NPTEFF review Flashcards
what are agonist reversals used for in PNF
Agonist reversals are mainly used for weak anti-gravity muscles for postural control.
what is a neves
Nevus is a common mole, a growth on the skin that develops when melanocytes grow in clusters. It can be benign or malignant.
what is a hemangioma
Hemangiomas are non-cancerous growths that form due to an abnormal collection of blood vessels, visible on the skin. They are usually congenital
Which of the following drugs would NOT be used to lower blood pressure in patients with hypertension? Select one: A. Thiazide Diuretics B. ACE inhibitors C. Calcium channel blockers D. Digitalis
digitalis
what does digitalis treat
CHF
what quadrant is chron’s diesase felt
crohn’s disease pain is felt in lower right quadrant
innervation of lats
latissimus dorsi (c6-8)
what does occlusion to left MCA stem pesent like
Left MCA stem causes right side hemiparesis, global aphasia, and contralateral homonymous hemianopsia
what does occlusion to the superior devision of MCA present like
superior division of MCA causes Broca’s aphasia
occlusion to the inferior MCA devision causes what
Inferior division of MCA causes Wernicke’s Aphasia.
during recovery of a peripherial N injury is it better to position muscle in a lengthened or shortened position
shortened, it puts less stress on the N
postural drainage position for lateral basal lobes
For Lateral basal the patient lies on abdomen, head down, then rotates 1/4 turn upward.
postural drainage position for left lower anterior basal segment
left lower anterior basal segment, the patient is right side lying with foot elevated to 18 inches
what is the postural drainage position for posterior basal segment
posterior basal, patient lies on abdomen with pillow under hips
what N pierces pronator teres
median N
what is watenbuerg syndrome
Wartenberg’s syndrome is described as the entrapment of the superficial branch of the radial nerve with only sensory manifestations and no motor deficits.
Arcade of Frohse syndrome
area where radial N enters supinator, trapping it causing posterior interosseous N syndrome
what does UE flexion synergy look like post CVA
A patient is demonstrating an upper extremity flexion synergy following a CVA. Which of the following is MOST likely associated with this type of synergy?
how does long standing DM effect HR
Long term complication of Type 1 diabetes mellitus is cardiac denervation syndrome which results in a fixed HR that is unresponsive to exercise, stress or sleep.
side affects of chemotherapy
anorexia, nausea, vomiting, diarrhea, ulcers, hemorrhage, bone marrow suppression, anemia, leukemia, thrombocytopenia, fatigue, skin rashes, neuropathies, and phlebitis and hair loss
what is thrombocytopenia
low number of platelets in blood
what is phlebitis
Inflammation of a vein
what N root is HS reflex
L5, S1- medial hamstrings reflex
what N root is achillies reflex
S1/S2
femoral retroversion causes an increased or decreased Q angle
decreased
At what neurological level are quads innervated
L3
positioning strategy in SL on more affected side:
Positioning strategy in side lying on the more affected side - Scapula protracted; shoulder forward; arm placed in slight abduction and external rotation; elbow extended, forearm supinated, wrist neutral, fingers extended, and thumb abducted.
positioning for R thoracic scolosis
Right thoracic scoliosis has the right thoracic spine convexity and it will cause high right shoulder, low left shoulder, scapula protruding on right, high protruding left hip, vertebral body rotated to right (towards convexity), spinous process deviated toward concave side.
initial execise intensity for Pt. post single vessle CABG
Initial exercise intensity for the patient should be 40-60%HR max.
what is Scleroderma is characterized by?
inflammation and fibrosis of many parts of the body, including the skin, blood vessels, synovium, skeletal muscle, and certain internal organs such as kidneys, lungs, heart, and GI tract.
A superior dislocation of SC joint would have what effect on scapular mechanics
in ablility to elevate; During elevation, clavicle slide inferiorly and during depression it slides superiorly. Hence, the superior dislocation of SC joint will cause inability to elevate the scapula.
MMT of pec major sternal head
the motion begins at 120° of shoulder abduction and moves diagonally down and in toward the patient’s opposite hip. Resistance is given above the wrist in an up and outward direction.
Consistency of repeated measures performed by one individual is called
intrarater reliability
when assessing a Pt. for signs and symptoms of CHF what is most important to look at
A. Body temperature and lung auscultation for rales
B. Heart rate and blood pressure
C. MMSE and lung auscultation for rales
D. Turgor and CBC
body temp and lung auscultation for rales
when should we not start exercise 2/2 abnormal blood glucose levels (low and high)
<70 or >250
where should A1C levels be ideally
<7, the lower the better
presentation of polymyositis
symmetrical proximal weakness with malaise and weight loss
what is providone-iodine used for
Povidone-iodine is usually used as a skin preparation to prevent surgical site infection. It can be used in acute traumatic wounds.
silver sulfadiazine use
infection
qhat is zinc oxide used for
various skin disorders
is cauda equina an UMN injury or peripherial N injury
peripheral
what patellar reflex would a herniated nucleus pulposus at L4 create
a weak or absent
a SCI tumor at L1 would create a hypo or hyperreflex at the patellar tendon DTR testing
hyper, below the lesion of a spinal tumor would present like a UMN lesion
does R sidelying often increase or decrease MSK pain
Right sidelying often increases musculoskeletal pain but may decrease pleural friction/irritation and thus may decrease visceral pain
why would foot plates too high increase pain for ASIA A C8 Pt?
Footrests that are too high shift the patient’s weight posteriorly onto the buttocks, leading to pressure and pain
what is atrophie blanche
characterized by white, scar like areas associated with pain at rest and when standing. affected areas present as smooth white plaques
what is superficial venous thrombosis
pain and tenderness along the affected vein, usually saphenous vein
where does the trigeminal N (CN V) originate
in the pons
where does occulomotor CN III originate
midbrain
where does hypoglossal N originate
medulla
where does the vagus N originate
medulla
what is the innervation of adductor pollicis
ulnar N
can you do traction on Pt.s with RA
No
would posterior capsule tightness decrease or increase internal rot
decrease
action of tibialis post
planter flex and inverts
what muscle is most effected with lateral epicondylitis
extensor carpi radialis brevis
sounds occouring between S1 and S2 are considered
systolic heart murmer
