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Flashcards in exam 3 part 2 Deck (43):
1

What is the cut off for a spastic vs. flaccid bowel?

T12 or below = flaccid bladder
- loss of spinal defecation reflexes
- manual removal of stool may be required; meds less effective

T11 and above = spastic

2

When should both boys and girls be screened for scoliosis?

girls: earlier puberty so 9-11
boys: later so 11-13

3

What cervical motion allows for increased vertebral foramen space?

cervical flexion

4

Pelvic floor muscles should NOT be instated in what disease, as they will make symptoms worse?

interstitial cystitis
- thought to be from excessively tight muscles d/t chronic inflammation and pain in the bladder

5

What does pulse duration dictate for estim?

what fibers we recruit (sensory vs motor, gets painful the higher it is)

6

What does frequency dictate for estim?

how many pulses per second are sent
- higher pps = quicker fatigue
- desire 50-80pps for appropriate muscle fatigue with strengthening

7

What GI source of pain can refer to the shoulder?

spleen or diaphragm

8

Where does spleen pain refer to?

mid back or scapular regions

9

Where does esophageal pain refer to?

mid-back, head, or neck

10

If someone complains of lower back, pelvic, or sacral pain, what visceral organ could be referring pain there?

colon or appendix pain

11

What's the difference between the vestibulocerebellum and the spinocerebellum?

vistibulo = adjusts muscle tone in response to vestibular stimuli, esp. maintaining postural coordination and balance control along with eye muscle control

spino = controls muscle tone and synergistic movements of the extremities on the same side of the body

12

If a patient has an affliction of the basal ganglia, what symptoms might be produced?

rigidity, bradykinesia, tremor, postural instability

13

T/F: Side bending and rotation occurs in the same direction from C2-C7 regardless if C-spine is in flexion or extension.

true
- opposite rotation and side bending for AO and AA

14

How do you perform Adson's test?

you bring arm out into extension while measuring pulse
- pt extends head and rotates toward test arm
- pt breathes in a holds breath for a bit

15

What special tests are done to rule out pronator syndrome?

1) passive supination to elongate pronator (compresses median nerve)
2) resisted pronation (compresses median nerve)

16

T/F: For lymphedema patients, exercise when walking on a treadmill should always be performed with a compression garment or bandage on.

true

17

What is the typical pattern of spasticity in the UE post CVA?

scapular retraction, shoulder depression, shoulder IR, elbow flexion, shoulder adduction, forearm pronated, wrist/fingers flexed

18

What is the most common extra-intestinal complication for patients with Crohn's disease?

arthritis

19

T/F: Hypothyroidism results in decreased metabolic rate.

true

20

T/F: Steroids are known to cause distal muscle weakness with prolonged use.

false, proximal weakness

21

Describe how rib moves with inspiration/expiration.

inspiration: lateral rib goes up, head goes down
expiration: opposite

22

What is a bruit?

swishing sound heard in the narrowing of an artery

23

What is Legg-Calve-Perthes disease?

avascular necrosis of teh femoral head, insideous onset
- ages 3-12
- presents with: antalgic gait, disuse atrophy of hip/thigh, painful limitation of abduction and IR

24

How does slipped capital femoral epiphysis differ from Legg Calve Perthes disease?

slipped capital femoral epiphysis
- older age range (10-16 vs 3-12)
- just weakness in abductors (vs disuse atrophy)

*BOTH have painful and limited hip IR/abd motion with pain during weightbearing

25

T/F: Slipped capital femoral epiphysis occurs 2x more in the left hip as compared to the right.

true

26

What abnormal lung sound is often heard with patients who have heart failure? Why?

crackles
- b/c they have compressive atelectasis from pulmonary edema... when they take a deep breath they're able to open the alveoli so that's the pop/crackle sound heard

27

T/F: Carpal tunnel symptoms are worse at night.

true

28

What's the big difference between carpal tunnel syndrome vs pronator teres syndrome?

both affect median nerve HOWEVER...
- pronator teres demonstrates weakness in pronation, while carpal tunnel is usually limited to fine motor weakness

29

In what disease is lhermitte's sign typically positive?

MS

30

What are typical WBC, hematocrit, and Hb values for a woman?

Hb = 12-16
WBC = 5-10,000 (>10,000 = acute infection)
hematocrit = 37-47%

31

What are appropriate treatments for residual limb pain, modality wise?

ice
pulsed US
TENS
massage

32

With attempt to decrease biofeedback from hypertonic muscles, what should the gain and spacing be set at for EMG?

gain low (aka low detection sensitivity)
spaces close together (to limit cross talk)

- opposite when trying to recruit more motor units

33

T/F: Baclofen can produce CNS depression.

true (aka drowsiness, fatigue, weakness, confusion, vertigo, dizziness, insomnia)

34

What are the risk factors for metabolic syndrome?

1) fasting glucose >100
2) elevated BP > 130/85
3) triglycerides >150
4) circumferance of >40in (men) or >35in (women)
5) HDL <40 in men, <50 in women

*diagnosis made if 3/5 present

35

What exercises should be given for patients post c-section?

gentle abdominal exercises with incisional support

36

T/F: External stabilization with a support belt is commonly provided to those with diastasis recti.

false, more for SI
- there's a protective splinting for abdominal musculature provided for those with diastasis recti

37

Pts with chronic alcoholism are at higher risk for what other issues?

gallstones (and cholecystitis, aka acute gallbladder inflam)
pancreatitis

38

Why would a person with ascites be short of breath?

fluid backs up into the lungs, causing SOB

39

How can you differentially diagnose a cervical strain vs facet syndrome?

facet syndrome has localized pain present with basically all motions
- cervical strain = pain usually only present with active ROM or when that muscle is on stretch

40

What's prosopagnosia?

difficulty naming people on sight; difficulty with faces that should be remembered

41

What color changes will you see for a patient with PAD?

pallor with elevation
redness with dependent position

42

How long is vigorous activity contraindicated for a patient post c-section?

6 weeks: no running, cruches, etc

43

What are the environmental modifications for the following: -appropriate width of doorway?
- grab bars placed how high?
- toilet seat height?
- ramp slope?

- 32 in (36in is ideal) for doorway width minimum
- grab bars placed 33-36in
- toilet seat 17-19in
- ramp 1:12