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MY NPTE > Numbers to Remember > Flashcards

Numbers to Remember Flashcards

1
Q

Hot pack storage temp

A

165-170 deg F

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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

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3
Q

1-MHz ultrasound

A

deep
3-5 cm

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4
Q

3 MHz ultrasound

A

superficial (although, CREATES MORE HEAT)

2 to 3 cm

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5
Q

Women should not lay supine after … weeks pregnancy

A

20

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6
Q

Normal excursion of diaphragm

A

1-2 inches (3-5 cm)

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7
Q

Degrees of elbow flexion when working in parallel bars

A

20-25 degrees with hands 4-6 inches in front

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8
Q

Height fitting for walker

A

Wrist creases/ulnar styloids
20-25 degrees of elbow flexion

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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

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10
Q

Fitting for Loftsrand crutches

A

1-1.5 inches below olecranon

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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

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12
Q

Normal vital capacity

A

4.8 L or 4800 ml

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13
Q

ADA requirements for doorway width

A

32 inches

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14
Q

ADA requirements for hallway width

A

36 inches

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15
Q

ADA requirements for turning radius

A

60 inches wide x 60 in long (78 in some places?)

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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

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17
Q

ADA requirements for sliding doors

A

3/4 inch or less

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18
Q

ADA requirements threshold for all other doors

A

1/2 inch or less

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19
Q

ADA requirements Carpet pile

A

1/2 in or less

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20
Q

ADA requirements low reach from wheelchair

A

15 inches

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21
Q

ADA requirements high reach from wheelchair

A

48 inches

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22
Q

ADA requirements side reach from wheelchair

A

24 inches

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23
Q

ADA requirements bathroom sink

A

No lower than 29 inches, minimum 17 inches deep

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24
Q

ADA requirements paper towel dispenser

A

No higher than 40 inches from floor to bottom of dispenser

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25
Q

ADA requirements toilet

A

17-19 in tall
at least 36 inches of garb bars (1 1/4-1 1/2 diameter); 33-36 inches mounted height

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26
Q

0 Pitting Edema

A

no swelling

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27
Q

1+ Pitting Edema

A

2 mm depression, disappears rapidly (less than 10 sec)

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28
Q

2+ Pitting Edema

A

4 mm depression, disappears 10-15 secs

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29
Q

3+ Pitting Edema

A

6 mm depression, disappears 15 sec-1 min

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30
Q

4+ Pitting Edema

A

8 mm depression, disappears 30 sec or more

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31
Q

Seat width for normal adult WC

A

standard is 18 inches
if measuring, you measure widest portion of hips +2 inches

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32
Q

Seat depth for normal adult WC

A

16 inches
if measuring, posterior buttock to popliteal crease -2 inches

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33
Q

Seat height for normal adult WC

A

18-20 inches

if measuring, heel to popliteal fold +2 inches to allow clearance from the floor

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34
Q

Back height normal WC

A

axilla to seat - 4 inches

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35
Q

Armrest height normal WC

A

from seat to olecranon (elbow at 90) + 1 inch and height of cushion if applicable

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36
Q

Hot pack temperature should not exceed

A

113 F

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37
Q

ADA requirements railing height

A

34-38 in

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38
Q

Normal Mini Mental State score

A

greater than 24/30

21-24 = mild cognitive impairment
16-20 = moderate
15 or less = severe

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39
Q

Lifting restrictions for thoracic and lumbar surgeries/fusions

A

10 lbs

5 lbs for cervical

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40
Q

Random blood glucose - DM

A

200 or more

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41
Q

Preprandial blood glucose

A

before meal

postprandial would be after meal

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42
Q

Preprandial blood glucose normal

A

70-130

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43
Q

Postprandial blood glucose normal

A

less than 180

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44
Q

Fasting blood glucose - DM

A

greater than 125

no eat for 8 hour

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45
Q

MET levels 1-2

A

toilting
driving
sitting at desk
washing dishes
slow walking
arts and crafts

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46
Q

MET levels 3-4

A

washing windows or cars
sweeping vaccuming
light gardening
slow dancing

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47
Q

MET levels 5-6

A

stacking wood
sex
golf
swimming

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48
Q

MET levels 7-10

A

shoveling
jogginb
farm work
flat biking
basketball

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49
Q

MET levels 10+

A

running 7 mph
bike 14-16 mph

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50
Q

RPE 12-16 correlates to what % HR max

A

65-85%

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51
Q

Guidelines for target exercise intensity with normal RPE scale

A

want to be at 4-6 out of 10

this correlates to 12-16 on the 6-20 scale

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52
Q

GCS scoring

A

E 4
V 5
M 6

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53
Q

GCS scoring Eyes

A

1 - no eye opening
2 - eye open to pain
3 - eye open to noise
4 - spontaneous eye opening

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54
Q

GCS scoring Verbal

A

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

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55
Q

Normal BUN

A

10-20

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56
Q

High BUN means

A

issue with kidneys - can also indicate dehydration

57
Q

Normal ammonia level

58
Q

Increased ammonia level =

A

liver normally converts ammonia to urea - if ammonia is high indicative of hepatitis, cirrhosis

59
Q

Normal bilirubin level

60
Q

Normal GFR

A

90-120 ml/min

61
Q

Stage 2 kidney disease GFR

62
Q

Stage 3 kidney disease GFR

63
Q

Stage 4 kidney disease GFR

64
Q

Stage 5 kidney disease GFR (ESRD)

A

15 or less

65
Q

What is GFR

A

calculation of how efficiently kidneys filter waste from blood

66
Q

Normal Q angle female

A

18

13 for male

67
Q

Normal cue angle male

A

13

18 for female

68
Q

Loss of protective sensation

A

5.07 or 10 g

69
Q

Normal sensation

A

3.61 or .4 g

70
Q

Normal hemoglobin

A

12-16 female
13-18 male

71
Q

Normal serum creatine

72
Q

Hypothermic results in hypo/hyperventilation

73
Q

Positive sharp waves are seen

A

In denervated muscle at rest

74
Q

Plane vs axis of rotation

A

Plane is direction movement is in
Axis of rotation is the line perpendicular to plane of mvmnt

75
Q

Examples of ordinal data

76
Q

Rhomboids nerve root innervation

77
Q

Lat innervation

A

C6-8

678 keeps the lat straight

78
Q

Brachialis innervation

A

musculocutanous mainly
little radial

79
Q

Ligament that provides resistance to ER at knee

80
Q

Ligament that provides resistance to IR at knee

A

ACL/PCL

think how knee valgus/IR occurs at hip during squat

81
Q

Montral COgnitive Assessment vs Mini Mental State

A

MoCA - mild cog impairment - Parkinsons

MMSE - mod to severe dementia

82
Q

Hip PA improves …

83
Q

Radiographs for chest pathologies

A

one PA one left lateral

84
Q

Dynamic stabilizer of the PCL

A

Quad

ACL - hamstring

85
Q

Contributor to increased tension at IT band at knee

A

interbal rotation of tibia
Excessive seat height on bike

86
Q

Midswing vs terminal swing - which has more peak torque on hamstrings

87
Q

Leg length discreprency can lead to

A

circumducted gait or contralateral trunk lean

88
Q

sign vs symptom

A

sign - you see
symptoms - they report

89
Q

prohibits discrimination for people w disabilities

A

ADA - 1990

90
Q

Ramp slope percentage

91
Q

Normal ramp landing

92
Q

Minimum bathroom sink height

A

29 inch high so wheelchair can fit under

93
Q

IDEA

A

Individual with Disabilites education act

94
Q

Intentional touching w out consent

95
Q

Pulm artery catheter monitors which atrium pressure

A

R
pulm artery

96
Q

Decubitus ulcer

A

prolonged pressure

think about laying on a foley

97
Q

PICC vs central line

A

central line inserted into chest

PICC is a central line inserted through the periphery then fed up

98
Q

MMSE norm

A

0-30

24 or more is normal
less than 24

24 = ML = mental

99
Q

VRE precaution

100
Q

Transmetatarsal amp

A

half metatarsal and all phalanges gone
- results in decreased balance, equinovarus

101
Q

Symes amp

A

at talocrural joint - fat pad covers distal tibia

102
Q

Chopart amp

A

spares talus and calcaneous

103
Q

Endoskedletal vs exoskeletal shank

A

endo - metal
exo - mimics leg and skin tone

104
Q

Too little knee flexion in stance - prosthetic cause

A

too soft of heel cushion
posterior socket

105
Q

Prosthetic aligned in abd = gait deviation

A

lateral bending

106
Q

Early knee flexion in late stance - prosthetic cause

A

heel too high
anteiror socket

107
Q

Post polio syndrom

A

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
Q

OI type 1 and 4

A

mild types

autosomal dom

Type 1 - can become community ambulator
Type 4 - community or household

109
Q

OI type 2 and 3

A

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
Q

Kleinfelter syndrome

A

basically males that dont produce enough testonerone
XXY syndrome - extra X chromosome

111
Q

Obliques innervation

112
Q

Muscle tightness leading to decreased DF with squat =

113
Q

Weight shifting occurs how

A

contralatearl lower body initiated lateral weight shift

114
Q

TLR reflex in supine

A

arms extended

115
Q

TLR reflex in prone

A

arms flexed

116
Q

Painful arc for GH joint

A

60-120

AC joint is 170-180

117
Q

Roos positive vs not postive

A

fatigue - not positive

positive - numbness tingling ischemic pain

118
Q

Reflex inhibition of muscle

A

muscle is turned off d/t swelling or immobilization

119
Q

Glide to improve thumb extension

120
Q

Glide to improve thumb abduction

A

Dorsal glide

121
Q

Prosopagonsia

A

inabvility to recognize faces

122
Q

Optic tract lesion vs optic nerve

A

nerve = entire vision
tract =

123
Q

BP changes during pregnancy

A

decrease until mid preganancy then gradual increase

124
Q

SUperficial reflexes in UMN

125
Q

PS response occurs above/below lesion in Autonomic dysreflexia

A

above = flushing and bradicardia due to dilation of blood vessels

126
Q

Are group activites for Ranchos Level 5 appropriate

A

not really - can be overwhelming

127
Q

WC with friction rims level of injury

128
Q

WC with standard rims level of injury

129
Q

Volume of blood that heart can pump if it absolutely needs it

A

cardiac reserve

130
Q

Lumbar traction parameters for disc protrusion

A

25% in prone

131
Q

Lumbar traction parameters for joint separation

132
Q

Wheals

A

irregular edamoatous eruptions

133
Q

Vesicles and blisters

A

serous filled sacs
vesicles are small blisters are large

134
Q

Primary risk factors
Secondary risk factors

Atherosclerosis

A

HTN HLD smoking

obesity activiity level stress

135
Q

Dehydration causes increase or decrease INR

A

increase - lack of vitamin K thins blood

136
Q

Dressings for infected wounds

A

calcium alginate

137
Q

Decreasing risk of ionto burn =

A

increase size of cathode to decreased overall current density

138
Q

Hemiballism =

A

basal ganglia lesion

MY NPTE (22 decks)

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