Misc. Prudent Information

Question 1

Percent bodyweight recommended for lumbar mechanical traction to reduce muscle spasm

Answer 1

25% for muscle spasm.

Question 2

To isolate the supinator muscle and minimize action of the biceps, what position should the pt be put in?

Answer 2

Terminal elbow flexion, to maximally shorten the biceps and isolate the supinator.

Question 3

What position of the wrist will allow palpation of the lunate?

Answer 3

Wrist flexion, the lunate is palpable just distal to the radial tubercle.

Question 4

Initial on:off ratio for nmes electrical stim?

Answer 4

1:5 initially to avoid fatigue and may be increased as tolerated.

Question 5

What diagnostic imaging is best used for Calcific Tendonitis?

Answer 5

X-ray is best due to the relative density of calcium, the greater density of the tissue the more visible it will be on a x-ray.

Question 6

What is the first step of evidence based practice?

Answer 6

Pose an answerable clinical question. Similar to the scientific method, hypothesize first.

Question 7

What is the main observation made during the Romberg balance test?

Answer 7

Amount of sway during test.

Question 8

What is the main deficit expected with excessive w/c seat width?

Answer 8

Difficulty propelling the w/c, as the pt will have to excessively abduct their UEs to reach the wheels.

Question 9

What is the normal degree of toe-out in free speed walking?

Answer 9

7 deg for free speed walking. Note:Toe-out deg will decrease with the increase walking speed.

Question 10

What position is most appropriate to measure a high paraplegic SCI pt’s chest excursion?

Answer 10

Supine, as this will provide support and resistance to the diaphragm.

Question 11

Standing posture plum line landmarks

Answer 11

Center of ear, posterior to hip, anterior to knee, anterior to lateral malleolus.

Question 12

What bony landmark is just distal to the calcaneus, when palpating the lateral border of the foot?

Answer 12

the cuboid

Question 13

Rate of cycles per minute for a CPM?

Answer 13

2 cycles/minute or 1 cycle/30 seconds

Question 14

When taking blood pressure, what is the proper release of the bp cuff?

Answer 14

2-3 mm Hg per second

Question 15

What is a Hickman catheter?

Answer 15

Catheter that inserts into the R atrium of the heart. Permits removal of blood samples, administering of medication & monitoring of central venous pressure

Question 16

What is a Swan-Ganz catheter?

Answer 16

inserted through a vein, and eventually into the pulmonary artery. Measures pulmonary artery pressure.

Question 17

Amount of weight to overcome friction with manual traction?

Answer 17

50% of total bodyweight. 160lbs = 80lbs to overcome friction.

Question 18

What is Cheyne-Stokes?

Answer 18

Cycles of increasing tidal volumes followed by series of gradually decreasing tidal volumes and then a period of not breathing correctly describes a Cheyne-Stokes breathing pattern

Question 19

Normal inspiration:expiration ratio, at rest?

Answer 19

1:2

Question 20

Proper sequencing of treatment for a parkinson’s patient

Answer 20

Relaxation and breathing exercises, trunk rotation activities in sitting position, and gait activities emphasizing timing assist with decreasing rigidity, increasing trunk rotation and increasing dynamic balance and coordination.

Question 21

A forward-bent posture produces which physiological effect to help relieve dyspnea?

Answer 21

Improved length-tension relationship of the diaphragm

Question 22

What is impetigo?

Answer 22

A highly infection bacterial skin infection. Common in pre school children.