NPTE - O'sully practice exam topics

Question 1

nursemaid injury

Answer 1

aka baby sitter elbow

radial head subluxation

Question 2

hypertrophic scar description

Answer 2

thick and pink

Question 3

what is excoriation?

Answer 3

abrasion or scratch

Question 4

atrophic scar description

Answer 4

thin and white

Question 5

Nevus

Answer 5

mole

Question 6

atypical dysplastic nevus

Answer 6

changing nevus.
ABCDEs - indicative of malignant melanoma

(A) Asymmetry
(B) irregular borders
(C) color - variations
(D) diameter >6 mm
(E) elevation

Question 7

papule

Answer 7

elevated nevus

Question 8

wheal

Answer 8

irregular, transient superficial area of localized skin edema (hive, mosquito bite)

Question 9

exercise ratio for initial outpatient stuff

Answer 9

2:1 exercise to rest

Question 10

unilateral spondylolysis - how do you treat?

Answer 10

strengthen multifidi from neutral to flexion to stabilize area.

Question 11

Panafil

Answer 11

keratolytic enzyme for autolytic debridement

greenish/yellowish exudate is normal.

Question 12

Addison’s signs

Answer 12

Asthenia (abnormal physical weakness or lack of energy)

anorexia, wt loss, nausea and vomiting, abdominal pain, syncope

Question 13

Cystic fibrosis - early clinical manifestation

Answer 13

excessive wt loss and appetite

Question 14

5 criteria for reducing exercise or terminating exercise with heart patients

Answer 14

1) onset of angina or other exertion intolerance
2) systolic BP greater than or equal to 240, diastolic BP greater than or equal to 110
3) greater than 1 mm ST segment depression, horizontal or down sloping
4) inc freq of ventricular arrhythmias
5) 2nd or 3rd degree AV block or other sig ECG disturbances

Question 15

Interstitial cystitis

Answer 15

a pelvic floor dysfunction due to muscles being too tense. don’t do kegels

Question 16

Anosognosia

Answer 16

denial, neglect, lack of awareness of the severity/presence of paralysis

Question 17

somatoagnosia

Answer 17

impairment in body scheme

Question 18

prosopagnosia

Answer 18

inability to recognize faces

Question 19

fryette laws

Answer 19

1) neutral : side bend, rotation in opposite direction
2) non-neutral: side bend, rotation in same direction
3) motion in one direct reduces it in others

Question 20

Lhermitte’s sign

Answer 20

shock like pain thru body with passive neck flexion. Common in MS

-sign of poster column damage to spinal cord

Question 21

Uthoff’s sign

Answer 21

adverse reaction to heat

Question 22

dyesthesia

Answer 22

abnormal and unpleasant sensations such as burning/pins/needles

Question 23

paresthesis

Answer 23

numbness, tingle, prickling

Question 24

murphy sign

Answer 24

kidney involvement stuff

• acute cholecystitis
• percussion for costvertebral tenderness

Question 25

agoraphobia

Answer 25

fear of going out

Question 26

Posterior cerebral artery stroke

Answer 26

- primary visual cortex (central homonymous hemianopsia) | - along with dyslexia, prosopagnosia (faces), and memory (temporal lobe lesion)

Question 27

Anterior cerebral artery stroke

Answer 27

LE involvement greater than UE

Question 28

Mid cerebral artery stroke

Answer 28

UE involvement greater than LE

Question 29

Lesion in posterolateral medulla

Answer 29

mixed sensory loss. Pain and them affected. Discrim/proprioception are not -example L face and R body

Question 30

w/c = horizontal grab bar in bathroom height

Answer 30

33-36 inches

Question 31

w/c = ramp grade

Answer 31

1:12

Question 32

w/c = toilet seat

Answer 32

17-19 inches for raised seats

Question 33

w/c = doorway clearance

Answer 33

32 in min. 36 ideal

Question 34

Scoliosis screening age - girls and boys

Answer 34

``` girls = 9-11 years (11-13 according to goodman) boys = 11-13 (13-14 according to goodman) ```

Question 35

change pulse duration vs pulse rate

Answer 35

duration = reduces electrical charge in each pulse, making it more comfy rate = decrease it will decrease quality of contraction. increase will make more uncomfortable

Question 36

Spleen or diaphragmatic pain refers to

Answer 36

shoulder

Question 37

colon or appendix pain refers to

Answer 37

low back, pelvis, sacrum

Question 38

esophageal pain refers to

Answer 38

mid back, head or neck

Question 39

gallbladder refers to

Answer 39

midback, scapula

Question 40

Intractable constipation refer pain

Answer 40

to ant hip, groin, or thigh region

Question 41

bladder refer pain to

Answer 41

to medial thigh and leg

Question 42

with first exercise it is most important to monitor what to track intensity?

Answer 42

Heart rate

Question 43

imaging needed for spondylolisthesis

Answer 43

Bilat oblique radiograph to see both pars defects

Question 44

Bruce protocol

Answer 44

a treadmill exercise test

Question 45

what ligaments prevent tibial IR and ER?

Answer 45

IR = ACL/PCL ER = MCL (LCL?)

Question 46

Bruit

Answer 46

swishing sound while auscultating. Presence of narrowing artery

Question 47

Slipped capital femoral epiphysis - presentation

Answer 47

SCFE - 10-16 years old Male 3:1 L hip 2:1 (30% bilateral) *pain worse with wt bearing, limited and painful hip IR, weak hip abd

Question 48

to improve ventilation of lunges using gravity

Answer 48

place unaffected side in gravity dependent position (down)

Question 49

risk factors for hyperthyroidism

Answer 49

dyspnea,fatigue, tachycardia, arrhythmia

Question 50

Arm ergometry vs LE stuff

Answer 50

smaller muscles = less max O2 uptake. So both HR and BP will be higher than same exercise intensity in LE.

Question 51

Internal capsule stroke - supranuclear palsy

Answer 51

affects only contralateral lower half of face