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Practice Test 6 > Osul 2 > Flashcards

Osul 2 Flashcards

1
Q

What should a PT expect when they initially insert an EMG needle into a normal muscle

A

Insertional activity which is a burst of energy upon insertion followed by electrical silence

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2
Q

Hypoglycemia symptoms

A

Weakness, dizzy, nauseous, profuse sweating, unsteady

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3
Q

Once cleared for resistance training following CABG, initial loads for the UE should be _____ of 1rm and ____ for LE

A

30-40% UE and 50-60% LE

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4
Q

Condition where Loss of central vision first followed by peripheral

A

Cataracts —- glaucoma is the opposite - peripheral first followed by central progressing to total blindness

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5
Q

Pt with L hemi, flexor tone, and shoulder subluxation. What activity is best ?

A

Sitting, weight bearing and rocking on an ext L UE will help dec flexor tone and create approximation to stim muscle of shoulder stab

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6
Q

Slow, writhing, and twisting involuntary movements

A

Athetosis

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7
Q

Rapid, irregular and jerky involuntary movements

A

Chorea

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8
Q

Involuntary oscillating movement that occurs during

A

voluntary movement

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9
Q

An anterior inferior shoulder dislocation can damage which nerve?

A

Axillary

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10
Q

Pt with an unhappy triad injury in the subacute phase. What is the best intervention

A

CKC exercises emphasizing the functional control of knee and terminal ext via quad and hams

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11
Q

Pt c lateral face pain and decreased active and passive mouth opening; however, lateral deviation is good both ways. What’s the cause

A

Decreased flexibility in the muscles of mastication. Lateral deviation does not require a significant length and then in the muscles of mastication as the primary motion of the mandible the slightly anterior translation of the mandibular condyle without increasing the distance between the body of the mandible in the upper palate

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12
Q

What is the dependent variable

A

Variable that is change behavior that results from the intervention (independent)

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13
Q

Hyperthyroidism is a hypermetabolic state and is associated with ?

A

Exercise intolerance and impaired cardiopulmonary function, dyspnea, fatigue, tachycardia, and arrhythmia

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14
Q

True or false, the presence of lower extremity radiating symptoms in patients experiencing low back pain is a strong negative prognostic indicator for achieving good clinical outcomes

A

T

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15
Q

When should pt interventions begin after a flexor tendon repair to the fingers

A

Within a few days after surgery to preserve tendon gliding

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16
Q

Where does an ovarian cyst refer pain to ?

A

Si region

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17
Q

Visual field is examined using what test

A

Confrontation test - patient sits opposite the therapist and is instructed to maintain his or her gaze on the therapist nose. The therapist slowly brings a target in the patient’s field of you alternately front of right or left sides the patient then indicates one where he or she first sees the finger

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18
Q

What is the preferred imaging test to rule out suspicion of upper cervical spine fracture or other type of spinal fracture

A

CT scan

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19
Q

Best intervention used to reduce recurvatum

A

Eccentric quad control CKC

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20
Q

Three methods for reducing lumbar disc pressures

A

Inc the angle between the seat pan and the chair backrest to between 90-110 degrees, using armrest, and adding a lumbar support

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21
Q

What does the yergason’s test test

A

Yergason’s Test. “This test is used to check the ability of the transverse humeral ligament to hold the biceps tendon in …

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22
Q

What represent myocardial ischemia in a pt s/p 5 weeks MI

A

> 1.0 mm of horizontal or downs loping depression

> 2 phase one elevation or dep

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23
Q

Phase one aerobic prescription for post MI

A
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24
Q

What test is used to identify spondylolisthesis

A

Stork standing test

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25
Q

Which test is utilized in diagnosing a lumbar facet dysfunction

A

Lumbar quadrant test- place lumbar spine facet in a closed packed position- ext + ipsilateral SB + contra rotation

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26
Q

What muscles get tight with forward head posture

A

Suboccipital extensor muscles (rectus capitis posterior major and minor)

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27
Q

6MWT shows good correlation with?

A

With function like adl- 6mwt is a submax test and that’s the intensity for sub max work

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28
Q

The 10 meter walk test is a better test to use to correlate with VO2 max than the

A

6MWT only 73% correlation

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29
Q

Two contributing postures to genu recurvatum

A

Ankle pf and anterior pelvic tilt

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30
Q

Hamstring weakness nerve root compression level?

A

L5

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31
Q

Aka cold sores

A

Herpes simplex

32
Q

Painful vesicular skin eruptions that follow the underlying route of a spinal or cranial nerve. Potential for fever, gi disturbances, malaise, and headache

A

Herpes zoster infection

33
Q

Chronic Red patchy, dry, silvery, scales

A

Psoriasis

34
Q

V tach PT response

A

Stop exercise and notify physician since impact on CO and could quickly progress to vfib

35
Q

Impaired body scheme?

A

Somatognosia

36
Q

Inability to recognize familiar objects despite normal eyes function

A

Visual agnosia

37
Q

Symmetrical ascending signs of LMNL

A

GBS

38
Q

Delirium symptoms are chronic or intermittent

A

Intermittent

39
Q

Statistical Test used to compare three or more treatment groups

A

Anova

40
Q

What test is used to compare bone conduction with air conduction.

A

Rinne’s test

41
Q

Which test places a vibrating tuning fork on the vertex of the head and pt is asked to differentiate which ear is louder

A

Weber’s test

42
Q

Pt knee djd status declining after three weeks of PT what do you do?

A

Return the pt back to referring dr c docum. Of what you did and that treatment was ineffective

43
Q

Benefits of UE weight bearing in a pt with flexor tone

A

Elbow, wrist, and fingers in ext helps decrease development of flexor spasticity. Weight bearing on the limb promotes extensor activity in the triceps and shoulder stab

44
Q

Mod to high amount of exudate. What kind of dressing?

A

Calcium alginate

45
Q

Forward festering gait in a pt with PD thePT shoulder use a

A

Toe wedge to posteriorly displace COG

46
Q

Stress fracture diagnosed with what imaging test?

A

X-ray then bone scan if X-ray negative (will likely be neg for 2-8 weeks

47
Q

In order to minimize the risk of a hypoglycemic event during exercise, the therapist should have the patient avoid

A

Exercise during periods of peak insulin activity (2-4 hrs after injection)

48
Q

True or false- when working with dementia pts, activity training is most likely to be successful if done with familiar activities

A

True - also memory for past events may be retained initially, but eventually all memory becomes impaired

49
Q

In the early stage of learning what motor learning should be used?

A

In the cognitive stage, learners benefit from seeing the whole task correctly performed so focus should be on KOF and visual feedback … Propriocentive inputs are important during middle associative stage

50
Q

Pt with Metatarsalgia shoe prescription?

A

The best intervention is to wear larger shoes, with a metatarsal pad placed proximal to the metatarsal heads to elevate the transverse (anterior ) arch and separate the metatarsals

51
Q

Confusion, memory deficits, and disorientation are characteristic of what?

A

Aids dementia complex

52
Q

Motor ataxia and paresis with pronounced gait disturbances is a characteristic of?

A

Aids

53
Q

Muscle function test for the deep cervical flexors

A

During an active chin talk the pressure and the stabilizer cough increases to 22 and the patient can hold this position for 10 seconds. Holding for 30 is reflective for the endurance test

54
Q

Only the 6MWT has a minimal detectable change scores associated with it

A

True

55
Q

What is an abnormal finding during an examination of a newborn infant

A

Continuous tremulousness, but occasional is normal

56
Q

What would cause a pt in a w/c to demonstrate sacral sitting and thoracic kyphosis

A

Excessive leg length for seat to foot plate

57
Q

In the acute phase following a type II slap repair what should be avoided

A

ER rom due to peel back mechanism and bicep contraction and stretching should be avoided in the max protection phase

58
Q

ECG changes that may occur in an individual with CAD and prior

A

Tachycardia at a relatively low intensity of exercise with ST segment depression

59
Q

Long term forward head posture and complaints of dizziness and pain when looking up. What is the most effective intervention

A

Manual therapy techniques to provide pain relief and postural reeducation

60
Q

A line gets pulled

A

Use cuff above SBP proximal to site of bleeding or place manual pressure on the site to stop bleeding . Then call for help

61
Q

Graves’ disease

A

Hyperthyroidism- enlargement of thyroid gland, inc HR and RR, tremors, hyperkinesias, increased DTRs, weakness, fatigue, atrophy, and heat intolerance

62
Q

Staphylococcus mrsa

A

Gloves for any contact, open wounds should be contained within a dressing, all equipment should be cleaned after contact

63
Q

Ovaries commonly refer pain to

A

Low back

64
Q

Gallbladder commonly refers pain to?

A

Thorax

65
Q

Appendix commonly refers pain to

A

RLQ

66
Q

The SACH foot provides what kind of motion

A

Allows some pf and very limited frontal plane motion

67
Q

Internal capsule stroke would result in

A

Supranuclear palsy which affects only the contralateral lower half of the face

68
Q

Lateral excursion of the mandible is produced by

A

contralateral medial and lateral pterygoids and ipsilateral temporalis muscles

69
Q

Digastric and geniohyoid muscles action

A

Mandibular depressors

70
Q

Subscapularis action

A

IR of humerus

71
Q

Following a tendon transfer to the extensor Capri radialis, initially the EMG biofeedback protocol should consist of

A

High detection sensitivity is needed to detect low amplitude signals generated by a small number of motor units such as in a weak muscle … Electrodes should be placed close together

72
Q

incontinence is often referred to as an overactive bladder, hyperreflexia

A

Urge

73
Q

Incontinence characterized by continuous leakage of urine that results from over distention of bladder. Frequent dribbling of urine

A

Overflow

74
Q

An older adult received a cemented THR 2 days ago. The physical therapy POC should have its initial priority

A

Pt education regarding positions and movements to avoid

75
Q

Test to determine if there is a restriction at the PIP joint

A

The retinacular test

76
Q

In terms of Trumatic brain injury, therapist wishes to use behavior modification techniques as a part of the plan of care to shape behavioral responses. How is behavior modification best achieved

A

Thought positive reinforcements for all desired behaviors, neg behaviors should be ignored

Practice Test 6 (1 decks)

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