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final exam Flashcards

(80 cards)

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1
Q

how much does an PT work for a minimal assistance transfer?

A

25%

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2
Q

how much does an PT work for a moderate assistance transfer?

A

50%

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3
Q

when using a transfer board with a patient what way should they look?

A

look away from the moving direction over PT shoulder

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4
Q

what is the standard wheelchair measurements?

A

width 18”
depth 16”
height 20”

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5
Q

when going up the curb with a wheelchair what is the best way to do so?

A

forward

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6
Q

when going down the curb with a wheelchair what is the best way to do so?

A

backward

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7
Q

patients often require physical assistance when moving in bed, what is the most effective approach to applying force to assist the patient?

A

apply force more centrally

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8
Q

to minimize repositioning, where should a patient who is about to lie down, sit on the edge of the bed?

A

one third of the way down from the head of the bed

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9
Q

when is it most likely that a stepstool will be required for transfers between chairs and plinths?

A

when the table surface is above the patients gluteal folds

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10
Q

what is Center of mass (COM)

A

the balance point of an object

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11
Q

what is the best way for a wheelchair user to negotiate very steep slopes?

A

go up slope using a zigzag path

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12
Q

your patient is a 43 y/o woman with MS who needs a wheelchair for occasional use, especially for locomotion over long distances. Her husband will push her during such trips. He will also put the chair in the car trunk for transportation. What is the most appropriate leg rest for this patient?

A

removable swing-away leg rests

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13
Q

What is the normal height stairs should be for external accessibility?

A

maximum 7in in height
no less than 11 in in tread

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14
Q

how high should handrails be mounted above floor surface?

A

30-34in

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15
Q

how should Ramps be set up for external assessability?

A

1 in rise
12 in run
width at least 36 in

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16
Q

what should a doorway entry be

A

minimum of 32” with the door opened to 90 deg

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17
Q

how many grab bars should a toilet have

A

2 grab bars (36 in from floor)

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18
Q

how many grab bars should a tub have?

A

3 grab bars (33-36 in from floor)

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19
Q

when assessing the bath tub for accessibility and safety, grab bars should be placed on which walls surrounding the tub?

A

head end, side wall and foot end of tub

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20
Q

how many feet is needed for a wheelchair to make a 360 deg turn

A

5 feet

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21
Q

what are principle of universal design?

A

low physical effort
tolerance of error
flexibility in use
intuitive use

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22
Q

what is the minimum width for an interior doorway to be accessible ?

A

32 in

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23
Q

what accurately represents optimal alignment for the monitor when assessing positioning at the computer work station?

A

top of monitor Is at eye level

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24
Q

what can drag force be controlled by?

A

shape and speed

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25
what is premature fatigue
excersicing in water that is too warm
26
for pt doing vigorous exercise in water what is a good temperature to keep it at
85
27
what is convection?
loosing heat to the movement of water
28
what is the ranked order for pain location of hip OA?
Greater trochanter groin anterior thigh buttock
29
what is chemical pain?
constant pin high levels of pain easy aggravation of pain by all movements
30
what is mechanical pain
intermittent pain variable response to NSAIDs
31
what is the capsular pattern for hip?
flexion abduction IR
32
what is scour test for?
OA Labral pathology osteochondral defect osteonecrosis
33
what is a positive scour test?
pain, grinding, catching or crepitus
34
what is the FADIR or anterior labral test for?
femoroacetabular impingement anterior labral tear
35
what is FABER/patricks test for
PSIS/buttocks GT/Thigh Knee
36
what is the flexion-adduction test for?
legg-calve perches disease and scfe sinister pathology like fracture and cancer
37
what is the 3 muscle kendal test for?
tight illiopsoas, rectus femurs, or TFL
38
what is a positive kendal test if the pt end position is hip flexion and ER
tight Iliopsoas
39
what is a positive kendal test if the pt end position is hip flexion and knee extension
tight rectus femoris
40
what is a positive kendal test if the pt ends in hip flexion and hip AB
tight TFL/ITB
41
what is obers test for
Tight ITs, can use for OA vs Trochateric bursitis
42
what is Craigs test for ?
retroversion/ ante version
43
what is trendelenburg test for?
hip OA or labral tear trochanteric bursitis IT band syndrome
44
what is patellar pubic percussion test?
test for fracture of hip tap patella (+) = diminished percussion on side of pain
45
what is FAIR test for?
sciatic nerve and piriformis
46
what are the motions for fair test?
60 deg hip flex 90 deg hp flx hip add to table
47
what does the tug test measure?
a pt who takes > 12 sec to complete the TUG test is at high risk for fall
48
what should you do for pt in the acute inflammatory phase?
modalities to promote healing use of AD as needed grade 1 and II joint mopbs submaximal isometrics passive range of motion exercises
49
what should you do for pts in the subacute (proliferative) phase?
AAROM AROM multiangle submaximal ispmetrics muscle endurance training manual therapy grade 3 and 4 gentle flexibility exercises progressive balance and stability exercises CV endurance exercise
50
what are the parameters for strength
3-5 sets 6-12 reps
51
what are the parameters for endurance
3-5 sets 20-30 reps
52
what are the parameters for tendon
3-5 sets 30-40 reps
53
what are the parameters for ligament
1000's of reps
54
what are the parameters for cartilage
hours of reps
55
what exercises should you do in the chronic maturation phase
eccentric exercises sport-specific training manual therapy and flexibility training
56
what is the best exercise for gluteus medius
side plank abduction with dominant leg on bottom
57
what is the best exercise for glute Maximus
front plank with hip extension
58
what is grade I for mobilization
small amplitude out of resistance goal to reduce pain
59
what is grade II for mobilization
A large amplitude out of resistance goal to reduce pain
60
what is grade III for mobilization
large amplitude INTO resistance goal to reduce joint stiffness
61
what is grade IV for mobilization
A small amplitude into resistance goal to reduce joint stiffness
62
what is derangement syndrome?
presence of directional preference with RAPID change in symptoms
63
during repeated movement, if the patients symptoms centralize what should you do?
that movement usually turns into our treatment
64
what should the end feel for lumbar flexion be?
firm
65
what should the end feel for extension be?
firm or hard
66
what should the end feel for side-bending/rotation be?
firm or hard due to approximation of the zygopophyseal joints
67
what does central P-A pressure (PAIVMS) improve?
extension
68
what does unilateral P-A PAIVMS improve
active sidebending, extension, rotation
69
what does transverse pressure improve
active rotation
70
what is hicks clinical prediction rule for spinal stabilization
prone instability test aberrant trunk motion SLR >90 Age <40
71
what is a positive SLR test
indicative of a nerve root compression secondary to disc protrusion or extrusion
72
what does pain < 30 deg of hip flexion on a SLR indicate?
acute sponyloithesis gluteal abscess disc protrusion or extrusion tumor of the buttock acute dural inflammation a malingering patient
73
what does pain at > 70 during SLR of hip flexion indicate?
tightness of hamstrings gluteus maximus hip capsule hip or sacroiliac
74
how do you do tibial nerve testing
dorsiflex and EV
75
how do you perform sural nerve testing
IV and DF
76
how do you perform fibular nerve testing
PF and IV
77
How do you perform the slump test?
pt places arm behind back pt slumps PT apply over pressure have pt extend knee tell pt to DF ask to lift neck to see if symptoms go away
78
what is prone knee bend
pt lay on table arms at side examiner places hand on pelvis pt bends knee until reproduction of symptoms
79
what is prone instability test
pt lay w torso on table examiner perform a central PA pressure over spin pt lift feet off floor (+) = pain goes away
80
what is the quadrate test?
pt ext, SB then Rot (+) test if reproduction of pt concordant signs

musculo final (1 decks)

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