Score Builders 2nd Exam Flashcards by Yarko Sklvskuy

What drug can produce a decrease in the number of circulating white blood cells (leukopenia), usually below 5000 mm3

Silver sulfa drug

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With a larger sample size, the researcher hopes to increase?

The likelihood of rejecting the null hypothesis

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_________ is the probability of obtaining a negative test among individuals without the disease ( true negative)

Specificity

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________ is the probability of obtaining a positive test among individuals who have the disease (true positive)

Sensitivity

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An AED is used for for two conditions?

Vfib and vtach

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Pts with facet joint irritation tend to experience less discomfort when in what position?

Flexion

Since extended position is closed packed position

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Buoyant force works in _____ direction of gravitational force.

Opposite

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True of false- calcification of a tendon will be visible on an x-ray?

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What pediatric reflex is integrated at the youngest age?

Galant - from 30 wks of gestation to 2 months

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PNF technique to help reduce tone and allow for full ROM

Rhythmic initiation

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Which prosthetic foot will provide pt will durability, low maintenance, and cosmesis

SACH foot

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Rhomboids innervation

Dorsal scapular nerve

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Position characterized by pediatric arms being held near shoulder level with retraction of the scapulae. This position inc midline trunk stability against the pull of gravity.

High guard- Rhomboids are the muscles primarily responsible for the infant to maintain this position

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Terminal stance normal joint position - hip, knee , ankle , metatarsophalangeal

10-20 degrees of hyperextension of hip
Knee and ankle zero at end of terminal stance
30 degrees of toe hyperextension

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Pt following large rotator cuff repair will return to recreational activities in how long following surgery?

24-28 weeks?

6-7 months

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Max of 8-12 mets for ?

Avg individual

5-8 for elderly

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Shoe prescription for hallux valgus

Wide and high toe box
Medial arch support for excessive pronation
Reduced heel high reduces forefoot pressure

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Pes cavus shoe prescription

Cushioned sole to absorb shock
Metatarsal bar to shift weight from metatarsal heads
Lateral flare to increase overall stability

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Atrophy of the thenar eminence is usually caused by ?

C8 nerve root lesion

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Chorea is a movement disorder characterized by involuntary, rapid, irregular, and jerky movement .. Lesion of what structure will cause chorea?

Basal ganglia

Cerebellum lesion- hypotonia, dysarthria

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Difficulty planning a new motor task

Dyspraxia

Weighted vest will help cuz it provides feedback and improves proprioception which contributes to ability to plan movement

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Diaphragm is a ____ muscle

Inspiration

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What muscles acts to pull the ribs down during forced expiration?

Internal intercostal

-external intercostal act to lift the ribs during deep inspiration

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Position of ankle at initial contact

Neutral

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Loading response ankle position

Ankle moves into 10 degrees of PF

Terminal stance ankle position

The ankle moves into max DF

Preswing ankle position

Associated with rapid PF 20 degrees

Disease where pt suffers from fatigue and extreme weight loss. What is the most likely cause of this patient's symptoms?

Adrenal gland insufficiency - decreased production of cortisol

Latissimus Dorsi intervention

Thoracodorsal nerve

What is the recommended initial mechanical lumbar traction force?

30-45 lbs

Parkinson's pt with a hip flexion contracture and forward facing posture, what exercise would be most important to initial for HEP?

Prone lying to stretch the hip flexor so the posture can improve

Which technique is most beneficial in helping pt complete functional activities without shortness of breath or dyspnea?

Pacing

What are the signs and symptoms of cholecystitis?

It is inflammation of the gallbladder- jaundice, fever, nausea, vomiting, right upper quadrant pain, and gastrointestinal symptoms

What is an inflammation of the inner lining of the colon and rectum?

Ulcerative colitis- rectal bleeding, diarrhea, nausea, vomiting, weight loss, and fever

Deep pressure, prolonged icing, neutral warmth are all _______ techniques?

Inhibitory

Pusher syndrome commonly occurs in patients that have sustained a right cerebrovascular accident. It is characterized by significant lateral deviation towards the _______ side.

Hemiplegic side Place mirror in front or small wedge under the paraplegic lateral thigh

An Individualized Educational Plan (IEP) is designed for a pt that requires therapy services and long term goals are based on what timeframe?

1 year

What reflex is assessed by taping the nail of the middle finger?

Hoffman's reflex- an abnormal response consists of flexion of the first finger and thumb

Athetosis is characterized by extraneous and involuntary movements, slowness of movement, and alterations in muscle tone. This clinical finding is typically associated with damage to what structure?

Basal ganglia

3 clinical findings with cerebellar damage

Dysmetria, nystagmus, and dysdiadochokinesia

Pain over the lateral thigh/buttock pain that is exacerbated by activity or periods of prolonged rest is caused by?

Trochanteric bursitis

frontal plane the carpometacarpal joint- metacarpal surface is _____ and the trapezium is _____

Concave on convex

Sagittal plane the carpometacarpal joint- metacarpal surface is _____ and the trapezium is _____

Convex on concave

Progressive ambulation is no longer allowed with platelet levels that are less than or equal to ?...

20,000 cells/mm3

Pt following ACL reconstruction might still be partial weight bearing one month after surgery because of what rationale ?

Pt does not have full active knee ext

What vertebral level is the iliac crest?

l4-l5

Scapula ranges from and to what vertebral levels

T2-t7 Spine of scalp- t3

Pt with hyper function of parathyroid gland would likely cause ?

Osteopenia

Cardiac arrhythmias and muscles spasms are side effects of hypo or hyper parathyroidism?

Hypo

Probation is commonly associated with what three conditions?

Tarsal tunnel, plantar fasciitis, and posterior tibial tenosynovitis

Supinated gait and a history of recurrent ankle sprains often cause?

Perineal tenosynovitis

Successful management of a surgical meniscus repair?

A surgical repaired tetra of the outer third of the medial meniscus because it's a vascular. Also ACL reconstruction increases success rates vs conservative management

What is likely to occur following a modified radical mastectomy due to the disruption of skins protective barrier and and lymphatic flow?

Cellulitis

What is pink wound exudate in healthy wound ?

Serosanguineous

What is red exudate that indicates a bloody discharge which can be normal or abnormal vessel formation or disruption

Sanguineous

Side effects of corticosteroids (7)

Osteoporosis, muscle wasting, skin breakdown, cataracts, adrenocorticosuppression, hyperglycemia, and inc blood pressure

What is the most common potential complication for a pt s/p MI?

Arrhythmias

Test where a pt grasps a piece of paper between the thumb and the index finger. A positive test is indicated by flexion of the terminal phalanx of the thumb caused by paralysis of the adductor pollicis longus ( ulnar nerve integrity)

Froments sign

PT monitors the radial pulse and asks the pt to rotate head to face the test shoulder. The patient is then asked to extend their head while the therapist laterally rotates and extends the pts shoulder. A positive test indicates by absent or diminished radial pulse.

Adson maneuver

Mallet finger refers to an injury of the what muscle at the DIP

Extensor digitorum tendon Has to be splinter for 6-8 weeks in slight DIP extension

Incentive spirometers are indicated for what?

Prevent alveolar collapse, chest wall pain, loss of mobility, weakness of the muscles of inspiration and treatment/prevention of atelectasis

Brunnstrom 7 stages of recovery- 7th stage

Normal function

Brunnstrom 7 stages of recovery- 4th stage

Movement patterns are not dictated solely by limb synergies and voluntary movement patterns begin outside of limb synergies

Brunnstrom 7 stages of recovery- 1st stage

Flaccid

Brunnstrom 7 stages of recovery- 2nd stage

Movement occurs from associated reactions and spasticity begins to develop

Brunnstrom 7 stages of recovery- 3rd stage

In stage 3, voluntary movement begins within basic limb synergies

Brunnstrom 7 stages of recovery- 5th stage

Spasticity cont to decrease and basic synergies lose their dominance

Brunnstrom 7 stages of recovery- 6th stage

Disappearance of spasticity and ability to completely isolate joint movements in a coordinated fashion

What muscle commonly is responsible for media nerve entrapment ?

Pronator teres - often associated with racquet sports and activities with lots of gripping and pronating

Positive Waddell sign in terms of a SLR

Different pain response to SLR in supine vs sitting

Positive Waddell sign in terms of a passive shoulder and pelvic rotation occurring simultaneously

Acetabular rotation test occurs by having the PT rotate the pts pelvis and shoulders simultaneously while in standing. Because rotation is occurring at the pelvis and shoulders, no movement is occurring at the lumbar spine. A report of low back pain with this test will be considered a positive sign that there is a behavioral aspect to the pt's pain

Which pediatric reflex serves to limit the child's ability to flex the neck when in a supine position?

Symmetrical tonic labyrinthine reflex

Which screening tool would be most helpful to test balance and gait?

Tenet to performance oriented mobility assessment - score of less than 19 is indicative of risk of falling

Which screening tool is best for ADL and mobility activities?

Barthel Index

Which screening test looks at pts level of disability and burden of care in a hospital setting

FIM functional independence measure

Enteral administration of drugs involves????

Administration through oral , sublingual, and rectal

What is the best intervention for a child who walks with a equinus gait pattern?

Walks with excessive PF- thus do backwards stepping to lengthen PF

Glasgow coma scale ranges ?

3-15

Lumbricals innervated by?

Tibial nerve- MTP flexion , assist with extension of the IP joints

Symptoms of Addison's disease?

Weakness, hypotension, anorexia, altered pigmentation

Enlargement of the thyroid gland, heat intolerance, nervousness, tremor, and palpitations are side effects of what condition?

Grave's

Ringing in the ears, hearing loss, and vertigo for 30 min to 24 hrs are signs of what disease?

Meneires disease- over accumulation of endolymph due to lack of absorption

A drug that can depress the Hr and the electrical conductivity thus effective in treating atrial fib and CHF

Digitalis

To estimate energy expenditure in calories what three variable do you need?

METs, time, body weight

Which type of sampling procedure would result in the greatest sampling error ?

Cluster sampling

What drugs act to decrease ischemia by smooth muscle relaxation and dilation of peripheral vessels

Nitrates

Spasticity of arm pattern

Wrist, finger, and elbow flexion | Pronation

All skin fold measurements are made using the ______ side of the body

Right

Side stepping with weak hip abductors, how would a person be expected to compensate?

Side bend towards the unaffected side

With platelet count of ______ or less, the patient is thrombocytopenic and would be placed on thrombocytopenic precautions until platelet counts return to normal

50,000 or less

What nerve is typically affected as it passes under the extensor retinaculum in anterior compartment syndrome?

Deep peroneal nerve- responsible for df- tib anterior, extensor hallucis longus and brevis, lumbricals, interossei, extensor digitorum brevis And sensory between first and second toe

Digitalis is a drug that increased the force of contractility and is often given to pts with HF. What. ECG would you expect ?

Lengthened PR interval by increasing conduction time through the AV node