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MY NPTE > Non-Systems > Flashcards

Non-Systems Flashcards

1
Q

Purpose of crutches

A

Increase BOS, provide stability and transfer of weight from lower body to upper body

ex. NWB, partial WB, toe touch

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2
Q

Which nerve is most affected by long term or inappropriate use of crutches

A

radial nerve

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3
Q

Purpose of cane

A

widen BOS, decrease antalgic gait pattern

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4
Q

Advantage/disadvantage of quad cane

A

slows gait pattern but provides more stability
SMQC fits better on stairs
LBQC does not

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5
Q

Which artery is most affected by long term or inappropriate use of crutches

A

Axillary artery

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6
Q

Flexible AFO

A

provides DF
poor stabilization of subtalar joint

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7
Q

Warranted use for flexible AFO

A

foot drop

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8
Q

Warranted use for rigid AFO

A

preventing varus/valgus
complete loss of DF strength

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9
Q

Purpose of posterior leaf spring AFO

A

helps with weak dorsiflexors

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10
Q

Downside with posterior leaf spring AFO

A

thin, low profile, but no medial/lateral stability

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11
Q

Purpose of plantar flexion stop AFO

A

To control PF spasticity or contracture, knee hyperextension

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12
Q

Plantar flexion stop AFO is typically set to

A

90 degrees

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13
Q

Purpose of DF stop AFO

A

Compensates for weak gastroc/soleus/quads
Assists with push-off
Assists the knee joint into extension

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14
Q

Plantar flexion stop AFO is typically set to

A

5 degrees

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15
Q

RGO

A

ipsilateral hip flexion produces contralateral hip extension via cable system

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16
Q

RGO is used primarily with what level SCI

A

T12-L3

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17
Q

Purpose of GRAFO

A

places the foot in slight PF so that initial contact is with the forefoot (hence GRF anterior to the knee), the horizontal knee component of the GRAFO pushes the knee posteriorly to prevent buckling

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18
Q

Patient population where GRAFO is commonly used

A

CP - crouch gait - pushes knee back into extension to prevent buckling
Post polio - quad paralysis

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19
Q

Metatarsal bar

A

bar of leather or foam placed proximal to met heads

used to relieve pressure off met heads

20
Q

Rocker bottom

A

builds up sole behind met heads, creating “banana sole”

used to redistribute pressure and improve push off

21
Q

Who is someone who would benefit from a rocker bottom shoe

A

Tight PF
Stiff ankle

22
Q

Why does forefoot varus create excess pronation

A

When the foot is ridgid into varus, the first MTP joint has to come down much further, creating a genu valgum at the knee and excess pronation

23
Q

Wedge used for forefoot varus

A

Medial wedge - to control excessive pronation

24
Q

Wedge used for forefoot valgus

A

lateral wedge

25
Q

Intervention (wedge) for rigid rearfoot varus

A

medial post

26
Q

Intervention (wedge) for flexible rearfoot valgus

27
Q

Medial wedge used for what 3 conditions of foot

A

Rigid rearfoot varus - wedge fills gap
Forefoot varus - wedge prevents overpronation
Flexible rearfoot VALGUS - wedge pushes foot back into neutral alignment

28
Q

Uses for metatarsal pad

A

metatarsalgia
mortons neuroma

29
Q

C1-C4 SCI wheelchair prescription

A

Patient will most likely lack all shoulder function - will require
-electric wheelchair
-puff and sip controls
-chin control
-tilt in space seat for pressure relief

30
Q

C5 SCI wheelchair prescription

A

Will have deltoid function
-electric wheelchair w/joystick
-manual wheelchair with propulsion aids such as friction or projection rims to perform palm to chair grip

-

31
Q

C6 SCI wheelchair prescription

A

Some use of manual wheelchair w/ friction rims

but mostly electric for community

32
Q

C7 SCI wheelchair prescription

A

Manual wheelchair with friction rims (lack of wrist and finger flexors needed to grasp wheel)

33
Q

C8-T1 SCI wheelchair prescription

A

Manual wheelchair normal projection rims

34
Q

Can SPC be used with PWB?

A

No, canes are mainly used for balance

35
Q

Measles precaution

36
Q

Variola (small pox) precaution

37
Q

Varicella precaution

38
Q

SARS precaution

39
Q

Not a risk factor for cardiac disease high LDL or low HDL

40
Q

Meningitis precaution

41
Q

Mumps precaution

42
Q

NMES for strength - settings

A

35-50 pps (enough to produce tetany)
250 microsecond duration

43
Q

It is safe to exercise pt on afib except when

A

120-130 bpm
uncontrolled
PCP not aware

44
Q

Preload is best decribed what what metric in the heart

A

ledt ventricular ED pressure

45
Q

Warafin is commonly prescribed for what conditions

A

afib - atrium quivers and clots can form and pool and clot

DVT

HTN/CAD

46
Q

Worse with meals
Duodenal ulcers or chokecystists

MY NPTE (22 decks)

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