Phys Dis

Question 1

Median nerve sensory isolation

Answer 1

volar and dorsal sides of 2 and 3 tip

Question 2

Radial nerve sensory isolation

Answer 2

web space

Question 3

Ulnar nerve sensory isolation

Answer 3

Pinky down to the palm side

Question 4

Purpose of Finklestein’s Test

Answer 4

Examines tenosynovitis and stenosis of APL and EPB

Question 5

Purpose of Tinel’s Test

Answer 5

Tap over median nerve, (+) if get electric shocks for nerve compression or to look at extent of nerve regeneration

Question 6

Nerve regeneration rate

Answer 6

1 mm/day or 1 inch/month for the first 4-6 months of surgery

Question 7

Normal light tough Monofilament size

Answer 7

1.65-2.83 Anything above is somewhat diminished and damaged

Question 8

C4 muscle innervation

Answer 8

Trapezius Diaphragm (Weened off ventilator)

Question 9

C5 muscle innervation

Answer 9

*Deltoid *Elbow flexors (biceps, brachialis, brachioradialis) levator scap rotator cuff rhomboids

Question 10

C6 muscle innervation

Answer 10

*ECRL teres major pec major- clavicular serratus anterior

Question 11

C7 muscle innervation

Answer 11

*triceps *FCR and palmaris longus Lats pec major- sternal

Question 12

C7/C8 muscle innervation

Answer 12

ABL EPL EDC ECU

Question 13

C5/C6 muscle innervation

Answer 13

supinator

Question 14

C6/C7 muscle innervation

Answer 14

ECRB pronator teres

Question 15

C8 muscle innervation

Answer 15

FCU *FDS *FDP FPL APB Adductor pollicis

Question 16

C8/T1 muscle innervation

Answer 16

Lumbricals Opponens pollicis Interosseous

Question 17

Therapeutic Exercise

Answer 17

Any body movement or muscle contraction to prevent or correct physical impairment, improve musculoskeletal function and maintain state of well-being

Question 18

Progressive Resistive Exercise DeLorme Method

Answer 18

3 reps of 10 increasing in resistance: 50%, 75%, 100% of maximum strength Theory is that muscles work better after warm up

Question 19

Progressive Resistive Exercise Oxford Method

Answer 19

Reverse of deLorme

Question 20

Bouchard’s Node

Answer 20

PIP joint change

Question 21

Heberden’s Node

Answer 21

DIP joint change

Question 22

Z deformity of arthritis

Answer 22

Boutinierre’s on thumb making flexion at MP and extension at IP

Question 23

swan neck

Answer 23

PIP extension DIP flexion FDS middle slips are ruptured Extensor lateral slips ruptured

Question 24

Swan neck vs. Boutinierre

Answer 24

Swan neck worse because can’t grasp or hold objects

Question 25

Acute arthritis stage

Answer 25

Symptoms: pain, inflammation, *hot red joints, tenderness, overall stiffness, limited motion Goals: decrease pain and inflam., maintain ROM/strength/endurance Treatment: Splinting for localized rest, day and night, increased bed rest, joint protection, AD, PAMs, gentle AROM or PROM to point of pain, no stretching

Question 26

Subacute Arthritis stage

Answer 26

Symptoms: inflammation subsiding, *warm pink, joints, tenderness, stiffness limited to morning Goals: decrease pain and inflam., maintain ROM/strength/endurance Treatment: Less restrictive splinting for day, continue at night, joint protection, AD, PAMs, gentle AROM or PROM with gentle stretch

Question 27

Chronic active arthritis stage

Answer 27

Symptoms: minimal inflammation, less pain and tenderness, increased activity tolerance, low endurance Goals: decrease pain and inflam., increase ROM/strength/endurance Treatment: all of the above plus AROM and PROM with stretch at end range, and resistive exercises

Question 28

Chronic inactive arthritis stage

Answer 28

Symptoms: no inflammation, pain and stiffness from disuse, low endurance Goals: decrease pain and inflam., increase ROM/strength/endurance Treatment: all of the above plus AROM and PROM with stretch at end range, and resistive exercises

Question 29

SCI and sexual functioning in males

Answer 29

Psychogenic erection from T11-L2 Reflex erection from S2-S4 Seminal Emission T11-L2 *decreased fertility and sperm motility viagra is only for those who can achieve psychogenic erection

Question 30

SCI and sexual functioning in females

Answer 30

Ability to engage in intercourse after SCI less effected natural lubrication affected pregnancy possible and most women don’t miss a period after injury, but can have autonomic dysreflexia above T6 paraorgasm

Question 31

normal 2 point discrimination is…

Answer 31

6 mm or less

Question 32

At what level of SCI might the person be able to do weight shifts independently

Answer 32

C6 with forward weight shift using loops or do side tilts

C5 is still better off with tilt in space

Question 33

MET Level 1-2

Answer 33

ADLs:

Eating seated, transfers bed to chair, washing face and hands, brushing hair, walk 1mph

IADLs:

Hand sewing, machine sewing, sweep floors, driving automatic car, drawing, knitting

Question 34

MET level 2-3

Answer 34

ADLs:

Seated sponge bath, standing sponge bath, dressing and undressing, seated warm shower, walking 2-3 mph, WC propulsion 1.2 mph

IADLs:

Dusting, kneading dough, hand washing small items, using eletric vacuum, preparing a meal, washing dishes, golfing

Question 35

MET level 3-4

Answer 35

ADLs:

Standing warm shower, bowel movement on toilet, climb stairs at 24ft/min

IADLs:

Making bed, sweeping, mopping, gardening

Question 36

MET level 4-5

Answer 36

ADLs:

Hot shower, bowel movement on bedpan, sex

IADLs:

changing bed linen, gardening, raking, weeding, rollerskating, swimming 20 yeards/min

Question 37

MET level 5-6

Answer 37

ADLs:

Sex, walking up stairs at 30 feet/min

IADLs:

biking 10 mph on level ground

Question 38

MET level 6-7

Answer 38

ADLs:

walking with braces and crutches

IADLs:

swimming breaststroke, skiing, playing basketball, walking 5 mph, shoveling snow, spading soil