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NPTE > Readings (days 80-90) & Lectures 31-36 > Flashcards

Readings (days 80-90) & Lectures 31-36 Flashcards

1
Q

A patient has reddish brown papules and plaques around the mouth. The area is warm and tender to the touch. Which of the following conditions does the patient MOST likely have?

A. Cryoglobulinemia
B. Cutaneous sarcoidosis
C. Emphysema
D. Vasculitis

A

B

A= cold weather, protein clumps and restricts blood supply= ischemia= cyanosis

C= COPD
D= inflammation of blood vessels, ischemia, rashes

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1
Q

Systemic disease of unknown cause, possibly by genetic, infectious, immunologic, or toxic agents.

A

Sarcoidosis

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2
Q

Criteria for RA Diagnosis:

1.
2.
3.
4.
5.
6.
7.

A
  1. morning stiffness 1 hr
  2. simultaneous soft tissue swelling or fluid observed
  3. at least 1 jt area swollen in wrist, MCP, or PIP joint
  4. Simultaneous Bilateral involvement of same jt areas
  5. Subcutaneous nodules
  6. Serum Rheumatoid Factor
  7. Radiographic Changes
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3
Q

“HBO”

A

Herbendens on DIP and Bouchards on PIP in OA

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4
Q

“BURP”

A

Bouchards nodes on PIP in RA

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5
Q

47 y/o female pt in OP Ortho. Pain and swelling in Bilateral wrist, elbow, and MCP jts since 6 wks, Juvenille DM, Has been experiencing increased pain on both hands, and increased fatigue. Had an episode of fever 2 wks ago, takes NSAIDs to relieve pain as needed. Lives in single family home with her spouse and dog. Swelling over pt’s MCPs of hands, wrists, elbows.

Which of the following symptoms are LEAST likely to be expected along with this presentation?

A. At least one hour of stiffness in the morning before improvement in symptoms

B. Asymmetrical involvement of
bilateral metacarpophalangeal joints and proximal interphalangeal joints

C. Positive serum rheumatoid factor

D. Bony decalcification adjacent to affected joints

A

B, would expect symmetrical

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6
Q

47 y/o female pt in OP Ortho. Pain and swelling in Bilateral wrist, elbow, and MCP jts since 6 wks, Juvenille DM, Has been experiencing increased pain on both hands, and increased fatigue. Had an episode of fever 2 wks ago, takes NSAIDs to relieve pain as needed. Lives in single family home with her spouse and dog. Swelling over pt’s MCPs of hands, wrists, elbows.

Which of the following interventions is MOST appropriate at this time?

A. Resistive exercises to end range
B. Using a grip exerciser to improve hand function
C. Splints with wrists in neutral position
D. Passive stretching exercises

A

C, pain, swelling, fever recent= flare up phase= never stretch passively or give resistive exercises (cause extra trauma)

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7
Q

47 y/o female pt in OP Ortho. Pain and swelling in Bilateral wrist, elbow, and MCP jts since 6 wks, Juvenille DM, Has been experiencing increased pain on both hands, and increased fatigue. Had an episode of fever 2 wks ago, takes NSAIDs to relieve pain as needed. Lives in single family home with her spouse and dog. Swelling over pt’s MCPs of hands, wrists, elbows.

During the PT treatment session,
patient mentioned that she has been experiencing left lower abdominal pain, nausea, blood in her stools and has a decreased appetite since the last few days. The “pinch-an-inch” test result is positive. Which condition is MOST likely related to the symptoms described?

A. Appendicitis
B. Diverticulitis
C. Crohn’s disease
D. Irritable bowel syndrome

A

B

A & C= RLQ
D= stress

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8
Q

What must the score on the Beighton scale be for EDS diagnosis?

A

4/9 or >

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9
Q

A 27-year-old male presents to the clinic with reports of severe stiffness in his hands, especially the distal interphalangeal joints, and toes. His knees and elbows also feel stiff and achy. The stiffness tends to last for at least 45 minutes every morning and improves with movement. During assessment, the therapist notices diffuse swelling of the fingers and brownish-yellow
discoloration of the nails and presence of well-defined, erythematous, silver-scaled papules on his skin. Which of the following is MOST likely the cause of his symptoms?

A. Ehlers-Danlos syndrome
B. Rheumatoid arthritis
C. Psoriatic arthritis
D. Reiter’s syndrome

A

C

A= bruises, jt hypermobility, skin hyperextensibility

B= No DIP involvement

D= can’t see, can’t pee, can’t climb a tree

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10
Q

what type of arthritis is associated with small joints?

A

psoriatic arthritis

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11
Q

Butterfly “Malar” Rash seen with:

A

SLE (Systemic lupus erythmetosis)

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12
Q

Sjorgen Syndrome

A

condition that attacks salivary glands and lacrimal glands= dry eyes, dry mouth
* can be seen with RA
* 40-50 yrs
* F>M

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13
Q

condition that attacks salivary glands and lacrimal glands= dry eyes, dry mouth
* can be seen with RA
* 40-50 yrs
* F>M

A

Sjorgen Syndrome

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14
Q

Condition with RLQ pain and reactive arthritis

A

Crohn’s Disease

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15
Q

Cheap scan option of the body that reveal fractures, bony problems

A

X-ray

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16
Q

3D xray is AKA

A

CT scan

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17
Q

What is used to look at complex fractures, bone tumors, clots, fluid, internal bleeding, pneumonia, fluid retention- FAST***** used a lot after MVA

A

CT Scan

18
Q

What do we use that is slow- not immediate
* no radiation, uses magnetic field
* gold standard for soft tissue injuries

A

MRI

19
Q

What do we use to look at tumors?

A

PET scan

20
Q

What do we use as a real time picture, for tendinosis, or mm injuries?

A

Ultrasound

21
Q

What do we use to look at bone mineral density?

A

Dexascan

22
Q

What is not used much because you inject dye to check a nerve root or SC & MRIs are so advanced?

A

Myelogram

23
Q

A 38-year female patient presents to an outpatient clinic with reports of knee pain. The PT suspects a ligament involvement. Which of the following is the MOST appropriate diagnostic test to confirm these findings?

A. Anterior drawer test
B. Radiography (X-Ray)
C. Magnetic Resonance Imaging (MRI)
D. Computed Tomography (CT) scan

A

C

24
Q

Looks at the latency and amplitude conduction velocity after nerve injury

A

NCV

25
Q

NCV

A

Looks at the latency and amplitude conduction velocity after nerve injury

26
Q

Detects if mm is working properly at rest and when resting (mm & nerve)

A

EMG

27
Q

EMG

A

Detects if mm is working properly at rest and when resting (mm & nerve)

28
Q

A patient presents with loss of sensation on the anterior leg and
weakness of dorsiflexors after sustaining a fracture of the proximal fibula. After conducting electrodiagnostic testing few weeks later, the patient was informed by the physician that one of the nerves of his leg was injured. Which of the following findings is LEAST likely to be seen?

A. Decreased motor NCV of the Peroneal nerve

B. Increased Latency of the Peroneal Nerve

C. Fibrillation potentials seen at rest during EMG testing of Tibialis Anterior

D. Electrical silence seen at rest during EMG testing

A

D

The rest are true

29
Q

A 55-year-old obese male patient is taking Lipitor (a cholesterol lowering drug). Which of the following side effects should the physical therapist be MOST concerned about?

A. Easy bruising
B. Sleep disturbance
C. Rhabdomyolysis
D. Diarrhea

A

C, this is a statin which can cause Rhabdo

A= blood thinners (anticoagulants)
B= a lot of drugs
D= a lot of drugs

30
Q

Drugs that lower high cholesterol

A

Statins

31
Q

Statins

A

used to lower cholesterol

32
Q

Lipitor (atorvastatin), Pravachol, Zocor, Livalo, Crestor

A

Statins

33
Q

Niacin

A

lowers blood cholesterol

34
Q

A 58-year-old underwent total knee replacement surgery last week and is on anticoagulant therapy. Which of the following medications should be avoided by the patient?

A. Diphenhydramine (Benadryl) to avoid risk of ecchymosis

B. Methotrexate (Trexall) to avoid risk of hypotension

C. Atenolol (Tenormin) to avoid risk of hypotension

D. Acetylsalicylic acid (Aspirin) to avoid risk of ecchymosis

A

D, NSAID + antiplatelet causes more thinning

A= antihistamine, doesn’t cause ecchymosis

B= used in RA AND CANCER- DON’T CAUSE HYPOTENSION

C= B-blocker, does cause hypotension but doesn’t interact with warfarin

35
Q

Used as an anti clotting drug for MI, emboli, stroke, prevent venous thrombosis

A

Warfarin (Coumadin)

36
Q

Warfarin (Coumadin)

A

Used as an anti clotting drug for MI, emboli, stroke, prevent venous thrombosis

37
Q

Anti-platelet function used to prevent CAD, MI

A

Aspirin

38
Q

Aspirin

A

Anti-platelet function used to prevent CAD, MI

39
Q

A patient recovering from a traumatic brain injury seems disoriented and unable to correctly state the time of the day and his location. Which of the following is the MOST appropriate action for the PT to take?

A. Immediately notify the patient’s neurologist on call

B. Orient the patient to the correct time and location

C. Tell caregiver to give patient a low dose of medicine to help
with recalls

D. Document dementia in the patient’s chart

A

B

A= normal after TBI
C- not in scope
D= can’t diagnose this

40
Q

A physical therapist is running an awareness program to educate residents of a senior living regarding the changes seen with increased age. Which of the following is LEASTappropriate?

A. Blood pressure increases with age
B. Decreased skin elasticity
C. Decreased sweat production D. Increased muscle tone

A

D

A= yes b/c arteries narrow

41
Q

A 31-year-old female presents to a physical therapy clinic with agonizing, nauseating, exhausting, tiring and unbearable pain. What pain pattern is MOST related to the symptoms?

A. Vascular
B. Neurogenic
C. Musculoskeletal
D. Emotional

A

D

A= throbbing
B= sharp, burning, n/t
C= dull, deep, achy

42
Q

A patient has been referred for chronic pain. The patient reports fatigue and decreased range of motion which worsens with stress. Upon examination, the PT finds multiple tender points but no referred pattern of pain or no muscle tightness. Which diagnosis is MOST LIKELY?

A. Lumbar radiculopathy
B. Myofascial pain syndrome
C. Fibromyalgia
D. Osteoarthritis

A

C
A= no radiating pain for this pt
B- mm tightness, trigger points, referred pain
D= no radiating pain for this pt

43
Q
A

NPTE (10 decks)

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