DPT 624: Acute Care and Therapeutic Exercise Flashcards Preview

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Flashcards in DPT 624: Acute Care and Therapeutic Exercise Deck (131)
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1

A patient who has a "slouched posture" would demonstrate all of the following except

a. Short TFL and IT band
b. Weak, stretched Iliosoas
c. Weak, poorly developed gluteus Maximus
d. Shortened rectus femoris and hamstrings

A

2

All of the following exercises are primary exercises for the quads EXCEPT:

a. Sitting – LAQ
b. Lunge
c. Supine bridge on flat surface
d. Wall sit

C

3

How many degrees of movement does the knee go through during gait?

60 degrees

4

A PT student who spends countless hours sitting in class switching b/w looking up at the instructor and down at their computer screen may sometimes experience low back pain. This pain is most likely due to which of the following common faulty postures?

a. Slouched or swayback
b. Lordotic posture
c. Round back with forward head posture
d. Flat upper back and neck postured

C

5

When providing CPR, the appropriate ratio of chest compressions to breaths is

a. 50:3
b. 10:1
c. 30:2
d. 20:2

C

6

The patient you been seeing in sports rehab arrives one day for treatment of his chronic back pain. While assisting him with his therapy, he reveals to you that he just started a prescription of penicillin for a cold. You notice that his lips are swollen and he is wheezing. This could indicate which of the following?

a. Monitor patient, but continue with therapy as this is a mild allergic reaction
b. Call 911, as he is having a severe allergic reaction, monitor closely and administer CPR if necessary
c. Call 911, and leave the patient under the supervision of a tech so you can see your other patients
d. Stop therapy, reschedule for another time

B

7

While volunteering at the Special Olympics track meet, you come upon a spectator that has collapsed in the stands. Upon examination, you note that they are profusely sweating their pulse is shallow and rapid. You have alterted the EMT on duty at the track, but while waiting for their arrival the best position for this patient to be placed in is

a. Supine
b. Prone
c. Supine with legs elevated
d. Sitting

C

8

True or False

If your patient, who is a known diabetic, comes to clinic for PT and has fruity adored breath (not due to gum), flushed, dry skin, and deep, labored breathing, you would suspect the patient is hypoglycemic and offer them juice

False

9

Noxious stimulu causes the body to have an unregulated sympathetic response resulting in uncontrolled sudden onset hypertension. This phenomenon is known as:

a. Orthostatic hypertension
b. Autonomic hyperreflexia
c. Sympathetic/parasympathetic dysfunction
d. Orthostatic hypotension

B

10

True or False

Bone remodeling after surgery or an injury, such as a fracture, can occur up to one year after the injury or surgery

True

11

Ligaments after an injury or repair are considered being at their _____ at around day 21, during the _______ phase of healing.

a. Weakest, proliferative
b. Strongest, proliferative
c. Strongest, remodeling
d. Weakest, inflammatory

A

12

DVTs are an associated risk factor when venous pooling occurs. Which of the following are imperative to help prevent DVT’s in patients?

a. Ambulation ASAP after surgery
b. LE exercises
c. Anticoagulant therapy
d. Sequential compression devices (SCDs)
e. All of the above

E

13

Your patient is preparing to d/c home after completing PT. he underwent a THR 3 days prior… you take a set of vital signs and notice his HR is elevated and his O2 saturation is 94%; both of which are new findings from the previous vital sign monitoring during therapy sessions. You alert the nurse immediately, as you suspect:

a. Pneumonia
b. Indigestion
c. DVT
d. Pulmonary embolism

D

14

A patient of yours is being seen 2x weekly for rehab s/p ACL repair 12 weeks ago. Because you took a thorough health history and have a keen eye, you notice nicotine stains on her fingers and teeth, thus deduce she is a smoker (thought she denied it on her health history form). Will this impact when and how much resistance you add to her LE strengthening regimen on the surgically repaired side?

a. Yes – more resistance and sooner than a non-smoker
b. No- as her physician has her on a strict protocol that must be followed
c. No- her tissue will repair itself as normal
d. Yes- her tissue repair will take longer than a non-smoker, thus will need a modified treatment

D

15

Look at picture questions!

MIDTERM: look at questions 1, 20, 24, 32, 48, 49, 53, 54

FINAL: look at questions 3, 4, 8, 18

16

A 50 year old man is in the hospital for 2 days after he received a TKR. He is experiencing acute post-operative pain. What type of pain relief will he most likely be using initially while in the hospital?
a. epidural pump
b. intravaneous patient controlled anesthesia (IV-PCA)
c. oral pain medications
d. intrathecal pump

B

17

Which of following is not a goal of physical therapy intervention in acute care settings?
a. provide the patient with social stimulus and activity
b. make recommendations for appropriate discharge planning for patients
c. prevent contractures and pressure ulcers
d. prevent/minimize adverse effects of immobility/inactivity

A

18

You are physical therapies in an acute care setting and have just received new orders for a patient. you have reviewed the patients history in the medical chart and found she is a 23 year-old female with severe burns and open wounds to lower 2/3 of her body from a chemical explosion. what type of bed would you anticipate this patient to be using when you enter her room for treatment?
a. turning bed frame
b. standard adjustable bed
c. low air loss therapy bed
d. air fluidized support bed

D

19

If a patient were to experience muscle aches after receiving medication, would this be considered an adverse or an allergic reaction?

Adverse

20

If a patient were to experience dizziness or syncope after receiving medication, would this be considered an adverse or an allergic reaction?

Allergic

21

If a patient were to experience sneezing after receiving medication, would this be considered an adverse or an allergic reaction?

Allergic

22

If a patient were to experience difficulty swallowing or speaking after receiving medication, would this be considered an adverse or an allergic reaction?

Allergic

23

If a patient were to experience swelling of the mouth, face, or tongue after receiving medication, would this be considered an adverse or an allergic reaction?

Allergic

24

If a patient were to experience drowsiness after receiving medication, would this be considered an adverse or an allergic reaction?

Adverse

25

After receiving a consult for teaching a patient “rotator cuff repair protocol” in same day surgery, you are unable to verify the ‘protocol’, as this is a new surgeon whose protocols are not in the EMR. before seeing the patient, you were able to read the operative report, which noted the procedure was a ‘repair of all rotator cuff tendons on the R shoulder, two of which were massive tear repairs. having this information, you now know to educate your patient in the following:
a. pendulum exercises and PROM in pain free range
b. AAROM/AROM in available planes
c. assisted shoulder elevation exercises with a wand or a cane
d. AROM with light resistance in pain free range

A

26

A tension graft, such as an ACL goes through a necrotizing process the first 2 to 3 weeks postoperatively before revascularization commences and before maturation gradually occurs. Thus, the graft is at its ___________ during the _____________ phase:
a. strongest, proliferative
b. strongest, inflammatory
c. weakest, proliferative
d. weakest, remodeling

C

27

Is the pronator quadratus a one joint muscle or two-joint muscle

one joint muscle

28

Is the long head of biceps brachii a one joint muscle or two-joint muscle

two-joint muscle

29

Is the soleus a one joint muscle or two-joint muscle

one joint muscle

30

Is the deltoida one joint muscle or two-joint muscle

one joint muscle