NPTE - O'sully practice exam topics Flashcards
nursemaid injury
aka baby sitter elbow
radial head subluxation
hypertrophic scar description
thick and pink
what is excoriation?
abrasion or scratch
atrophic scar description
thin and white
Nevus
mole
atypical dysplastic nevus
changing nevus.
ABCDEs - indicative of malignant melanoma
(A) Asymmetry (B) irregular borders (C) color - variations (D) diameter >6 mm (E) elevation
papule
elevated nevus
wheal
irregular, transient superficial area of localized skin edema (hive, mosquito bite)
exercise ratio for initial outpatient stuff
2:1 exercise to rest
unilateral spondylolysis - how do you treat?
strengthen multifidi from neutral to flexion to stabilize area.
Panafil
keratolytic enzyme for autolytic debridement
greenish/yellowish exudate is normal.
Addison’s signs
Asthenia (abnormal physical weakness or lack of energy)
anorexia, wt loss, nausea and vomiting, abdominal pain, syncope
Cystic fibrosis - early clinical manifestation
excessive wt loss and appetite
5 criteria for reducing exercise or terminating exercise with heart patients
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
Interstitial cystitis
a pelvic floor dysfunction due to muscles being too tense. don’t do kegels
Anosognosia
denial, neglect, lack of awareness of the severity/presence of paralysis
somatoagnosia
impairment in body scheme
prosopagnosia
inability to recognize faces
fryette laws
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
Lhermitte’s sign
shock like pain thru body with passive neck flexion. Common in MS
-sign of poster column damage to spinal cord
Uthoff’s sign
adverse reaction to heat
dyesthesia
abnormal and unpleasant sensations such as burning/pins/needles
paresthesis
numbness, tingle, prickling
murphy sign
kidney involvement stuff
- acute cholecystitis
- percussion for costvertebral tenderness
agoraphobia
fear of going out
Posterior cerebral artery stroke
- primary visual cortex (central homonymous hemianopsia)
- along with dyslexia, prosopagnosia (faces), and memory (temporal lobe lesion)
Anterior cerebral artery stroke
LE involvement greater than UE
Mid cerebral artery stroke
UE involvement greater than LE
Lesion in posterolateral medulla
mixed sensory loss. Pain and them affected. Discrim/proprioception are not
-example L face and R body
w/c = horizontal grab bar in bathroom height
33-36 inches
w/c = ramp grade
1:12
w/c = toilet seat
17-19 inches for raised seats
w/c = doorway clearance
32 in min. 36 ideal
Scoliosis screening age - girls and boys
girls = 9-11 years (11-13 according to goodman) boys = 11-13 (13-14 according to goodman)
change pulse duration vs pulse rate
duration = reduces electrical charge in each pulse, making it more comfy
rate = decrease it will decrease quality of contraction. increase will make more uncomfortable
Spleen or diaphragmatic pain refers to
shoulder
colon or appendix pain refers to
low back, pelvis, sacrum
esophageal pain refers to
mid back, head or neck
gallbladder refers to
midback, scapula
Intractable constipation refer pain
to ant hip, groin, or thigh region
bladder refer pain to
to medial thigh and leg
with first exercise it is most important to monitor what to track intensity?
Heart rate
imaging needed for spondylolisthesis
Bilat oblique radiograph to see both pars defects
Bruce protocol
a treadmill exercise test
what ligaments prevent tibial IR and ER?
IR = ACL/PCL
ER = MCL (LCL?)
Bruit
swishing sound while auscultating. Presence of narrowing artery
Slipped capital femoral epiphysis - presentation
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
to improve ventilation of lunges using gravity
place unaffected side in gravity dependent position (down)
risk factors for hyperthyroidism
dyspnea,fatigue, tachycardia, arrhythmia
Arm ergometry vs LE stuff
smaller muscles = less max O2 uptake. So both HR and BP will be higher than same exercise intensity in LE.
Internal capsule stroke - supranuclear palsy
affects only contralateral lower half of face
