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Practice Test 3 > Score Builders Test 1 > Flashcards

Score Builders Test 1 Flashcards

1
Q

Scales of sensation, balance, and mmt are examples of what scale of measurement?

A

Ordinal scale

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2
Q

Gender , blood type, and diagnosis are examples of what measurement scale?

A

Nominal scale

They are used as labels of identification, but have no quantitative value

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3
Q

Temperature measured on the Celsius and Fahrenheit scale’s are examples of what measurement scale?

A

Interval scale

No true zero point, have intervals between units of measurement

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4
Q

Document elbow ROM which begins at 15 degrees of flexion and ends at 90 degrees of flexion

A

15-90

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5
Q

Document elbow ROM which starts at 15 degrees of hyperextension and ends at 90 degrees of flexion.

A

15-0-90

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6
Q

This pnf technique is used to increase range of motion. As The extremity reaches the point of limitation the patient performs a maximal contraction of the antagonistic muscle group. The therapist resist the movement followed by relaxation and passive movement into the newly gained range of motion.

A

Contract relax

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7
Q

What kind of end-feel would spasticity of the biceps tend to produce during elbow extension in a patient with a traumatic brain injury?

A

Firm

Oh produce bony

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8
Q

Glenohumeral capsular pattern

A

Er, abd, ir

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9
Q

What is the most common schedule for hemodialysis?

A

3x per week for 4 hrs

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10
Q

The problem list is located in what part of the soap note?

A

A

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11
Q

Which therapeutic exercise technique is the signed supersymmetry contraction and stability through the joint compression?

A

Approximation

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12
Q

Which therapeutic exercise technique is indicated when there is instability in weight-bearing, poor static postural control, and or weakness?

A

Alternating isometrics

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13
Q

What is ankylosing spondylitis?

A

Form of systemic rheumatic arthritis that results in inflammation of the axial skeleton with subsequent back pain.

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14
Q

What condition is associated with an increase in thoracic kyphosis and loss of the lumbar curve?

A

Ankylosing spondylitis

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15
Q

What treatment recommendations would you give a patient diagnosed with ankylosing spondylitis?

A

Strengthening of back extensors, and limiting the forward bending

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16
Q

What is the sign of buttock test?

A

The sign of buttock test is used to determine if the patients butt pain has its origin in the butt or is referred pain from the hip sciatic nerve or hamstring muscles. The therapist administers the test by completing a straight leg raise to the patients point of limitation. The therapist then flexes the knee and assesses the amount of hip flexion. If the amount of hip flexion does not increase, the test is considered to be positive for buttock pathology( gluteal bursitis, tightness of the glut max, tightness of the posterior capsule.

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17
Q

A pt with quad weakness will show what compensation during the heel strike to foot flat?

A

Leaning the trunk forward because it reduces the flexion moment at the knee

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18
Q

What bong landmark should be used to measure the distance the pt reached during a function reach test?

A

Third metacarpal

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19
Q

Pt young and strong suffered fractured tibia and brachial plexus injury. The are partial weight bearing on the l le.

A

Loftstrand crutches

Walker too much stability
Crutches not enough to mainly used for balance

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20
Q

An athlete is forced to decide whether he wants to go through with acl reconstruction surgery. Which situation provides the most direct support for an acl reconstruction?

A

Functional instability

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21
Q

What screening tool should be administered for a pt in a long term care setting, rehab , or Home health and want to test ability to perform a variety of adls

A

Barthel index

Scores range from 0-100 in increments of 5

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22
Q

What grade of balance would you give a pt that can accept max perturbations In all direction

A

Normal

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23
Q

What grade of balance would you give pt that can accept mod perturbation

A

Good

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24
Q

What grade of balance would you give pt that can maintain balance without support but can’t accept weight shifts or any external perturbations

A

Fair

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25
Q

What grade would you give balance for a pt that requires a in order to maintain balance standing

A

Poor

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26
Q

PT completes a respiratory assessment of a pt c t2 paraplegia. The most appropriate pt position to conduct the measure is?

A

Supine

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27
Q

WHat is the most likely reason a surgeon will elect to do a reverse total shoulder arthroplasty vs a total shoulder arthroplasty ?

A

Irreparable supraspinatus tear

The inverted alignment of the joint surface components allows for greater congruency and stability of the joint surfaces, deceased translation of the numeral component, and increased deltoid moment arm

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28
Q

Pt has impaired light touch sensation down the entire r leg, yet normal sensation of l leg. Which is the most likely injury?

A

L hemisphere stroke

Spinal cord transection- sensory impairment bilateral

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29
Q

What is apophysitis?

A

Refers to inflammation of an apophysis which is a natural protuberance from a bone. An apophysis is a secondary ossification center that functions as an attachment site for the musculotendinous unit. The site is highly susceptible to injury from repetitive stress or an acute injury.

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30
Q

A runner referred to pt after being diagnosed with apophysitis of the ishial tuberosity. Which moi is most likely?

A

Runner doing hurdles due to hamstrings origin on the ishial tuberosity and the traction force that accompanies hurdling when hip is flexed and knee ext

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31
Q

Stroking the skin of the superior and medial thing will elicit what superficial reflex?

A

Cremasteric reflex - the anticipated response is elevation of the testicle on the same side

Upper and lower motor neuron disorders as well as sci at l1-l2 level will cause the reflex to be absent

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32
Q

Stroking the skin beneath the costal margins and above the inguinal ligament assesses what superficial reflex?

A

Abdominal- normal response is contraction of the abs in the stimulated quadrant

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33
Q

Pricking of the skin in the perianal region assesses what superficial reflex?

A

Superficial anal reflex- a normal response is contraction of the rectal sphincter

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34
Q

Pricking the skin of the glans penis assesses what superficial reflex?

A

Bulbocavernosus reflex- a normal response is contraction of the bulbous urethra

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35
Q

What type of tube is most commonly used for short term feeding?

A

Nasogastric

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36
Q

Orthostatic hypotension is a decrease in _______ by how much ?

A

Sbp by 20 mm hg or greater with vertical positioning

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37
Q

What is the normal pH of skin?

A

3-4

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38
Q

Lunate is best palpated how?

A

Just distal to the radial tubercle with flexion of the wrist

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39
Q

T/F sci is a neuromuscular cause of obstructive lung dysfunction?

A

False- restrictive

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40
Q

What are the two tendons most prominent on the posterior thigh during a leg curl?

A

Semitendinosus ( medial tendon) and bicep femoris ( lateral tendon)

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41
Q

State the 4 stages of motor control in order.

A

Mobility- stability- controlled mobility- skill

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42
Q

1st stage of motor control- mobility

A

Refers to the ability to initiate movement through a functional range of motion

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43
Q

Second stage of motor control- stability

A

Refers to the ability to maintain a position or posture through co contraction and tonic holding around a joint

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44
Q

Third stage of motor control - controlled mobility

A

Refers to the ability to move within a weight bearing position or rotate around a long axis

Weight shifts

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45
Q

4th stage of motor control - skill

A

Refers to the ability to consistently perform functional tasks and manipulate the environment with normal postural reflex mechanisms and balance reactions ie adls and community locomotion

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46
Q

Ultrasound normal pt response

A

Dull warming

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47
Q

Slight burning sensation under the ultrasound head can be due to three reasons

A

Inadequate coupling agent used, loosening of the crystals, or hot spots due to high beam non-uniformity

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48
Q

Which wheelchair would be most appropriate for a c5 quadriplegic pt

A

Manual w/c c handrim projections

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49
Q

A pt c a transtibial amputation has excessive knee flexion from heal strike to mid stance on the prosthetic side. What are possible causes for this deviation

A

Transtibial prosthetic aligned in excessive flexion

Anatomical contributing factors include a knee flexion contracture, knee extensor weakness, or a hip flexion contracture

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50
Q

Metabolic syndrome is a group of signs and symptoms that are risk factors for cvd, diabetes, and stroke. What are some of these red flags?

A

Inc BMI, hypertension, inc waist circumference, and signs of insulin resistance

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51
Q

W sitting in kids with Down’s syndrome is due to

A

Dec core strength

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52
Q

Pt has 3/5 knee strength, 2/5 df, 1/5 ev/in, intact sensation and normal tone. What orthotic is most appropriate?

A

Pt strength at the hip and knee allows for an AFO. A plastic AFO is appropriate due to intact sensation and an articulating ankle joint is recommended to improve biomechanics during gate since there is an absence of tonal abnormalities.

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53
Q

What orthotic what you use for a patient that has fluctuating tone and or sensory deficit’s?

A

A metal upright ankle foot orthosis locked in neutral at the ankle joint for an increase in tone, impaired sensation, or in the absence of voluntary motion.

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54
Q

A pt c a complete lesion at L4-L5 would typically ambulate c ?

A

Crutches or canes and bilateral AFOs

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55
Q

A pt with a complete lesion at L2 or L3 would typically amputate c?

A

Crutches and bilateral KAFOs

56
Q

A waist-hip ration great than what is an indication of central obesity and a risk factor for coronary artery disease?

A

0.9

57
Q

What condition is referred to as an injured extensor digitorum tendon at the interphalangeal joint?

A

Mallet finger

58
Q

What is the MOI for a mallet finger?

A

Finger is abruptly forced into flexion at the DIP

59
Q

How to splint a mallet finger?

A

Splinting in 5 degrees of hyperextension of the DIP allows the ext tendon to heal in an optimal position

60
Q

Peroneal tendon subluxation occurs how?

A

When peroneus longus and/or brevis displace from the retromalleolar groove with peroneal tendon loading. Usually happens after inversion ankle sprain

61
Q

Which ankle motion would be most likely to reproduce a peroneal ankle subluxation?

A

Active ankle dorsiflexion and eversion

62
Q

Action of fibularis longus and brevis

A

Pf and eversion

63
Q

Toe touch weight bearing occurs when a pt is …

A

Unable to place any weight through the involved extremity, however, may place the toes on the ground to assist with balance

64
Q

What is an active exercise technique to increase range of motion and requires isometric contractions of all muscles around a joint against progressive resistance?

A

Rhythmic stabilization

65
Q

What is a passive technique effective in increasing range of motion by facilitating local muscle relaxation via maintained pressure over the muscle?

A

Maintained pressure

66
Q

The obtained max oxygen consumption c the arm ergometry is typically _________ than the value obtained c treadmill testing.

A

20-30% lower because of the smaller muscle mass in the ue compared to the le

67
Q

What is defined as an increase in the red blood cells and concentration of hemoglobin. Results in inc blood viscosity and inc blood volume, and hypertension!!!??

A

Polycythemia

68
Q

Efferent cranial nerves are ….

A

Motor

69
Q

Which cranial nerve components are assessed c the corneal blink reflex?

A

Afferent cn v

Efferent cn vii

70
Q

What is the recommended exercise intensity for individuals without cvd

A

70-85% or 50-70% of max O2 uptake

71
Q

Pt following a burn exhibits hypovolemia. What lab values would be mostly affected?

A

Hematocrit Is the volume percentage of red blood cells in the whole blood. The hematocrit rises immediately after a severe burn and gradually decreases with fluid replacement

72
Q

Autolytic debridement removes necrotic tissue by?

A

The body’s own mechanisms

73
Q

What is modified plantigrade? And when does it occur?

A

Occurs at 10 months with an age range of 10-12 months. Characterized by le weight bearing in supported standing while leaning with ue support on a table

74
Q

A PT is asked to provide a presentation on the dangers of anabolic roids to a group of adolescent male athletes. Which risk factor would be unique to the target audience?

A

Growth cessation - rising levels of testosterone trigger a growth spurt associated with adolescence. When these hormones reach a specific level, they signify a conclusion of growth

75
Q

What are involuntary movements characterized as slow, irregular, and twisting?

A

Athetosis

76
Q

Ventral glide of humerus can be used to improve what rom?

A

Er, ext, horizontal abd

77
Q

Dorsal glide of the humerus will improve what motion?

A

Flexion, ir, horizontal adduction

78
Q

What are important for generating and testing theory and for providing information that may be used to generate inductive hypotheses that can be tested by exploratory or experimental methods?

A

Case reports

79
Q

A pt’s pulmonary function tests reveal that the pt has a fvc of 4 liters and a fev1 of 3.5 liters. These results would be most anticipated with a diagnosis of ?

A

Idiopathic pulmonary fibrosis- Restrictive pulmonary disease

Normal fvc/fev1 ratio between 80-90% but decreased volumes and capacities

80
Q

What layer of the skin contains squamous cells, round basal cells, and melanocytes?

A

Epidermis

81
Q

Which layer of the skin includes hair follicles, arrector pili muscles, sebeceous glands,sweat glands, meissner’s corpuscles, lymphatic and blood vessels, and nerve endings?

A

Dermis

82
Q

When utilizing ultrasound what 3 factors impact the amount of heat absorbed?

A

The intensity, duration, and size of area sonated

Choice of coupling gel is irrelevant just NOT air

83
Q

Which variable best determines the extent to which pt aides are involved in pt care activities?

A

The discretion of the PT

84
Q

What is the normal quad/hammie isokinetic ratio?

A

3:2

85
Q

What percent of body weight should be used for mechanical lumbar traction to create mechanical separation?

A

50%

25% for muscle spasm

86
Q

Hematocrit may be increased when …

A

The body’s water content is decreased from dehydration, diarrhea, vomiting, excessive sweating, severe burns, and the use of diuretics

87
Q

Blood urea nitrogen (BUN) test for increased blood uria nitrogen levels which indicate?

A

Dehydration, renal failure, or hf

88
Q

Which cn is responsible for anterior tongue taste, and which is responsible for posterior third?

A

Anterior 2/3- facial 7

Posterior 1/3- glossopharyngeal

89
Q

A physical therapist positions a patient in the supine position prior to performing a manual muscle test of the supinator. To isolate the supinator and minimize the action of the biceps, the therapist should position the patient elbow in?

A

Terminal elbow extension due to the maximally shortened position of the biceps making it hard for them to contribute to the supination

90
Q

What line is insisted directly into an artery and is used to continuously monitor blood pressure or obtain blood samples?

A

An arterial line

91
Q

In terms of the humeroradial joint how would u mobilize it?

A

Radius is concave and the humerus is convex

Same direction

92
Q

How to measure the back height in a wheel chair?

A

Measure from the seat ( add height of cushion if applicable) to the base of the axilla and subtract 4 inches

93
Q

State the order of sensation testing

A

Superficial sensations (temperature, pain, crude touch, pressure) –> deep sensations ( vibration, kinesthesia) –> combined cortical sensations ( two point discrimination)

94
Q

Diazepam is a medication for anxiety and may be a significant fall risk because of ?

A

Sedation side effect

95
Q

Ataxia is a side effect for what drugs

A

Antidepressants, opioid analgesics, anticonvulsants

96
Q

How long should ice massage treatment last?

A

5-10 min

97
Q

Testing for ue ataxia done with?

A

Finger to nose test

98
Q

A pt with copd and a stage iii pressure ulcer over the r ischial tuberosity.. How would you position the pt?

A

Left side lying with pillows between knees

Best for respiration and pressure relief

99
Q

What kind of catheter is inserted into the jugular vein and travels through the superior vena cava and into the right atrium. Used for removal of blood samples, administration of meds, and monitoring of central venous pressure

A

Hickman Catheter

100
Q

What device is used to continuously monitor pulmonary artery pressure?

A

Swan-ganz catheter

101
Q

Independent wheel chair propulsion is facilitated by the use of a ?

A

Light weight wheel chair

102
Q

Solid seating systems on a wheel chair are needed for?

A

Assistance with posture and activities

103
Q

Why do you need an arm board on a wheel chair?

A

Allows the flaccid ue to be supported

104
Q

Why are elevated leg rests important?

A

Will assist to decrease dependent edema

105
Q

Lesion of posterior spinal cord will cause which impairments?

A

Dorsal column - discriminative touch, proprioception, stereognosis, kinesthesia

106
Q

Lesions in the anterolateral spinothalamic tracts will cause what sensation issues

A

Temperature, pain, touch

107
Q

What does cubital tunnel syndrome often produce ?

A

Parasthesias in the ring and little finger since the area is innervated by the ulnar nerve

108
Q

Self ROM of LE would be appropriate for at least a _____ level SCI?

A

C7

109
Q

Repeated measure design controlled what?

A

Differences between the subjects such as gender, age, and physical characteristics

110
Q

Greater frequency and short phase duration- sensory or motor stim?

A

Sensory

111
Q

What is the name of an inherited disorder of the connective tissue often seen in children, resulting in tissue laxity, weak muscles, and diffuse osteoporosis?

A

Osteogenesis imperfecta

112
Q

Zinc iontophoresis used for?

A

Promoting healing in open lesions and ulcers

113
Q

Lidocaine iontophoresis used for?

A

Treat pain and inflammation

114
Q

Magnesium iontophoresis

A

Used for muscle relaxation and vasodilation

115
Q

Acetate iontophoresis is used to treat

A

Calcific deposits

116
Q

When administering a submaximal exercise test, in order to predict the pt’s max vo2 uptake it is necessary to determine the relationship between what two variables?

A

HR and workload

117
Q

Medial rotation of the gh joint stresses what part of the joint capsule?

A

Posterior

118
Q

Inferior joint capsule would be stressed with what motion of the gh joint

A

Flexion, abduction

119
Q

Small or big electrodes decrease electron resistance?

A

Large electrodes decrease electrode resistance

120
Q

What disorder is an autosomal recessive disorder of the chromosome 7?

A

CF

121
Q

Where do the peroneus longus and brevis enter the foot?

A

Posterior to the lateral malleolus

Peroneus longus tendon inserts at the base of the 1st met
Peroneus brevis tendon inserts at the tuberosity of the fifth met

122
Q

Dependent edema is associated with left or right sided HF?

A

Right-sided heart failure

Left sided heart failure associated with muscle weakness, fatigue, pulm edema, persistent cough

123
Q

Upper brachial plexus injury which usually results from difficult birth. The muscles affected are supplied by cervical roots c5 and c6

A

Erb’s palsy

124
Q

Which condition leads to pain and functional impairment of the flexor pollicis longus, the lateral half of the flexor digitorum profundus, and the pronator quadratus muscles?

A

Anterior interosseius syndrome

125
Q

Phonetics are the primary treatment for ?

A

Dysarthria

126
Q

Confusion and lethargy are signs of

A

hypoglycemia

127
Q

Withholding of reinforcement for a previously reinforced behavior which decreases the future probability of that behavior

A

Extinction

128
Q

A foot progression angle of -10 degrees means

A

10 degrees of in toeing

129
Q

What is the most common cause of intoe ing in children?

A

Femoral anteversion - exaggerated hip medial rotation and diminished hip lateral rotation

130
Q

Helicobacter pylori bacterium is most often associated with

A

Gastric ulcer disease

131
Q

Pain from appendicitis?

A

Right lower quadrant

132
Q

Diverticulitis is inflammation of what?

A

Diverticula- weakened areas of the colon

133
Q

Diverticulitis causes pain in what abdominal quadrant?

A

Left lower quadrant

134
Q

What is the first step in performing a primary survey ?

A

Determine responsiveness

If unresponsive- phone 911, get an aed, provide cardiopulmonary resuscitation, and use the aed if necessary

135
Q

Length in centimeters and weight in kilograms are examples of what scale measurement?

A

Ratio scale because they have an absolute zero point and the numbers represent an actual amount of the attributes being measured

Practice Test 3 (1 decks)

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