Medical Rehabilitation

Question 1

What is an example of a relative contraindication for performing complete decongestive therapy for lymphedema?

Answer 1

new pathologic limb fracture

Question 2

Which centrally acting sympatholytic hypertensive medication can worsen erectile dysfunction?

Answer 2

clonidine

Question 3

Patients with primary brain tumors and intracranial metastases who undergo inpatient rehabilitation:

Answer 3

have shorter lengths of stay when compared to individuals with a stroke.

Question 4

Select the risk factor that is associated with development of a venous thromboembolism (VTE) in a child with traumatic brain injury (TBI).

Answer 4

TBI due to non-accidental trauma

Question 5

What is the most common cause of spinal cord dysfunction in patients with HIV?

Answer 5

Vacuolar myelopathy

Question 6

What would be expected findings in a patient following cardiac transplant:

Answer 6

Resting tachycardia with delayed chronotropic response to exercise

Question 7

Why do individuals with a transplant heart tend to have tachycardia?

Answer 7

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.

Question 8

Enhanced exercise tolerance achieved during pulmonary rehabilitation for patients with chronic pulmonary obstructive disease (COPD) results predominantly from:

Answer 8

Peripheral training effect in skeletal muscle

Question 9

Which is NOT a proven direct benefit of pulmonary rehabilitation in a patient with COPD?

Answer 9

Improved pulmonary function testing

Question 10

Which of the following is correlated with postoperative cognitive deficits after coronary artery bypass graft surgery (CABG)?

Answer 10

Time spent on bypass intraoperatively (Each additional hour on cardiac bypass doubles the probability of postoperative encephalopathy)

Question 11

The most common location for metastatic brain tumors is:

Answer 11

cerebral hemisphere

Question 12

The following activities should be initiated in the acute period post-myocardial infarction in the critical care unit:

Answer 12

Upper extremity ROM

Question 13

Peak VO2 decreases with age, declining per decade by:

Answer 13

8-10%

Question 14

What is HCM due to

Answer 14

Hypertrophic cardiomyopathy (HCM) is due to asymmetric left ventricular wall thickening

Question 15

Where do tumors of the spinal axis occur

Answer 15

third space

Question 16

where does leptomeningeal disease occur

Answer 16

Leptomeningeal disease occurs within the dura but outside the spinal cord and is therefore also extramedullary.

Question 17

In individuals with intermittent claudication, exercise improves which of the following?

Answer 17

walking distance

Question 18

How does denervation of transplanted lung effect cough reflex and secretion management.

Answer 18

impairs cough reflex and ineffective secretion management.

Question 19

The most common sign of metastatic brain cancer seen on physical examination is:

Answer 19

hemiparesis

Question 20

The American Geriatrics Society’s goal of diabetic control in an otherwise healthy elderly individual includes:

Answer 20

BP <140/90, fasting plasma glucose below 130 mg/dL and a hemoglobin A1c of less than 7.5% is sought.

Question 21

What is the most common cause of mortality after Total hip replacement

Answer 21

cardiovascular complications followed by thromboembolic events.

Question 22

In a 20-year-old pregnant female with T4 complete paraplegia, which factor may help distinguish autonomic dysreflexia from pre-eclampsia during labor?

Answer 22

extremity edema