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Misc Flashcards

1
Q

Uveitis is commonly associated with what condition

A

Ankylosing spondylitis

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2
Q

Reiter syndrome (reactive arthritis)

A

“can’t see, can’t pee, can’t take a knee”

hallmark symptoms are:
conjunctivitis
frequent UTI
joint arthritis

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3
Q

Best method of practice for long term retention

A

Distributed, variable practice

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4
Q

Active vs Passive insufficiency

A

Active: multi joint muscle is activated (thus shortened) leading to decreased tension and strength

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5
Q

Active/passive insufficiency:

With the knee extended, you can only achieve 80 degrees of hip flexion

Your patient achieves more flexion (120) at the hip with the knee flexed

A

Passive insufficiency

The hamstring is stretched when the knee is extended, thus limiting hip flexion

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6
Q

Grades of concussion

A

Grade 1 - no loss of consciousness, transient confusion, symptoms resolve in less than 15 mins
Grade 2 - no loss of consciousness, transient confusion, symptoms resolve in more than 15 mins
Grade 3 - loss of consciousness

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7
Q

Compensations associated with seat depth that is too deep

A

posterior pelvic tilt/sacral sitting
increased kyphosis
lack of circulation posterior knee

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8
Q

Examples of ordinal data in PT

A

pain (can be a large difference between 7/8 and 10/10 - subjective)
MMT
levels of assistance
Median

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9
Q

Examples of interval data in PT

A

temperature

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10
Q

Examples of ratio data in PT

A

ROM, gait speed, time, NCV

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11
Q

Normal balance grade

A

able to stand with no support, accepts max challenge of dynamic shifting of weight in all directions

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12
Q

Good balance grade

A

maintain balance witout handheld support, only accepts moderate challenge with weight shift

ex. able to pick item off floor

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13
Q

Fair balance grade

A

Able to maintain balance with handheld support
Able to maintain balance with head or trunk turns

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14
Q

Poor balance

A

requires handheld support and mod to max assist
no dynamic balance

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15
Q

Mild TBI

A

loss of conciousness less than 30 mins
GCS 13-15
less than 1 day of amnesia

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16
Q

GCS 13-15

A

Mild TBI

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17
Q

GCS 9-12

A

Moderate TBI

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18
Q

GCS less than 9

A

Severe TBI

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19
Q

Moderate TBI

A

30 mins - 24 hours unconsciousness
1-7 days amnesia
GCS 9-12

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20
Q

Severe TBI

A

loss of consciousness 24 hours+
7+ days amnesia
GCS less than 9

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21
Q

Ranchos Los Amigos scale acronym

A

NiGL
Confused, AIA
6 and 7 normal

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22
Q

Level 1 Ranchos

A

no response

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23
Q

Level 2 Ranchos

A

Generalized response

very limited, nonpurposeful and inconsistent responses

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24
Q

GCS scoring

A

4, E
5, v
6, m

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25
Level 3 Ranchos
Localized response - responds specifically and consistently to external stimuli; can follow simple motor commands
26
Level 4 Ranchos
Confused, agitated short attention span, no recall, nonpurposeful
27
Level 5 Ranchos
Confused, inappropriate (not agitated) nonpurposeful responses, new info not retained well, memory and attention impaired
28
Level 6 Ranchos
Confused, appropriate can give appropriate responses carryover from relearned tasks, but no new memory dependent on cueing for direction
29
Level 7 Ranchos
behaves appropriately, ADLs are automatic still shows slower than normal retention of new tasks but able to learn judgement remains impaired
30
Level 8 Ranchos
Reasoning decreased compared to baseline but otherwise normal
31
If patient has to sit down during 6MWT, how does that affect your scoring?
Only record distance UP TO point which they sit down Patient can take standing rest breaks with this test, but sitting would end the amount of distance recorded
32
Isokinetic exercises
By definition, speed remains constant, resistance varies Biodex Bike
33
Closed motor skills
stable, predictable environment such as walking in a quiet hall, practicing transfers in a quiet room, or brushing teeth in a bathroom.
34
Open motor skills
walking across a busy gym, reception area, or a shopping mall, and driving on a busy highway
35
Complex motor skills
coordinated movement response such as running and kicking a soccer ball during a game, or completing a gymnastics routine
36
Pinch an inch test
pinch over mcburneys point, let skin go if it slaps back and produces pain - positive test
37
Obtunded
diminished arousal and awareness where the patient is difficult to arouse from sleep, and once aroused, appears confused. The patient responds slowly and demonstrates little interest in or awareness of the environment.
38
Lethargic
level of arousal is diminished. The lethargic patient easily falls asleep if not continually stimulated and does not fully appreciate the environment.
39
Obtunded vs Stupor
once aroused, appears confused, slowly drifts back can only be aroused with vigorous or unpleasant stimuli stupor is worse
39
Stupor
state of altered mental status and responsiveness to one’s environment, and can only be aroused with vigorous or unpleasant stimul
40
How do diuretics work
increase excretion of sodium and urine - reducing plasma volume = decreaseing BP
41
ACE inhibitors how do they work
decrease BP by blocking enzyme that converts angiotension 1 to 2 (these are potent vasoconstrictors)
42
How does digitalis work
positive inotropic agents improve cardiac pumping ability Decreases HR increases force of contraction used to improve the primary symptoms of CHF
43
Hemoptysis
(coughing up blood) is a sign of pulmonary or bronchial hemorrhage not really a 911 emergency, but contraindication to percussion and vibration therapy
44
Symptoms of respiratory acidosis
dsypnea restlessness anxiety
45
Calcium channel blockers are most commonly prescribed for
HTN cardiac arrythmias
46
Diuretics are most commonly prescribed for
CHF
47
Cor pulmonale
right sided heart failure jugular vein distension
48
Terminate exercise session BP redings
250 or more systolic 115 or more diastolic
49
Operant conditioning
engaging in certain behaviors in order to receive certian reward
50
Classical conditioning
unconditioned stimulus (e.g., food) is repeatedly preceded by a neutral stimulus (e.g., bell). 2 stimuli are repeatedly paired
51
Retrograde amnesia
acute onset amnesia where there is a loss of memory for events immediately prior to the onset of the disorder.
52
Anterograde amnesia
acute onset amnesia where there is a loss of memory for events immediately following the onset of the disorder.
53
Procedural memory
memory of how to do certain things riding bike, tying shoes, cooking, musical instrument
54
LE extensor spasticity can be helpful with what functional movement
sit to stand
55
Cauda equina sympotms
bladder/bowel dysfunction saddle perineum anesthesia LMN signs - hyporeflexia bilateral or unilateral LE weakness
56
Testing olfactory nerve
test one nostril at a time
57
Working memory
temporarily holds information in storage for short periods, and is used to guide decision-making ex remembering a cell phone number or address someone just sent you
58
episodic memory
recalling past personal experiences
59
Primary prevention
preventing a target condition in a susceptible or potentially susceptible population general health promotion
60
Secondary prevention
early disease detection in healthy individuals; diagnosis and prompt intervention ex. annual mammogram
61
Tertiary prevention
is limiting the degree of disability and promoting rehabilitation and restoration of function in patients with chronic and irreversible conditions.
62
Common medications for epilepsy
Secondal, Tegretol, Klonopin, Dilantin STKD
63
Common meds for MS
Baclofen, corticosteriods, SSRI
64
MS increased or decreased tone
increased
65
Which muscles are typically affected first with MG
ocular
66
X linked recessive disorder
DMD
67
Autosomal dominant disorder
Huntingtons disease
68
Swan Ganz catheter
monitors pulmonary artery pressure (PAP) and central venous pressure (CVP)
69
Ruebela precaution
measles - airborne
70
Whooping cough precaution
droplet
71
SACH foot
often the basic first foot little motion in any direction cushion heel permits early PF
72
SAFE foot
allows walking on uneven surface heavier than sach
73
Seattle foot
slightly flexible plastic keel bends at heel and stores energy
74
Flex foot
Carbon fiber long toe acts as leaf spring and stores energy in late toe off
75
Single xis foot
no lateral or transverse motion only sagittal plane PF and DF
76
Multi axis foot
allows slight movement in all planes good for uneven surfaces not very durable and heavy
77
To test. vertebral artery you should rotate toward or away
away - gets kinking
78
DCML produces fine or crude touch
fine
79
DCML decussates where
medulla
80
Slight subluxation of a hemi shoulder can be treated with
sitting weightbearing, weight shifting
81
Dislocation of shoulder most commonly will affect
axillary nerve - deltoid weakness
82
Type 1 error
false positive
83
Type 2 error
false negative
84
Erbs palsy - hand is held in
waiter tip position adduction, forearm pronation, wrist/finger flex
85
How to examine visual field
confrontation test
86
Who are three people who can have access to PHI without pt consent
Insurance payor State agency Another provider on their case
87
Pectus carinotum
pigeon chest - decreased thoracic expansion
88
Acoutic neuroma - unilateral hypofunction best treatment
movements that provoke dizziness and vertigo - habituation
89
Prostheitc - Excessive knee flexion in early stance =
socket too far anterior
90
K0 prosthetic
Non ambulatory
91
K1 prosthetic
Household ambulator, transfers
92
K2 prosthetic
Limited community ambulator - can go up stair or curb but not doing a lot
93
K3 prosthetic
Ability or potential to be full community ambulator, variable cadence - negotiate most barriers
94
Best treatment strategy for festinating gait
toe wedge to prevent LOB anteriorly during gait apparently increasing cadence or step length does no good here
95
K4 prosthetic
ability or potential for prosthetic ambulation that exceeds basic ambulation skills, exhibiting high impact, stress or energy levels. This is typical of the prosthetic demands of the child, active adult or athlete.
96

MY NPTE (22 decks)

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