Other Systems

Question 1

Polymyalgia rheumatica vs RA

Answer 1

RA- smaller distal joints
Polymyalgia rheumatics - larger proximal joints (hips, shoulder)

Question 2

When monofilament testing, how should you talk to patient when performing the test

Answer 2

Ask the patient to say “yes” when they sense contact with the monofilament

Question 3

Calcium alginate vs silver alginate

Answer 3

silver - used for infections and antimicrobial properties

charcoal or calcium - managing odor

Question 4

What type of drugs are contraindicated for Graves disease

Answer 4

iodine - plays a role in thyroid production

Question 5

What types of activities should be avoided for someone with pregnancy related SI laxity or SI pathology

Answer 5

single limb standing - creates shearing

Question 6

Do perforated ulcers heal themselves

Answer 6

sometimes

Question 7

What does wound desiccation mean

Answer 7

desiccation - extreme dryness

this impedes healing of a wound - fix with hydrogel

Question 8

How long are pressure garments normally worn after a burn?

Answer 8

12-18 months to help with scar remodeling

Question 9

Most common cause of hypovolemia

Answer 9

volemia = vomiting
diarrhea, sweating, severe burns, diuretics

decreased plasma volume of blood

Question 10

Purpose of pancreas for digestion

Answer 10

secretes enzymes which help with breakdowns of fats proteins and carbs

Question 11

Purpose of gallbladder for digestion

Answer 11

releases bile to aid in digestion

Question 12

Elbow contracture position with burns

Answer 12

flexion and pronation

this means positioning should be in extension and supination

Question 13

Medical management of lupus

Answer 13

corticosteroids supress the abnormal immune response and reduce inflammation

Question 14

Long term effects of corticosteroid use

Answer 14

glaucoma
cushings
hyperglycemia

Question 15

Most common cause of hypervolemia

Answer 15

hypervolemia = excess plasma volume

caused by excessive fluid intake or retention of fluid such as CHF, IV transfusion, kidney disease

Question 16

Polycythemia

Answer 16

too many RBC - thickens blood = increased clotting

Question 17

When to schedule PT with someone with dialysis

Answer 17

before dialysis - patient will be fatigued after dialysis

think about at MCH - therapy was meek with patients on dialysis days

Question 18

Normal fasting blood glucose

Answer 18

less than 100

greater than 126 is positive test

Question 19

Number for diabetes with fasting blood glucose

Answer 19

126 or greater

Question 20

Normal oral glucose test

Answer 20

taken 2 hours after sugar drink

less than 140 normal

greater than 200 is diabetes

Question 21

Fasting blood glucose test

Answer 21

taken 8 hours no food no drink
normal is 100 or less
126+ = diabetes

Question 22

Symptoms of hypoglycemia

Answer 22

hunger
sweating
shaking
dizziness
clamminess
headache

Question 23

Symptoms of hyperglycemia

Answer 23

polydipsia/dry mouth
polyuria
fruity breath
n/v

Question 24

Bradycardia, cold intolerance, weight gain, constipation, hair thinning, brittle nails, dry skin

Answer 24

hypothyroidism

Question 25

Increased DTR, diarrhea, face flush, increase BP, wight loss, heat intolerance

Answer 25

Hyperthyroidism

Question 26

Hypoparathyroidism results in

Answer 26

decreased calcium (hypocalcemia) elevated serum phosphate

Question 27

Elevated serum phosphate

Answer 27

hypoparathyroidism

Question 28

Sulfonuryeas

Answer 28

diabetes med lowers blood sugar

Question 29

Name some Anti hypergylcemic drugs they reach peak effect in ... hours

Answer 29

diabenese sulfonureas lukonase diabeta metformin 2-4

Question 30

Diabetes is highly coorelated to what two other comorbidites

Answer 30

blindness kidney disease

Question 31

Type 1 diabetes is sudden or gradual onset

Answer 31

sudden (1-3 weeks)

Question 32

Cushings is also associated commonly with what two other diagnoises

Answer 32

diabetes RA

Question 33

Why is cushings prevalent in people with RA

Answer 33

chronic corticosteroid use

Question 34

Most common cause of cushings

Answer 34

pituitary tumor causing increase in adrenocorticotropic horome (ACTH)

Question 35

Cushing syndrome population

Answer 35

mostly women 25-40

Question 36

Patient has insulin level of 45 what do you do

Answer 36

EMS

Question 37

Patient has insulin level of 75 what do you do

Answer 37

hypo - give glucose (OJ)

Question 38

Patient has insulin level of 120 what do you do

Answer 38

monitor normal level 80-120

Question 39

Patient has insulin level of 172 what do you do

Answer 39

monitor

Question 40

Patient has insulin level of 257 what do you do

Answer 40

no exercise 250-300

Question 41

if patient has a hypogylcemic attack in clinic what are sequence of events

Answer 41

administer OJ or glucose monitor levels no more exercise - send home once stable - exercise within 1 hour can alter glucose levels

Question 42

Testing diabetes in clinic should be at what intervals

Answer 42

before tx during tx every 30 mins 15 min after

Question 43

Short acting vs long acting insulin

Answer 43

short: peak activity 2-4 hours long: 12-18 hours

Question 44

For patient with DVT started on anticoagulant what is best treatment

Answer 44

mobility coupled with mechanical compression (graded compression stockings)

Question 45

Reactive arthritis (rieters syndrome) is commonly associated with what comorbidity

Answer 45

Crohns

Question 46

Bicycle test (Vangeldrens test)

Answer 46

differentiates between vascular claudication or spinal stenosis sit up tall on upright bike - pedal until symptoms begin have patient lean forward - if symptoms reduce = spinal stenosis; do not reduce = vascular insuffieciency

Question 47

Lupus age of onset

Answer 47

15-40 female

Question 48

Pleurisy

Answer 48

inflammation of pleura of lungs - sharp pain when breathing common with lupus