Chapters 1-9 CDM and Examination

Question 1

Levels of evidence - level 1

Answer 1

Systematic reviews

Meta analysis

Question 2

Levels of evidence - level 2

Answer 2

RCT

Question 3

Levels of evidence - level 3

Answer 3

Nonrandomized control cohort study

Question 4

Levels of evidence - level 4

Answer 4

Case control

Question 5

Levels of evidence - level 5

Answer 5

Cross sectional studies

Question 6

Levels of evidence - level 6

Answer 6

Case series

Question 7

Levels of evidence - level 7

Answer 7

Case reports

Question 8

Levels of evidence - level 8

Answer 8

Ideas, opinions

Question 9

Normal vitals - newborn
Temp
Pulse
RR
BP

Answer 9

Temp - 98.6 - 99.8
Pulse - 120-160
RR - 30-80
BP - 50/30

Question 10

Normal vitals - adult 
Temp
Pulse
RR
BP

Answer 10

Temp - 96.8 - 99.5
Pulse - 60-100
RR - 12 - 20
BP - less than 120/80

Question 11

Normal vitals - older adult
Temp
Pulse
RR
BP

Answer 11

Temp - 96.5-97.5
Pulse - 60-100
RR - 15 - 25
BP - less than 120/80

Question 12

Upper resp airways include

Answer 12

nose, mouth, pharynx, larynx

Question 13

Resp zone

Answer 13

GAS EXCHANGE
resp bronchioles
alveolar ducts
alveoli (alveolar sacs)

Question 14

Conductive zone

Answer 14

NOT CONTRIBUTE TO GAS EXCHANGE
Trachea
Bronchi
Terminal bronchioles

Question 15

Normal inspiration lasts how long

Answer 15

1 - 1.5 seconds

Question 16

Normal expiration lasts how long

Answer 16

2-3 seconds

Question 17

Central chemoreceptors are responsive to

Answer 17

CO2 or H ion levels of arterial blood

Question 18

Peripheral chemoreceptors are responsive to

Answer 18

partial pressure of oxygen (PaO2)

Located at bifurcation of carotid arteries and in arch of aorta

Question 19

CNS depressants

Answer 19

Narcotics
Barbituates 
Benzodiazapines
Muscle relaxants
Tricyclic antidepressants
Anticonvulsants 

All dec rate and depth of respirations

Question 20

Cheyne Stokes respirations

Answer 20

gradual increase in depth of respirations followed by decrease and then period of apnea

Occurs with coma, BG disease, and occasionally in CHF

Question 21

Alert

Answer 21

awake and attentive to normal levels of stimulation

interactions with PT are normal and appropriate

Question 22

Lethargic

Answer 22

Drowsy and may fall asleep if not stimulated in some way
Interactions with PT may get diverted
Pt may have difficulty focusing or maintaining attn on question or task

Question 23

Obtunded

Answer 23

Difficult to arouse from somnolent state and freq confused when awake
Repeated stim required to maintain consciousness

Question 24

Stupor

Answer 24

Semicoma
Pt responds only to strong, generally noxious stimuli and returns to unconcios state when stimulation is stopped
When aroused is unable to interact with PT

Question 25

Coma

Answer 25

deep coma Cannot be aroused with any stimulation Reflexes may or may not be seen

Question 26

Free nerve endings

Answer 26

pain, temp, touch, pressure, tickle, itch

Question 27

Hair follicle endings

Answer 27

mechanical movement and touch

Question 28

Merkel discs

Answer 28

low intensity touch, velocity of touch, constant indentation of skin (pressure)

Question 29

Ruffini endings

Answer 29

``` touch and pressure Deep ruffini (mm receptors) - direction and velocity of join movement ```

Question 30

Krause's end bulb

Answer 30

perception of touch and pressure

Question 31

Meissner's corpuscles

Answer 31

discriminative touch | movement of objects over skin

Question 32

Pacinian corpuscles

Answer 32

deep touch and vibration | Monitor rapid joint movement

Question 33

Muscle spindles

Answer 33

position and movement sense

Question 34

GTOs

Answer 34

Tension within the muscle | Protective mechanism to mm in extreme tension - inhibits contracting muscle and facilitates antagonist

Question 35

Anterolateral spinothalamic pathway

Answer 35

pain, temp, tickle, itch, sexual sensations Ant - pressure, touch Lat - pain and temp

Question 36

DCML

Answer 36

disriminative touch, stereognosis, tactile pressure, barognosis, graphesthesia, recognition of texture, kinesthesia, two point discrimination, proprioception, vibration

Question 37

Myotomes - C5

Answer 37

Shoulder abduction Shoulder flexion Deltoid

Question 38

Myotomes - C5, C6

Answer 38

Elbow flexion - Biceps Wrist extension - ECRL, ECRB

Question 39

Myotomes - C7

Answer 39

Wrist flexion - FCR, FCU Elbow extension - Triceps

Question 40

Myotomes - C8

Answer 40

Ulnar deviation - FCU, ECU

Question 41

Myotomes - T1

Answer 41

Digit abd/add - Interossei

Question 42

Myotomes - L2, L3

Answer 42

Hip flexion - iliopsoas

Question 43

Myotomes - L2, L3, L4

Answer 43

Knee extension - Quadriceps

Question 44

Myotomes - L4

Answer 44

DF - ant tib

Question 45

Myotomes - L5

Answer 45

Great toe ext - EHL

Question 46

Myotomes - S1

Answer 46

PF - gastroc | Eversion - Peroneus longus, brevis

Question 47

Decorticate rigidity

Answer 47

UE flexed | LE extended

Question 48

Decerebrate rigidity

Answer 48

All extended

Question 49

minimum wheelchair ramp grade

Answer 49

1:12 ratio If outdoor and experience inclement weather, then 1:20 Min of 36 in wide

Question 50

Doorway width

Answer 50

32 to 34 inches

Question 51

Carpeting

Answer 51

0.25 - 0.5 in (0.635 - 1.27cm)