonidine
Patients with primary brain tumors and intracranial metastases who undergo inpatient rehabilitation:
have shorter lengths of stay when compared to individuals with a stroke.
Select the risk factor that is associated with development of a venous thromboembolism (VTE) in a child with traumatic brain injury (TBI).
TBI due to non-accidental trauma
What is the most common cause of spinal cord dysfunction in patients with HIV?
Vacuolar myelopathy
What would be expected findings in a patient following cardiac transplant:
Resting tachycardia with delayed chronotropic response to exercise
Why do individuals with a transplant heart tend to have tachycardia?
Transplanted hearts are denervated with no direct sympathetic or vagal central regulation. In this absence of vagal inhibition, most patients have a resting tachycardia of 100-110 beats per minutes.
Enhanced exercise tolerance achieved during pulmonary rehabilitation for patients with chronic pulmonary obstructive disease (COPD) results predominantly from:
Peripheral training effect in skeletal muscle
Which is NOT a proven direct benefit of pulmonary rehabilitation in a patient with COPD?
Improved pulmonary function testing
Which of the following is correlated with postoperative cognitive deficits after coronary artery bypass graft surgery (CABG)?
Time spent on bypass intraoperatively (Each additional hour on cardiac bypass doubles the probability of postoperative encephalopathy)
The most common location for metastatic brain tumors is:
cerebral hemisphere
The following activities should be initiated in the acute period post-myocardial infarction in the critical care unit:
Upper extremity ROM
Peak VO2 decreases with age, declining per decade by:
8-10%
What is HCM due to
Hypertrophic cardiomyopathy (HCM) is due to asymmetric left ventricular wall thickening
Where do tumors of the spinal axis occur
third space
where does leptomeningeal disease occur
Leptomeningeal disease occurs within the dura but outside the spinal cord and is therefore also extramedullary.
In individuals with intermittent claudication, exercise improves which of the following?
walking distance
How does denervation of transplanted lung effect cough reflex and secretion management.
impairs cough reflex and ineffective secretion management.
The most common sign of metastatic brain cancer seen on physical examination is:
hemiparesis
The American Geriatrics Society’s goal of diabetic control in an otherwise healthy elderly individual includes:
BP <140/90, fasting plasma glucose below 130 mg/dL and a hemoglobin A1c of less than 7.5% is sought.
What is the most common cause of mortality after Total hip replacement
cardiovascular complications followed by thromboembolic events.
In a 20-year-old pregnant female with T4 complete paraplegia, which factor may help distinguish autonomic dysreflexia from pre-eclampsia during labor?
extremity edema
