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NPTE > OS T#2: S2 > Flashcards

OS T#2: S2 Flashcards

1
Q

What is the result of tight Rhomboids?

A

Downwardly rotated scapula

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2
Q

What is the effect of weak serratus anterior?

A

Winging of the scapula, downward rotation of he scap during humeral elevation

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3
Q

What does the reverse Lachman’s test Test for?

A

It tests for PCL integrity

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4
Q

What does nobels compression test test for?

A

IT band friction syndrome

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5
Q

Characteristics of cerebellar dysfunction?

A

Dysdiadochokinesia, dysmetria, dyssynergia. Greater deficiencies seen at higher speeds and during targeting.

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6
Q

L2 Myotomes

A

Psoas, Hip Adductors

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7
Q

L3 Myotomes

A

Psoas, Quads,

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8
Q

L4 Myotomes

A

Tibialis Anterior, Extensor Hallucis

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9
Q

L5 Myotomes

A

Extensor Hallucis, Peroneals, Gluteus Medius, Dorsiflexors, Hamstrings and calf atrophy

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10
Q

S1 Myotomes

A

Calf and Hamstring , glute atrophy, peroneals, and plantar flexors.

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11
Q

Who is a allowed to see a given patients protected health information?

A

Insurance company paying for the care,
other health professionals working with the patient,
parent/ guardian (if pt is a minor or deemed mentally incompetent)

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12
Q

What reduces lumbar compression on the spine most efficiently while sitting?

A

1) Increasing the chair backrest to 90-110 degrees
2) Using arm rests for support
3) Adding a lumbar Support

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13
Q

What nerve innervates the supra and infraspinatus

A

The Suprascapular nerve

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14
Q

What muscle weakness results from injury to the spinal accessory nerve?

A

Upper Trapezius and Sternocleidomastoid

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15
Q

Describe COPD stage 1

A

FEV1/FVC

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16
Q

Describe COPD stage 2

A

FEV1/FVC

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17
Q

Describe COPD stage 3

A

FEV1/FVC

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18
Q

Describe COPD stage 4

A

FEV1/FVC

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19
Q

Name 4 physical findings that can be seen with COPD

A

1) Cough/sputum production (hemoptysis)
2) Dyspnea on exertion
3) Breath sounds decreased with advantageous sounds
4) Increased RR
5) Weight loss
6) Barreled chest
7) Cyanosis
8) Clubbing

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20
Q

When is barreled chest seen

A

COPD Gold stage 4

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21
Q

What are the side effects of Lyrica?

A

Heart failure, difficulty walking long distances, lymphedema

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22
Q

What is Lyrica used for?

A

Treats nerve and muscle pain caused by diabetes, shingles, fibromyalgia, or a spinal cord injury.

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23
Q

What does Yergason’s test examine?

A

If the transverse ligament for the biceps are intact

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24
Q

What does Neer’s Impingement test examine? and how is it performed?

A

Impingement of the rotator cuff; While scapular rotation is prevented with one hand, the arm of the patient is forced to elevate in a scapular range of motion. The test is positive if pain occurs.

25
Q

What does the Clunk test examine?

A

A tear of the glenoid labrum

26
Q

What does the Drop arm test examine?

A

Assesses whether the rotator cuff is intact

27
Q

What does the empty can test examine?

A

Rotator cuff integrity specifically the supraspinatus

28
Q

What is an cause for IMMEDIATE termination of an exercise after a pt has had an MI

A

> 1.0 mm downward slope of ST segment which represents myocardial ischemia

29
Q

What is the earliest that a child can be given a power wheel chair?

A

18 months but it depends on the cognitive ability of the child.

30
Q

What impairments exist with down syndrome?

A 
Hypotonia
Decreased muscle contractile force
Congenital heart defects
Visual an hearing losses
Atlanto-axial dislocations secondary to transverse ligament laxity
Cognitive deficit
31
Q

What are the signs and symptoms of a atlanto-axial subluxation/dislocation?

A

Decreased strength
Decreased ROM
Hyporeflexic DTR
Decreased sensation in limbs

32
Q

When can radiographs begin to find AA subluxations in down syndrome children? How should you treat children under that age?

A

3 years old, as if they have an AA instability.

33
Q

How does a Brown Séquard’s legion present?

A

Ipsilateral weakness and loss of proprioception and vibration below the level of the lesion

Contralateral loss of pain and temperature sensation

34
Q

How does Anterior Cord Syndrome present?

A

Loss of motor function, pain,and temperature with preservation of light touch and proprioception.

35
Q

How does Central Cord Syndrome present?

A

Loss of UE function with preservation of LE function

36
Q

When should caregivers become involved in practicing an activity with the patient?

A

After the safety of the patient with the caregiver can be assured.

37
Q

What is the Slump test used to analyze?

A

The neuro dynamics of the peripheral nerves

38
Q

What is the stork test used to analyze?

A

It identifies spondylolisthesis

39
Q

What is the effect of the foot position in an patellar tendon bearing prosthesis being to far inset?

A

Lateral thrust at mid stnace

40
Q

What is the effect of the foot position in an patellar tendon bearing prosthesis being to far outset?

A

Medial thrust at midstance

41
Q

What is the subcostal or infrasternal angle?

A

The angle between the lower borders of the costal cartilages of the two sides as they approach the sternum.

42
Q

What is an x-ray showing hyper inflated lungs, flattened diaphragm, and decreased costophrenic angle indicative of?

A

Increased subcostal angle

43
Q

What is the point of a 6 min walk test?

A

The 6 MWT is a sub-max Test that assess the pt’s functional ability

44
Q

What structure dues the posterior lag test stress?

A

The PCL

45
Q

What is the definition of ventricular tachycardia?

A

A run of 3 or more PVC’s in a row

46
Q

How should a PT handle V-tach?

A

Stop the exercise and call the doctor immediately. This is a potentially emergency situation.

47
Q

What medicine has the highest risk of causing Orthostatic Hypotension?

A

Nitroglycerine

48
Q

When on a medicine ball how do you produce a Posterior tilt of the pelvis?

A

Move the ball forward by contracting the abdominals.

49
Q

When on a medicine ball how do you produce a Anterior tilt of the pelvis?

A

Move the ball Backward by contracting the para spinals (?).

50
Q

List 3 signs of chronic dementia.

A

Pt exhibits personality changes
Arousal level is depressed
Pt has hallucinations throughout the day

51
Q

What is an ANOVA test used for?

A

The ANOVA test is a parametric statistical test used to compare 3 or more treatment groups on one dependent variable

52
Q

What does an analysis of covariance do?

A

An analysis of covariance compares 2 or more groups but controls for controls for the effects between groups.

53
Q

What does a Chi squared test do?

A

A Chi squared test is a nonparametric statistical test used to compare data in the form of frequency counts.

54
Q

What does a Spearman’s rho test do?

A

A Spearman’s Rho test or rank correlation coefficient is a nonparametric test used to correlate ordinal data.

55
Q

What is fluent aphasia?

A

AKA Wernicke’s aphasia is a central language disorder in which spontaneous speech is preserved and flows smoothly while auditory comprehension is impaired.

56
Q

What is the best means to communicate with a patient with fluent (Wernicke’s ) aphasia?

A

Demonstrations and gestures

57
Q

What is “terminal knee impact”?

A

When a prosthetic knee reaches full extension and stops during terminal swing. This can be cause by decreased friction within the knee joint.

58
Q

What is metabolic syndrome?

A

Metabolic syndrome is a precursor to type II diabetes includes:

abdominal obesity
increased triglicerides
low HDL
HTN
high fasting plasma glucose(>110 mg/dL)

NPTE (24 decks)

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