YOU CAN DO IT Flashcards
Fergusons angle is what
Lumbosacral angle
Angle formed by // line thru superior aspect of sacrum and horizontal
Normal 35-45 deg
Hyper/Hypolordosis angles
Hyperlordosis is more than 45
Hypolordosis is less than 35
Fergusons angle
Hyperlordosis leads to
Increased shear force on L5-S1
Sacrum moves ant on ilium with inhalation or exhalation
Exhalation
Sacrum moves post on ilium with inhalation or exhalation
Inhalation
Supine to sit pneumonic for leg length
ALS (ant rot if long to short)
PSL (post rot if short to long)
Resting position - what distance between teeth
2-5 mm
Depression of mandible = what translation
Anterior
Elevation of mandible = what translation
Posterior and superior
Normal opening ROM of TMJ
40-50 mm
Scapulohumeral rhythm
For every 2 deg of GH motion, there is 1 deg of scapular motion
Early phase 0-30 is all GH
Mid (30-90) is 40 GH, 30 SC
Late (90-180) is 60 GH, 30 AC, 10 spine
Total of __ deg of scapular ___ during flex/abd
60 deg of upward rot with flex/abd
Subacromial space - RTC dysfunction is space is what
Less then 6 mm
Bakart lesion
Ant/Inf labral tear
Common shoulder - dislocation and lesion
Ant dislocation
Can lead to Hill Sachs lesion - fx of post head
Shoulder - start with closed or open chain
Start with closed chain first
Hornblowers sign
RTC - ERs
pt hold arm in scaption with ER against resistance
Maudleys test
Hand flat
Middle figner extended
For lateral epicondylitis
Contents of carpal tunnel
FDP/FDS
Median nerve
FPL
FCR
OA vs. RA joints
OA = HerberDens (DIP) RA = Bouchards (PIP) and MCPs
DeQuairvains involves
EPB
APL
What deformities seen with RA
Swan neck - PIP ext, DIP flex
Boutonniere - PIP flex, DIP ex
HS strain common with
Hip flexion and full ext (hurdlers/runners)
Quad strain common with
rapid decelertion
Most common type of hip location
Post
Close packed for hip
IR, abd, ext
Capsular pattern hip
IR, flexion, ext = abd
PCL torn with what
Varus
Twisting
Tibia on dashboard or fall onto flexed knee
ACL torn with
Hyperextension, valgus rot force
Medial meniscus - shape and attaches to what
C shaped, atttaches with MCL and semimem
Lateral meniscus - shape and attaches to what
O shaped, attaches to popliteus and PCL
Maniscal tears happen with
rot/cutting moveemnt
Deep flexion or degeneration
Arthro of knee
Open chain = Concave on convex = SAME
Initial contact - Foot ___ and Calc ___
Foot pronates
Calc ev
Push off - Foot ___ and Calc ____
Foot supinates
Calc inv
In nonweigthbearing the forefoot ____ Calc __
Forefoot Varus
Calc
Sustentaculum tali is where and what
Medial
Tom, DIck, Harry
TA, FDL, FHL and tibial nerve and artery
ROM needed for gait
hip and lower
Hip flex 30 Hip ext 10 Knee flex 60 knee ext 0 DF 10 PF 20
Avg gait cadence and velocity
Cadence = 80-110 steps/min Velocity = 1.3 m/s (3mph)
wrist norm ROM
F 80
E 70
R 20
U 30
Most common lever in body
Third
FER
Arthro of radiocarpal
Carpals = convex
Radius = concave
Flex/Ext = Vex on Cave = OPP
Inc Flex = Dorsal glide
Arthro of talocrural
Talus = Convex
Tib/Fib = Concave
Vex on Cave = OPP
MMT - but with good, fair…
0 = Zero 1 = Trace 2- = Poor minus 2 = Poor 2+ = Poor plus 3- = Fair minus 3 = Fair 3+ = Fair plus 4- = Good minus 4 = Good 4+ = Good plus 5 = Normal
Person with new orthosis - wear it how often at first? For the first day
Wear it 1-2 hours
Most important stretching for transfemoral - stretch what
Hip ext and add
Contracture would be flex and abd and ER
Cruciate and collateral ligaments with IR of the tibia
Cruciate become tighter
Collateral become more relaxed
Initial swing phase - need what knee flexion
60
Midswing phase - need what knee flexion
30
Termnal stance - need what knee flex
0 to 5
Firm end feel =
Ligament
Tendon
Capsule
First to occur with PROM
Stabilize proximal joint segment
Talipes equinovarus =
PF
Hindfoot varus
Forefoot adduction
Tarsal tunnel syndrome is associated with
Pes planus
Strong and painful =
Minor lesion of musculotendinous unit
Weak and pain free =
Complete rupture of the musculotendinous unit
Weak and painful =
Inhibition by pain
Weak and variable pain =
Neurological lesion
Elevated BUN think
Renal problem
Reduced BUN think
Liver/malnutrition
P wave =
atrial depolarization
0.08 to 0.10
PR itnerval =
Time to pass through AV junction
0.12 to 0.20
QRS =
Depolarization of ventricles (and buries atrial repolarization)
0.04 to 0.1
T wave =
Repolarization of ventricles
QT interval
Less than or equal to 0.44
Total time for dep and rep of the ventricles
Second degree - compare type 1 and 2
Type 1 = prog lengthens, drops every 4th
Type 2 = fixed long, drops every 2, 3, or 4
Preload =
the amount of stretch in the LV at the end of diastole
Afterload =
Systemic vascular resistance, amount of resistance the heart has to overcome to open the aortic valve and push blood volume into systemic circulation
ACE inhibitors - end in what
“ril”
Nitrglycerin - does what
Dec preload and afterload by VD
Nitroglycerin is used for what
VD used for chest pain/angina
Ca channel blockers - do what
Dec contractility
Dec HR, BP
VD
ACE inhibitors do what
Dec afterload
Dec BP
Beta blockers dp wjat
Dec HR Dec contractility Dec O2 demand of heart Dec CO Dec BP
Type of meds for CHF
ACE inhib (VDs) Pos ionotropes (inc contractility) Diuretics (to dec preload) Ca channel blcokers Beta blockers (dec HR and cx and afterload)
Types of meds for bradycardia
Atropine
Isoproterenol
Pacemaker
Types of meds for tachycardia
BEAR DOWN!
Vagal stimulation
Antiarrhthmia agents
Na channel
Beta blockers
K channel blockers
Ca channel blockers
Digoxin does what
Helps AV node slow down impulses so more time for blood to go through efficiently
Enhanced mobidity when combined with diuretics!!!
Inc contractility by dec hR
Meds for high BP - to help lower it
DIuretics (dec preload) Beta blockers (dec HR, cx, afterload, BP) ACE inhib (VD, dec BP)
Emphysema - think what
Pink puffer
SOB, thin.underweight
Inc AP chest diameter
Chronic bronchitis - think what
Blue bloater
Chronic cough with sputum, Cyanosis, overweight, wheezing, R HF
COPD - what percent emphysems vs. chronic bronchitis
80% CB
20% emphysema
One of main treatments for COPD
BDs
Like albuterol
Acute resp failure =
PaO2 of what and PaCO2 of what
PaO2 less than 60
PaCO2 greater than 50
Aspiration is more common in which lobe
R because more vertical and larger diameter
Normal ins:exp ratio
COPD ratio
1:2
COPD is 1:4
Resonant sound associated with
Loud, low pitched - heard over lungs
Dull sound associated with
High pitched, heard over liver and diaphragm
Flat sound associated with
High pitched, heard over mm mass
Tympanic sound associated with
High pitched, heard over hollow organs like stomach
Pulmonary hypertension - normal values
Norm = 12-18 mm Hg
HTN is more than 20
No ex if more than 25
Jugular distention is indicative of what
R heart failure
Definition of MET
The amount of oxygen required to sustain an individual in a seated, upright posiiton
Work hardening vs. conditioning
Hardening = focus on job bx and tasks - Specific Conditioning = physically return to work - non specific
HMO =
In network only
PCP is gatekeeper
PPO =
In and out of network
more expensive to go out of network
POS
Requires PCP but can go out of network
Need referral to go out of network
Medicare A
IPT hospital SNF HH Hospice Inpt rehab
Medicare B
OPT physician visits DME ambulance Mntal health
Progress note = when
Every 10th visit or 30 calendar days
Recert - when
At least 90 days
Or end of intiial cert and wanting to continue therapy
8 min CMS
8-22 = 1
23-37 = 2
38 - 52 = 3
53-67 = 4
Pneumonia x-ray will show what
Radiopaque (white) infiltrate involving the vast majority of the lobe
Radiolucent = what color
Black
Radiopaque = what color
White
Women vs. Men Hematocrit and Hemoglobin
Women have lower hematocrit and hemoglobin
12-16 (F), 14-18 (M)
37-47 (F) 40-54 (F)
