1/18 Flashcards

1
Q

what term?
Irregular respiration pattern characterized by a period of apnea followed by gradually increasing depth of respirations
- common with depression of the cerebral hemisphere (e.g., coma), basal ganglia disease, occasionally with congestive heart failure.

A

Cheyne-Stokes respiratory pattern

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2
Q

what term?

Irregular respiration pattern characterized by highly variable respiratory depth and intermittent periods of apnea

A

Biot respirations

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3
Q

acute exercise, pt has COPD

what do you expect with incremental exercise?

A

elevated heart rates and blood pressures with incremental exercise

  • increased hypoxemia
  • compensatory response, and exercise can continue as prescribed with continued monitoring of vital signs.
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4
Q

what test for function of the patient’s longus colli and longus capitis?

A

craniocervical flexion test or the deep neck flexor endurance test

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5
Q

+ FADIR indicates?

A

hip anterior acetabular labral tears

  • may also have groin pain
  • MOI: rotational injury.
  • painful clicking
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6
Q

what motions aggravate transient synovitis of hip?

A

IR and abduction

- also have active antalgic gait

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7
Q

what motions aggravate trochanteric bursitis?

A
  • passive hip adduction
  • resisted ER, abduction, extension (glutes)
  • sidelying on involved side
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8
Q

trochanteric bursitis pop

A

age 40-60

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9
Q

removal of chest tube may result in what condition?

how to rule out condition prior to mobilization?

A

pneumothorax- collapsed lung, when air leaks into the space between your lung and chest wall
radiograph

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10
Q

what term?

heart rate reserve) x (%intensity) + (resting heart rate

A

karvonen formula, heart rate reserve HRR fomula

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11
Q

how to calculate HR max?

A

220-age

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12
Q

treatment for whiplash injury

  • acute
  • subacute
  • long term
A

acute- modalities, stretch, pain management
subacute - cervical proprioception exercises, deep neck flexor strengthening
long term- change movement patterns with active exercise, increase the endurance of the type I fibers, improve cervical proprioception

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13
Q

what happens to muscle fibers after whiplash injury?

A

change in muscle fiber type from type I slow-twitch to type II fast-twitch in the deep cervical flexors

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14
Q

ultrasound which frequency has higher max temp

  • 3 or 1 MHz?
  • higher or lower intensity?
A

3MHz, less depth

higher intensity

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15
Q

what level SCI injury?

  • dependent in bed mobility and transfers
  • use a power wheelchair independently as the primary means of mobility
A

C1-4

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16
Q

what level SCI injury?

  • able transfers and bed mobility with assistance OR dependent
  • Power wheelchair mobility is the recommended mode of mobility, with modified independence as the highest level.
A

C5

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17
Q

what level SCI injury?

  • transfers with some assistance
  • likely to be able to perform bed mobility independently with assistance needed only for leg management at times.
  • Manual wheelchair mobility will be possible over level surfaces, but assistance will be required over unlevel surfaces such as rough terrain and curbs.
A

C6

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18
Q

what level SCI injury?

  • perform transfers with modified independence and may not need a transfer board.
  • able to perform bed mobility without assistance
  • wheelchair mobility over most surfaces, including ramps and rough terrain
A

C7-8

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19
Q

why perform valgus/varus stress test in 20deg knee flexion

A

isolate MCL or LCL

full extension would involve other ligaments

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20
Q
pathology?
anterior shoulder pain
\+ clunk test
repetitive overhead throwing
diagnosis?
A

SLAP lesion, labral lesion

magnetic resonance arthrogram

21
Q

adhesive capsulitis - how to diagnose?

A

contrast arthrography radiograph

22
Q

what pathology? diagnose with

anterior-posterior bilateral radiograph with weights

23
Q

characteristics of arterial wound

A
  • wound on dorsum of the foot, lateral leg, or toes
  • minimal edema initially, only if limb is held in a dependent position
  • minimal exudate
  • severe pain
  • deep, punched out
  • involving even tendon and bone.
24
Q

characteristics of neuropathic ulcer?

A
  • forefoot area, specifically on the metatarsal heads, toes, or over an area of increased weight-bearing that may be present because of a foot deformity.
  • typically not found on the leg
25
characteristics of pressure injury
- over a bony prominence, such as the lateral malleolus or calcaneus. - taut, shiny, hardened skin around the wound - edema limited to that area.
26
characteristics of Venous wound
- irregularly shaped, large - medial leg - moderate-severe edema - aching pain that worsens when the leg is in a dependent position and decreases when the leg is elevated
27
lesion of what CN - diplopia - compensate for the diplopia by tilting the head anteriorly and laterally toward the side of the normal eye - cannot look down and in - lead to torticollis
Trochlear CN 4, superior oblique muscle
28
lesion of what CN - loss of taste - paralysis of the muscles of facial expression - loss of salivation and tear production
CN7 bells palsy
29
lesion of what CN - hearing loss and vestibular symptoms, - loss of balance, - vertigo, nystagmus - impaired ability to maintain gaze.
CN 8 vestibulocochlear nerve
30
lesion of what CN | - deviation of the tongue to weak side during protrusion of the tongue.
CN 12 hypoglossal nerve
31
what stage lymphedema? - pitting edema - edema reduced w elevation - able to pinch skin on dorsum foot (- stemmers sign)
Stage 1 (reversible) lymphedema
32
what stage lymphedema? | + stemmers sign
``` Stage 2 (spontaneously irreversible) or Stage 3 (lymphostatic elephantiasis) - inability to pinch a fold of skin over the dorsum of the foot ```
33
surgeries that are contraindications for postural drainage
spinal fusions | eye surgeries.
34
what MMT? prone glenohumeral joint at 90° of abduction and laterally (externally) rotated apply resistance anteriorly
middle trapezius muscle
35
what MMT? | prone position with the shoulder extended, adducted, and medially (internally) rotated
latissimus dorsi
36
what MMT? prone arm at 90° of abduction and medial (internal) rotation of glenohumeral joint resistance applied anterior
rhomboid major
37
what MMT? | prone position with the arm extended diagonally overhead and the shoulder is medially (externally) rotated
Lower trapezius
38
what diagnosis? - child - typically affects the T7–T10 region - pain is worse with prolonged standing or sitting. - posture is characterized by excessive thoracic kyphosis and lumbar lordosis - active rotation in sitting position is painful
Scheuermann disease, Scheuermann's kyphosis - condition in which a child has too much curvature (or kyphosis) in the middle of the back. - Kyphosis typically occurs during periods of accelerated growth.
39
major risk factor for compression fracture
osteoporosis, decreased bone mineral density
40
what region of spine does spondylolisthesis and disc issues occur?
lumbar
41
what are pros of Sensory-level electrical stimulation?
- can cover a large area | - effective for treating chronic pain
42
what dressing appropriate for a granular wound that is draining?
foam collagen calcium alginate - all highly absorbent, good for granular wound
43
triceps innervation nerve? spinal nerves?
radial nerve (C7–C8)
44
deltoid and brachialis nerve innervation nerve? spinal nerves?
``` axillary nerve (C5–C6) musculocutaneous nerve (C5–C6) ```
45
supinatorinnervation nerve? spinal nerves?
radial nerve from the C6
46
Chorea-type movements are related to pathological condition of what part of brain?
basal ganglia
47
what devices can you PWB?
crutches walker - prefer least restrictive
48
intervention for Atelectasis
``` Deep breathing (diaphragmatic breathing) - common after abdominal surgery ```