Quiz Review Flashcards
A pt has a cognitive or communication impairment, do you need to speak with a family memeber of the pt to gather info. about the pt history, yes or no?
Yes
Nonverbal communications
-Eye contact
-Body position/posture
-Hand gestures
What is part of the PT examination?
-Patient Hx
-Systems review
-Tests and measures
What does the system review allow the PT?
To assess the entire patient by examining each important body system
Constitutional symptoms
-Fever
-Diaphoresis
-Nausea
What question can the PT ask when considering the PT diagnosis?
Into what clinical pattern does this pt presentation fall?
T/F One of the key reasons for the physical therapist to consider differential diagnosis is to establish a medical diagnosis.
False
What is part of the overall PT pt management?
-Plan of care
-Communication with Rx physician
-Documentation
T/F In order to improve pt understanding and compliance with a PT Tx plan, the PT may need to complete pt education using a variety of modes (I.e. demonstration, spoken/verbal instructions, written instructions) to meet the learning style of the pt.
True
What is the most effective method to obtain information about a pt?
The pt interview
Communication disorder characterized by difficulty in voice production, or hoarseness
Dysphonia
Receptive (Wernicke’s) aphasia
Receptive aphasia-inability to understand language
If your pt is “alert and oriented x 3”, which examples apply?
-They know who they are
-They know where they are
-They know the date
Somatoform disorder
Signs and symptoms without a medical or biological cause
What will be an example of a structural fault causing postural deficits?
Congenital leg length difference
T/F Your patient reports neck and back pain and works seated at a desk, using a computer. it would make sense to assess the patient’s sitting posture at her actual workstation by having a co-worker photograph the patient while working.
True
Locomotion
The alignment of each body segment in relation to the adjoining segments
Stance phase during gait cycle represents how much %?
40%
Ataxic gait pattern
A gait pattern characterized by unsteady or uncoordinated limb advancement in the swing phase
Trendelenburg
Gait pattern characterized during stance phase by the contralateral hip drops in the frontal plane, often with a compensatory trunk lean to the stance leg side
What does the Ankle-Brachial Index measure?
Arterial blood flow to extremities
Auscultation
Evaluation by hearing
Deoxygenated blood returns to the heart via ____________ and travels to ________________
inferior and superior vena cava, right atrium
What are some factors that can affect an accurate blood pressure reading (and need to be avoided)?
-Patient with crossed legs
-Arm not supported
-Arm not at level of heart
Intermittent claudication
When a patient complaint of lower extremity pain with walking, that resides with rest
Bradycardia
A pulse rate less than 60 bpm
What causes the pulse that is palpable at the brachial artery?
left ventricle contraction
What is a possible cause for a patient with a strong pulse at the hip, and a weak pulse at the ankle?
A disruption of blood flow at the knee
Tachycardia
A pulse rate greater than 100 bpm
Orthostatic hypotension
When a patient changes position (ie moving from supine to sitting edge of bed), a drop in blood pressure can occur
What is included in the fundamental examination of the integumentary system?
-Skin
-Hair
-Nails
Maceration
softening of intact skin due to exposure of fluids
What is more superficial, the dermis or epidermis?
Epidermis is more superficial than dermis
Jaundice is a classic sign of…
chronic liver disease
What is used to examine sensation?
A 10 gram monofilament
A patient with DM has excessive/little amount of sugar in the blood
Excessive
What does a pt with T2DM deals with?
-Decreased protective sensation
-Decreased circulation
-Decreased wound healing
Melanoma
A mole that is asymmetrical, has irregular borders, is larger than 6mm, and has a non-uniform color
Is it an infection if there is a small wound with yellow drainage and a foul odor?
Yes
Should you consider the skin integrity of a pt that has spent a lot of time in bed after an illness?
Yes
