Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Med Con 2 Kelly > Quiz 2 > Flashcards

Quiz 2 Flashcards

1
Q

What is systemic Lupus Erythematosus

A

chronic inflammatory tissue disorder
involve multi systems
mostly young women
Body’s production of antibodies against the tissues

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Diagnosis of Lupus

A

Must have 4 of the following:
red malar rash, sensitive to sunlight, joint inflammation, kidney dysfunction, fluid around lungs, LOW WBC, RBC, positive ANA

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Symptoms/ clinical manifestations of lupus

A

unique to the individual

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Symptoms/ clinical manifestations of lupus

Drug induced

A

hydralazine and procainamide (heart and TB meds)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Symptoms/ clinical manifestations of lupus

MSK

A

arthritis (doesn’t have to be symmetrical

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Symptoms/ clinical manifestations of lupus

CNS

A

headaches, irritable, depression, emotional instability, seizures, cranial neuropathy, CVA

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Symptoms/ clinical manifestations of lupus

Integumentary

A 
Digital vasiculitis (brown splinter)
malar rash
cutaneous lesions
discoid lesions (raised red scaling plaques)
locatoin on face neck and chest
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Symptoms/ clinical manifestations of lupus

Renal

A

kidney failure

weight gain, edema, HTN

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Symptoms/ clinical manifestations of lupus

Systemic

A

fever, weight gain, malaise, fatigue

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

PT management for LUPUS

A

regular exercise (prevent weakness)
avoid sunlight
manage stress
monitor for infection, necrosis, and renal involvement

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What is Scleroderma?

A

Widespread vasculopathy and fibrosis
deposit of collagen in intimate of blood vessels
women > men

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Signs and symptoms of Scleroderma

Systemic

A

Limited skin thickening
distal extremities
widespread rapid progression
overlap w/ LE polymyolitis and dermatomyolitis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Signs and symptoms of Scleroderma

Localized

A

Single or multiple plaques
w/o skin fibrosis
single or multiple bands
involve skin and deeper tissue

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Signs and symptoms of Scleroderma

A 
degenerative changes
vascular abnormalities of skin, articular surfaces
nondeforming symmetric arthritis 
interstitial fibrosis
esophageal dysfunction
hypertension and renal failure
cardiac and circulatory disorders, HTN
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What are the 3 stages of scleroderma

A

Edematous stage:
- bilateral nonpitting edema in fingers and hands

Sclerotic stage:
- skin taut, waxy, smooth, seems bound to underlying tissue

Atrophic stage:
- skin atrophy, contractures and ulcers at joints

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Sclerodactyly

A

constrict tendons because of overproduction of collagen

curled and swollen fingers

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Signs and symptoms of Scleroderma

CREST

A 
Calcinosis
Raynauds phenomemnon (cyanosis, blanched)
Esophageal dysmobility
Sclerodactyly
Telangiectasia
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Management of Scleroderma

A 
prevent damage and ulcers
wound care
avoid excessive bathing
Corticosteroids for myolitis
Strengthening, ROM, Aquatic therapy
Soft tissue will be pressure sensitive
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Exercise for patients with Scleroderma

A

manage based on aerobic capacity
strength and ROM manage based on functional limits
Encourage pt to take BP regularly (prone to HTN)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

What is fibromyalgia?

A

chronic muscle pain syndrome
NOT a disease
associated with hypothyroidism, RA, SLE, and chronic fatigue
mostly in women, not trained athletes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Theoretic etiology of fibromyalgia?

A

diet, sleep, occupation, seasonal, environment, adverse experiences

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Disturbances that occur in fibromyalgia

A

hypothalamic pituitary adrenal axis (stress system)
ANS (hyperarousal and circulatory)
Reproductive hormone axis
immune system (increased cytokines)

Increased resting muscle tension

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Signs and symptoms of fibromyalgia

A 
multiple tender points and muscle pain
disturbed sleep w/ morning fatigue and stiffness
Aggravation of SX by emotional stress
swelling and numbness
chronic headaches
cold intolerance (raynauds)
dysmenorrhea (painful menstration
Exercise intolerance
Weakness
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

PT management of Fibromyalgia

A

local modalities
relaxation techniques, biofeedback, physiologic quieting, soft tissue
Aquatic PT
Gentle graded exercises (NO vigorous exercise)
monitor for overuse

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

What is Type 1 hypersensitivity

A

IgE is produced NOT IgG
genetic predisposition
local response to initial encounter
will become systemic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

Symptoms / Manifestations of Type 1 Hypersensitivity

A

hay fever, extrinsic asthma, runny nose, allergic rhinitis

Severe cases = anaphylactic shock

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

Causes of Type 1 hypersensitivity

A

pollen, mold, grass, peanuts, shelfish

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

What is type 2 hypersensitivity

A

cyotoxic reaction to self antigens

occur in cross reaction b/w exogenous pathogens and endogenous body tissue

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

Symptoms / Manifestations of Type 2 Hypersensitivity

A

Strep

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

Causes of type 2 hypersensitivity

A 
viral infection
strep
blood transfusion reaction
hemolytic disease of newborn 
autoimmune anemia
myasthenia gravis
31
Q

What is type 3 hypersensitivity

A

antigen- antibody complex

deposit tissues around small blood vessels

32
Q

Symptoms / Manifestations of Type 3 Hypersensitivity

A

causes vasiculitis

affect multiple areas of the skin, joints, pleura, kidney, pericardium

33
Q

Causes of type 3 hypersensitivity

A

Lupus

34
Q

What is type 4 hypersensitivity

A

delayed hypersensitivity
antigen produced by macrophages and presented to Tcells
T4 cells respond and recruit lymphocytes

35
Q

Symptoms / Manifestations of Type 4 Hypersensitivity

A

contract dermatitis

allergic reaction that take a while to show up

36
Q

Causes of type 4 hypersensitivity

A

allergens such a poison ivy
adhesives
latex

37
Q

What are potential contractures for a trans femoral amputee

A

hip flexors

38
Q

What are potential contractures for transtibial amputee

A

knee flexors

39
Q

appropriate interventions for transfemoral contracture prevention

A

position in extension
stretching
ROM
definitive prosthesis

40
Q

appropriate interventions for transtibial contracture prevention

A

position hip and knee in extension
stretching
ROM

41
Q

Primary goal for prosthetic socks?

A

Optimal fit for limb to prevent pressure sores

42
Q

When is an amputee cleared for a definitive prosthesis?

A

Prep prosthesis is 4-6mo
cleared for definitive prosthesis when limb stops shrinking
Size and shape remain constant

43
Q

What is Rheumatoid Arthritis

A

chronic inflammatory autoimmune disease

occurs in the joints synovium

44
Q

RA etiology

A

unknown

high correlation to genetics, smoking, environmental triggers and outside stressors

45
Q

Signs and symptoms of RA

A 
symmetric polyarthritis 
morning stiffness that takes longer than 30 min to subside
pain with motion
ulnar deviation of fingers
Rheumatoid nodules 
Ankylosing spondylitis
46
Q

Ankylosing spondylitis

A

inflammation of the axial skeleton and large peripheral joints

47
Q

What is SACH

A

Solid ankle cushion heel

VERY important for prosthesis

48
Q

Symes amputation

A

Amputation at the ankle

terrible for prosthesis

49
Q

Advantages of an endoskeleton prosthesis

A

cosmesis
weight
component selection

50
Q

GRF for a knee that is not stable should be directed anterior or posterior?

A

anterior (in front of the knee)

51
Q

Advantages of otto bock C leg

A

climb and descend stairs and curbs with ease

internal computer with hydraulic controls

52
Q

What is the most common place for a sore to develop on a AK amputee

A

lateral distal femur

53
Q

Functional level 1 for amputee

A

homebound patient, very basic prosthesis

54
Q

Functional level 2 for amputee

A

short community, any knee BESIDES hydraulics

non varying cadence

55
Q

Functional level 3 for amputees

A 
varying cadence (varying speed)
hydraulic knee here
56
Q

Functional level 4 for amputees

A

high end patients

57
Q

Common stride length deficiency

A

patient will take long stride with the EFFECTED side, and short stride with non effected side

58
Q

TKA alignment

A

find the trochanter and the ankle
where does the knee fall in relation to them
GRF dependent on this
GRF ahead of the knee = more stable

59
Q

Bench alignment

A

Foot selection
Knee selection
TKA alignment

60
Q

Foot and knee alignment in stance phase

A

Both 5-7 degrees ER

61
Q

What is a SAFE foot

A

Stationary Attachment Flexible Endoskeleton

62
Q

Where is the most common place for a sore to develop on a transtibial amputee

A

Anterior distal tibia

63
Q

Hypersensitivity

A

increased immune response to the presence of an antigen causing tissue destruction

64
Q

Graves disease

A

antibodies against thyroid cell membrane, including thyroid stimulating hormone receptors

65
Q

What are the constitutional symptoms of autoimmune disorders

A

Fatigue
Malaise
Myalgias
Arthralgias

66
Q

Addisons disease

A

hormone deficiency caused by damage to the outer layer of the adrenal gland

67
Q

Crohns disease

A

chronic inflammation of the digestive tract

68
Q

Giant cell arteritis

A

inflammation of the arteries

most commonly in the arteries of the head

69
Q

Polymyositis

A

skin deposits with calcium build up

70
Q

Gout

A

chronic arthritis of peripheral joints

results from hyperuricemic body fluid forming deposits in joints

71
Q

Do you weight bare a patient with Gout?

A

NO

Urea crystals in the joints

72
Q

Management of Gout

A

improves with weight loss and decreased consumption of alcohol
rest / protect joints involved

73
Q

Scleroderma is also known as…?

A

Systemic sclerosis

Med Con 2 Kelly (3 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions