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Practice Test 5 > Osul Exam A > Flashcards

Osul Exam A Flashcards

1
Q

Back and perineal pain which is aggravated by prolonged standing is common with?

A

Uterine prolapse (cystocele) -pain is often relieved by lying down

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2
Q

Moi for turf toe

A

Sprain of the MTP joint of the first toe due to hyperextension

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3
Q

Foot injury occurring when direct or indirect for is applied to foot when it is in a pf position causing one or all of the metatarsal bones to displace from the tarsus.

A

Lisfranc injury

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4
Q

Extra-articular complication of rheumatoid arthritis

A

Vasculitis

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5
Q

True of false sci or muscle weakness will cause an obstructive lung disorder

A

False- muscle weakness will cause a restrictive disorder, inability to generate Neg pressure

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6
Q

Metabolic syndrome risk factors

A

Waist circumference
Elevated triglycerides 150 mg/dl or higher
Low hdl levels 110 mg/dl

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7
Q

Pain and temperature sensation pathway

A

Anterolateral spinothalamic pathway

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8
Q

Light touch is carried in what pathway?

A

Dorsal column - lemniscal pathways

In addition to discriminative sensations such as two-point discrimination, stereognosis, barognosis

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9
Q

Transfemoral amputation management is f residual limb, what is the most important factor that the PT should consider first

A

Residual limb healing

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10
Q

What is the action of the lumbricals

A

Extension of the IP joints and simultaneous flexion of the MCP joints

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11
Q

How to stretch the lumbricals

A

Mcp ext and ip flexion

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12
Q

Paced breathing controls the rate of breathing not the depth true or false

A

True

So not indicated for atelectasis

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13
Q

Following a flexor tendon repair of the finger, active flexion should be avoided for how long?

A

Weeks 1 through 3 ther should be no active flexion of the involved digits

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14
Q

Nerve supply to the heel

A

Calcaneal branch of tibial nerve

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15
Q

Superficial perineal nerve distribution

A

Ends above the ankle by dividing into the medial and lateral cutaneous branches. These nerves provide sensory innervation to the lateral and anterolateral skin of distal leg and to the dorsum of the foot

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16
Q

Acetate iontophoresis

A

Negative charge

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17
Q

Adrenal insufficiency

A

Decreased amount of cortisol- thus inability to regulate potassium and sodium causing a decreased sodium concentration in the blood(hyponatremia)

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18
Q

Chronic Lyme disease is characterized by intermittent arthritis with marked pain and swelling, especially in what joint?

A

Large joints of the body, especially the knee

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19
Q

Turbulent Heart sound heard during early diastole

A

S3

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20
Q

Heart sound caused by exaggerated atrial contraction

A

S4

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21
Q

What exercises produces the best stimulus for bone

A

Extensor stabilization exercises in weight bearing postures provide the best stimulus to bone (standing , holding against resistance, partial squats)

Vs high load, short duration activities such as jumping and running which provide less stimulus to bone while posing inc risk of muscle strains

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22
Q

To stop bleeding in the thigh where too apply pressure

A

Femoral triangle

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23
Q

A test for lymphedema which involves the PT pulling up on the skin at the base of the second toe or finger. POS if the skin is unable to be pulled up.

A

Stemmer’s sign

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24
Q

Where is McBurney’s point located and what is it associate with?

A

Half way between ASIs and umbilicus in the RLQ, associated with acute appendicitis

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25
Q

Apgar scores that are considered normal?

A

8-10 at one min after birth

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26
Q

5 categories of Apgar scale, each receiving a top score of 2 if normal

A

Hr over 100 bpm, good respiration and crying, active movement, cough or sneeze, and pink color ( total of 10 points)

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27
Q

Pt in supine while Passive ext, R side flexion, and then r rotation held for 30 seconds is a Vertebral artery test and is positive test for what side artery?

A

Indicates that the opposite artery is being compressed

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28
Q

Decerebrate posturing ?

A

All four limbs in ext

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29
Q

The upper extremities are held rigidly in flexion, while the lower extremities are held rigidly in ext

A

Decorticate

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30
Q

Loose packed position for radiohumeral joint

A

70 flexion, 35 supination

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31
Q

Loose packed position for humeroulnar joint

A

70 degrees of flexion

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32
Q

How to distinguish stress fractures from shin splints

A

Shin splint pain is diffuse along mid-distal, posteromedial tibia pain instead vs localized pain for fracture

Also there’s no swelling with shin splints

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33
Q

Coefficients below .50 represent ________ reliability

A

Poor

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34
Q

Coefficients from .50 to .75 represent ________ reliability

A

Mod reliability

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35
Q

Coefficients above .75 represent ________ reliability

A

Good

36
Q

Pt c ACA CVA will have a greater contralateral hemiplegia of LE or UE?

A

Le

Mca will involve UE more

37
Q

Bilateral pars interarticularis defects causing anterior displacement of L5 over s1

A

Spondylolisthesis

38
Q

Progression of Neuromuscular examination- start with cognition, then

A

Sensory testing (including somatosensations from feet and ankles, vision and visual proprioception, and vestibular sensations. Following sensory testing static balance testcan then be performed followed by dynamic balance test and then finally locomotor test. Primary impairments should always be identified before functional deficits

39
Q

Through injury of disease the central extensor tendon of the involved finger ruptures. The tendon then displaces palmarly relative to the PIP joint (volar slippage)

A

Boutonnière

40
Q

Inadequate socket flexion will cause what during stance

A

Lordosis

41
Q

What are four prosthetic causes of circumduction

A

Long prosthetic, locked knee unit, loose knee friction, inadequate suspension, small or loose socket, and pf foot

42
Q

Electric like sudden shocks spreading down the body in a pt with MS when head is flexed forward in long sitting while hip flexed

A

Lhermitte’s sign

43
Q

Checking for responsiveness is the first step in emergency situation true or false

A

True

44
Q

Arterial ulcer common location

A

Lateral malleolus and anterior tib

45
Q

What joint is most often affected during pregnancy

A

SI

46
Q

Proper anti spastic positioning of UE

A

Shoulder protraction with abd and er, elbow ext, wrist neutral, and fingers ext

47
Q

What is rhythmic stabilization used for

A

Improving postural stab

48
Q

Slow rocking on a therapy ball is good for what

A

Achievement of relaxation via slow vestibular stimulation

49
Q

What level on the claudication scale should should pts with ischemia (claudication) exercise in order to generate collateral circulation ?

A

2 out of 4 on the claudication scale

50
Q

Muscles that are involved in mouth opening?

A

Lateral pterygoid, anterior head of the digastric muscle, and suprahyiod muscle

51
Q

Muscles that assist in mouth closing

A

Masseter, temporalis, medial pterygoid, and lateral pterygoid

52
Q

Muscles that assist with mouth protrusion

A

Are the temporalis, medial pterygoid, and lateral pterygoid

53
Q

Muscles that assist with retrusion are the

A

temporalis and suprahyoid muscles

54
Q

Severe epigastric and abdominal pain that radiates to the mid back and may worsen when lying supine

A

Acute pancreatitis

55
Q

Skin color associated with CHF

A

Slightly bluish, grayish, slate-colored discoloration

56
Q

A SLR c PF and INversion is optimal position for neural tension provocation of the ____ nerve

A

Peroneal (fibular)

57
Q

SLR with DF and eversion bias the ____ nerve

A

Tibial

58
Q

An SLR with DF and INversion will bias the ____ nerve

A

Sural nerve

59
Q

Most effective diagnostic imaging test for MS

A

MRI

60
Q

Signs and symptoms of UTI

A

Lethargic, nausea and painful urination, and fever

61
Q

Perturbed balance activities are contraindicated for what

A

For pt with poor postural stability and pronounced ataxia

62
Q

True or false- all applications of electrical stimulation are contraindicated with a person who has a pacemaker implanted

A

True

63
Q

What is the normal hemodynamic response to exercise

A

Np expected to rise during exercise and will fall below resting levels after exercise ceases

64
Q

What are signs of a shunt blockage

A

Agitated and irritable, then drowsy and listless- call for emergency medical services

65
Q

What is the min recommended work interval duration for a non-deconditioned adult performing aerobic interval training

A

Guidelines for interval training -10 min minimum

66
Q

A pt is recovering from THA pt experiences a sudden onset of dyspnea, sudden chest pain, and cyanosis. What should PT do?

A

Stabilize the pt and contact medical services immediately due to PE

67
Q

0 on modified ashworth scale

A

No inc in tone

4 - rigid

68
Q

1 on the modified ashworth scale

A

Slight inc in tone followed by catch and release or min resistance at the end of the range of motion

1+ is slight inc in tone, manifested by a catch, followed by min resistance throughout the remainder of the range of motion

69
Q

What is the best intervention for dyspraxia (an impairment of skilled learned movement- a disconnect btw the idea for movement and its motor execution)

A

Task specific practice using familiar activities and progression from parts to while is best choice to enhance learning

70
Q

Which is more challenging- standing unsupported in tandem stance with EC or SLS c EO

A

Tandem c EC

71
Q

What foods are best used for delayed onset hypoglycemia

A

Crackers or bread

72
Q

Raynaud’s disease is a vasospastic disorder characterized by intermittent episodes of ?

A

Small artery constriction of the digits of the fingers rarely the toes, causing temporary pallor and cyanosis

73
Q

IR rotation glides

A

Posterior

74
Q

What are pressure-tolerant areas of typical transtibial residual limb

A

Patellar tendon, medial tibial plateau, the tibial and fibular shafts, and the distal end

75
Q

Jumping on 1 foot and and standing on tiptoes is normally achieved by ?

A

3 years

76
Q

Ability to jump with two feet is typically achieved by

A

3 years

77
Q

Going up the stairs reciprocally is a developmental skill normally achieved

A

by 2 yrs

78
Q

Percussion and shaking can be done in the area of chest tube- t or f

A

true- it is possible to complete manual techniques in the area of the chest tube

79
Q

Pt c Parkinson’s disease might do rhythmic initiation primarily to help improve ?

A

Trunk rotation … RI is a pnf technique designed for improved mobility. Rotation lacking in pt’s c PD

80
Q

Foot Pronation

A

Calcaneus valgus

Forefoot varus

81
Q

Electrical stimulation to regain control of inferior glenohumeral subluxation

A

On the supraspinatus

82
Q

What has been shown to improve rhythmicity and decrease FOG episodes in pts c PD

A

Locomotor training using a personal listening device and 80-100 beats/min

83
Q

Calcaneal medial glides would improve

A

Calcaneal eversion and supination

Lateral glide to improve supination and inversion

84
Q

What is the most useful test to determine whether demyelination has taken place

A

Nerve conduction velocity testing - speed of nerve transmission is directly related to level of myelination

85
Q

During weight bearing, a soft tissue contracture resulting in supination of the forefoot will be compensated for by

A

Pronation of the rear foot

86
Q

Current recommendation for prevention of pressure ulcers in pts with SCI who are w/c users include

A

10-15 seconds of pressure relief (push ups) for every 15-20 minutes of sitting

87
Q

Hypothyroidism signs

A

Proximal muscle weakness, myalgia, stiffness, prolonged dtr

Practice Test 5 (1 decks)

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