MIDTERM PRACTICE QUESTIONS Flashcards
True or false: In the first 48 hours after a quadriceps contusion, soft tissue manipulation therapy is recommended.
FALSE!
- Soft tissue therapy is contraindicated for 48 hours
- after 48 hours therapy should be very light with the goal of promoting lymphatic drainage
Why is soft tissue therapy contraindicated for a thigh contusion?
And what does it lead to?
The body’s natural healing process after soft tissue manipulation causes bone to be deposited - myositis ossificans
Patient 1 and 2 both have thigh contusions. Patient 1 had immediate swelling, bleeding and bruising, and patient 2 didn’t have visible swelling until 6 hours later.
Which patient will have a longer recovery time, and which patient’s condition is more serious?
Patient 2
- Bleeding that takes longer to show up is usually more likely intramuscular, and intramuscular bleeds are more serious and take longer to recover.
True or false: Intermuscular thigh contusion is more painful than intramuscular contusion because the fascia is no longer intact and blood is spreading all throughout the thigh compartments.
FALSE:
Intramuscular bleeds are more painful because the fascia is still intact, causing blood and edema to build the pressure in the compartment
What is the preferred protocol of strengthening for a tendinosis?
ECCENTRIC STRENGTHENING
Name the eccentric strengthening protocol for Achilles tendinosis called?
Alfredson’s Painful Heel Drops
Why do you exercise in a slightly plantarflexed / below-neutral position for Achilles tendon rupture?
Because neutral would put the Achilles tendon on stretch and it won’t allow the crossbridges to form as the muscle will be too distracted
What is the appropriate sideline assessment for acute compartment syndrome
ICE
DO NOT COMPRESS OR ELEVATE
THEN TAKE THEM TO THE ER ITS A MEDICAL EMERGENCY
List situations in which patients should be taken immediately to the ER.
Acute compartment syndrome
Tibial stress fracture
Fibular fracture
positive ottawa ankle rules or ottawa knee rules
Testicular torsion
What are the goals for treatment after 24 hours of a thigh contusion?
Pain free AROM and quadriceps firmness equal to opposite side
Why would you not elevate the leg in a case of acute compartment syndrome?
Problem is that you’re not getting enough blood flow to your legs because edema is compressing the blood vessels: elevating it would make it worse because that allows gravity to drain blood out of the legs
Why should you not compress the leg in acute compartment syndrome?
Because the injury is caused by excessive compression, don’t compress the fascia / fluid more!
True or false:
After taking the history of a patient who has sustained a genital injury, you then begin with a visual inspection as usual to start objective testing/
FALSE
You should tell them to do the visual inspection and check for bruising and bleeding, laceration, in males testicular torsion (tell them what to check for because they’re probably 12-18 years old)
