HOME STRETCH Flashcards
(136 cards)
1
Q
12 wks post fracture - functional phase goals are what
A
restore joint kinematics
attain full ROM pain free
JOINT MOBS to improve motion, dec guarding, lengthen tissue around joint
2
Q
Children with juvenile RA ambulate with
A
Decreased cadence
Decreased PF range
Decreased hip ext
Increased ant pelvic tilt
3
Q
water immersion US protocol
A
plastic basin with tap water
Move transducer 0.25 in away from the body surface
4
Q
Pinching btw the thumb and tip of index finger would be good for what
A
Median nerve injury - CTS
5
Q
Squeezing hand grip with elastic band resistance would be good for what
A
Cubital tunnel ulnar entrapment
6
Q
Thumb opposition would be good for what
A
Median nerve
Deficits in thumb abd and opp
7
Q
Squeeze therapy putty btw sides of fingers would be good for what
A
Lumbrical and interossei weakness
Innervated by ulnar
Affected when entraped at hamate (Guyon)
8
Q
Horizontal nystagmus is a symptom of what type of lesion
A
Cerebellar
Like AICA
9
Q
Ataxic gait is a symptom of what type of problem
A
Cerebellar
Like of basilar artery
10
Q
Apraxia is a symptom of what type of problem
A
Middle cerebral artery lesion
11
Q
L2-L3 sensation
A
anterior/medial thigh
12
Q
L3-L4 sensation
A
L3 anteromedial thigh
L4 lower thigh, ant knee, shin
13
Q
L5 - S1 sensation
A
L5 - lateral lower leg, dorsum of foot
S1 - pinky toe, lateral lower lower leg
14
Q
Hip abduction myotome
A
L4-S1
15
Q
Hip flexion myotome
A
L1-L4 (L2)
16
Q
Hip add myotome
A
L2-L3
17
Q
Knee flex myotome
A
L4-L5
18
Q
Hip ext myotome
A
L4-L5
19
Q
S1-S2 sensation
A
Post thigh and leg
Perineal region
20
Q
Med with large impact on healing time
A
Long term steroid usage!
21
Q
Upper trap action
A
Alone - elevates shoulder
Coupled with lower trap and SA will produce upward rot of scapula
22
Q
Post deltoid action
A
Ext
Abd
ER
23
Q
Rhomboid action
A
Retract
elevate scap
Doward rot of scap
24
Q
Teres major action
A
Ext
Add
IR shoulder
25
International guidelines for prevention and treatment of pressure injuries includes referral of all individuals with pressure injury to who
A nutritionist for early assessment and intervention for nutritional problems
26
Plantar fasciitis - things that would contribute toa prolonged recovery
BMI greater than 25
| Decreased big toe extension - normal is 70 degrees
27
Assessment of anterior tibiofibular ligament
Compression of the shafts of the tibia and fibula at mid calf
Syndesmosis ligament injury
28
Talar tilt test is for what and how
Ankle in neutral DF
| Evaluate calcaneofibular ligament
29
Parrafin good for
Chronic conditions with no active swelling
Chronic OA of fingers
NOT CRPS (heat might aggravate)
30
ACL tear - closed vs. open chain
Closed chain puts less stress on ACL - appropriate for subacute (wk 4)
Open (esp last 25 ext) puts inc tension on ACL
31
ACL tear - straight leg raise
No stress on ACL - can be done in acute phase
32
ACL tear - plyometrics
Functional phase (week 10)
33
Oswetry scoring
lower number = better
| 0-100% disability
34
Most common presentation for enlargement of the prostate is
Difficulty initiating the urine stream
35
Symptoms of heart failure exacerbation
SOB
| Dependent edema
36
Psoriasis is commonly found where
Scalp
| Extensor surfaces of extremities
37
Footwear for someone with diabetes
Soft lining for protection from excess friction and pressure
NOT leather (unless is soft leather that will confrom to abnormalities)
Laces, straps, or velcro
SNUG fit around heel
38
Triglyceride level norm
Below 150
39
Waist measurement greater than ___ is risk factor for metabolic syndrome
35 in for women
| 40 for men
40
Meralgia Paresthetica is what
Entrapment or injury to the lateral femoral cutaneous nerve (a purely SENSORY nerve)
Injury affects sensation to the lateral thigh
41
Massed practice
Sequence of practice and rest where the rest time is much less than the practice time
42
Distributed practice
Practice intervals are equal to or less than the rest time
43
Blocked practice
Sequence organized around one task performed repeatedly, uninterrupted by practice of any other task
NOT based on time spent performing the task
44
Random practice
Several various tasks are ordered randomly across trials
45
Max torque of knee extensors reaches peak at
60 degrees of knee flexion
46
Groin pain is associated with what genitourinary problems
Upper urinary tract problems
| Kidney or ureter infection
47
Sacral pain is associated with
Colon CA and colitis
48
Bladder infection is associated with
LBO
| Suprapubic area
49
Junctional rhythm originates from the
AV instead of the SA node
| P waves are missing!
50
Muscle ache (myalgia) common with hyper or hypothyroidism
Hypothyroidism
51
Most appropriate intervention with acute RA of wrist
Splints with wrists neutral position
52
What is important to monitor when pt is on coumadin/warfarin/anticoagulant
INR!
When on anticoag INR is between 2 and 3
Risk of bleeding with activity if higher than this
53
Erythrocyte sedimentatin rate is used to identify
inflammatory or necrotic processes
54
Red blood cell count is used to assess
oxygen carrying capacity of the blood
55
Hemoglobin measures the
oxygen carrying capacity of the red blood cells
56
KAFO is often used (with SB) for what reasons
When mm of the knee are weak and muscles of the ankle are absent
It can substitute for a lack of mm activity
57
Pts with emphysema have a hard time breathing with exercise - why?
alveolar dilation!
58
Neuroma can cause what kind of pain descriptors
Sharp, shootingm and localized pain
59
Arm exercise typically results in ____ oxygen uptake when compared to leg exercise
Arm exercise typically results in 30-40% lower max oxygen uptake than leg exercise
60
Hopping on one foot - gross motor that is appropriate for what age
age 4 should be able to hop on one foot
Kick ball
Catch ball
61
Kicking a stationary ball
Fast walking
Walking with assistance on stairs
appropriate for what ages
18 months to 3 years
62
Dribbling basketball
Riding bike
Skipping
what age?
5-6 years
63
Catching large ball
Riding tricycle
Running short distances
What age?
2-3 years
64
Hopping on one foot
Kick ball
Catch ball
What age
4 years
65
Spinal mm atrophy - if not sitting then what outcome
Unlikely to walk and will require power mobility
66
OSteochondritis dissecans - common joints
Knee
Talus
Elbow
67
Complication of quadriceps contusion
Myositis ossificans
Caused by heterotopic bone formation on the femur
During quad cx, mm belly rubs on bone and causes sharp pain
68
Signs of severe dehydration in infant
Inc RR
Sunken in fontanelle
Cold hands and feet
Unable to cry
69
Long term effects for what type of practice
RANDOM!
| Due to higher cog processes that are required
70
S/S of unilateral vestibular lesion
Vertigo
Postural instability
Oscillopsia
Disequilibrium
71
Increased residual volume is seen in obstructive or restrictive
Obstructive
72
Increased functional residual capacity is seen in obstructive or restrictive
Obstructive
73
Ascites - what resp findings
Inc fluid in peritoneal cavity causing distention
Puts inc pressure on diaphragm and thoracic cavity
May lead to restrictive pattern!!!
74
Decreased nspiratory reserve volume is component of obstructive or restrictive
Restrictive
75
Ascites - can be classified as obstructive or restrictive
Restrictive
76
Decreased FEV1 with obstructive or restrictive
Obstructive
77
Hypoglycemia s/s
HA
Blurred vision
Slurred speech
78
S/S of diabetic ketoacidosis
```
HA
Acetone breath
Dehydration
Weak and rapid pulse
Kussmaul respirations
Hyperosmolar copa
Polyuria, thirst, neuro abnormalities and stupor
```
79
Vit B 12 deficiency s/s
```
HA
Cog changes
Dementia
Ataxia
Psychosis
Peripheral neuropathy
```
80
Airborne - what pressure
Negative!
| Direction of airflow is from outside adjacent space into the room
81
Furosemide is used for what
Diuretic - used for HTN
82
Metformin is used for hwat
Diabetes
83
Atenolol is used for what
Beta blcoker used for HTN, angina
84
Sweat glands - what layer
Dermis
85
Thermoregulation through insulation - what layer
SubQ
86
Thermoregulation through sweating - what layer
Dermis
87
Hoehn and Yahr classification is used for what
Parkinsons!
88
Hoehn and Yahr classification - stage 4 =
moderate to severe range
89
Exercise for someone with UE lymphedema - what sequence
Proximal to distal!
| Cervical, shoulder, elbow, and then wrist
90
Orthostatic hypotension - s/s
With acute cervical injury is common to see
Dizziness/Light headed
Ringing in the ears
When in vertical position like sitting or standing
91
Common complication with myelomeningocele
Hydrocephalus - occurs in 25% or more
An additional 60% develop it after surgical closure of their back lesion
Between 80-90% of children with hydrocephalus will require CSF shunt
92
Anterior mm of rotator cuff
Subscap
| IR
93
Posterior mm of rotator cuff
Infraspinatus
| Teres minor
94
Shoulder mob in direction of anterosuperior direction is to improve
horizontal abduction
95
Shoulder mob in direction of posteroinferior direction
horizontal adduction
96
ALS develops over
months or years
97
Rapidly ascending bilateral weakness and paresthesias (but no anesthesia) makes you think of
GBS
98
Ulnar deviation involves what myotome
C8
99
Thumb ext involves what nerve roots
C6-C8
100
Osgood Schlatter disease is what
Apophysitis of the tibial tubercle
Usually in pubescent individuals
Report pain and tenderness over tibial tubercle
101
Meniscal tear - common symtoms
catching and pain at end range flexion
102
Glut med is innervated by what
Superior gluteal nerve
| L5 - S1
103
The adductor magnus is innervated by
L4
104
Iliopsoas is innervated by what nerve
Femoral
| L2-L4
105
Pectineus is innervated by what nerve
Obturator nerve
| L2-L3
106
Presence of significant Q wave
MI
107
Premature atrial complex is indicated by what
an R wave that is close to the preceding R wave
108
Supraventricular tachycardia is indicated by what
Indicated by a diminished P wave
109
Atrial fibrillation is characterized by
inconsistent, irregular R-R intervals
110
Radiating upper extremity pain, SOB, and diaphoresis are signs of
MI
111
Undiagnosed, or poorly controlled diabetes - urine output
increased
112
Exercise will raise or lower blood glucose levels in patients with undiagnosed type 2 diabetes
Exercise will likely raise it
113
Type 2 diabetes - tend to have what heart rate
Reduced
114
Stocking and glove pattern of loss of sensation is present with who
Diabetic neuropathy
115
Vital capacity =
IRV + TV + ERV
116
Functional residual capacity =
ERV + RV
117
IC =
IRV + TV
118
EC =
ERV + TV
119
TLC =
IRV + TV + ERV + RV
120
Pts with COPD will likely have what lung value be decreased
VITAL CAPACITY
| Air expelled after pt takes max ins and exp
121
COPD - RV will be
INCREASED
| Air remaining in lungs when ERV has been exhaled
122
COPD - TLC will be
INCREASED
| Destruction of alveolar walls
123
COPD - vital capacity will be
DECREASED!
| IRV + TV + ERV
124
COPD - FRC will be
INCREASED
| air trapping - amount in lungs after quiet exhalation
125
Coffee ground emesis
Upper GI bleed
(small intestine and above)
Peptic ulcer or esophageal varices
126
It is impossible to raise the arm overhead without action of what muscle
Serratus anterior
127
What muscle being used when POE to plank
Serratus anterior
128
If blood glucose is low (less than 100) what needs to be done for someone with insulin pump
reduce insulin infusion dose
| If no pump - give carb snack
129
Fetal alcohol syndrome characteristics
```
Maxillary hypoplasia
Elongated mid face
Short, upturned nose
Short attn span
Poor growth
```
130
Fetal alcohol syndrome - problems with what activity
Fine motor dysfunction
Visuomotor deficits
Balance problems
Weak grasp
131
Sympathetic nerves from the pelvic plexus are most active during what phase of micturation
Filling
132
Parasympathetic nerves from the pelvic plexus are most active during what phase of micturation
Emptying!
| Fire to contract the bladder and begin emptying
133
1+ pulse means what
Diminished
| result of reduced SV, EF, and/or increased vascular resistance
134
2+ pulse meands what
Normal
135
3+ pulse means what
Moderately increased pulse amplitude
| Associated with increased SV and EF
136
4+ pulse means what
Markedly inc pulse amp and associated with inc SV and EF
