soal sem 8 - 2 Flashcards
- By asking the patient his birthplace, which intellectual performance is tested?
a. Memory
b. Retention
c. Comparison
d. Judgement
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- Organic brain damage may display: a. apathy
b. short attention span
c. emotional stability
d. all of the above
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- Cannot perform skilled movement, but can use hand for gross activyt automatically :
a. constructional apraxia b. motoric/ kinetic apraxia
c. ideational apraxia
d. ideamotor apraxia
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- Inability to differentiate different weights is called:
a. Atopognosis
b. Barognosis
c. Astereognosis
d. Autotopagnosis
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- Lesion involving posterior parietal region of non dominant hemisphere will result in:
a. Motor apraxia b. constructional apraxia c. ideational apraxia d. ideomotor apraxia
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- Anosognosia means
a. Inability to identify an object by touch
b. Lack of awareness of disease
c. Impaired recognition of body parts
d. Inability to do arithmetic
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- Periodic liver fx test is essential in a paraplegic whois taking:
a. Diazepam b. dantrolene sodium c. baclofen (lioresal) d. probantine
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- A quadriplegic pt complaint of headache, which of the following should be done before giving treatment:
a. Check bladder distention
b. Check for indwelling catheter for clogging
c. Check for fecal impaction
d. All of the above
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- Which of the following conditions may be responsible for sudden increase of spasticity in paraplegia?
a. Cystitis b. bladder stone c. decubitus d. all of the above
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Which of the following is characteristic of autonomic hperreflex secondary to SCI? a. Bradicardia b, hypertension c profuse sweating above lesion d. All of the above
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- A patient fell forward his neck into hyperextension, on examination he is quadriplegic with arm more involved than leg. X ray normal. Diagnosis:
A. Central cord syndr b. brown sequard syndr c. anterior spinal artery thrombosis d posterior column compression
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- Levodopa as antiparkinson drug is most effective in decreaseing which of the symptom
a. Akinesia b. tremor and rigidity c. akinesia and tremor d. akinesia, tremor and rigidity.
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- Dopamine cannot be used in treatment of Parkinson disease because:
a. It is too toxic
b. Its action is unpredictable
c. It cannot cross blood brain barrier
d. It is an unstable substance
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- The management of GBS in acute stage may include all of the following except:
A. rest b. passive ROM c. splints d. vigorous active exc
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- The so called on off phenomenon develops in patient with Parkinson disease treated with:
a. Levodopa b. artane c. dyphenhidramine d. amantadine
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- Brown sequard syndrome is characterized by all of the following except:
a. Ipsilateral spastic paralysis below the level of the lesion
b. It is caused by fracture dislocation of L3
c. Contralateral loss of pain and temperature sense below the level of the lesion
d. Iplsilateral loss of proprioceptive below the level of the lesion
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- TOS refer to all of the following syndrome, except:
a. Cervical rib b. cervical root c. anterior scalene d. costoclavicular
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- Branch of medial cord brachial plexus, except:
a. Medial pectoralis nerve
b. Medial cutaneus arm
c. Subscapular nerve
d. …
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- Branch of posterior cord brachial plexus, except:
a. Axillary nerve
b. Radial nerve
c. Medial pectoral nerve
d. Subscapular nerve
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- Deep peroneal nerve innervate, except:
a. Tibialis anterior
b. Extensor digitorum longus
c. Peeroneus longus
d. Peroneus tertius
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- Medial plantar nerve innervate, except:
a. Flexor hallucis brevis
b. Abductor hallucis
c. …
d. Quadrates plantae
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- Relative contraindication for exercise:
a. Recent myocard infarction
b. Unstable angina pectoris
c. Acute inflammation / fever
d. History of pulmonary embolisme
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- Type I muscle fiber is:
a. Oxidative
b. …
c. The only fiber can produce potential on EMG
d. All of the above
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Froment sign is positive in paralisis:
a. median nerve
b. ulnar nerve
c. radial nerve
d. …
B
. Wallenberg syndrome, except:
a. contralateral pain and temperature loss
b. ipsilateral ataxia
c. horner syndrome
d. ipsilateral paralys of soft palate
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. stroke recovery mechanism consider all these, except:
a. resolution of ischemia of penumbra
b. resolution of edema and diaschisis
c. plasticity and reorganization of structural cortical and subcortical brain is not important
d. increase activity through spared alternative pathways
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GCS, rachos los amigos are scoring method of consciousness. These statement are true, except:
a. grade IV rancho los amigos is localized response
b. GCS M5V4E3 is localized response to pain and eye to speech
c. no response to pain is grade I in Racho los amigos
d. grade 4 in GCS is sponntaneus eye movement
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the condition below is not true for Parkinson:
a. slowing in m0vement can reduce ADL
b. stage I hoehn and yahr include both side
c. rigidity is not velocity dependent
d. shuffling and dragging pattern of walkig is one of some characteristic
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spasticity in acute TBI should be treated, except”
a. increase metabolic demand
b. liver function test should be done if using dantrolene as medicaition
c. significant etiology for contracture formation
d. orthopedic surgery for tendon lengthening must be done as early as possible
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in diabetic neuropathy, the following conditions are true, except:
a. erectile impotence is sudomotor autonomic syndrome
b. glove and stocking distribution of decreased sensory
c. loss of of sensory of pain and temperature can cause foot ulcer
d. sensory dysfunction is the dominant symptoms
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CTS, except:
a. median nerve enclosed by carpal bones and transverse carpal ligament
b. diagnosed by typical sensory deficit only
c. tendon flexor also compresed
d. sensory dysfx. Is the dominant symptoms
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poor prognostic for stroke:
a. prolong flaccid
b. twithcell described synergy pattern folloed by normal volitional movement
if esion affect middle cerebral artery, lwor ext more recover than UE
d proprioceptive is important key factor for motric relearning
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denervated rhomboid, means:
a. lesion proximal to trunk brachial plexus
b. lesion of upper trunk brachial plx
c. lesion of medial cord brachial plx
d. nerve suprascapular lesion
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pronator syndrome is entrapment:
a. median nerve compress by pronator teres m.
b. ulnar nerve compress by pronator teres
c. median nerve compress by pronator quadrates
d/ radial nerve compress by pronator teres
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tipe I muscle fiberL a. highly oxidative b. fatige rapidly c. the only fiber that can produce EMG signal d all of the above
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stges of swallowing below is true except:
a. Oral phase include propulsion of bolus into the pharynx by tongue
b. Oral preparatory phase include initiation of swallowing response
c. Esophageal phase include bolus moves through stomach by peristalsis
d. The pharyngeal stage there is elevation and anterior movement of the larynx.
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Mrs. R, 26 yo. Came to rehab unit with hope of recvering her walking ability. She had had a vehicle accident 1 year ago, and both egs had been paralysed since. On physical examination, the sensory fx was normal down to the level as high as belly button, diminished from lower abdomen and below, and was absent on ankle level. Muscle strength was good on each side of the UE, but 0n both LE, the muscle contraction was barely palpable
which of following statement is true for this patient:
a. Neurologic level of this patient is T10
b. Neurologic level of this patient is T9
c. Neurologic level of this patient is T12
d. Neurologic level cannot be determined
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Mrs. R, 26 yo. Came to rehab unit with hope of recvering her walking ability. She had had a vehicle accident 1 year ago, and both egs had been paralysed since. On physical examination, the sensory fx was normal down to the level as high as belly button, diminished from lower abdomen and below, and was absent on ankle level. Muscle strength was good on each side of the UE, but 0n both LE, the muscle contraction was barely palpable
which of following statement is true for this patient:
a. Neurologic level of this patient is T10
b. Neurologic level of this patient is T9
c. Neurologic level of this patient is T12
d. Neurologic level cannot be determined
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Mrs. R, 26 yo. Came to rehab unit with hope of recvering her walking ability. She had had a vehicle accident 1 year ago, and both egs had been paralysed since. On physical examination, the sensory fx was normal down to the level as high as belly button, diminished from lower abdomen and below, and was absent on ankle level. Muscle strength was good on each side of the UE, but 0n both LE, the muscle contraction was barely palpable
what is your prognosisabout the walking ability of this patient?
a. good because she is still young
b. good if she could adopt a very hard training program
c. poor because it has been 1 yearsince the onset of the injury
d. Poor, because she only has the motor scores of 60
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Mrs. R, 26 yo. Came to rehab unit with hope of recvering her walking ability. She had had a vehicle accident 1 year ago, and both egs had been paralysed since. On physical examination, the sensory fx was normal down to the level as high as belly button, diminished from lower abdomen and below, and was absent on ankle level. Muscle strength was good on each side of the UE, but 0n both LE, the muscle contraction was barely palpable
program for ambulation training ar, except:
a. strengthening UE
b. strengthening LE
c. balance training
d. endurance training
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using WC. PF sensory intact down middle finger, diminished level below. Muscle strength down the elbow extension and bilateral finger flexion, abduction both side are fair. LE muscle strength fair down to knee extention and was poor the rest key muscle. Voluntary anal + but weak. Use indwelling catheter changes one week.
a. AIS C, NL C8
b. AIS D, NL C8
c. AIS C, NL T1
d. AIS D, NL T1
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which is true :
a. AIS C is defined as: inkomplete injury, in which the motor fx. below the NL is preserved and at least half of the key muscle have a muscle grade less than of 3
b. AIS C is defined as: inkomplete injury, in which the motor fx. below the NL is preserved and more than half of the key muscle have a muscle grade less than of 3
c. AIS D is defined as: inkomplete injury, in which the motor fx. below the NL is preserved and all of the key muscle have a muscle grade than of 3
d. AIS D is defined as: inkomplete injury, in which the motor fx. below the NL is preserved and more than half of the key muscle have a muscle grade of 3 or more
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which is true :
a. AIS C is defined as: inkomplete injury, in which the motor fx. below the NL is preserved and at least half of the key muscle have a muscle grade less than of 3
b. AIS C is defined as: inkomplete injury, in which the motor fx. below the NL is preserved and more than half of the key muscle have a muscle grade less than of 3
c. AIS D is defined as: inkomplete injury, in which the motor fx. below the NL is preserved and all of the key muscle have a muscle grade than of 3
d. AIS D is defined as: inkomplete injury, in which the motor fx. below the NL is preserved and more than half of the key muscle have a muscle grade of 3 or more
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the pateint has increase in patella tendon jerk, and has clnus. What can be infer your management?
a. intermittent catheterization is contraindicated
b. the ICP can be done more then 5 times day
c. no connectivity between this condition and the ICP
d. the condition can influence difficulty for ICP later
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restriction fluid 400ml/hours allow to, except:
a. to maintain volume bladder more than 400ml
b. catheterization schedule 3-5 times a day
a. to maintain continence between cateterization
d. maintenance low pressure bladder
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what is dangerous of dysphagia
a. dehydration
b. aspiration
c. malnutrition
d. emotional problem
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two complex of flexibility which following A. speed and oint motion b. tension and stretchc. c.Elongation of muscle and ROM d. rom and torsion
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general body warn preceding balystic dynamic and static stretching help individual:
a. teach the patient proper form
b. duplikat ADL
c. increase tissue temperature
d. decrease soft tissue damage
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. red muscle fibers
a. slow twitch
b. type i
c. oxidative
d. all above
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testing tool of muscle performance
a. hand held dynamometer
b. cable tensy
c. 1 RM
d. isokinetic
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high velocity isokinetik exercise:
a. compensation patient pain
b. decrease comprose force
d. increase function
d. benar semua
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climbing static exercise:
a. open close kinetic chain
b. close kinetic chain
c. open and close kinetic chain
d. plyometric exercise
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exercise for DM must be monitored, because:
a. decrease insulin requirement
b. exercise have insulin like effect
c. increase endurance
d. …
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to elicit aerobic exercises to increase endurance, must be:
a. 2-3 times per week
b. 1-3 times per week
c. 2-4 times per week
d. 3-5 times per week
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dynamic balance test and training, is done with:
a. maintain standing balance while close eyes
b. ambulate and try to avoid obstacle
c. sitting with trunk rotation
d. sitting rwith play marching
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physiologic of knee joint:
a. roll
b. flexi-extensi
c. spin
d. glide
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relative contraindicationfor joint mobilization:
a. local bone disease
b. active inflammatory arthritis
c. osteoporosis
d. malignancy
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exercise for osteoporosis,except:
a. Aerobic with weight bearing
b. Resistance
c. Thight impact load activities
d. Balance training
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wide base gait:
a. Increase endurance
b. Decrease stability
c. Increase trunk motion
d. Increase stability
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. exercise to increase immunity:
a. low intensity exercise
b. moderate intensity exercise
c. high intensity exercise
d. specific exercise for special disease
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Borg scale measure:
a. perceived exertion
b. active aerobic
c. exercise intensity
d. none of the above
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Borg scale measure:
a. perceived exertion
b. active aerobic
c. exercise intensity
d. none of the above
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therapy for plantar fasciitis
a. nocturnal splints
b. surgery
c. phonophoresis or iontophoresis
d. all of the above
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Talar fracture ada berapa macam:
a.3 b. 4. C. 6 d. 5
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acute hamstring strain, positioning at night:
a. supine with knee extension
b. prone with knee extension
c. supine with knee flexion with pillow support
d. side lying
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weight bearing as tolerated for patient with problem with:
a. muscle strength
b. ORIF
c. non surgical injury
d. pain
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touch-down weight bearing exercise:
a. minimal weight bearing (balance only)
b, …
c 30% weight bearing
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. the most dangerous complication of dysphagia:
a. malnutrinition
b. aspiration
c . dehidrasi
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which of the following is true about the prognosis of spontaneous recovery of the nerve:
a. neuropraxia:
b. axonotmtesis: recovery not possible
b. neuromtesis: recovery is not possible
d. none of the above is true
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. these statement are true regarding Pressure ulcer, except
a. optimizing wound healing, promote granulation and reepithelization
b. relief pressure
c. location of development of pressure ulcer is not important
d. bony prominence, malleolus and sacral is the common site
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general comprehensive rehab plan for treatment of rotator cuff during the early recovery stage, include:
a. scapular stablitzation exercise
b. repetitive overhead lifting
c. specific rotator cuff strengthening
d. pectoral strengthening
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the most commonly dislocated joint:
a. knee b. elbow c. shoulder d hip
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frozen shoulder:
a. pain b. decrease ROM c. inflammation of the capsule d. all of the above
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frozen shoulder yang terjadi spontan from unknown causes:
a. tertiary adhesive capsulitis b. primary adhesive capsulitis c. secondary adhesive capsulitis d. resistant capsulitis
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fracture of cclavicle happen most common in:
a. women age 20-30 years old
b. male age less than 25 years old
c. male age 30-45 years old
d. women age less than 25 years old
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which exercise should be initiated by the end of the first week post operation week of rehabilitation after shoulder arthroplasty without rotator cuff repair? a. b. closed chain resistance c. codman pendulum exercise d. eccentric contraction
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a test sed to reproduced symptoms o torn meniscus is called:
a. smith test b. mc murray test c. pivot shift test d. lachman test
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weight bearing after meniscal repair immediately post operation:
a. PWB
b. NWB progressive standing to full weight bearing (FWB) at 4-6 weeks post operation
c. NWB progressive to FWB at 2 weeks post op
d. Full WB
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In adition to strengthening the quadriceps (for patient with anterior knee pain) which of the following muscle groups contribute to improving the appropriate line of pull of patella:
a. hip extension b. hip adduction c. hip abduction d. hip flexor
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screening procedure to identify sign and symptoms of dysphagia
- coughing behavior
- history of pneumonia
- the presence of residual food in the mouth
- food squinting out of the nose
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the goal of rehabilitation management for dysphagia:
1. prevent aspiration
2. maintain an adequate nutritional intake
3. to reestablish oral eating to the safest level
4/ to determine surgery indication
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. appropriate exercise for arthritis: 1. isometric strengthening 2. isotonic strengthening 3. isokinetic strengthening 4 aerobic and aquatic exercise
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a stroke involving vertebrobasilar system may give:
- ataxia
- global aphasia
- hemiplegia alternans facials
- uninhibited bladder
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indication of biofeedback therapy:
- muscle reeducation for volitional movement of muscle in UMN dysfunction
- to reeducation of pelvic floor muscle in women with incontinence or pelvic pain
- to inhibit spasticity
- to strengthen muscle
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- 84 th, 25% anterior T10 body fraktur 1 minggu YL. Pain with sitting / standing. Ortotik?
a. LS corset
b. Custom molded plastic TLSO
c. CASH (Cruciform Anterior Spinal Hiperextension) ortotik
d. Dorsilumbar corset
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- Ht 140 – 159 / 90 – 99 mmHg, JNC 7
a. Normal
b. Prehipertensi
c. Stage 1
d. Stage 2
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- NYHA gagal jantung kronik, 4 Metz
a. Functional Class I
b. Functional Class II
c. Functional Class III
d. Functional Class IV
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- AHA : naik turun tangga sebaiknya tidak dilakukan pada :
a. MCI
b. CHF
c. Post PTCA
d. Post CABG
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- Nyeri dada tipikal saat jalan 30 m, istirahat tidak hilang, Sinus Ritmik, QRS 84 ms, axis normal, T inverted di I, aVL, CK CKMB normal, trop T (-).
a. Stable Angina pectoris
b. Unstable Angina pectoris
c. MCI akut
d. CHF
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- Intervensi program rehab jantung:
a. Sesuai program rehabilitasi 5 tahap
b. Perlu EKG
c. Aktivitas 5 Metz
d. Mobilisasi setelah stabil tanpa program 5 tahap
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- After MCI akut kapan dianjurkan kerja terutama setelah program rehab jantung
a. 1-2 minggu pasca rawat
b. 2-4 minggu pasca rawat
c. 4-6 minggu pasca rawat
d. 6-8 minggu pasca rawat
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- yang termasuk pencegahan sekunder, kecuali:
a. Pasca PTCA
b. Pasca CABG
c. Pasca MCI
d. Pasca angina pectoris stabil
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- Penelitian bioselular : latihan aerobik dapat memperbaiki marker inflamasi sehingga ketahanan kardiorespirasi meningkat. Yang salah adalah:
a. Latihan mempunyai efek anti inflamasi
b. Latihan berfungsi anti trombotik
c. Latihan meningkatkan interleukin 6
d. Latihan meningkatkan CRP
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- Ejection fraction 39%:
a. Resiko rendah
b. Resiko sedang
c. Resiko berat
d. Tanpa resiko
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- Hipertensi terkontrol. Latihan :
a. 40-70% HR max
b. 50-60% HR max
c. 60-80% HR max
d. 50-85% HR max
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- BORG scale:
a. Perceive exert tidak berkorelasi dengan HR / O2 consumption
b. Target untuk exercise training 7-9
c. Perceive exert korelasi linear dengan HR dan O2 consumption
d. Hanya untuk guiding aerobic exercise training
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- Untuk menentukan Metz dengan 6 MWT:
a. IMT
b. Spirometri
c. Klasifikasi kelas gangguan pernapasan
d. BB dan Tinggi Badan
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- Manfaat utama pernapasan diafragma:
a. Kontrol pernapasan
b. Meningkatkan tidal volume
c. Meningkatkan efisiensi ventilasi
d. Meningkatkan kapasitas inspirasi
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- Exercise untuk jantung harus stop jika kecuali:
a. Nadi naik / turun 20x/m
b. BP naik / turun 20
c. Ekstremitas stiffness
d. Left chest pain
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- Goal exercise untuk jantung
a. Mobilisasi
b. Ambulasi
c. Communication
d. A dan B saja
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- Exercise untuk heart disease:
a. Increased in stroke volume during aerobic exercise biasanya tidak terjadi pada elderly
b. A clinical benefit of exercise training is improved resting ejection fraction
c. Activity related symptoms such as angina or claudication are not generally reduced with exercise training.
d. Patient should be exercise at HR 70 – 85% max HR
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- Yang benar adalah:
a. Continuus ECG monitoring has been shown to provide added safety during supervised exercise.
b. Here are a number of complication with exercise testing in the elderly.
c. The mortality rate in patient with coronary heart disease living alone is greater than those who live with others.
d. The ventricular ejection fraction is a good predictor of exercise capacity of patient with heart failure
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