Score Builders Test 1 Flashcards
1
Q
Scales of sensation, balance, and mmt are examples of what scale of measurement?
A
Ordinal scale
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
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
4
Q
Document elbow ROM which begins at 15 degrees of flexion and ends at 90 degrees of flexion
A
15-90
5
Q
Document elbow ROM which starts at 15 degrees of hyperextension and ends at 90 degrees of flexion.
A
15-0-90
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
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
8
Q
Glenohumeral capsular pattern
A
Er, abd, ir
9
Q
What is the most common schedule for hemodialysis?
A
3x per week for 4 hrs
10
Q
The problem list is located in what part of the soap note?
A
A
11
Q
Which therapeutic exercise technique is the signed supersymmetry contraction and stability through the joint compression?
A
Approximation
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
13
Q
What is ankylosing spondylitis?
A
Form of systemic rheumatic arthritis that results in inflammation of the axial skeleton with subsequent back pain.
14
Q
What condition is associated with an increase in thoracic kyphosis and loss of the lumbar curve?
A
Ankylosing spondylitis
15
Q
What treatment recommendations would you give a patient diagnosed with ankylosing spondylitis?
A
Strengthening of back extensors, and limiting the forward bending
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.
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
18
Q
What bong landmark should be used to measure the distance the pt reached during a function reach test?
A
Third metacarpal
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
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
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
22
Q
What grade of balance would you give a pt that can accept max perturbations In all direction
A
Normal
23
Q
What grade of balance would you give pt that can accept mod perturbation
A
Good
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
25
What grade would you give balance for a pt that requires a in order to maintain balance standing
Poor
26
PT completes a respiratory assessment of a pt c t2 paraplegia. The most appropriate pt position to conduct the measure is?
Supine
27
WHat is the most likely reason a surgeon will elect to do a reverse total shoulder arthroplasty vs a total shoulder arthroplasty ?
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
28
Pt has impaired light touch sensation down the entire r leg, yet normal sensation of l leg. Which is the most likely injury?
L hemisphere stroke
Spinal cord transection- sensory impairment bilateral
29
What is apophysitis?
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.
30
A runner referred to pt after being diagnosed with apophysitis of the ishial tuberosity. Which moi is most likely?
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
31
Stroking the skin of the superior and medial thing will elicit what superficial reflex?
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
32
Stroking the skin beneath the costal margins and above the inguinal ligament assesses what superficial reflex?
Abdominal- normal response is contraction of the abs in the stimulated quadrant
33
Pricking of the skin in the perianal region assesses what superficial reflex?
Superficial anal reflex- a normal response is contraction of the rectal sphincter
34
Pricking the skin of the glans penis assesses what superficial reflex?
Bulbocavernosus reflex- a normal response is contraction of the bulbous urethra
35
What type of tube is most commonly used for short term feeding?
Nasogastric
36
Orthostatic hypotension is a decrease in _______ by how much ?
Sbp by 20 mm hg or greater with vertical positioning
37
What is the normal pH of skin?
3-4
38
Lunate is best palpated how?
Just distal to the radial tubercle with flexion of the wrist
39
T/F sci is a neuromuscular cause of obstructive lung dysfunction?
False- restrictive
40
What are the two tendons most prominent on the posterior thigh during a leg curl?
Semitendinosus ( medial tendon) and bicep femoris ( lateral tendon)
41
State the 4 stages of motor control in order.
Mobility- stability- controlled mobility- skill
42
1st stage of motor control- mobility
Refers to the ability to initiate movement through a functional range of motion
43
Second stage of motor control- stability
Refers to the ability to maintain a position or posture through co contraction and tonic holding around a joint
44
Third stage of motor control - controlled mobility
Refers to the ability to move within a weight bearing position or rotate around a long axis
Weight shifts
45
4th stage of motor control - skill
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
46
Ultrasound normal pt response
Dull warming
47
Slight burning sensation under the ultrasound head can be due to three reasons
Inadequate coupling agent used, loosening of the crystals, or hot spots due to high beam non-uniformity
48
Which wheelchair would be most appropriate for a c5 quadriplegic pt
Manual w/c c handrim projections
49
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
Transtibial prosthetic aligned in excessive flexion
Anatomical contributing factors include a knee flexion contracture, knee extensor weakness, or a hip flexion contracture
50
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?
Inc BMI, hypertension, inc waist circumference, and signs of insulin resistance
51
W sitting in kids with Down's syndrome is due to
Dec core strength
52
Pt has 3/5 knee strength, 2/5 df, 1/5 ev/in, intact sensation and normal tone. What orthotic is most appropriate?
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.
53
What orthotic what you use for a patient that has fluctuating tone and or sensory deficit's?
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.
54
A pt c a complete lesion at L4-L5 would typically ambulate c ?
Crutches or canes and bilateral AFOs
55
A pt with a complete lesion at L2 or L3 would typically amputate c?
Crutches and bilateral KAFOs
56
A waist-hip ration great than what is an indication of central obesity and a risk factor for coronary artery disease?
0.9
57
What condition is referred to as an injured extensor digitorum tendon at the interphalangeal joint?
Mallet finger
58
What is the MOI for a mallet finger?
Finger is abruptly forced into flexion at the DIP
59
How to splint a mallet finger?
Splinting in 5 degrees of hyperextension of the DIP allows the ext tendon to heal in an optimal position
60
Peroneal tendon subluxation occurs how?
When peroneus longus and/or brevis displace from the retromalleolar groove with peroneal tendon loading. Usually happens after inversion ankle sprain
61
Which ankle motion would be most likely to reproduce a peroneal ankle subluxation?
Active ankle dorsiflexion and eversion
62
Action of fibularis longus and brevis
Pf and eversion
63
Toe touch weight bearing occurs when a pt is ...
Unable to place any weight through the involved extremity, however, may place the toes on the ground to assist with balance
64
What is an active exercise technique to increase range of motion and requires isometric contractions of all muscles around a joint against progressive resistance?
Rhythmic stabilization
65
What is a passive technique effective in increasing range of motion by facilitating local muscle relaxation via maintained pressure over the muscle?
Maintained pressure
66
The obtained max oxygen consumption c the arm ergometry is typically _________ than the value obtained c treadmill testing.
20-30% lower because of the smaller muscle mass in the ue compared to the le
67
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!!!??
Polycythemia
68
Efferent cranial nerves are ....
Motor
69
Which cranial nerve components are assessed c the corneal blink reflex?
Afferent cn v
| Efferent cn vii
70
What is the recommended exercise intensity for individuals without cvd
70-85% or 50-70% of max O2 uptake
71
Pt following a burn exhibits hypovolemia. What lab values would be mostly affected?
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
Autolytic debridement removes necrotic tissue by?
The body's own mechanisms
73
What is modified plantigrade? And when does it occur?
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
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?
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
What are involuntary movements characterized as slow, irregular, and twisting?
Athetosis
76
Ventral glide of humerus can be used to improve what rom?
Er, ext, horizontal abd
77
Dorsal glide of the humerus will improve what motion?
Flexion, ir, horizontal adduction
78
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?
Case reports
79
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 ?
Idiopathic pulmonary fibrosis- Restrictive pulmonary disease
Normal fvc/fev1 ratio between 80-90% but decreased volumes and capacities
80
What layer of the skin contains squamous cells, round basal cells, and melanocytes?
Epidermis
81
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?
Dermis
82
When utilizing ultrasound what 3 factors impact the amount of heat absorbed?
The intensity, duration, and size of area sonated
Choice of coupling gel is irrelevant just NOT air
83
Which variable best determines the extent to which pt aides are involved in pt care activities?
The discretion of the PT
84
What is the normal quad/hammie isokinetic ratio?
3:2
85
What percent of body weight should be used for mechanical lumbar traction to create mechanical separation?
50%
25% for muscle spasm
86
Hematocrit may be increased when ...
The body's water content is decreased from dehydration, diarrhea, vomiting, excessive sweating, severe burns, and the use of diuretics
87
Blood urea nitrogen (BUN) test for increased blood uria nitrogen levels which indicate?
Dehydration, renal failure, or hf
88
Which cn is responsible for anterior tongue taste, and which is responsible for posterior third?
Anterior 2/3- facial 7
| Posterior 1/3- glossopharyngeal
89
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?
Terminal elbow extension due to the maximally shortened position of the biceps making it hard for them to contribute to the supination
90
What line is insisted directly into an artery and is used to continuously monitor blood pressure or obtain blood samples?
An arterial line
91
In terms of the humeroradial joint how would u mobilize it?
Radius is concave and the humerus is convex
Same direction
92
How to measure the back height in a wheel chair?
Measure from the seat ( add height of cushion if applicable) to the base of the axilla and subtract 4 inches
93
State the order of sensation testing
Superficial sensations (temperature, pain, crude touch, pressure) --> deep sensations ( vibration, kinesthesia) --> combined cortical sensations ( two point discrimination)
94
Diazepam is a medication for anxiety and may be a significant fall risk because of ?
Sedation side effect
95
Ataxia is a side effect for what drugs
Antidepressants, opioid analgesics, anticonvulsants
96
How long should ice massage treatment last?
5-10 min
97
Testing for ue ataxia done with?
Finger to nose test
98
A pt with copd and a stage iii pressure ulcer over the r ischial tuberosity.. How would you position the pt?
Left side lying with pillows between knees
Best for respiration and pressure relief
99
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
Hickman Catheter
100
What device is used to continuously monitor pulmonary artery pressure?
Swan-ganz catheter
101
Independent wheel chair propulsion is facilitated by the use of a ?
Light weight wheel chair
102
Solid seating systems on a wheel chair are needed for?
Assistance with posture and activities
103
Why do you need an arm board on a wheel chair?
Allows the flaccid ue to be supported
104
Why are elevated leg rests important?
Will assist to decrease dependent edema
105
Lesion of posterior spinal cord will cause which impairments?
Dorsal column - discriminative touch, proprioception, stereognosis, kinesthesia
106
Lesions in the anterolateral spinothalamic tracts will cause what sensation issues
Temperature, pain, touch
107
What does cubital tunnel syndrome often produce ?
Parasthesias in the ring and little finger since the area is innervated by the ulnar nerve
108
Self ROM of LE would be appropriate for at least a _____ level SCI?
C7
109
Repeated measure design controlled what?
Differences between the subjects such as gender, age, and physical characteristics
110
Greater frequency and short phase duration- sensory or motor stim?
Sensory
111
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?
Osteogenesis imperfecta
112
Zinc iontophoresis used for?
Promoting healing in open lesions and ulcers
113
Lidocaine iontophoresis used for?
Treat pain and inflammation
114
Magnesium iontophoresis
Used for muscle relaxation and vasodilation
115
Acetate iontophoresis is used to treat
Calcific deposits
116
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?
HR and workload
117
Medial rotation of the gh joint stresses what part of the joint capsule?
Posterior
118
Inferior joint capsule would be stressed with what motion of the gh joint
Flexion, abduction
119
Small or big electrodes decrease electron resistance?
Large electrodes decrease electrode resistance
120
What disorder is an autosomal recessive disorder of the chromosome 7?
CF
121
Where do the peroneus longus and brevis enter the foot?
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
Dependent edema is associated with left or right sided HF?
Right-sided heart failure
Left sided heart failure associated with muscle weakness, fatigue, pulm edema, persistent cough
123
Upper brachial plexus injury which usually results from difficult birth. The muscles affected are supplied by cervical roots c5 and c6
Erb's palsy
124
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?
Anterior interosseius syndrome
125
Phonetics are the primary treatment for ?
Dysarthria
126
Confusion and lethargy are signs of
hypoglycemia
127
Withholding of reinforcement for a previously reinforced behavior which decreases the future probability of that behavior
Extinction
128
A foot progression angle of -10 degrees means
10 degrees of in toeing
129
What is the most common cause of intoe ing in children?
Femoral anteversion - exaggerated hip medial rotation and diminished hip lateral rotation
130
Helicobacter pylori bacterium is most often associated with
Gastric ulcer disease
131
Pain from appendicitis?
Right lower quadrant
132
Diverticulitis is inflammation of what?
Diverticula- weakened areas of the colon
133
Diverticulitis causes pain in what abdominal quadrant?
Left lower quadrant
134
What is the first step in performing a primary survey ?
Determine responsiveness
If unresponsive- phone 911, get an aed, provide cardiopulmonary resuscitation, and use the aed if necessary
135
Length in centimeters and weight in kilograms are examples of what scale measurement?
Ratio scale because they have an absolute zero point and the numbers represent an actual amount of the attributes being measured
