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Boards sheet > POSITIVE THINKING! > Flashcards

POSITIVE THINKING! Flashcards

1
Q

Mini Mental

A

Max score is 30
15 or less is severe!

21 to 24 is mild
16 to 20 is mod

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2
Q

Ranchos - 1

A

No response

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3
Q

Ranchos - 2

A

Generalized response

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4
Q

Ranchos - 3

A

Localized response

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5
Q

Ranchos - 4

A

Confused and agitated

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6
Q

Ranchos - 5

A

Confused and non-agitated and inappropriate

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7
Q

Ranchos - 6

A

Confused and appropriate

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8
Q

Ranchos - 7

A

Automatic and appropriate

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9
Q

Ranchos - 8

A

Purposeful and appropriate

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10
Q

Ideomotor apraxia

A

Pt can’t perform on command, but CAN when left on their own

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11
Q

Ideational apraxia

A

Pt can’t perform task ever

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12
Q

Modified Ashworth

A 
0 = no inc in mm tone
1 = slight inc, min resis at end of ROM
1+ = slight inc, min resis less than half
2 = more marked inc, most of ROM
3 = passive mvmnt difficult
4 = affected is rigid in flex/ext
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13
Q

Berg

A

Max is 56; less than 45 is high fall risk

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14
Q

TUG

A

10 or less is normal!

more than 20 is inc fall risk (Shumway cook says 14)

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15
Q

DGI

A

Total is 24

Less than 19 is fall risk

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16
Q

GCS scores

A 
Motor, verbal, eye opening
3 to 15
13-15 mild
9-12 mod
3-8 severe
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17
Q

GCS - motor

A 
None (1)
Ab Ext (2)
Ab Flex (3)
Normal flex (4)
Localizing (5)
Obeys commands (6)
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18
Q

GCS - verbal

A 
None (1)
Sounds (2)
Words (3)
Confused (4)
Oriented (5)
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19
Q

GCS - Eyes

A

None (1)
To pressure (2)
To sound (3)
Spontaneous (4)

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20
Q

Apgar

A

0 to 3 is LOW
HR, RR, mm tone, reflex, skin color
8 to 10 is good!!!

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21
Q

Denver II

A

Developmental delays

0-6 yrs

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22
Q

Alberta

A

12 to 18 months

Gross motor supine, prone, sitting, standing

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23
Q

Peabody

A

0 to 5 yrs

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24
Q

BOT2

A

4 to 21 yo

Motor function; challenging game like tests

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25
Q

Bayley

A

1 to 42 months

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26
Q

TIMP

A

34 wks postconceptual to 4 months

Term is at least 37

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27
Q

GMFCS

A

CP - 5 levels
Level 1 is more functional; level 5 is severely limited

Level 5 - standing frame to have and wc for ALL ambulation

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28
Q

Balance grading - Poor

A

Can’t maintain in sitting without external support or assistance

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29
Q

Balance grading - Fair

A

Can maintain in unsupported sitting; but CANNOT accept any challenge or go outside BOS

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30
Q

Balance grading - Good

A

Can sit unsupported, move in and out of BOS, Accept some challenge without loss of balance

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31
Q

Balance of grading - Normal

A

Can sit unsupported, Move in and out of BOS, accept max challenge without loss of balance

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32
Q

Rule of 9’s - Head

A

9%

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33
Q

Rule of 9’s - Each UE

A

9%

Just anterior UE would 4.5%

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34
Q

Rule of 9’s - Trunk

A

36% total

18% for ant, 18% for post

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35
Q

Rule of 9’s - Each LE

A

18%

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36
Q

Rule of 9’s - Genital area -

A

1%

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37
Q

Wheelchair guidelines - Width of doorway

A

32 inches

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38
Q

Wheelchair guidelines - Min width to turn 180 in chair

A

60 inches

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39
Q

Wheel axle position - for B amp to compensate for change in COG

A

aligned further posterior

Can lead to more energy needed for propulsion of chair!

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40
Q

Ramps - rules

A

Any ramp with more than 30 consecutive ft. of horizontal trim will require more than one section and a transitional landing area

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41
Q

Specificity

A

Prob of obtaining a TRUE NEG

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42
Q

Sensitivity

A

Prob of obtaining a TRU POS

43
Q

Normal distribution graph

What percent are between mean and 1 SD

A

34%

mean and 2 SD 48% (34 + 13.5)

44
Q

Normal distribution graph

What percent 1 SD above and below?

A

68%

34 + 34

45
Q

Brunnstrom’s Stages of recovery

A 
1 - flaccid
2 - spasticity starts; weak synergy
3 - severe spasm, some volitional mvmnt 
4 - dec spasticity, some isolated mvmnt
5 - more complete isolated mvmnt
6 - normal tone
46
Q

Macular degeneration vs. Glaucoma

A

Macular degeneration - loss of central vision

Glaucoma - loss of peripheral vision first

47
Q

Normal sensation is with what monofilament

A

4.17

48
Q

Protective sensation is with what monofilament

A

5.07 (10 g ) can be felt

49
Q

Primary OA - due to what

A

AGE

50
Q

Power =

A

Amount of work divided by the time needed to perform the work

51
Q

Work =

A

Force x distance

52
Q

More power =

A

More weight in less time

53
Q

Platelet count

A

150,000 to 400,000

Below 20,000 can get severe bleeding

54
Q

Fibromyalgia

A

TENDER points

55
Q

Myofascial pain syndrome

A

TRIGGER points

56
Q

Central cord syndrome

A

Caused by hyperextension

Loss of spinothalamic, corticospinal, and DCML

57
Q

Anterior cord syndrome

A

Caused by compression to ant part of spinal cord (usually c flex cause)

Loss of motor function (corticospinal) and pain/temp (lateral spinothalamic) below level of lesion

58
Q

Posterior cord syndrome

A

Comp to post part of spinal cord

Loss of proprioception, two point discrimination, and sterognosis

59
Q

Brown Sequard’s Syndrome

A

Usually stab wound

Paralysis and loss of position sense on same side (corticospinal and DCML on SAME side)

Loss of pain/temp on OPP (lateral spinothalamic)

60
Q

Cauda Equina Syndrome

A

Injury below L1
PERIPHERAL nerve root injury
LMN s/s

61
Q

Moro

A

28 wks gestation to 5 months

62
Q

Galant

A

30 wks gestation to 2 months

63
Q

Plantar grasp

A

28 wks to 9 months

64
Q

Landau

A

3 months to 2 yrs

65
Q

STLR

A

Extension in supine, flexion in prone

66
Q

STNR

A

Head flexed, UE flexed and LE extend

67
Q

Bridging occurs when

A

5 months

68
Q

Modified plantigrade occurs when

A

10-12 months

69
Q

Quadruped occurs when

A

7-9 months

70
Q

Ring sitting occurs when

A

5-7 months

71
Q

Infant sit with hand support
Objects to midline
Hold bottle with two hands
Roll to prone

A

6-7 months

72
Q

Manipulate toys while in sitting
Raise themselves supine to sit
Pull to stand with support
Transfer objects

A

8-9 months

73
Q

Stand briefly w/o support
Transition supine to sitting or quad
Pull to stand through 1/2 kneel
Pincer grip

A

10-11 months

74
Q 
Stand up through quad
Use all diff sitting position 
Walk w/o support
Creep up stairs
Throw ball in sitting
Mark paper with crayons
A

12-15 months

75
Q

Median nerve

A

C5-C6 and C8-T1

76
Q

Autonomic dysreflexia

A

Lesions above T6

77
Q

EMG - normally innervated mm

A

Electrical silence while at rest (insertion activity will be there, but at rest there is silence)

78
Q

EMG - spontaneous potentials indicates

A

Acutely denervated mm

79
Q

EMG - polyphasic potentials indicated

A

denervated motor unit

80
Q

EMG - occasional motor unit potentials indicates

A

neurapraxia

81
Q

Mechanoreceptors

A

Discriminative sensations through DCML
Ex - free nerve endings, Merkel, Ruffini, Meissner, pacinian, hair follicle endings
Responsible for touch, pressure, itch, tickle, vibration, discriminative touch

82
Q

Deep sensory receptors

A

Located in mm, tendon, joints
Ex - GTOs, pacinian, mm spindles, Ruffini, free nerve endings, joint receptors
Evaluate joint position sense, proprioception, mm tone, mvmnt

83
Q

CVA - middle =

A

UE and face more than LE

84
Q

Clonus - how to

A

Passive quick DF stretch but keep the gastroc on slack with partial knee flexion and quick DF

85
Q

PNF - D1 ext command would be

A

Open your hand and push down and away from your body

86
Q

PNF - D1 flex command would be

A

Close your hand and pull up and across your body

87
Q

PNF - D2 ext command would be

A

Close your hand and pull down and across your body

88
Q

PNF - D2 flex command would be

A

Open your hand and pull up and away from your body

89
Q

Dyspraxia

A

Motor incoordination

Child would have trouble negotiating hallway

90
Q

Lung volumes - TLC

A

VC + RV

91
Q

Lung volumes - Vital Capacity

A

IRV + TV + ERV

92
Q

Lung volumes - tidal volume is what percent

A

10%

93
Q

Lung volumes - IRV is what percent of TLC

A

55-60%

94
Q

Lung volumes - FRC is what percent of TLC

A

40%

95
Q

Lung volumes - Residual volume is what percent of TLC

A

25%

96
Q

Crackles

A

Inhalation!

Atelectasis, fibrosis, pulmonary edema

97
Q

Wheezes

A

Expiration!

Asthma, COPD, aspiration

98
Q

DIaphragmatic breathing

A

Weak diaphragm - position in reverse Trendelenberg

99
Q

Causes of Resp Alkalosis

S/S of it

A

Hyperventilation (CO2 is low)

S/S = dizzy, syncope, tingling, numb, early tetany

100
Q

Causes of Resp Acidosis

S/S of it

A

Hypoventilation (CO2 is high)

S/S = anxiety, restless, dyspnea, HA early on - later will see confusion, somnolence, coma

101
Q

Causes of metabolic alkalosis

S/S of it

A

Bicarb ingestion, vomiting, diuretic, steroids, adrenal disease) - High HCO3
S/S weak, mental dullness, maybe early tetany

102
Q

Causes of metabolic acidosis

S/S of it

A

Diabetic, lactic, uremic acidosis, prolonged diarrhea

S/S - secondary hyperventilation, nausea, lethargy, coma

103
Q

Heart failure - R vs. L

A 
R = associated with dependent edema
L = associated with pulmonary edema, persistent cough, mm weakness

Boards sheet (13 decks)

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