Osul Exam A Flashcards by Yarko Sklvskuy

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

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

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Moi for turf toe

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

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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.

Lisfranc injury

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Extra-articular complication of rheumatoid arthritis

Vasculitis

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

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

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Metabolic syndrome risk factors

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

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Pain and temperature sensation pathway

Anterolateral spinothalamic pathway

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Light touch is carried in what pathway?

Dorsal column - lemniscal pathways

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

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

Residual limb healing

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What is the action of the lumbricals

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

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How to stretch the lumbricals

Mcp ext and ip flexion

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

True

So not indicated for atelectasis

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

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

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Nerve supply to the heel

Calcaneal branch of tibial nerve

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Superficial perineal nerve distribution

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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Acetate iontophoresis

Negative charge

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Adrenal insufficiency

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

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

Large joints of the body, especially the knee

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Turbulent Heart sound heard during early diastole

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Heart sound caused by exaggerated atrial contraction

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What exercises produces the best stimulus for bone

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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To stop bleeding in the thigh where too apply pressure

Femoral triangle

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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.

Stemmer’s sign

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

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

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Apgar scores that are considered normal?

8-10 at one min after birth

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

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

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?

Indicates that the opposite artery is being compressed

Decerebrate posturing ?

All four limbs in ext

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

Decorticate

Loose packed position for radiohumeral joint

70 flexion, 35 supination

Loose packed position for humeroulnar joint

70 degrees of flexion

How to distinguish stress fractures from shin splints

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

Coefficients below .50 represent ________ reliability

Poor

Coefficients from .50 to .75 represent ________ reliability

Mod reliability

Coefficients above .75 represent ________ reliability

Good

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

Le Mca will involve UE more

Bilateral pars interarticularis defects causing anterior displacement of L5 over s1

Spondylolisthesis

Progression of Neuromuscular examination- start with cognition, then

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

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)

Boutonnière

Inadequate socket flexion will cause what during stance

Lordosis

What are four prosthetic causes of circumduction

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

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

Lhermitte's sign

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

True

Arterial ulcer common location

Lateral malleolus and anterior tib

What joint is most often affected during pregnancy

Proper anti spastic positioning of UE

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

What is rhythmic stabilization used for

Improving postural stab

Slow rocking on a therapy ball is good for what

Achievement of relaxation via slow vestibular stimulation

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

2 out of 4 on the claudication scale

Muscles that are involved in mouth opening?

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

Muscles that assist in mouth closing

Masseter, temporalis, medial pterygoid, and lateral pterygoid

Muscles that assist with mouth protrusion

Are the temporalis, medial pterygoid, and lateral pterygoid

Muscles that assist with retrusion are the

temporalis and suprahyoid muscles

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

Acute pancreatitis

Skin color associated with CHF

Slightly bluish, grayish, slate-colored discoloration

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

Peroneal (fibular)

SLR with DF and eversion bias the ____ nerve

Tibial

An SLR with DF and INversion will bias the ____ nerve

Sural nerve

Most effective diagnostic imaging test for MS

MRI

Signs and symptoms of UTI

Lethargic, nausea and painful urination, and fever

Perturbed balance activities are contraindicated for what

For pt with poor postural stability and pronounced ataxia

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

True

What is the normal hemodynamic response to exercise

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

What are signs of a shunt blockage

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

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

Guidelines for interval training -10 min minimum

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

Stabilize the pt and contact medical services immediately due to PE

0 on modified ashworth scale

No inc in tone 4 - rigid

1 on the modified ashworth scale

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

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

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

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

Tandem c EC

What foods are best used for delayed onset hypoglycemia

Crackers or bread

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

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

IR rotation glides

Posterior

What are pressure-tolerant areas of typical transtibial residual limb

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

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

3 years

Ability to jump with two feet is typically achieved by

3 years

Going up the stairs reciprocally is a developmental skill normally achieved

by 2 yrs

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

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

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

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

Foot Pronation

Calcaneus valgus | Forefoot varus

Electrical stimulation to regain control of inferior glenohumeral subluxation

On the supraspinatus

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

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

Calcaneal medial glides would improve

Calcaneal eversion and supination Lateral glide to improve supination and inversion

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

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

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

Pronation of the rear foot

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

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

Hypothyroidism signs

Proximal muscle weakness, myalgia, stiffness, prolonged dtr