Sb 3 Flashcards
What is EMG used to diagnose
Commonly used to assess peripheral nerve injuries and to deferentiate between various NM disorders
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 ?
gouty arthritis of the great toe 1st MTP is MOST common
4 liters / min nasal cannula approximate percentage of oxygen delivered to the patient?
21% room air+ 4% for every L(4*4) = 37%
Procedure which uses a sterile needle to remove fluid from a joint
Aspiration also know as arthrocentesis
The Piriformis action before and after 60 degrees of hip flexion
ER but beyond 60 degrees of flexion it turns into an IR
Glut med primary action
Abd of hip, and IR
Functional independence measure FIM scores range?
1-7 1 is total assistance, 5 is supervision, 7 independent
Headache is a sign of hypo or hyper glucemia
Hypoglycemia since brain doesn’t have enough glucose for energy
Gait pattern used for NWB and PWB orders
Three point gait ( crutches> good leg> bad leg)
Ultrasound head to area ratio
US should be administered to an area 2-3 x the effective radiating area of the transducer face in a 5 min period
TBI pt c Fair balance and impulsivity which AD
Walker
16-18 mmhg of pressure is adequate for
Dvt prevention (off the shelf) stocking for immobile pts
Scar formation is 20-30 mm hg
Control edema 30-40 mm hg
What fails to increase with further increases in intensity when he pt has exerted max effort during an exercise test
HR
A sudden, moderate disturbance in response to a forward sway
Quad and abs to move the hips backward ie center of mass backward
Deep sensory receptors are responsible for evaluating
Position sense, proprioception, muscle tone, movement
Mechanoreceptors are responsible for detection of
Touch, pressure, vibration, and discriminative touch
Liver refers pain to
Shoulder, mid thoracic,or LB
Diaphragm refers pain to
The shoulder or lumbar region
Pancreas can result in referred pain to
Shoulder, mid thoracic region, or LB
Rocker bottom shoe beneficial for?
Hallux rigidus
Achilles tendinitis footwear modification management
Heel lift
Med which induce vomiting after ingestion of toxin
Emetic agents- can cause dehydration, gi erosion
In OKC activities the patellofemoral joint forces are lowest when?
90 degree of flexion… Joint reaction forces inc as the knee moves closer to full ext
Pt experiences Autonomic dysreflexia in supine. What should a PT do first
Sit the pt up to low BP, then check the urinary drainage system
Phenobarbital primary purpose is
Prevent seizures - side effects include sedation, vitamin deficiencies, nystagmus, and ataxia
A clonus is evaluated how?
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
Cardia Rehab programs and support groups are what type of prevention
Tertiary
Regular schedules for US maintenance can be modified based on which two variables?
Inc frequency or faulty performance
Hoovers test for gross malingering
SLR of uninvolved side, PT places hand under involved LE and checks for a normal response of weight inc
A pt undergoing a Romberg balance test. What is the most important for the PT to determine?
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)
Person chocking on something in the waiting room , what should PT do
Heimlich maneuver - abdominal thrust… If pt was unresponsive do the finger sweap or rescue breathing
70% of max hr on original RPE
14-15
85% of HR max on original RPE
16
How to measure toe out
Line forward progression and through the center of heel and second toe
7 degrees normal
Most common site of acl autograft
Semitendinosus and gracilis tendons
Action of the tibialis anterior
DF and INV
Glenohumeral abduction ROM norm
0-120 have to stab the scap.. When measuring the shoulder complex abd have to stab the thorax to prevent lat flex
Decreased breath sounds and decreases fremitus caused
By pleural effusion or pneumothorax
Decreased breath sounds and increased fremitus caused
Pulmonary edema, consolidation, and atelectasis
Stages of the cough
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
Which position would be most appropriate to initiate effective cough training?
Sitting upright will max all of the steps needed to produce effective cough
The best indicator that the pt is at min risk of acquiring a DVT
Ability to ambulate on a frequent schedule
Gloves, gown, and mask are typically required when
With direct contact with a pt with contact precautions
What type of protective equipment needed for a pt on droplet precautions
Only a mask when within 3 ft
Posterior tib action
PF and inversion
Every member of the population has an equal chance of being selected
Simple random sample
To ensure the sample will have proportional representation from all parts of the population
Proportional stratified sample
Heart sound indicating loss of ventricular compliance in the presence of heart disease of heart failure
S3
Heart sound indicating hypertension and increased resistance to filling of the ventricle
S4
Acute burns produce ____ metabolism
Hyper metabolism that results in increased oxygen consumption, increased min ventilation, and increased core temperature. Intravascular, intrastitial, and intracellular fluids are all diminished
Normal bp
100-140/60-90
Cpm rate
2 cycles per min
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
Landau- 3 month of age to 2 years
How to test attention in the neuro population
As pt to count from1-25 by increments of three
What is a Hill-Sachs fracture
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
What would indicate an inverse relationship
A negative correlation
Intervention for Diplopia
Place a patch over one of the pt’s eyes (alternate eye?) if that doesn’t help use prism glasses
Which hormone protects the stomach lining by inc mucus production
Prostaglandins
Later stages of edema
Fibrotic changes and pitting edema
Pt with CHF and dyspnea during ambulation what is best intervention
Education on energy conservation and pacing. Not pursed lip breathing or diaphragmatic breathing since the underlying issue is not pulmonary
With ESRD what symptoms
Decreased urine output and anemia due to kidneys not being able to produce erythropoietin
Pts c ventricular arrhythmias at rest should
Not exercise
Hr response of pt c a heart transplant
Increased resting HR, decreased and delayed HR response to exercise
Ideal position to initiate pelvic floor exercises
Supine
Mini mental examination ranges
0-30
Score of 24 is the minimum perfect score to avoid being classified as having cognitive impairment …30 is normal
Somatoagnosia is an impairment of
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
Hammy pnf
Hold relax
Rotator cuff pnf is contact relax
Constriction of the pupil is a characteristic of
Parasympathetic – also decrease HR, stimulate digestion, constrict the lungs, and stim other internal organs
An associated reaction occurring following neurological damage, where there is a mutual dependency between involved upper and lower extremities
Homolateral synkinesis- resisted elbow flexion will produce mass flexion of the R LE
What will a heel wedge that is too soft cause
Delayed or limited flexion ,that typically should occur at initial contact
Bed rest affects what muscle group most
Extensors of the LEs
Diagnostic test for Guillain-Barré syndrome is typically diagnosed with ?
Nerve conduction velocity test. Also diagnoses carpal tunnel syndrome, peripheral neuropathy
