PT Tests and Measures

Question 1

What are the 6 BMI classifications and how is it calculated?

Answer 1

BMI = weight(Kg)/height (m^2)

<18.5 underweight
18.5-24.9 normal
25-29.9 overweight 
20-34.9 Obesity (class 1)
35-39.9 Obesity (class 2)
> 40 Extreme Obesity (class 3)

Question 2

what is the time it takes the capillary bed to refill after it is occluded by pressure?

Answer 2

Capillary refill time

Question 3

What is capillary refill time an indicator of?

Answer 3

impaired perfusion to the extremities

Question 4

What are the 3 steps for capillary refill time?

How is it interpreted?

Answer 4

1. apply firm pressure over a nail bed or bony prominence until nail or skin blanches
2. release pressure
3. observe time for skin or nail bed to regain full color

Interpretation
Normal: full color returns in < 2 seconds
Abnormal: refill time > 2 seconds, indcates capillary blood flow is compromised

Question 5

What does the Claudication Test testing for?

Answer 5

peripheral artery disease

Question 6

What is the procedure for the Claudication Test?

Answer 6

Walk on flat track at max speed OR

walk on treadmill at 2.0 mph at constant grade between 0-12%

Question 7

What is the Initial Claudication Distance vs. the Absolute Claudication Distance?

Answer 7

Initial: pain-free walking distance
Absolute: max distance walked when test is terminated due to pain

Question 8

What is the Grading scale for claudication pain?

Answer 8

Grade 1: definite discomfort or pain, but only of initial or modest levels
Grade 2: moderate discomfort or pain from which the patients attention can be diverted
Grade 3: intense pain from which the patients attention cannot be diverted
Grade 4: excruciating and unbearable pain

Question 9

Where is the obstruction occuring with pain in the following?

1. buttock, hip, or thigh
2. calf
3. ankle

Answer 9

1. buttock, hip, or thigh: obstruction of aorta or iliac arteries
2. calf: stenosis of femoral and popliteal arteries
3. ankle: disease of tibial or peroneal arteries

Question 10

What is an uncomfortable awareness of breathing?

Answer 10

Dyspnea

Question 11

what is ONE way to rate dyspnea?

Answer 11

Borg dyspnea scale 1-10

Question 12

What test attempts to detect deep vein thrombosis in the lower leg?

Answer 12

Homan’s Sign for Deep Vein Thrombosis

Question 13

How is Homan’s Sign performed and what is positive?

Answer 13

passively dorsiflex the foot and ankle with knee straight

Positive: pain in the calf or popliteal space

Question 14

What is the act of tapping the surface of the body to identify areas of altered density?

Answer 14

mediate percussion

Question 15

What are the 4 sounds of percussion and how do they progress?

Answer 15

progress form tissues of high density to tissues of low density

1. Flat or dull
2. Resonance
3. Hyperresonance
4. Tympany

Question 16

What percussion sound is elciits by percsussion of the thigh muscles, in the upper lung, suggests neoplasm, atelectasis or consolidation of lung?

Answer 16

Flat or dull

Question 17

What percussion sound is a sound from a normal air filled lung?

Answer 17

Resonance

Question 18

What percussion sound is an intermediate sound between resonance and tympnay, suggests pulmonary emphysema or pnumothorax

Answer 18

Hyperresonance

Question 19

What percussion sound is hollow and vaguely resembles a drumbeat?

What diagnosis does it occur almost exclusively with?

Answer 19

Tympany

exclusively with a LARGE pneumothorax

Question 20

What should be recorded with the 6MWT?

Answer 20

distance walked and number of rest stops

Question 21

Where is waist circumference measured?

Answer 21

level of iliac crest

Question 22

Individuals with a waist circumference greater than what are at an increased risk for type 2 diabetes, dyslipidemia, hypertension, and cardiovascular disease?

Answer 22

Men: >102 centimeters (>40 inches)
Women: > 88 centimeters (> 35 inches)