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NPTE Study Practice > NPTE Podcast > Flashcards

NPTE Podcast Flashcards

1
Q

What nerve innervates the biceps

A
  • Musculocutaneous (C5-C8)
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2
Q

Special tests for biceps tendonitis

A
  • Speed’s: palm up extended arm
  • O’Brian’s: empty vs full can; more specific to SLAP lesion
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3
Q

After a SLAP lesion you are seeing a pt s/p 1 week what tx would you implement?
a) AROM into ER
b) strengthen scapular stabilizers
c) joint mobs to increase humeral ext.
d) isometric biceps exercises

A

b) strengthen scapular stabilizers

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4
Q

Wrist extensors are innervated by what nerve

A
  • Radial nerve (C5-T1)
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5
Q

All wrist flexors are innervated by median nerve (C5-T1) except for

A
  • Flexor carpi ulnaris is innervated by ulnar nerve (C8-T1)
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6
Q

What is the pass/fail order of wrist flexor muscles on the forearm

A
  • pronator teres, flexor carpi radialis, palmaris longus, and flexor carpi ulnaris
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7
Q

If your pt comes to you with lateral epicondylitis what is the best position that you would put their brace?
a) superior to elbow
b) inferior to elbow
c) superior to wrist
d) at the wrist

A

b) inferior to elbow

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8
Q

What muscle is lateral epicondylitis associated with

A
  • ECRB (extensor carpi radialis brevis): extends the 3rd digit while ECRL extends the 2nd digit
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9
Q

What is the illness script for adhesive capsulitis (Frozen Shoulder)

A
  • Middle aged: 40-65 yrs
  • Typically insidious onset but could be due to trauma or repetitive occupation
  • Pain with AROM/PROM
  • Capsular end-feel/empty end-feel
  • ROM limitation in capsular pattern: ER > ABD > IR
  • Inferior glide assist with flexion and abduction
  • Posterior glide assist with IR and flexion
  • Anterior glide assist with ER and extension
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10
Q

Which shoulder does gallbladder pain refer to?

A
  • Right shoulder
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11
Q

You’re treating a 55 y/o female with adhesive capsulitis which is the best form of treatment in the sub-acute phase?
a) Grade II mobs in anterior to posterior direction to restore ER
b) Grade III mobs in anterior to posterior direction to restore flexion
c) Self stretching into ER (sleeper stretch)
d) AAROM focused on flexion

A

b) Grade III mobs in anterior to posterior glide to restore flexion
- We want grade III mob to have large amplitude and reach the limitation of the ROM

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12
Q

What area does each special test for TOS tell you the impingement is at?

A
  • Addson’s: Scalenes triangle (arm extended with contralateral head rotation)
  • Hyperabduction test/Wright’s test: Pec minor/first rib (ABD and ER)
  • Roo’s test: general TOS test not specific to an area (open/close hand for 3 min)
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13
Q

Findings of a radial nerve impingement

A
  • Wrist drop
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14
Q

Findings of a median nerve impingement

A
  • Numbness/tingling along 1st-3rd digits on palmar side
  • Inability to flex the first 3 digits
  • Thenar wasting
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15
Q

(ULTT-LV tests) You the PT have done an ULTT and put the pt in the position of shoulder depression, abduction, ER, supination, wrist extension, and finger extension; what nerve entrapment would that test for?

A
  • Median nerve
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16
Q

Which type of stroke is more severe

A
  • Hemorrhagic stroke is less common than ischemic but more severe
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17
Q

What is the primary imaging tool for stroke diagnosis

A
  • CT can diagnose an ischemic stroke and can rule out hemorrhagic
18
Q

What is the best intervention strategies for stroke

A
  • High intensity
  • Blocked practice
19
Q

What type of intervention would be most appropriate for a woman post stroke experiencing a scissoring gait pattern?

A
  • Lateral stepping to widen her base of support (BOS)
20
Q

A therapist wishes to use behavioral modifying techniques for a pt with a TBI; what would be the best intervention?

A
  • Frequent reinforcement of desired behaviors
21
Q

Define spasticity

A
  • Velocity dependent resistance to stretch (tone is NOT velocity dependent)
22
Q

What type of spasticity pattern do you typically see in each extremity/joint?

A
  • Flexors in UEs
  • Proximal extensors of LEs
  • Distal flexors of LEs
23
Q

Modified Ashworth Scale for spasticity

A
  • 0: No increase in tone
  • 1: Catch/release at end ROM
  • 1+: Catch/release and resistance through rest of ROM (1/2 ROM)
  • 2: Marked increase in tone through ROM
  • 3: Passive movement difficult
  • 4: Affected part in rigid flexion and extension
24
Q

A pt who occurred a R CVA; one month out is demonstrating moderate spasticity in their LUE demonstrating in predominately increased flexor tone the major problem at this point is lack of voluntary control and has a 1/4 inch shoulder subluxation so the intervention of greatest benefit at this point is?

A
  • Pt sitting and weight bearing on the LUE and weight shifting
25
Q

What is heterotrophic ossification

A
  • It’s the formation of bone in soft tissue structures where it’s not supposed to be (extra-articular = outside of joint capsule)
26
Q

What is the gold standard imaging for identifying HO (heterotrophic ossification)

A
  • X-ray but you can also get on bone scan
27
Q

During your initial evaluation you have a pt s/p MVA with a complete lesion at C7; therapist notes swelling, redness, and warmth at the posterior knee joint; which condition is most likely present

A
  • Heterotrophic ossification (HO)
28
Q

What is an ischemic stroke

A
  • It’s when vessels in the brain get obstructed and result in poor blood flow to any one part of the brain
29
Q

A pt enters the ED with suspicion of having a CVA the physician may order a ________________ to determine if TPA is appropriate

A
  • CT scan
30
Q

When would you give TPA

A
  • Give as treatment for ischemic strokes NOT hemorrhagic strokes
31
Q

What is a TIA (transient ischemic attack)

A
  • It has the same underlying mechanisms as an ischemic stroke but the symptoms last for 24hrs or less; no tissue death occurs
32
Q

What is a Crescendo Transient Ischemic Attack (TIA)

A
  • At least 2 episodes/TIAs within 24hrs ; 3 within 3 days; or 4 within 2wks
33
Q

What is the ABCD2

A
  • Prediction rule for stroke after a TIA
  • Age ≥60yrs
  • BP systolic >140 or diastolic >90
  • Clinical presentation: unilateral weakness with or without/out speech impairments
  • Duration of symptoms
  • Do they have DM
34
Q

What is orthostatic hypotension (OH)

A
  • A decrease in BP of either ≥20 mmHg systolic or ≥10 mmHg diastolic when moving from supine to an upright position
35
Q

Signs and symptoms of OH

A
  • Pallor
  • Diaphoresis
  • Eventually a loss of consciousness (LOC)
  • Dizziness/lightheadedness
  • Faintness
  • Nausea
36
Q

What are some ddx for OH

A
  • Autonomic dysreflexia: BP rises instead of drops like in OH
  • Vertigo/BPPV: dizziness/lightheadedness symptoms
  • Generalized nausea from infection
37
Q

Treatments of OH

A
  • Immediate tx: lay pt down and elevate legs to prevent any LOC
  • After episode talk to treatment team about what BP meds the pt is on
  • Encourage lots of fluids for the pt
  • Progress the pt’s upright tolerance time with a tilt table or hospital bed
  • Can use abdominal binders or ace wraps on the legs to help keep the pt’s BP at a normal level
38
Q

What is Guillain-Barré syndrome (GBS)

A
  • An autoimmune disorder of peripheral nervous system causing progressive weakness of the limbs with usually diminished or absent DTRs
39
Q

Signs and symptoms of Guillain-Barré syndrome (GBS)

A
  • Progressive symmetrical weakness of limbs and face (LE more involved than LE and LE more involved than face); distal to proximal weakness
  • Glove and stocking N/T distribution
  • Affects motor, sensory, and autonomic system
  • CNS is intact
  • Typically associated with a viral infection versus a traumatic event
40
Q
A

NPTE Study Practice (18 decks)

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