NPTEFF review Flashcards by M. McCarthy

what are agonist reversals used for in PNF

Agonist reversals are mainly used for weak anti-gravity muscles for postural control.

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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.

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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

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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

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what does digitalis treat

CHF

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what quadrant is chron’s diesase felt

crohn’s disease pain is felt in lower right quadrant

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innervation of lats

latissimus dorsi (c6-8)

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what does occlusion to left MCA stem pesent like

Left MCA stem causes right side hemiparesis, global aphasia, and contralateral homonymous hemianopsia

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what does occlusion to the superior devision of MCA present like

superior division of MCA causes Broca’s aphasia

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occlusion to the inferior MCA devision causes what

Inferior division of MCA causes Wernicke’s Aphasia.

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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

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postural drainage position for lateral basal lobes

For Lateral basal the patient lies on abdomen, head down, then rotates 1/4 turn upward.

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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

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what is the postural drainage position for posterior basal segment

posterior basal, patient lies on abdomen with pillow under hips

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what N pierces pronator teres

median N

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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.

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Arcade of Frohse syndrome

area where radial N enters supinator, trapping it causing posterior interosseous N syndrome

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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?

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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.

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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

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what is thrombocytopenia

low number of platelets in blood

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what is phlebitis

Inflammation of a vein

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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

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

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