Part III Flashcards
Superiorly displaced patella may contribute to lateral maltracking and is more often seen in:
genu valgus as the Q-angle is increased
Genu varum can contribute to early degeneration of the knee and is often associated with:
advanced degenerative joint disease in the medial compartment of the knee
The MOST likely etiology for increased low back pain with coughing or sneezing is
disc herniation - Coughing or sneezing will increase intradiscal pressure causing pain
Pain from spinal stenosis is related to:
postural position and activity; coughing or sneezing would not increase this pain
The patient is demonstrating signs and symptoms of autonomic dysreflexia, which position is best?
Upright positioning is preferred to lower blood pressure
Which position will drain the superior segments of the lower lobes?
Prone lying on a bed with two pillows under the pelvis
Which position drains the posterior segments of the upper lobes?
Sitting on a chair, leaning forward over a folded pillow
Which position drains the anterior segments of the lower lobes?
Lying supine on a bed with pillows under the knees
Which position drains the apical segments of the upper lobes?
Sitting in a recliner, leaning slightly backward
A PT is evaluating the gait of a patient with sciatic nerve damage. Which of the following gait deviations is the patient MOST likely to exhibit?
Decreased ankle dorsiflexion - muscular branches distribute to the flexors of the knee in the thigh and all muscles of the lower leg and foot
Venous insufficiency ulcers frequently are:
proximal to the medial malleolus. They are edematous.
Arterial ulcers are generally located on:
dorsal foot, distal toes, or areas of trauma
A 2-year-old child has spastic quadriplegic cerebral palsy, with persistence of primitive reflexes, no selective control of movement, and frequent respiratory infections. Which of the following elements is MOST critical to include in the physical therapist’s examination?
Oral-motor control could be a factor in respiratory infections because poor feeding is associated with weak suck, poor coordination of swallowing mechanism, and hypoactive gag reflex
A patient with lateral epicondylitis has been instructed to wear a counterforce brace. Over which muscle group should the counterforce be placed?
Lateral epicondylitis is a term synonymously used for tennis elbow and extensor tendinopathy. counterforce brace for this condition is on the wrist extensor muscle bulk.
In examination, a PT finds that a patient with chronic obstructive pulmonary disease has a weak wet cough. Which technique is MOST appropriate to help this patient clear secretions?
Postural drainage - facilitates drainage of secretions to the level of the segmental bronchus only. In addition, a cough is needed to clear secretions
a burning sensation between the 2nd and 3rd metatarsals that spreads across the forefoot. Pain occurs primarily with WB or pressure on the area, and at night
a Morton neuroma
left brain injuries are associated with:
apraxia, alexia (inability to read), receptive aphasia (Wernicke aphasia), expressive aphasia (Broca aphasia),
right-sided cerebrovascular accident:
overestimating personal abilities, Impulsiveness, poor safety awareness, and difficulty with spatial relationships, poor judgment and distorted body image
most useful measurements in determining the progression of obstructive pulmonary disease:
Forced expiratory volume in 1 second and the ratio of forced expiratory volume in 1 second to forced vital capacity ratio
In leg length discrepancy which gait deviation is MOST likely seen?
Increased dorsiflexion on the long limb during stance and increased plantar flexion of the short limb during stance would functionally shorten the long limb and functionally lengthen the short limb during stance
nitroglycerin is MOST often used by patients with
acute and prophylactic management of stable angina