Score Builders 2nd Exam Flashcards
What drug can produce a decrease in the number of circulating white blood cells (leukopenia), usually below 5000 mm3
Silver sulfa drug
With a larger sample size, the researcher hopes to increase?
The likelihood of rejecting the null hypothesis
_________ is the probability of obtaining a negative test among individuals without the disease ( true negative)
Specificity
________ is the probability of obtaining a positive test among individuals who have the disease (true positive)
Sensitivity
An AED is used for for two conditions?
Vfib and vtach
Pts with facet joint irritation tend to experience less discomfort when in what position?
Flexion
Since extended position is closed packed position
Buoyant force works in _____ direction of gravitational force.
Opposite
True of false- calcification of a tendon will be visible on an x-ray?
T
What pediatric reflex is integrated at the youngest age?
Galant - from 30 wks of gestation to 2 months
PNF technique to help reduce tone and allow for full ROM
Rhythmic initiation
Which prosthetic foot will provide pt will durability, low maintenance, and cosmesis
SACH foot
Rhomboids innervation
Dorsal scapular nerve
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
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
Pt following large rotator cuff repair will return to recreational activities in how long following surgery?
24-28 weeks?
6-7 months
Max of 8-12 mets for ?
Avg individual
5-8 for elderly
Shoe prescription for hallux valgus
Wide and high toe box
Medial arch support for excessive pronation
Reduced heel high reduces forefoot pressure
Pes cavus shoe prescription
Cushioned sole to absorb shock
Metatarsal bar to shift weight from metatarsal heads
Lateral flare to increase overall stability
Atrophy of the thenar eminence is usually caused by ?
C8 nerve root lesion
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
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
Diaphragm is a ____ muscle
Inspiration
What muscles acts to pull the ribs down during forced expiration?
Internal intercostal
-external intercostal act to lift the ribs during deep inspiration
Position of ankle at initial contact
Neutral
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
