modalities practice test 1/19

Question 1

pt CVA right hemiplegia. 
- right severe shoulder pain practicing bed mobility
- humeral head is inferiorly displaced
which most appropriate?
- TENS
- FES
- IFC

Answer 1

FES

help elevate her shoulder to treat the displacement and ideally eliminate the source of pain.

Question 2

pathology?
59-year-old male patient
- shoulder pain is closely associated with activity, including stress at work.
- at worst, the pain radiates into his neck,
- SOB while walking which subsides with rest.
what next?

Answer 2

• signs of cardiac distress that would be worsened with activity
• Postpone treatment and refer the patient to his physician for further evaluation.

Question 3

what pathology?

• persistent negative emotional state rather than a transient state.
• involves multiple psychosocial domains that challenge a person’s capacity to cope with living with their heart condition; the treatment of the condition; and the resultant changes to daily living.

Answer 3

cardiac distress

Question 4

what modalities most effective for increasing strength?

Answer 4

NMES, russian stim

Question 5

what ICF term?

Disadvantage that prevents fulfillment of a role that is normal.

Answer 5

handicap

Question 6

what ICF term?

Biomechanical abnormality of the human organism

Answer 6

disease

Question 7

what ICF term?

Abnormality of a tissue, organ, or body system

Answer 7

impairment

Question 8

what ICF term?

Inability to participate in a task or participate in an activity considered normal for a human being.

Answer 8

disability

Question 9

what modality for speeding up recovery of

some kind of tendonitis?

Answer 9

Iontophoresis used properly drives anti- inflammatory medication into the swollen tissues, speeding recovery and decreasing pain.

Question 10

intermittent lumbar traction for a diagnosis of muscle spasms
% body weight?

Answer 10

30 minutes, 25% body weight traction force

Question 11

C5 spinal cord injury

what type of lift patient to floor?

Answer 11

Two person lift

person at the legs and one at the torso, the two therapists transfer the patient up or down.

Question 12

pregnancy-

consideration for supine activities

Answer 12

Decreased cardiac output

compress inferior vena cava after long periods

Question 13

pregnancy-

why Decreased oxygen availability

Answer 13

more blood flowing to the splanchnic beds and uterus

Question 14

pregnancy-

why avoid high IMPACT activities in 3rd trimester

Answer 14

Morphological changes to the abdominal muscles

Question 15

pregnancy -

why avoid high intensity exercise?

Answer 15

preferential blood flow to working muscles can be detrimental to the fetus

Question 16

medicare - max stay post-hospital stays in extended care facilities?

Answer 16

100 days are the maximum days allowed per calendar year for extended care facilities.

Question 17

what pathology?

• Trauma
• acute anterior low leg pain
• acute swelling and paresthesias low leg

Answer 17

medically emergent anterior compartment syndrome.