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IPT > QUIZZES (2ND SHIFT) > Flashcards

QUIZZES (2ND SHIFT) Flashcards

1
Q

A 20 y/o soccer varsity player came to you for assessment. Which of the following will you NOT ask the pt to perform to assess her instrumental ADL?
a.) vertical jumps
b.) side lunges
c.) overhead reaching
d.) sprinting

A

C. Overhead Reaching

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2
Q

A pt with LBP was referred to PT with a pain scale of 9/10. As her therapist, you assessed the baseline capability of the pt. Which of the following is not appropriate to assess given the pt’s case?
a.) bed mobility
b.) ambulation
c.) transfers
d.) lifting

A

d. lifting

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3
Q

A pt who has knee injury came to you for PT evaluation and treatent. The pt is a secretary and usually sits for prolonged horse and walks to different offices inside the building. Which functional assessment activity is NOT NECESSARY for you to assess?
a.) stair negotiation
b.) marching in place
c.) walking
d.) squatting

A

b. marching in place

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4
Q

A pt who has shoulder injury came to you for PT evaluation and treatment. The pt is a housewife and usually washes the clothes of her family. Which functional assessment activity will you ask your pt to perform?
a.) washing or scrubbing of clothes
b.) hanging of clothes overhead
c.) wringing of clothes
d.) all of the above

A

d. all of the above

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5
Q

Which of the ff functional activities will you not assess in a pt with piriformis syndrome with ℅ of paresthesia and numbness of the (L) LE especially after prolonged walking and standing. Pt also presents with weakness of the LE.
a.) prolonged sitting
b.) getting in and out of the bed
c.) ascending and descending the stairs
d.) none of these

A

d. none of these

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6
Q

A pt with stiff neck for 2 days was referred to PT for eval and management. You opted to use the NDI to assess the pt. The ff are the pt’s answers. → 4,3,3,2,1,2,3,2, 3,4. What is the pt’s NDI score?
a.) 54%
b.) blank / bonus

A

a. 54%

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7
Q

True about the lower extremity functional scale
a.) patient score is tallied at the end
b.) high score indicates higher disability
c.) it has a likert scale of 0-5
d.) a tool used by the therapist on pt’s with lower extremity conditions to observe their baseline function and monitor progress

A

a. pt score is tallied at the end

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8
Q

A 30 y/o marathon runner came to your for assessment. Which of the ff will you NOT ask the pt to perform to assess her ADL?
a. Running
b. Sprinting
c. Walking
d. Sit to stand activity

A

b. sprinting

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9
Q

A pr with LBP was referred to PT with a pain scale of 9/10. As her therapist, you assessed the baseline capability of the pt. Which of the ff is your top prioroty to assess given the pt’s case?
a. Sleeping
b. Ambulation
c. Transfers
d. Lifting

A

b. ambulation

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10
Q

A pt who has shoulder injury came to you for PT evaluation and treatment. The pt is a librarian and usually sits for prolonged hours and returns books to shelves. Which functional assessment activity is NOT NECESSARY for you to assess?
a. Reaching overhead
b. Gripping objects
c. Carrying objects
d. Hooking/unhooking bra

A

b. gripping objects

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11
Q

A pt who has shoulder injury came to you for PT evaluation and treatment. The pt is a construction worker who lives with his co-workers. Which functional assessment activity will you ask your pt to perform?
a. Lifting 10kg objects
b. Pushing a cart
c. Hanging clothes
d. All of the above

A

d. all of the above

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12
Q

Which of the ff functional activities will you not assess in a pt with Piriformis syndrome with ℅ of paresthesia and numbness of the (L) LE especially after prolonged walking and standing. Pt also presents with weakness of the LE
a. Prolonged sitting
b. Getting in and out of the bed
c. Ascending and descending of stairs
d. None of these

A

d. none of these

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13
Q

You asked a pt to stand and march in place. He was able to do it for 10 times without losing balance. How will you document this finding?

A

O > FA > N dynamic standing balance

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14
Q

A pt with a Stiff Neck for 2 days was referred to PT eval and management. You opted to use the NDI to assess the pt. The ff are the pt’s answers:
1. 3 6. 1
2. 1 7. 3
3. 2 8. - -
4. 2 9. 3
5. 3 10. 2
What is the pt’s NDI score?
a. 42%
b. 43%
c. 44%
d. Cannot compute due to missing item

A

c. 44%

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15
Q

True about the Lower Extremity Functional Scale EXCEPT
a. Patient score is tallied at the end
b. High score indicates higher independence
c. It has a Likert scale 0-5
d. A tool used by the therapist on pt’s with lower extremity conditions to assess their baseline function and monitor progress

A

c. it as a likert scale 0-5

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16
Q

The Oswesty Disability Index examines the level of disability of a patient in Driving
a. True
b. False

A

b. false

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17
Q

In using the DASH tool, the score cannot be calculated if there is one unanswered item
a. True
b. False

A

b. false

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18
Q

A patient with Deconditioned Syndrome was referred to your care for Initial Evaluation and Assessment. Understanding the effects of prolonged immbolization on the Respiratory System, you will expect which of the following?
a. Lung volumes are increased
b. As an initial manifestation, there can be atelectasis and pneumonia
c. There is decreased diaphragmatic movement and chest expansion
d. Contracture formation on the serratus anterior muscles muscles and sternal joints

A

c. There is decreased diaphragmatic movement and chest expansion

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19
Q

You were tasked to gradually retrain this patient and improve upright tolerance. Red flags for Orthostatic Hypotension for you to watch out for are the following EXCEPT:
a. Decreased Pulse rate (>20bpm)
b. Decreased Systolic BP (>20 mmHg)
c. Tingling, burning sensation in the LE
d. Cold clammy sweats.

A

a. Decreased Pulse rate (>20bpm)

20
Q

You realize that your patient is also prone to developing contractures. The following statements hold TRUE regarding affecting contracture formation EXCEPT:
a. Duration of immobilization
b. Position of immobilization
c. Body Built and composition
d. Movement or mobilization of involved jt.

A

c. Body Built and composition

21
Q

The following statement/s is/are TRUE about Postural/Orthostatic Hypotension:
a. With prolonged immobilization, adaptation to upright posture is completely lost in 2 weeks
b. Syncope or dizziness associated with orthostatic hypotension is due to increased cerebral perfusion from a decreased cardiac output with decreased venous return from the LE
c. PT interventions for gradual retraining to upright include gradual back rest elevation, full back rest elevation, progression to dangling sitting, tilt bed mobilization and standing tolerance
d. Is the impaired ability of the pulmonary system to adjust to the upright position
e. B & C
f. A & D

A

c. PT interventions for gradual retraining to upright include gradual back rest elevation, full back rest elevation, progression to dangling sitting, tilt bed mobilization and standing tolerance

22
Q

F.G. a 75 y.o. Male pt was referred to your care ff a CVA w/ ® hemiplegia 3 mos PTC. Pt is still unable to walk and spends most of his time sitting in his w/c. You advised the pt and his caregivers to watch out for signs of pressure sore over these area/s:
a. Back of the head
b. Elbow
c. Shoulder blades
d. Between knees and ankles

A

c. shoulder blades

23
Q

The following statements are TRUE regarding affectation of the cardiovascular system in deconditioning syndrome
a. HR progressively decreased by 0.5 bpm/day
b. There is redistribution of body fluids leading to increased plasma volume leading to increased blood viscosity
c. Clots usually develop in the big veins in the lower extremities
d. In 3 weeks, there is a 35% decrease in CV performance

A

c. Clots usually develop in the big veins in the lower extremities

24
Q

When performing positioning and turning activities on your patient, these are general guidelines should be observed EXCEPT:
a. In a new position, check pt’s skin after 5-10 mins
b. Sheets, blankets, or bed linens should be tucked in tightly at the foot of the bed to secure patient against falls
c. Pillows, rolled blankets or towels are used to support body parts to avoid pressure
d. Patients must be repositioned at least every 2 hours

A

b. Sheets, blankets, or bed linens should be tucked in tightly at the foot of the bed to secure patient against falls

25
Q

These are clots that develop on the big vein of the LE among patients with deconditioning syndrome dt decreased mm pumping activity and increased blood viscosity

A

thrombus

26
Q

Normal capillary pressure

A

30 mmHg

27
Q

This is the adaptive shortening of muscles; skin, fascia or joint capsule or other soft tissues that cross the joint resulting to LOM

A

contracture

28
Q

Bone morphology and density are dependent upon the forces that act on the bone

A

wolff’s law

29
Q

This is the silent hazard or prolonged bed rest which leads to intellectual compromise, emotional lability, and anxiety, and balance and coordination impairments

A

sensory deprivation

30
Q

Under patient type or manner of presentation, these patients are confined to the hospital bed due to contraptions, attachments, or MDs orders.

A

bed bound

31
Q

Ulcers/pressure sores that advance to underlying subcutaneous tissue

A

grade 3

32
Q

These are the predisposing extrinsic factors leading to skin breakdown

A

Pressure
Friction
Skin Maceration
Hydration
Infection
Reduced Activity

33
Q

Oxidative enzymes in muscle biochemical components with mm atrophy

DEC or INC with Deconditioning Syndrome

A

DEC

34
Q

Susceptibility to fractures with immobilization

DEC or INC with Deconditioning Syndrome

A

INC

35
Q

Pulse rate among the objective signs of postural hypotension

DEC or INC with Deconditioning Syndrome

A

INC

36
Q

Body Fat content

DEC or INC with Deconditioning Syndrome

A

INC

37
Q

Muscle strength and size

DEC or INC with Deconditioning Syndrome

A

DEC

38
Q

SCENARIO #!: You have a 54 y/o M pt being referred for PT Eval and Mx s/p L BKA (Transtibial amputation) 7 days PTC.

You proceeded to facilitate positioning and turning activities for this pt. Which among the statements below is inaccurate.
a. It is essential to inform the pt of the planned treatment and obtain the pt’s consent prior to the activity
b. The pt must be lifted rather than dragged
c. When turning this pt to the ®, you may proceed to teach segmental turning wth the pt crossing over (L) LE, with pt reaching on the bed side rails to turn
d. With the pt sitting on a wheelchair, care should be taken to monitor common areas of pressure sore formation including the hips, shoulder blade, lower back, sacrum, and underside and back of heel.

A

b. The pt must be lifted rather than dragged

39
Q

When positioning this pt in Supine, the following should be observed carefully. EXCEPT:
a. The supine should be kept aligned and straight
b. The UE may be positioned in whatever the pt desires for comfort either on the side, reverse T or folded on the chest
c. Pt’s extremities should not be extended beyond the treatment bed
d. It is ideal for the pt’s feet to be against a footboard to maintain positioning in neutral

A

b. The UE may be positioned in whatever the pt desires for comfort either on the side, reverse T or folded on the chest

40
Q

As you were inspecting your patient’s backsidem you noticed superficial ulceration extending up to the level of the dermis. Your grading for this pressure sore is:
a. Gr 1
b. Gr 2
c. Gr 3
d. Gr 4

A

b. gr 2

41
Q

This pt being prone to Immobilization osteoporosis. The following statements are TRYE regarding osteoporosis EXCEPT:
a. Wolff’’s Law states that bone morphology and density are independent upon the forces acting on the bone
b. With Immobilization Osteoporosis, there is a dec bone tissue / unit volume
c. There is dec bone mass accompanied by a dec in mineral content.
d. Pt is more susceptible to fractures

A

b. With Immobilization Osteoporosis, there is a dec bone tissue / unit volume

42
Q

Adaptation to the upright posture is completely lost after 21 days of immobilization on bed
a. True
b. False

A

a. true

43
Q

With orthostatic hypotension, there is an objective increase in PR > 20 bpm, and an increase in Systolic BP by > 20 mmHG.
a. True
b. False

A

b. false

44
Q

Affectation of the Cardiovascular System in this case would present as any of the ff EXCEPT:
a. There is a dec plasma volume leading to dec blood viscosity
b. HR increases 12-13 bpm in 10 days
c. A 25% dec in CV performance ensues in 3 weeks
d. Thrombus formation usually occurs in the big veins of the LE

A

a. There is a dec plasma volume leading to dec blood viscosity

45
Q
A

IPT (1 decks)

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