Practice Test Review: Scorebuilders Exam #2 Flashcards
Describe Myasthenia Gravis
an autoimmune disease that disrupts neuromuscular transmission and results in muscle weakness and fatigability. Weakness increases with repetitive activity but is restored quickly with rest
A physical therapist treats a patient diagnosed with myasthenia gravis. Which of the following tests should the therapist MOST likely expect to be abnormal with this condition?
1.Coordination testing
2.Sensory testing
3.Deep tendon reflex testing
4.Endurance testing
4.Endurance testing
Where are the trimlines of a posterior leaf split and what type of stability/mobility is provided
trim lines posterior to the malleolus while assisting in DF during swing phase, but no medial or lateral support is given.
When is a SAFO indicated to use
when the patient has weak DF/PF’s, and weak inverters and everters
If a patient has an AFO with trimlines anterior to the malleolus, what kind of support does the AFO have
Significant stability which allows the tibia to advance over the food during stance phase
If a patient is diagnosed with Guillan-Barre syndrome, would you expect them to have symptoms starting proximally and moving distally, or distal symptoms that move proximally
distal to proximal
True or False
sensory issues are a common symptom with guillan barre syndrome
false, distal to proximal weakness is the common symptoms
Where would a patient have pain in each of the following conditions during active range of motion
- anterior glenohumeral instability
- posterior glenohumeral instability
- acromioclavicular arthritis
- bicipital tendonitis
- anterior instability has px with end range lateral rotation
- posterior instability has px with end range medial rotation
- acromioclavicular arthritis has px with end range abduction
- bicipital tendonitis has px with shoulder extension and elbow extended
A patient reports shoulder pain during active shoulder range of motion testing. The pain is most pronounced when the shoulder is in 170 to 180 degrees of abduction. This finding is MOST commonly associated with which of the following conditions?
1.Anterior glenohumeral instability
2.Posterior glenohumeral instability
3.Acromioclavicular arthritis
4.Bicipital tendonitis
3.Acromioclavicular arthritis
What is benign prostatic hyperplasia
an enlargement of the prostate that squeezes the urethra and interferes with urinary function and sometimes sexual function
what is amitriptyline/Elavil indicated for and what is a common side effect
it is a tricyclic antidepressant that has the most common side effect of causing sedation
what is a tricyclic antidepressant
a different chemical bond that the first SSRI antidepressants
A patient who has been on bed rest for three weeks has developed a plantar flexion contracture. Which phase of the gait cycle would be the MOST problematic for the patient based on the described impairment? Why?
1.Heel strike to foot flat
2.Foot flat to midstance
3.Midstance to heel off
4.Heel off to toe off
- Midstance to heel off
Normal ROM for stance phase is 20 degrees of PF and 15 of DF. They would need at least ten degrees for midstance and 15 degrees at heel off, a patient with PF contracture will have more trouble with DF
Iontophoresis delivers ions into the body for therapeutic purposes using electrical currents. State the indication of each ion listed below
acetate
magnesium
lidocaine
zinc
acetate is negatively charges to treat calcific deposits
magnesium is positively charged and is used as a muscle relaxant and vasodilator
lidocaine is positively charged used to treat pain and acute inflammation
zinc is positively charged and is used to promote healing typically in open lesions or ulcerations
What is a lingula and where is it located in the lungs
the medial anterior-inferior portion of the left lung
A patient presents to the clinic with cough, dyspnea, and wheezing but no enlarged thorax, which disorder are they most likely to have
1.Asthma
2.Bronchiectasis
3.Chronic bronchitis
4.Emphysema
asthma
A patient presents to the clinic with abnormal dilation of the bronchi as well as cough and copious mucopurulent sputum, which disorder are they most likely to have
1.Asthma
2.Bronchiectasis
3.Chronic bronchitis
4.Emphysema
brochiectasis
A patient presents to the clinic with hypersecretion of mucus resulting in a productive cough for up to months to years, which disorder are they most likely to have
1.Asthma
2.Bronchiectasis
3.Chronic bronchitis
4.Emphysema
chronic bronchitis
A patient presents to the clinic with hyperinflation of the lungs resulting in a barrel shaped configuration of the thorax, which disorder are they most likely to have
1.Asthma
2.Bronchiectasis
3.Chronic bronchitis
4.Emphysema
emphysema
What is tidal volume
the total volume of air that is inhaled/exhaled during quiet/regular breathing, which is about ten percent of the total lung capacity
what is inspiratory reserve volume
The total extra volume of air that can be inhaled after normal tidal volume, which is 55 percent of total lung capacity
what is residual volume
the remaining air in the lungs after a forced expiratory effort, which is about 25 percent of total lung capacity
what is functional residual capacity
the total amount of air remain in the lungs after a normal tidal exhale, which is about forty percent of total lung capacity
which of the following have the greatest sensitivity for detecting a grade III ACL sprain
- anterior drawer
- mcmurray
- lachman
- pivot shift
lachman
what would be the indication to use a calcium alginate dressing on a wound
moderate to heavy exudate
what would be the indication to use hydrocolloid dressing on a wound
partial and full thickness wounds with exudate
what would be the indication to use a hydrogel dressing on a wound
commonly used on abrasions, blisters, pressure ulcers with minimal drainage to keep the wound moist
what would be the indication to use a transparent film dressing on a wound
to observe the wound while protecting it and allowing oxygen to pass through the permeable dressing
which of the following is the only disease that is not genetic
- cystic fibrosis
- meningitis
- phenylketonuria
- tay-sachs disease
meningitis
what is cystic fibrosis
a genetic disease exocrine glands overproduce thick mucous that causes obstruction
what is meningitis
inflammation of the meninges of the brain and spinal cord caused by bacteria or viral infection
what is phenulkentonuria
common in caucasians that is genetic and involved behavioral and cognitive issues
what is tay sachs disease
the absence of deficiency of hexosaminidase a which produces an accumulation of gangliosides in the brain, common in the jewish population
what is the position of the foot with calcaneovalgus
the forefoot is curved out laterally and hingfoot is in valgus with full or excessive DF
what is the position of the foot with metatarsus adductus
the forefoot is medially curved and hindfoot is normal
what is the position of the foot with syndactyly
webbed toes or fingers
what is the position of the foot with talipes equinovarus
this is clubfoot, the forefoot is adducted with excessive plantar flexion
