Part I Flashcards
Best position for person lying on hemiplegic side?
Wrist neutral, elbow extended,forearm supinated, scapula protracted.
What muscle can lead to an inverted foot?
Tibialis posterior
What gait compensation may occur due to a 20 degree flexion contracture at the knee?
Hip hiking to clear the leg
What are the appropriate interventions for mgmt. of heterotropic ossification?
Maintaining available range of motion, avoiding “vigorous” stretching, and achieving and maintaining “optimal wheelchair positioning.”
What are the immediate results of exercise on the body?
Increased O2 consumption,
heart rate increases,
systolic BP increases 10mmHg/1 MET,
diastolic remains fairly constant with no more increase than 10mmHg from starting value.
Nerve root compression causes what?
Sensory impairments in a dermatomal pattern
Intermittent claudication is:
A vascular problem that causes pain, but no sensory or motor loss
Classic signs of peripheral neuropathy?
A stocking distribution of sensory impairment and distal/peripheral loss of motor function
Stage III ulcer appears to have red granulation tissue, no eschar, no odor, and minimal serosanguineous drainage.
Best Option?
Hydrocolloids handle minimal to moderate exudate in noninfected wounds.
What augments an insulin injection for Type II DM?
Exercise - vasodilatation by increasing skin blood flow. This would deliver the insulin more rapidly
BMI categories?
Underweight: < 18.5
Normal weight: 18.5 - 24.9
Overweight: 25 - 29.9
Obese: ≥ 30
Manual glides at hip?
Inferior - increases hip flexion, posterior capsule
Anterior - increases ER
Posterior - increases IR
What is the “Walky-Talky” test?
Introduction of a secondary task (conversation) may interfere with performance of a primary task (walking). Individuals who must devote extra attention to walking are unable to perform the two tasks simultaneously
Activity levels for children with myelomeningocele:
Thoracic–level - Standing in parapodium.
L1–L2 - walk short distances in the home with KAFO
L3–L4 - community ambulation with KAFO
L4–L5 - Walking in the home and community with AFO
The lower the lesion the better the ability to ambulate.
What do you do when you see V fib?
V fib is a medical emergency. Medical attention should be sought immediately, not delayed for 5 minutes.
EMG provides what info about a muscle?
Amplitude of muscle activation. Voltage changes associated with the activation of skeletal muscle fibers.
To prevent infection and contamination, the therapist should FIRST:
perform hand washing
Pelvic and hip pain relieved with passing gas may be:
Crohn’s disease
Pt with herniated nucleus pulposus will typically have:
loss of lumbar motion and decreased symptoms with lying supine
Pancreatitis will typically be made worse by:
walking or lying supine
What factors should a PT consider when developing a POC for pt who just had CABG?
Modifiable factors - Premorbid physical activity level, current physical condition, and motivation to exercise
Pyelonephritis and pancreatic cancer would refer pain to:
thoracic or lumbar areas
Colon cancer would refer pain to:
lumbar or sacral areas
Myocardial infarction
viscerogenic cause of nonspecific neck pain
Severe clubbing of the nails is:
an abnormality associated with lung cancer and chronic hypoxia
Short transverse lines across the nail (Mees lines) or a brownish distal one-third end of the nail (half-and-half nails) indicates:
renal failure
nails with transverse depressions (Beau lines) or a nail bed that is white and extends two-thirds of the length of the nail (Terry nails) indicate:
Liver dysfunction
Biofeedback - action by PT as pt improves?
The sensitivity (gain) should be set higher to be more sensitive or selective to the firing of motor fibers so the patient can respond to inappropriate motor recruitment.
Percussion over the costovertebral angle causes pain:
Refer - (Murphy test) is a sign of a kidney disorder
Type of data for MMT scores?
Ordinal because they label strength measures in rank order .
interval data
provide known or equal distances between scores
ratio data
provide an absolute 0
syndrome of inappropriate antidiuretic hormone secretion (SIADH) causes:
fluid volume excess, so it may cause hypertension and arrhythmias. May have fluid volume excess, so it may cause hypertension and arrhythmias.
dysdiadochokinesia is:
inability to perform quick, alternating movements
APGAR evaluates:
Appearance (color), Pulse (heart rate), Grimace (reflex irritability), Activity (muscle tone), Respiration (Breathing rate)
Vitamin D is important for:
absorption, synthesis, and transport. If not enough, then bone decalcification
Which glenohumeral positions is BEST for maximal stretch of the latissimus dorsi?
Flexion and lateral (external) rotation
