NPTE - O'sully practice exam topics Flashcards

1
Q

nursemaid injury

A

aka baby sitter elbow

radial head subluxation

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2
Q

hypertrophic scar description

A

thick and pink

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3
Q

what is excoriation?

A

abrasion or scratch

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4
Q

atrophic scar description

A

thin and white

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5
Q

Nevus

A

mole

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6
Q

atypical dysplastic nevus

A

changing nevus.
ABCDEs - indicative of malignant melanoma

(A) Asymmetry
(B) irregular borders
(C) color - variations
(D) diameter >6 mm
(E) elevation
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7
Q

papule

A

elevated nevus

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8
Q

wheal

A

irregular, transient superficial area of localized skin edema (hive, mosquito bite)

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9
Q

exercise ratio for initial outpatient stuff

A

2:1 exercise to rest

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10
Q

unilateral spondylolysis - how do you treat?

A

strengthen multifidi from neutral to flexion to stabilize area.

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11
Q

Panafil

A

keratolytic enzyme for autolytic debridement

greenish/yellowish exudate is normal.

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12
Q

Addison’s signs

A

Asthenia (abnormal physical weakness or lack of energy)

anorexia, wt loss, nausea and vomiting, abdominal pain, syncope

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13
Q

Cystic fibrosis - early clinical manifestation

A

excessive wt loss and appetite

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14
Q

5 criteria for reducing exercise or terminating exercise with heart patients

A

1) onset of angina or other exertion intolerance
2) systolic BP greater than or equal to 240, diastolic BP greater than or equal to 110
3) greater than 1 mm ST segment depression, horizontal or down sloping
4) inc freq of ventricular arrhythmias
5) 2nd or 3rd degree AV block or other sig ECG disturbances

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15
Q

Interstitial cystitis

A

a pelvic floor dysfunction due to muscles being too tense. don’t do kegels

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16
Q

Anosognosia

A

denial, neglect, lack of awareness of the severity/presence of paralysis

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17
Q

somatoagnosia

A

impairment in body scheme

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18
Q

prosopagnosia

A

inability to recognize faces

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19
Q

fryette laws

A

1) neutral : side bend, rotation in opposite direction
2) non-neutral: side bend, rotation in same direction
3) motion in one direct reduces it in others

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20
Q

Lhermitte’s sign

A

shock like pain thru body with passive neck flexion. Common in MS

-sign of poster column damage to spinal cord

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21
Q

Uthoff’s sign

A

adverse reaction to heat

22
Q

dyesthesia

A

abnormal and unpleasant sensations such as burning/pins/needles

23
Q

paresthesis

A

numbness, tingle, prickling

24
Q

murphy sign

A

kidney involvement stuff

  • acute cholecystitis
  • percussion for costvertebral tenderness
25
Q

agoraphobia

A

fear of going out

26
Q

Posterior cerebral artery stroke

A
  • primary visual cortex (central homonymous hemianopsia)

- along with dyslexia, prosopagnosia (faces), and memory (temporal lobe lesion)

27
Q

Anterior cerebral artery stroke

A

LE involvement greater than UE

28
Q

Mid cerebral artery stroke

A

UE involvement greater than LE

29
Q

Lesion in posterolateral medulla

A

mixed sensory loss. Pain and them affected. Discrim/proprioception are not

-example L face and R body

30
Q

w/c = horizontal grab bar in bathroom height

A

33-36 inches

31
Q

w/c = ramp grade

A

1:12

32
Q

w/c = toilet seat

A

17-19 inches for raised seats

33
Q

w/c = doorway clearance

A

32 in min. 36 ideal

34
Q

Scoliosis screening age - girls and boys

A
girls = 9-11 years (11-13 according to goodman)
boys = 11-13 (13-14 according to goodman)
35
Q

change pulse duration vs pulse rate

A

duration = reduces electrical charge in each pulse, making it more comfy

rate = decrease it will decrease quality of contraction. increase will make more uncomfortable

36
Q

Spleen or diaphragmatic pain refers to

A

shoulder

37
Q

colon or appendix pain refers to

A

low back, pelvis, sacrum

38
Q

esophageal pain refers to

A

mid back, head or neck

39
Q

gallbladder refers to

A

midback, scapula

40
Q

Intractable constipation refer pain

A

to ant hip, groin, or thigh region

41
Q

bladder refer pain to

A

to medial thigh and leg

42
Q

with first exercise it is most important to monitor what to track intensity?

A

Heart rate

43
Q

imaging needed for spondylolisthesis

A

Bilat oblique radiograph to see both pars defects

44
Q

Bruce protocol

A

a treadmill exercise test

45
Q

what ligaments prevent tibial IR and ER?

A

IR = ACL/PCL

ER = MCL (LCL?)

46
Q

Bruit

A

swishing sound while auscultating. Presence of narrowing artery

47
Q

Slipped capital femoral epiphysis - presentation

A

SCFE - 10-16 years old
Male 3:1
L hip 2:1 (30% bilateral)
*pain worse with wt bearing, limited and painful hip IR, weak hip abd

48
Q

to improve ventilation of lunges using gravity

A

place unaffected side in gravity dependent position (down)

49
Q

risk factors for hyperthyroidism

A

dyspnea,fatigue, tachycardia, arrhythmia

50
Q

Arm ergometry vs LE stuff

A

smaller muscles = less max O2 uptake. So both HR and BP will be higher than same exercise intensity in LE.

51
Q

Internal capsule stroke - supranuclear palsy

A

affects only contralateral lower half of face