Sb 3 Flashcards

1
Q

What is EMG used to diagnose

A

Commonly used to assess peripheral nerve injuries and to deferentiate between various NM disorders

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2
Q

Uric acid accumulation in the blood resulting in the formation of crystals within the joints, leading to arthritis of what Joint most of the time ?

A

gouty arthritis of the great toe 1st MTP is MOST common

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3
Q

4 liters / min nasal cannula approximate percentage of oxygen delivered to the patient?

A

21% room air+ 4% for every L(4*4) = 37%

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4
Q

Procedure which uses a sterile needle to remove fluid from a joint

A

Aspiration also know as arthrocentesis

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5
Q

The Piriformis action before and after 60 degrees of hip flexion

A

ER but beyond 60 degrees of flexion it turns into an IR

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6
Q

Glut med primary action

A

Abd of hip, and IR

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7
Q

Functional independence measure FIM scores range?

A

1-7 1 is total assistance, 5 is supervision, 7 independent

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8
Q

Headache is a sign of hypo or hyper glucemia

A

Hypoglycemia since brain doesn’t have enough glucose for energy

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9
Q

Gait pattern used for NWB and PWB orders

A

Three point gait ( crutches> good leg> bad leg)

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10
Q

Ultrasound head to area ratio

A

US should be administered to an area 2-3 x the effective radiating area of the transducer face in a 5 min period

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11
Q

TBI pt c Fair balance and impulsivity which AD

A

Walker

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12
Q

16-18 mmhg of pressure is adequate for

A

Dvt prevention (off the shelf) stocking for immobile pts
Scar formation is 20-30 mm hg
Control edema 30-40 mm hg

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13
Q

What fails to increase with further increases in intensity when he pt has exerted max effort during an exercise test

A

HR

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14
Q

A sudden, moderate disturbance in response to a forward sway

A

Quad and abs to move the hips backward ie center of mass backward

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15
Q

Deep sensory receptors are responsible for evaluating

A

Position sense, proprioception, muscle tone, movement

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16
Q

Mechanoreceptors are responsible for detection of

A

Touch, pressure, vibration, and discriminative touch

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17
Q

Liver refers pain to

A

Shoulder, mid thoracic,or LB

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18
Q

Diaphragm refers pain to

A

The shoulder or lumbar region

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19
Q

Pancreas can result in referred pain to

A

Shoulder, mid thoracic region, or LB

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20
Q

Rocker bottom shoe beneficial for?

A

Hallux rigidus

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21
Q

Achilles tendinitis footwear modification management

A

Heel lift

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22
Q

Med which induce vomiting after ingestion of toxin

A

Emetic agents- can cause dehydration, gi erosion

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23
Q

In OKC activities the patellofemoral joint forces are lowest when?

A

90 degree of flexion… Joint reaction forces inc as the knee moves closer to full ext

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24
Q

Pt experiences Autonomic dysreflexia in supine. What should a PT do first

A

Sit the pt up to low BP, then check the urinary drainage system

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25
Q

Phenobarbital primary purpose is

A

Prevent seizures - side effects include sedation, vitamin deficiencies, nystagmus, and ataxia

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26
Q

A clonus is evaluated how?

A

A clonus is evaluated by partially flexing the pt’s knee, encouraging the pt to relax the calf, and proving a quick stretch into DF while observing for rhythmic oscillations between PF and DF

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27
Q

Cardia Rehab programs and support groups are what type of prevention

A

Tertiary

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28
Q

Regular schedules for US maintenance can be modified based on which two variables?

A

Inc frequency or faulty performance

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29
Q

Hoovers test for gross malingering

A

SLR of uninvolved side, PT places hand under involved LE and checks for a normal response of weight inc

30
Q

A pt undergoing a Romberg balance test. What is the most important for the PT to determine?

A

The amount of sway determines whether test is positive or negative, not the time (30 secs), not width of base of support (standard feet together)

31
Q

Person chocking on something in the waiting room , what should PT do

A

Heimlich maneuver - abdominal thrust… If pt was unresponsive do the finger sweap or rescue breathing

32
Q

70% of max hr on original RPE

A

14-15

33
Q

85% of HR max on original RPE

A

16

34
Q

How to measure toe out

A

Line forward progression and through the center of heel and second toe
7 degrees normal

35
Q

Most common site of acl autograft

A

Semitendinosus and gracilis tendons

36
Q

Action of the tibialis anterior

A

DF and INV

37
Q

Glenohumeral abduction ROM norm

A

0-120 have to stab the scap.. When measuring the shoulder complex abd have to stab the thorax to prevent lat flex

38
Q

Decreased breath sounds and decreases fremitus caused

A

By pleural effusion or pneumothorax

39
Q

Decreased breath sounds and increased fremitus caused

A

Pulmonary edema, consolidation, and atelectasis

40
Q

Stages of the cough

A

Inspiration greater than TV, followed by closure of the glottis, abdominal muscle contraction, and sudden opening of the glottis for a forceful expulsion of inspired air

41
Q

Which position would be most appropriate to initiate effective cough training?

A

Sitting upright will max all of the steps needed to produce effective cough

42
Q

The best indicator that the pt is at min risk of acquiring a DVT

A

Ability to ambulate on a frequent schedule

43
Q

Gloves, gown, and mask are typically required when

A

With direct contact with a pt with contact precautions

44
Q

What type of protective equipment needed for a pt on droplet precautions

A

Only a mask when within 3 ft

45
Q

Posterior tib action

A

PF and inversion

46
Q

Every member of the population has an equal chance of being selected

A

Simple random sample

47
Q

To ensure the sample will have proportional representation from all parts of the population

A

Proportional stratified sample

48
Q

Heart sound indicating loss of ventricular compliance in the presence of heart disease of heart failure

A

S3

49
Q

Heart sound indicating hypertension and increased resistance to filling of the ventricle

A

S4

50
Q

Acute burns produce ____ metabolism

A

Hyper metabolism that results in increased oxygen consumption, increased min ventilation, and increased core temperature. Intravascular, intrastitial, and intracellular fluids are all diminished

51
Q

Normal bp

A

100-140/60-90

52
Q

Cpm rate

A

2 cycles per min

53
Q

Which reflex is an equilibrium response that occurs when a child responds to prone suspension by aligning their head and extremities in line with the plane of the body

A

Landau- 3 month of age to 2 years

54
Q

How to test attention in the neuro population

A

As pt to count from1-25 by increments of three

55
Q

What is a Hill-Sachs fracture

A

Aka hillsachs lesion, is characterized as an impact ion fracture of the posterior humeral head and is frequently diagnosed in pts who have repeatedly sustained anterior GH dislocations

56
Q

What would indicate an inverse relationship

A

A negative correlation

57
Q

Intervention for Diplopia

A

Place a patch over one of the pt’s eyes (alternate eye?) if that doesn’t help use prism glasses

58
Q

Which hormone protects the stomach lining by inc mucus production

A

Prostaglandins

59
Q

Later stages of edema

A

Fibrotic changes and pitting edema

60
Q

Pt with CHF and dyspnea during ambulation what is best intervention

A

Education on energy conservation and pacing. Not pursed lip breathing or diaphragmatic breathing since the underlying issue is not pulmonary

61
Q

With ESRD what symptoms

A

Decreased urine output and anemia due to kidneys not being able to produce erythropoietin

62
Q

Pts c ventricular arrhythmias at rest should

A

Not exercise

63
Q

Hr response of pt c a heart transplant

A

Increased resting HR, decreased and delayed HR response to exercise

64
Q

Ideal position to initiate pelvic floor exercises

A

Supine

65
Q

Mini mental examination ranges

A

0-30

Score of 24 is the minimum perfect score to avoid being classified as having cognitive impairment …30 is normal

66
Q

Somatoagnosia is an impairment of

A

Body schema, where there is a lack of awareness of a body structure and its relationship to other body parts, to oneself or to others

67
Q

Hammy pnf

A

Hold relax

Rotator cuff pnf is contact relax

68
Q

Constriction of the pupil is a characteristic of

A

Parasympathetic – also decrease HR, stimulate digestion, constrict the lungs, and stim other internal organs

69
Q

An associated reaction occurring following neurological damage, where there is a mutual dependency between involved upper and lower extremities

A

Homolateral synkinesis- resisted elbow flexion will produce mass flexion of the R LE

70
Q

What will a heel wedge that is too soft cause

A

Delayed or limited flexion ,that typically should occur at initial contact

71
Q

Bed rest affects what muscle group most

A

Extensors of the LEs

72
Q

Diagnostic test for Guillain-Barré syndrome is typically diagnosed with ?

A

Nerve conduction velocity test. Also diagnoses carpal tunnel syndrome, peripheral neuropathy