Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Unit 10 > Week 3 > Flashcards

Week 3 Flashcards

1
Q

What are the 3 phases of the mestrual cycle?

A

Mensturation, proliferative, luteal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What is the time frame for menstrauation and what occurs during this phase?

A

Days 1-7, endometrial lining sloughs and bleeding begins

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What is the time frame for the proliferative phase and what occurs during this phase?

A

Days 7-14, increase estrogen level, ovulation occurs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What is the time frame for the luteal phase and what occurs during this phase?

A

Days 14-28, estrogen and progestone are secreted to thicken the endometrial lining

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What are the major hormones involved in pregnancy?

A

Estrogen, relaxin, progesterone

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What is the role of estrogen?

A

Increase the size of the breast and uterus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What is the role of relaxin?

A

Inhibit uterine contactions, softens cervix, relaxes ligaments of pelvis and other joints during pregnancy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What is the role of progesterone?

A

Smooth muscle relaxation of the uterus and GI tract

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Define gravida

A

Number of pregnancies

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Define para

A

Number of live births

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What vascular changes occur during pregnancy?

A

Increased venous pressure in lower limbs, supine hypotension syndrome

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

When does supine hypotension occur?

A

2nd and 3rd trimesters

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Briefly describe supine hypotension

A

IVC occluded while lying in supine. Blood flow compromised to mother (SOB, dizziness)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What should you do as a PT if a mother starts exhibiting symptoms of supine hypotension?

A

Rotate her to her left side

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Define striae gravdarum

A

Stretch marks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What nerve is involved with meralgia paresthetica?

A

Lateral cutaneous nerve

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What trimester does meralgia paresthetica generally occur during?

A

3rd trimester

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

What is meralgia paresthetica?

A

Entrapment of lateral femoral cutaneous nerve between inguinal ligament and enlarging abdomen

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

What are the symptoms associated with meralgia paresthetica?

A

Paresthesia of lateral thigh

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

What is the recommended exercise dose for a pregnant woman

A

30 minutes/day

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

What are some medical red flags that are absolute contraindications to exercise?

A

Heart disease, lung disease, incompetent cervix, twins with risk for premature labor, persistent bleeding, placenta previa (after 26 weeks), ruptured membrane, pre-eclampsia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Compare and contrast braxton hicks and regular contractions

A

Braxton hicks - do not increase in intensity, tightening around suprapubic area
Regular - increase in intensity and closer in time. Felt in abdomen/back

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

What are the conditions that are considered high risk?

A

Placenta previa, pre-eclampsia, gestational diabetes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

What is placenta previa?

A

Implantation of the placenta in the lower portion of the uterus over or near the cervix

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

What are some signs of pre-eclampsia?

A

Increased protein levels in urine, HTN >140/>90, after 20 weeks of gestation, rapid fluid retention

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

What RPE do you want to shoot for for someone with gestational diabetes?

A

11-13/20

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

What are the levels of perineal tear?

A

1st - skin, superficial muscles
2nd - extends through perineum
3rd - tear to ext anal sphincter
4th - tear into EAS and possible IAS

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

How long does it take patients to be cleared for exercise post-partum?

A

6-8 weeks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

When is relaxin detectable post-conception?

A

14 days

30
Q

When are relaxin levels most elevated?

A

12-17 weeks

31
Q

What is a normal weight gain during a pregnancy?

A

25-35lbs

32
Q

What are the major postural changes that occur with pregnancy?

A

Forward head, forward shoulders, lordosis, anterior pelvic tilt, hip ER, knee hyperextension, foot pronation

33
Q

What are some major muscles that are shortened during pregnancy?

A

Hip flexors, hips rotators, back extensors

34
Q

What is normal separation for diastasis recti abdominis?

A

Less than 2 fingers

35
Q

Where is diastasis recti first evident? What about 2nd and 3rd?

A

At umbilicus first. Above umbilicus, then below umbilicus.

36
Q

When should diastasis recti be reversed post-partum

A

4-6 weeks

37
Q

Define macrosomia

A

Baby more than 8 lbs

38
Q

What are the 3 key factors that contribute to LBP in post-partum women?

A

Abdominal sagittal diameter, abdominal transverse diameter, depth of lumbar lordosis

39
Q

When does SIJD and pelvic girdle pain generally occur during pregnancy?

A

1st trimester (due to relaxin)

40
Q

What exacerbates pubic sympthesis pain?

A

Walking, unilateral stance, stair climbing, rolling in bed, transitions

41
Q

When does pubic symphtesis generally occur?

A

3rd trimester

42
Q

What are the best positions for a pregnant lady

A

Side-lying, quadruped, supine (on wedge!)

43
Q

What are some good tests to look at when evaluating a pregnant lady in standing?

A

Trendelenburg, standing flexion, stork

44
Q

What are some good tests to look at when evaluating a pregnant lady in supine?

A

Piriformis test, FABER, SLR, thigh thrust, hip scour, palpation of PS, hip flexion strength, compression/distraction

45
Q

What is a sacral thrust?

A

PA pressure on sacrum (do base, middle, and apex)

46
Q

What are some possible benefits of alternate birthing positions?

A

Dec 2nd stage of labor, dec likelihood of assisted delivery, dec likelihood of episitomy

47
Q

Where is the appropirate positioning for an SI belt?

A

Below ASIS, at greater troch

48
Q

When is an SI belt worn?

A

WB activities and when pt has pain

49
Q

If you have an anterior rotation dysfunction, which muscle group should you be using in a MET?

A

Extensors (trying to rotate posteriorly)

50
Q

If you have a posterior rotation dysfunction, which muscle group should you be using in a MET?

A

Flexors (trying to rotate anteriorly)

51
Q

For pubic symphysis treatment, which muscle group should you use during MET to realign the joint?

A

Adductors

52
Q

What is the proper dosage for pelvic floor muscle exercises?

A

5-10 reps, 2-3x/day to start. Then move to 25-50 reps, 2-3x/day

53
Q

What are the highest sensitivity tests for PGP?

A

Active SLR, posterior thigh thrust, lunge

54
Q

What are the highest sensitivity tests for SIJ?

A

FABER, posterior thigh thrust, menell’s test

55
Q

What are the highest sensitivity tests for PS pain?

A

Trendelenburg, palpation of PS

56
Q

One study noted a thicker TA in patients with PGP. What is one explination of this?

A

They have plenty of strength but no motor control (need a timely contraction not a large one)

57
Q

What is the most common reason for worker’s comp injury in PA?

A

Overexertion or bodily reaction

58
Q

What is the most common area injured in PA (worker’s comp)

A

UE (followed by LE and trunk)

59
Q

What is the breakdown of total cost paid in worker’s comp in PA?

A

Half wages and half medical costs

60
Q

What is the purpose of the PA state worker’s comp bureau?

A

Pay out money for injuries and medical benefits and prevent injuries

61
Q

What are some examples of things that are covered by worker’s comp?

A

Injury illness or disease caused by work duty, occupational disease if caused or aggravated by employment, reasonable cost for surgery, medication, hospital services etc.

62
Q

What are some examples of things not covered by worker’s comp?

A

Self-inflicted injury, employee violation of law

63
Q

How much money from worker’s comp to patients get as wage-loss payments?

A

2/3 of average weekly pay with a max of 1049

64
Q

When does wage-loss payments kick in for workers in PA?

A

After being out of work for 14 days, retroactive pay is initiated for first 7 days

65
Q

How long after an injury or disease exposure does a worker have to file a claim?

A

120 days after injury, 300 days after last employment where hazard was

66
Q

When do worker’s comp benefits stop?

A

When wages are equal or greater than before injury, employer/insurance doesn’t accept claim, employee signs final receipt, offer of employment

67
Q

In worker’s comp, the employee is entitled to monthly reports on patient progress. What is included in these reports?

A

Attendance, progress, prognosis/return to work (only for current course of current injury!)

68
Q

What is the PTs role in worker’s comp?

A

Prevention, communication, documentation, modified duty programs, plan (for return to work), evaluate

69
Q

What are the benefits of having a safety committee as an employer?

A

5% reduction in workers comp

70
Q

What must a safety committee have?

A

2 employer and 2 employee members, meet monthly, be in operation for at least 6 mo, be trained in safety committee operation hazard inspection and accident investigations

71
Q

What is the best way to control indemnity cost?

A

Sustainable return to work

72
Q

What are the main roles of a PT in worker’s comp?

A

Prevention, communication, documentation, modified duty, plan return to work

Unit 10 (7 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions