Final

Question 1

STEMI also called

Answer 1

transmural infarction

Question 2

NSTEMI also called

Answer 2

subendocardial wall infarction

Question 3

external stimulation that increases lymph system pumping:

Answer 3

-muscle contraction
manual massage stimulation
-exercise
-deep breathing

Question 4

lymph opening compared to blood capillaries:

Answer 4

lymph 4-6 times larger opening

Question 5

rate of lymph flow

Answer 5

10x perminute

Question 6

number of lymph nodes:

Answer 6

600-700 in body

• about 300 nipple up
• 218 in trunk
• 18 each arm
• 64 each leg

Question 7

thoracic duct empties into :

Answer 7

left subclavian vein

Question 8

fluid movement of lymph takes place in response to:

Answer 8

• pressure gradients - concentration gradients

Question 9

5 corner stones of lymphedema treatment:

Answer 9

1. manual lymphatic treatment/ MEM
2. medical compression bandaging
3. exercise (before, during, after)
4. skin care
5. compliance with daily self management program

Question 10

MLT greatly minimize swelling which benefits by:

Answer 10

• speed recovery time
• ROM gains
• wound healing
• tissue health
• functional return
• other complications

Question 11

initiate lymphatic treatment where?

Answer 11

area free of edema bordering proximal to lymphostatic region

**proximal first, then distal

Question 12

collector lymphatics response to:

Answer 12

stretch of lymphangion and smooth muscle layer

- no pumping mechanism of their own

Question 13

amount of uptake in involved limb when contralateral nodes emptied:

Answer 13

12-38%

Question 14

lymph node massage

Answer 14

• firm pressure

- circular motion 10-20 times

Question 15

leading cause of emergency visits, hospitalizations, missed school days

Answer 15

asthma

Question 16

primary defect of cystic fibrosis

Answer 16

• primary defect is abnormal chloride conductance on epithelial cell (obstruction of mucus secreting exocrine glands)
• ciliary collapse leading to airway obstruction

Question 17

what do you monitor in kids?

Answer 17

• HR
• Respirations
• Oxygen saturation
• children quickly go from respiratory distress to cardiac distress

Question 18

normal development of heart and lungs complete by:

Answer 18

10th week of gestation

Question 19

ductus-arteriosus closes within:

Answer 19

3 days

Question 20

influence of demands on breathing on structure:

Answer 20

progress form vertical to more horizontal alignment of rib cage from increased abdominal activity

Question 21

Prematurity effects:

Answer 21

• persistent pulmonary hypertension
• bronchial pulmonary dysplasia
• lack of surfactant leading to respiratory distress syndrome

Question 22

meconium aspiration prognosis

Answer 22

dependent on brain damage secondary to hypoxic event and resultant illness or infection

Question 23

leading cause of death among infants (1 mo - 1 yr)

Answer 23

sudden infant death syndrome (SIDS)

Question 24

cardiac rehab reduces mortality rates by:

Answer 24

all cause mortality: 12-25%

cardiac related: 26-31%

Question 25

moderate risk for patients with CVD

Answer 25

• ST segment depression <2 mm
• MET capacity <5
• symptoms only at high levels of exertion (>7 METs)
• Expected hemodynamic increases/decreases

Question 26

highest risk for patients with CVD

Answer 26

• ST segment depression 2 mm or more
• symptoms at low levels of exertion (<5 METs)
• chronotropic incompetence, inotropic incompetence, sever post-exercise hypotension

Question 27

healthcare acquired pneumonia

Answer 27

> 48 hours post admission
7010 days post d/c
ventilator associated