Brainstorming Flashcards

1
Q

Enthesopathy except:
A. Scleroderma
B. Reiter’s syndrome
C. Gouty arthritis
D. Psoriatic arthritis

A

A. Scleroderma
- affects the synovium

Enthesitis/Enthescopy - Spondyloarthropathies (“PARI”; HLA B2)
Psoriasis - DIP
Ankylosing Spondylitis - SI jt.
Reactive Arthritis - Ankle
IBS - Knee jt.

Gout is not part of PARI but it has (+) tophi which can lead to Enthesopathy

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2
Q

A woman who is going to join a beauty pageant took diuretics to decrease weight. What should be observed?
A. CBC
B. WBC
C. Sodium and potassium

A

C. Sodium and potassium

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3
Q

Perfectly matched causes of anemia (EXCEPT?)
A. Thalassemia – hereditary factor
B. Pernicious anemia – Vitamin B12 deficiency
C. Sickle cell anemia – radiation
D. Immunologic anemia – patient’s own body

A

C. Sickle cell anemia – radiation

Hereditary/genetics*

APLASTIC ANEMIA is radiation

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4
Q

Medications for acute gout:
A. Colchicine
B. Allopurinol
C. NSAIDs
D. DMARDs

A

C. NSAIDs

If wala ^ , choose A. Colchicine. Allopurinol is maintenance used in Gouty Arthritis

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5
Q

Non-erosive rheumatologic deformity in SLE:
A. Felty
B. Caplan
C. Jaccoud’s
D. Sjogren’s

A

C. Jaccoud’s - non-erosive but deforming condition involving the small joints; symmetric; (+) swan neck deformity; POLYARTICULAR type

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6
Q

The following increase gait speed, EXCEPT:
A. Decreased width of base of support
B. Increased stride length
C. Increased angle of toe-out

A

C. Increased angle of toe-out

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7
Q

Amount of air additionally inspired after tidal volume:
A. Vital capacity
B. Inspiratory reserve volume
C. Inspiratory capacity
D. Residual volume

A

B. Inspiratory reserve volume
(3000 mL)

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8
Q

Assistive device that allows 2-point, 3-point, and 4-point gait pattern:
A. Cane
B. Axillary crutches
C.Walker
D. Parallel bars

A

B. Axillary crutches

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9
Q

Dimension of a fitting room (minimum):
A. 20 sq ft
B. 40 sq ft
C. 30 sq ft
D. 50 sq ft

A

C. 30 sq ft (3 meter; 1 sq/meter = 10.764 sq/meter)

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10
Q

The following are characteristic of an ideal mattress overlay EXCEPT _____________.
A. 30 lbs. of 25% ILD (indentation Load Deflection).
B. Density of 1.3 lb/ft3.
C. Thickness of 3-4 inches.
D. Thickness of 1-2 inches

A

D. Thickness of 1-2 inches

Minimum: 2-4 in

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11
Q

Can’t support full weight on legs but does have reasonably good muscular coordination and arm strength, which crutch walking gait would you choose?
A. Four-point gait
B. Swing-through three-point gait
C. Three-point-and-one gait (partial-weight-bearing)
D. Three-point-gait (non-weight bearing)
E. Two-point gait

A

E. Two-point gait

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12
Q

A patient presents with compensated right thoracic scoliosis, and left lumbar scoliosis. Which of the following would be expected?
A. Gibbus deformity on the ® thoracic region
B. Gibbus deformity on the (L) thoracic region
C. Prominent (L) chest
D. Higher (L) shoulder

A

A. Gibbus deformity on the ® thoracic region

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13
Q

Which of the following would not cause a pressure ulcer when sitting on a wheelchair?
A. Elbow
B. Heel
C. Scapula
D. Ischium

A

B. Heel - common in SUPINE

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14
Q

A 14- years old patient will be undergoing leg amputation, what amputation will you recommend?
A. Syme’s
B. Chopart’s
C. Above knee
D. Below knee

A

A. Syme’s - able to do short distance without a prosthesis

Prosthesis rejection: 2-20 y/o

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15
Q

Irregular respirations of variable depth (usually shallow), alternating with periods of apnea (absence of breathing):
A. Cheyne-stokes respirations
B. Biot’s respirations
C. Kussmaul’s respirations
D. Paradoxical respirations

A

B. Biot’s respirations

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16
Q

Patient has hemoptysis but presents with normal lung exam:
A. Pulmonary infarction
B. Emphysema
C. Chronic bronchitis
D. Tuberculosis

A

D. Tuberculosis - has 3 stages
1) Exposure
2) Latent
3) Active
First two stages have no abnormal findings

17
Q

Patient with past history of smoking is at risk to develop what type of COPD?
A. Emphysema
B. Chronic bronchitis
C. Bronchiectasis
D. Asthma

A

BOTH A. Emphysema
B. Chronic bronchitis but TESTMANSHIP!

18
Q

Most common cause of metastasis to the vertebral spine:
A. Lungs
B. Kidney
C. Pancreas
D. Prostate gland

A

A. Lungs

1) lungs
2) Breast - nearer to thoracic spine
3) Prostate

19
Q

Patient presents with pleuritic pain and mediastinal shift:
A. Lung abscess
B. Lung tumor
C. Pneumothorax

A

C. Pneumothorax + Pleural Effusion

20
Q

*** Plantar ulcer, pale, cold, painless and swollen legs:
A. Acute venous insufficiency
B. Chronic venous insufficiency
C. Acute arterial insufficiency
D. Chronic arterial insufficiency

A

D. Chronic arterial insufficiency ** (to be clarified pa)

21
Q

This is a primitive reflex that will integrate at or before 6 months:
A. Moro reflex
B. Symmetric tonic neck reflex
C. Asymmetric tonic neck reflex
D. Startle reflex

A

A. Moro reflex

Primitive aka spinal

STNR and ATNR are brainstem reflexes
Startle reflex will persist

22
Q

True about Volkmann’s contracture:
A. FDP, FDL are spared
B. Affects the radial artery
C. Involves fracture of forearm/radius/ulna
D. Commonly seen in weightlifter and clerical jobs

A

C. Involves fracture of forearm/radius/ulna

23
Q

Tests for patellofemoral (pain syndrome, EXCEPT?)
A. Waldron test
B. Clarke’s sign
C. Lateral pull test
D. “Strattle” (Stutter?) test

A

D. “Strattle” (Stutter?) test aka PLICA STUTTER TEST

24
Q

Not involved in Erb-Duchenne palsy?
A. Elbow flexion
B. Wrist extension
C. Shoulder flexion
D. Forearm supination

A

C. Shoulder flexion

25
Q

Third dorsal compartment of the wrist contains the tendon of:
A. Extensor carpi radialis longus
B. Extensor digitorum communis
C. Extensor pollicis longus
D. Extensor pollicis brevis

A

C. Extensor pollicis longus

26
Q

A patient sustains a traction injury to the anterior division of the brachial plexus. PT expects weakness of the elbow flexors, wrist flexors, and pronators. PT may find additional weakness in:
A. Thumb abduction
B. Wrist extension
C. Forearm supination
D. Shoulder external rotation

A

D. Shoulder external rotation - suprascapular and axillary nerve (C5-C6)

27
Q

Mechanism of injury of medial meniscus injury:
A. Internal rotation of femur, internal rotation of tibia
B. Internal rotation of femur, external rotation of tibia
C. External rotation of femur, internal rotation of tibia
D. External rotation of femur, external rotation of tibia

A

B. Internal rotation of femur, external rotation of tibia