Numbers to Remember Flashcards
1
Q
Hot pack storage temp
A
165-170 deg F
2
Q
Stages of Lymphedema
A
Stage 0 - at risk, no swelling
Stage 1 - reversible, negative Stemmers, pitting edema resolves with elevation
Stage 2 - spontaneously irreversible, brawny edema - skin cannot be depressed elevation does not resolve, positive Stemmers
Stage 3 - fibrotic changes, elephantiasis, deep skin folds
3
Q
1-MHz ultrasound
A
deep
3-5 cm
4
Q
3 MHz ultrasound
A
superficial (although, CREATES MORE HEAT)
2 to 3 cm
5
Q
Women should not lay supine after … weeks pregnancy
A
20
6
Q
Normal excursion of diaphragm
A
1-2 inches (3-5 cm)
7
Q
Degrees of elbow flexion when working in parallel bars
A
20-25 degrees with hands 4-6 inches in front
8
Q
Height fitting for walker
A
Wrist creases/ulnar styloids
20-25 degrees of elbow flexion
9
Q
Height fitting for axillary crutches
A
3 fingers (2 inches) below axilla
point on floor should be 2 inches lateral, 6 inches anterior
10
Q
Fitting for Loftsrand crutches
A
1-1.5 inches below olecranon
11
Q
Do not initiate exercise within …. (time) of taking insulin
A
1 hour
exercise can increase the speed which insulin passes through the system - lessening the effects
12
Q
Normal vital capacity
A
4.8 L or 4800 ml
13
Q
ADA requirements for doorway width
A
32 inches
14
Q
ADA requirements for hallway width
A
36 inches
15
Q
ADA requirements for turning radius
A
60 inches wide x 60 in long (78 in some places?)
16
Q
ADA requirements for ramp
A
12 inches of run for every 1 inch of rise (8.3% grade incline)
36 inches wide
handrails on both sides
17
Q
ADA requirements for sliding doors
A
3/4 inch or less
18
Q
ADA requirements threshold for all other doors
A
1/2 inch or less
19
Q
ADA requirements Carpet pile
A
1/2 in or less
20
Q
ADA requirements low reach from wheelchair
A
15 inches
21
Q
ADA requirements high reach from wheelchair
A
48 inches
22
Q
ADA requirements side reach from wheelchair
A
24 inches
23
Q
ADA requirements bathroom sink
A
No lower than 29 inches, minimum 17 inches deep
24
Q
ADA requirements paper towel dispenser
A
No higher than 40 inches from floor to bottom of dispenser
25
ADA requirements toilet
17-19 in tall
at least 36 inches of garb bars (1 1/4-1 1/2 diameter); 33-36 inches mounted height
26
0 Pitting Edema
no swelling
27
1+ Pitting Edema
2 mm depression, disappears rapidly (less than 10 sec)
28
2+ Pitting Edema
4 mm depression, disappears 10-15 secs
29
3+ Pitting Edema
6 mm depression, disappears 15 sec-1 min
30
4+ Pitting Edema
8 mm depression, disappears 30 sec or more
31
Seat width for normal adult WC
standard is 18 inches
if measuring, you measure widest portion of hips +2 inches
32
Seat depth for normal adult WC
16 inches
if measuring, posterior buttock to popliteal crease -2 inches
33
Seat height for normal adult WC
18-20 inches
if measuring, heel to popliteal fold +2 inches to allow clearance from the floor
34
Back height normal WC
axilla to seat - 4 inches
35
Armrest height normal WC
from seat to olecranon (elbow at 90) + 1 inch and height of cushion if applicable
36
Hot pack temperature should not exceed
113 F
37
ADA requirements railing height
34-38 in
38
Normal Mini Mental State score
greater than 24/30
21-24 = mild cognitive impairment
16-20 = moderate
15 or less = severe
39
Lifting restrictions for thoracic and lumbar surgeries/fusions
10 lbs
5 lbs for cervical
40
Random blood glucose - DM
200 or more
41
Preprandial blood glucose
before meal
postprandial would be after meal
42
Preprandial blood glucose normal
70-130
43
Postprandial blood glucose normal
less than 180
44
Fasting blood glucose - DM
greater than 125
no eat for 8 hour
45
MET levels 1-2
toilting
driving
sitting at desk
washing dishes
slow walking
arts and crafts
46
MET levels 3-4
washing windows or cars
sweeping vaccuming
light gardening
slow dancing
47
MET levels 5-6
stacking wood
sex
golf
swimming
48
MET levels 7-10
shoveling
jogginb
farm work
flat biking
basketball
49
MET levels 10+
running 7 mph
bike 14-16 mph
50
RPE 12-16 correlates to what % HR max
65-85%
51
Guidelines for target exercise intensity with normal RPE scale
want to be at 4-6 out of 10
this correlates to 12-16 on the 6-20 scale
52
GCS scoring
E 4
V 5
M 6
53
GCS scoring Eyes
1 - no eye opening
2 - eye open to pain
3 - eye open to noise
4 - spontaneous eye opening
54
GCS scoring Verbal
1- no verbal
2 - no comprehensible words (moans and groans)
3 - comprehensible but makes no sense cannot answer questions ( think wernikes)
4 - confused orientation but can still say words
5- spontneous
55
Normal BUN
10-20
56
High BUN means
issue with kidneys - can also indicate dehydration
57
Normal ammonia level
15-45
58
Increased ammonia level =
liver normally converts ammonia to urea - if ammonia is high indicative of hepatitis, cirrhosis
59
Normal bilirubin level
.3-2.0
60
Normal GFR
90-120 ml/min
61
Stage 2 kidney disease GFR
60-89
62
Stage 3 kidney disease GFR
30-59
63
Stage 4 kidney disease GFR
15-29
64
Stage 5 kidney disease GFR (ESRD)
15 or less
65
What is GFR
calculation of how efficiently kidneys filter waste from blood
66
Normal Q angle female
18
13 for male
67
Normal cue angle male
13
18 for female
68
Loss of protective sensation
5.07 or 10 g
69
Normal sensation
3.61 or .4 g
70
Normal hemoglobin
12-16 female
13-18 male
71
Normal serum creatine
.5-1.2n
72
Hypothermic results in hypo/hyperventilation
Hyper
73
Positive sharp waves are seen
In denervated muscle at rest
74
Plane vs axis of rotation
Plane is direction movement is in
Axis of rotation is the line perpendicular to plane of mvmnt
75
Examples of ordinal data
RPE pain
76
Rhomboids nerve root innervation
C4-5
77
Lat innervation
C6-8
678 keeps the lat straight
78
Brachialis innervation
musculocutanous mainly
little radial
79
Ligament that provides resistance to ER at knee
MCL
80
Ligament that provides resistance to IR at knee
ACL/PCL
think how knee valgus/IR occurs at hip during squat
81
Montral COgnitive Assessment vs Mini Mental State
MoCA - mild cog impairment - Parkinsons
MMSE - mod to severe dementia
82
Hip PA improves ...
flexion
83
Radiographs for chest pathologies
one PA one left lateral
84
Dynamic stabilizer of the PCL
Quad
ACL - hamstring
85
Contributor to increased tension at IT band at knee
interbal rotation of tibia
Excessive seat height on bike
86
Midswing vs terminal swing - which has more peak torque on hamstrings
midswing
87
Leg length discreprency can lead to
circumducted gait or contralateral trunk lean
88
sign vs symptom
sign - you see
symptoms - they report
89
prohibits discrimination for people w disabilities
ADA - 1990
90
Ramp slope percentage
8.3 %
91
Normal ramp landing
60x60in
92
Minimum bathroom sink height
29 inch high so wheelchair can fit under
93
IDEA
Individual with Disabilites education act
94
Intentional touching w out consent
Battery
95
Pulm artery catheter monitors which atrium pressure
R
pulm artery
96
Decubitus ulcer
prolonged pressure
think about laying on a foley
97
PICC vs central line
central line inserted into chest
PICC is a central line inserted through the periphery then fed up
98
MMSE norm
0-30
24 or more is normal
less than 24
24 = ML = mental
99
VRE precaution
contact
100
Transmetatarsal amp
half metatarsal and all phalanges gone
- results in decreased balance, equinovarus
101
Symes amp
at talocrural joint - fat pad covers distal tibia
102
Chopart amp
spares talus and calcaneous
103
Endoskedletal vs exoskeletal shank
endo - metal
exo - mimics leg and skin tone
104
Too little knee flexion in stance - prosthetic cause
too soft of heel cushion
posterior socket
105
Prosthetic aligned in abd = gait deviation
lateral bending
106
Early knee flexion in late stance - prosthetic cause
heel too high
anteiror socket
107
Post polio syndrom
motor neuron disease - strength and endurance deficits
onset 30 years after infection
sensory normal
PTs are said to decrease secondary complications and prevent further muscle loss - but careful with dosing and not overworking
108
OI type 1 and 4
mild types
autosomal dom
Type 1 - can become community ambulator
Type 4 - community or household
109
OI type 2 and 3
autospoaml recessive
NO LONG LEVER OR ROTATION INTERVENTIONS - swimming is good alternative
Type 2 - die in uteo or early childhood
Type 3 - household ambulator
110
Kleinfelter syndrome
basically males that dont produce enough testonerone
XXY syndrome - extra X chromosome
111
Obliques innervation
T7-12
112
Muscle tightness leading to decreased DF with squat =
soleous
113
Weight shifting occurs how
contralatearl lower body initiated lateral weight shift
114
TLR reflex in supine
arms extended
115
TLR reflex in prone
arms flexed
116
Painful arc for GH joint
60-120
AC joint is 170-180
117
Roos positive vs not postive
fatigue - not positive
positive - numbness tingling ischemic pain
118
Reflex inhibition of muscle
muscle is turned off d/t swelling or immobilization
119
Glide to improve thumb extension
radial
120
Glide to improve thumb abduction
Dorsal glide
121
Prosopagonsia
inabvility to recognize faces
122
Optic tract lesion vs optic nerve
nerve = entire vision
tract =
123
BP changes during pregnancy
decrease until mid preganancy then gradual increase
124
SUperficial reflexes in UMN
absent
125
PS response occurs above/below lesion in Autonomic dysreflexia
above = flushing and bradicardia due to dilation of blood vessels
126
Are group activites for Ranchos Level 5 appropriate
not really - can be overwhelming
127
WC with friction rims level of injury
C6-7
128
WC with standard rims level of injury
C8-T1
129
Volume of blood that heart can pump if it absolutely needs it
cardiac reserve
130
Lumbar traction parameters for disc protrusion
25% in prone
131
Lumbar traction parameters for joint separation
50%
132
Wheals
irregular edamoatous eruptions
133
Vesicles and blisters
serous filled sacs
vesicles are small blisters are large
134
Primary risk factors
Secondary risk factors
Atherosclerosis
HTN HLD smoking
obesity activiity level stress
135
Dehydration causes increase or decrease INR
increase - lack of vitamin K thins blood
136
Dressings for infected wounds
calcium alginate
137
Decreasing risk of ionto burn =
increase size of cathode to decreased overall current density
138
Hemiballism =
basal ganglia lesion
139
