non-systems

Question 1

if a pt makes inappropriate comments to you and you are uncomfortable, what should you do?

Answer 1

refuse to treat the pt and refer to another PT

Question 2

if a PTA deviates from the POC, who takes the blame?

Answer 2

the PTA, they didn’t follow the POC made by the PT

Question 3

who can modify POC? PTA or PT or both?

Answer 3

PT

Question 4

who can add exercises to POC? PTA or PT or both?

Answer 4

PT and PTA but PT has to approve

Question 5

if a pt tells you they plan to end their life, what should you do?

Answer 5

stay with the pt until help arrives (mental health specialist)

Question 6

what organization accredits hospitals SNF, home health agencies, etc?

Answer 6

JACHO

Question 7

what organization accredits free standing rehab facilities?

Answer 7

CARF

Question 8

what agency determines what and how much will be reimbursed by Medicare for pt care?

Answer 8

CMS

Question 9

what agency is responsible for determining the safety of the work environment?

Answer 9

OSHA

Question 10

what PPE would you need for pneuomina?

Answer 10

surgical mask, droplet precautions

Question 11

what PPE do you need for airborne precautions? name some clinical syndromes with airborne precautions

Answer 11

N95, gloves and gown if severe contamination.

MTV: measles, TB, varicella, herpes zoster

Question 12

what PPE do you need for droplet precautions? name some clinical syndromes

Answer 12

surgical mask

mumps (rubella), strep A, pneumonia, flu, sepsis, adenovirus

Question 13

what PPE do you need for contact precautions? name some clinical syndromes

Answer 13

gloves and gown only when in direct contact with pt or items in pt room

MRSA, VRE, lice, C diff, dermatitis, hep A&B, conjunctivitis

Question 14

if you treat someone and suspect signs of abuse, what would you do?

Answer 14

examine the pt and report to the appropriate authorities

Question 15

state the rules for telehealth

Answer 15

1. both PT and pt need to verify ID at onset of visit
2. you need to be licensed in the state you pt is located
3. need consent
4. need to be able to see/supervise the pt

Question 16

what are the workstation measurement recs? (monitor, keyboard, mouse)

Answer 16

1. monitor should be 18-20 in away
2. monitor should be 10 degrees below horizontal, 20 in away from eyes
3. wrist should rest on front of keyboard
4. use a mouse that contours the hand
5. space under desk should be 30 in wide, 19 inches deep, 27 incues in height, 2-3 in between top of thighs and desk

Question 17

when you are lifting a box off the floor, what will increase compression forces on the spine besides the weight of the box?

Answer 17

the distance the box is from the base of the spine. that’s why it’s good to keep items close to you when lifting them

the distance increases the moment arm which would increase torque (T=F*d)

Question 18

when performing adult high quality CPR, what rate would you perform chest compressions?

Answer 18

100-120/min

Question 19

when performing adult high quality CPR, what depth do you compress to?

Answer 19

at least 2 in (5cm)

Question 20

when performing adult high quality CPR, to ventilate adequately, perform __ breaths after ___ compressions, each breath delivered over ___ second, each causing chest rise

Answer 20

20, 30, 1

Question 21

what is the correct sequencing for doffing PPE?

Answer 21

Gloves, goggles, gown, mask (alphabetical order)

Question 22

whats the correct sequencing for donning PPE?

Answer 22

gown, mask, goggles, gloves

Question 23

what is a swan ganz cath used for?

Answer 23

monitoring blood flow and function of the heart

Question 24

what is a Hickman cath used for?

Answer 24

provides antibiotics, nutritional solutions, and blood samples

Question 25

what does an arterial line monitor?

Answer 25

arterial blood gasses

Question 26

what does a central venous pressure cath measure?

Answer 26

blood pressure directly from right atrium and superior vena cava

Question 27

what is a potential complication if a chest tube is left out?

Answer 27

pneumothorax (collapsed lung)

Question 28

catheters should be hung...

Answer 28

below the level of the bladder

Question 29

collection bottles should be kept below the....

Answer 29

level of inserted tube

Question 30

what to do in chest tube is dislodged?

Answer 30

have pt exhale, place gauze or gloved hand over the area and call for nurse (cover & call)

Question 31

how do you measure seat height for a WC?

Answer 31

heel to popliteal fold +2 inches (avg 19.5-20.5 in)

Question 32

how to measure seat depth of WC?

Answer 32

posterior butt along lateral thigh to popliteal fold -2 inches so it's not digging into back of knee (avg is 16 in)

Question 33

how to measure seat width of WC?

Answer 33

widest aspect of butt/thighs + 1.5-2 inches (avg 18 inches)

Question 34

how to measure back height of WC?

Answer 34

chair seat to axilla - 4 inches (add seat cushions to value) (ang 16 in)

Question 35

how do you measure armrest height of WC

Answer 35

seat of chair to olecranon +1 inch (avg 9 inches)

Question 36

before any transfer to/from WC, what is the most important thing to do?

Answer 36

LOCK (safety is #1)

Question 37

how do you go up and down curb in a WC?

Answer 37

do a wheelie (push hands forward abruptly), lifting the front casters

Question 38

list the posterior hip precautions

Answer 38

no flexion past 90 no IR no crossing legs no twisting cuz that causes IR no FABIR combined movement

Question 39

list the anterior hip precations

Answer 39

no ER, flexion, abduction, extension no FABER combined movement

Question 40

what's the best AD for a pt who is PWB (50%) on one side?

Answer 40

axillary crutches

Question 41

what does a posterior leaf spring do?

Answer 41

recoils during swing phase to produce DF

Question 42

what's pes equinus?

Answer 42

too much PF

Question 43

differentiate between time based codes and service based codes

Answer 43

time based codes: billed based on the actual time spent providing a service service based codes: billed per service, regardless of time spent (examples: evals, unattended estim)

Question 44

what are the time thresholds for 8 min rule?

Answer 44

1 unit: 8-22 2 units: 23-37 3 units: 38-52 4 units: 53-67 5 units: 68-82

Question 45

what is the role of PTs with IDEA (the individuals with disabilities education act)?

Answer 45

1. evaluation 2. develop SMART goals 3. document progress 4. plan transition to higher education and independent living

Question 46

the IDEA is a federal law that ensures _______ with __________ are provided with Free Appropriate Education ( FAPE) tailored to their specific needs

Answer 46

children, disabilities

Question 47

ADA is a civil rights law act that prohibits ______ against individuals with ________

Answer 47

discrimination, disabilities

Question 48

what are the K levels used to categorize?

Answer 48

functional level of those who use prosthetic devices

Question 49

which K level describes an individual who is WC bound and has no ability to amb or transfer safely with or without assistanc?

Answer 49

K0 *not eligible for prosthetic

Question 50

which K level describes the ability to perform transfers or ambulation on LEVEL surfaces at a fixed cadence?

Answer 50

K1 *single axis ankle and knee joints

Question 51

which K level can navigate curbs, stairs or uneven surfaces with limited community mobility?

Answer 51

K2 *constant friction mechanism at knee and multi axial foot to walk on uneven surfaces

Question 52

which K level can you variable cadence and has unlimited community mobility?

Answer 52

K3 *variable friction mechanism (resistance changes with gait) at knee and multi axial foot

Question 53

which K level has high ambulation skills and participation in sports?

Answer 53

K4 advanced microprocessor-controlled knees, dynamic response feet designed for high-performance activites

Question 54

how do you respond if someone is having a seizure|

Answer 54

1. remove any nearby objects that could be hazardous 2. place the pt on the side to reduce risk of choking or aspiration 3. time beginning and end of seizure, if it exceeds 5 min call 911 DO NOT RESTRAIN THEM AND DO NOT PUT ANYTHING IN THEIR MOUTH

Question 55

what are some signs of a seizure?

Answer 55

aura (disturbance) sudden unresponsiveness or LOC muscle jerking or twitching stiffening of muscles or loss of muscle tone incontinence

Question 56

what are some signs of a concussion

Answer 56

headache nausea balance probs fatigue blurred vision sensitivity to light or noise numbness or tingling cognitive, emotional, and sleep related deficits

Question 57

how would you respond to a concussion (3 steps)?

Answer 57

1. stop activity immediately 2. monitor for worsening sx 3. consult a healthcare professional promptly for thorough eval, even if the sx are mild

Question 58

when would you seek emergency help for someone with a concussion?

Answer 58

LOC repeated vomiting severe headache seizures unequal pupil size prolonged confusion slurred speech weakness or numbness unusual behavior difficulty waking up

Question 59

what are the sx of mild dehydration?

Answer 59

thirsty and dry lips

Question 60

what are the sx of moderate dehydration?

Answer 60

cracked lips, orthostatic hypotension, poor skin turgor, headache, sunken eyes

Question 61

what are the sx of severe dehydration?

Answer 61

rapid and weak pulse confusion lethargy rapid breathing seizures inability to pee or cry

Question 62

how to respond to dehydration?

Answer 62

1. ID sx early to prevent worsening 2. start by drinking water or oral rehydration solutions 3 . if the person is nauseous, have them take frequent, little sips 4. severe cases may require IV fluids

Question 63

When fitting a patient for axillary crutches, the base of each crutch should be placed where in relation to the patient’s body?

Answer 63

6 inches anterior, 2 inches lateral

Question 64

If a patient using bilateral axillary crutches loses their balance forward (anteriorly), they should:

Answer 64

reach forward with both arms, bend elbows to absorb force and slow the fall

Question 65

When issuing a walker to a patient, what bony landmark would most approximate the height of the handgrip?

Answer 65

greater troc

Question 66

Weakness in which muscle would make it extremely difficult to ambulate on crutches?

Answer 66

lats medially rotates, adducts, and extends the shoulder joint. depresses scapula

Question 67

What injury may occur if a patient bears weight through their axilla on their crutches when ambulating?

Answer 67

axillary nerve compression

Question 68

The primary rationale for using a reverse walker instead of a traditional walker is to improve:

Answer 68

postural alignment

Question 69

Why is a slight anterior pelvic tilt important when positioning a patient in a wheelchair?

Answer 69

allows for weight bearing on the ischial tuberosities