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MY NPTE > Misc > Flashcards

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
Q

Level 3 Ranchos

A

Localized response - responds specifically and consistently to external stimuli; can follow simple motor commands

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26
Q

Level 4 Ranchos

A

Confused, agitated

short attention span, no recall, nonpurposeful

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27
Q

Level 5 Ranchos

A

Confused, inappropriate (not agitated)

nonpurposeful responses, new info not retained well, memory and attention impaired

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28
Q

Level 6 Ranchos

A

Confused, appropriate

can give appropriate responses
carryover from relearned tasks, but no new memory
dependent on cueing for direction

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29
Q

Level 7 Ranchos

A

behaves appropriately, ADLs are automatic
still shows slower than normal retention of new tasks but able to learn
judgement remains impaired

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30
Q

Level 8 Ranchos

A

Reasoning decreased compared to baseline but otherwise normal

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31
Q

If patient has to sit down during 6MWT, how does that affect your scoring?

A

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

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32
Q

Isokinetic exercises

A

By definition, speed remains constant, resistance varies

Biodex
Bike

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33
Q

Closed motor skills

A

stable, predictable environment such as walking in a quiet hall, practicing transfers in a quiet room, or brushing teeth in a bathroom.

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34
Q

Open motor skills

A

walking across a busy gym, reception area, or a shopping mall, and driving on a busy highway

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35
Q

Complex motor skills

A

coordinated movement response such as running and kicking a soccer ball during a game, or completing a gymnastics routine

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36
Q

Pinch an inch test

A

pinch over mcburneys point, let skin go

if it slaps back and produces pain - positive test

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37
Q

Obtunded

A

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.

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38
Q

Lethargic

A

level of arousal is diminished. The lethargic patient easily falls asleep if not continually stimulated and does not fully appreciate the environment.

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39
Q

Obtunded vs Stupor

A

once aroused, appears confused, slowly drifts back

can only be aroused with vigorous or unpleasant stimuli

stupor is worse

39
Q

Stupor

A

state of altered mental status and responsiveness to one’s environment, and can only be aroused with vigorous or unpleasant stimul

40
Q

How do diuretics work

A

increase excretion of sodium and urine - reducing plasma volume = decreaseing BP

41
Q

ACE inhibitors how do they work

A

decrease BP by blocking enzyme that converts angiotension 1 to 2 (these are potent vasoconstrictors)

42
Q

How does digitalis work

A

positive inotropic agents improve cardiac pumping ability

Decreases HR increases force of contraction

used to improve the primary symptoms of CHF

43
Q

Hemoptysis

A

(coughing up blood) is a sign of pulmonary or bronchial hemorrhage

not really a 911 emergency, but contraindication to percussion and vibration therapy

44
Q

Symptoms of respiratory acidosis

A

dsypnea
restlessness
anxiety

45
Q

Calcium channel blockers are most commonly prescribed for

A

HTN
cardiac arrythmias

46
Q

Diuretics are most commonly prescribed for

A

CHF

47
Q

Cor pulmonale

A

right sided heart failure

jugular vein distension

48
Q

Terminate exercise session BP redings

A

250 or more systolic
115 or more diastolic

49
Q

Operant conditioning

A

engaging in certain behaviors in order to receive certian reward

50
Q

Classical conditioning

A

unconditioned stimulus (e.g., food) is repeatedly preceded by a neutral stimulus (e.g., bell).

2 stimuli are repeatedly paired

51
Q

Retrograde amnesia

A

acute onset amnesia where there is a loss of memory for events immediately prior to the onset of the disorder.

52
Q

Anterograde amnesia

A

acute onset amnesia where there is a loss of memory for events immediately following the onset of the disorder.

53
Q

Procedural memory

A

memory of how to do certain things

riding bike, tying shoes, cooking, musical instrument

54
Q

LE extensor spasticity can be helpful with what functional movement

A

sit to stand

55
Q

Cauda equina sympotms

A

bladder/bowel dysfunction
saddle perineum anesthesia
LMN signs - hyporeflexia
bilateral or unilateral LE weakness

56
Q

Testing olfactory nerve

A

test one nostril at a time

57
Q

Working memory

A

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
Q

episodic memory

A

recalling past personal experiences

59
Q

Primary prevention

A

preventing a target condition in a susceptible or potentially susceptible population

general health promotion

60
Q

Secondary prevention

A

early disease detection in healthy individuals;
diagnosis and prompt intervention

ex. annual mammogram

61
Q

Tertiary prevention

A

is limiting the degree of disability and promoting rehabilitation and restoration of function in patients with chronic and irreversible conditions.

62
Q

Common medications for epilepsy

A

Secondal, Tegretol, Klonopin, Dilantin

STKD

63
Q

Common meds for MS

A

Baclofen, corticosteriods, SSRI

64
Q

MS increased or decreased tone

A

increased

65
Q

Which muscles are typically affected first with MG

A

ocular

66
Q

X linked recessive disorder

A

DMD

67
Q

Autosomal dominant disorder

A

Huntingtons disease

68
Q

Swan Ganz catheter

A

monitors pulmonary artery pressure (PAP) and central venous pressure (CVP)

69
Q

Ruebela precaution

A

measles - airborne

70
Q

Whooping cough precaution

A

droplet

71
Q

SACH foot

A

often the basic first foot
little motion in any direction
cushion heel permits early PF

72
Q

SAFE foot

A

allows walking on uneven surface
heavier than sach

73
Q

Seattle foot

A

slightly flexible plastic keel
bends at heel and stores energy

74
Q

Flex foot

A

Carbon fiber
long toe acts as leaf spring and stores energy in late toe off

75
Q

Single xis foot

A

no lateral or transverse motion
only sagittal plane PF and DF

76
Q

Multi axis foot

A

allows slight movement in all planes
good for uneven surfaces
not very durable and heavy

77
Q

To test. vertebral artery you should rotate toward or away

A

away - gets kinking

78
Q

DCML produces fine or crude touch

A

fine

79
Q

DCML decussates where

A

medulla

80
Q

Slight subluxation of a hemi shoulder can be treated with

A

sitting weightbearing, weight shifting

81
Q

Dislocation of shoulder most commonly will affect

A

axillary nerve - deltoid weakness

82
Q

Type 1 error

A

false positive

83
Q

Type 2 error

A

false negative

84
Q

Erbs palsy - hand is held in

A

waiter tip position

adduction, forearm pronation, wrist/finger flex

85
Q

How to examine visual field

A

confrontation test

86
Q

Who are three people who can have access to PHI without pt consent

A

Insurance payor
State agency
Another provider on their case

87
Q

Pectus carinotum

A

pigeon chest - decreased thoracic expansion

88
Q

Acoutic neuroma - unilateral hypofunction best treatment

A

movements that provoke dizziness and vertigo - habituation

89
Q

Prostheitc - Excessive knee flexion in early stance =

A

socket too far anterior

90
Q

K0 prosthetic

A

Non ambulatory

91
Q

K1 prosthetic

A

Household ambulator, transfers

92
Q

K2 prosthetic

A

Limited community ambulator - can go up stair or curb but not doing a lot

93
Q

K3 prosthetic

A

Ability or potential to be full community ambulator, variable cadence - negotiate most barriers

94
Q

Best treatment strategy for festinating gait

A

toe wedge to prevent LOB anteriorly during gait

apparently increasing cadence or step length does no good here

95
Q

K4 prosthetic

A

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
Q
A

MY NPTE (22 decks)

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