Osul 3 Flashcards by Yarko Sklvskuy

Aphar scores are taken when

At 1 and 5 minutes after birth. Scores between 0-3 are extremely low and indicate a need for resuscitation

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Exercise to rest ratio prescription in the inpatient rehab setting following MI? Outpatient ?

An exercise: rest ratio of 1:1 is appropriate for an initial prescription for inpatient setting, goal for OP is 2:1

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Clubbing of finger nails caused by

Chronic hypoxia from heart disease or lung cancer and hepatic cirrhosis

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Addison’s disease signs and symptoms

Asthenia*** (weakness), anorexia, weight loss, nausea and vomiting, abdominal pain, and syncope

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What is the best initial exercise intensity prescription for an elderly pt with no history of CPD

60-90% of HRmax whip is equivalent to 50-85% of vo2 max and hhr

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A progressive systemic disease of connective tissue causing fibrosis of skin, joints, blood vessels, and internal organs.

Scleroderma- initial intervention is to exercise in the pool since it will enhance the patient’s movements and decrease pain

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A common finding with a pt c COPD stage III

Muscle wasting ( due to impaired functional abilities) and increase AP-to-lateral chest ratio

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What dressing is used to prevent adherence to wound bed, keep wound moist, and protect granulation buds

Hydrogel dressing

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Differentiate between carpal tunnel and promoter teres syndromes

Pronator teres syndrome produces similar problems to carpal tunnel but also with involvement of the flexors of the wrist and fingers

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During valsalva maneuver what occurs

Inc intrathoracic pressure and causes HR to slow down, decreased return of the blood to the heart, and increased venous pressure. Upon relaxation, blood rushes to the heart and can overload the cardiac system, resulting in cardiac arrest

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Standardized balance measure scores, signifying Fall risk. Tinetti POMA, tug, functional reach, and berg

Tinetti- 30 indicates an increased risk for falling

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Murphys sign is indicative of

Acute cholecystitis

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Supplemental oxygen is indicated when SpO2 and PaO2 drop below?

Spo2

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What is inclusive on an incident report

Names of those involved, inclusive of witnesses, what occurred, when it occurred, and where it occurred

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Initially, proper bandaging of lymphedema require what type of bandaging

Short term compression wrap- low resting and high working pressure. Means that it has enough pressure to enhance lymphatic return during rest, improve the activity of lyphangion, and facilitate increased return during muscle pumping activities

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5 criteria for reducing exercise intensity or termination of session during cardiac rehab

Onset of angina 2. Sbp > or equal to 240 dbp> or equal to 110 3. > 1 mm ST segment depression 4. Inc frequency of ventricular arrhythmias 5. Second or third degree AV block

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Walking program parameters for a pt with claudication

2-3x/day, 3-5 days/week, the pt should be instructed to exercise to the point of claudication pain within 3-5 min, not beyond

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A hemi or low-sear wheelchair has a seat height of?

17.5 inches and allows for propulsion

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Emergency response for an unresponsive pt

Begin CPR and attach the AED as soon as it is available (1 breath every 8 seconds) with chest compressions (at least 100/minute)

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Torque output of hamstring in a sitting position is inaccurate because

Higher due to gravity assistance in sitting position

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What produces a unilateral sensorineural hearing loss along with vestibular symptoms

Acoustic neuroma

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What causes a sensation of fullness in the ear

Ménière’s disease

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Atropine is used for a pt c CAD. What are side effects of atropine ?

Anticholinergic agent- blocks the action of acetylcholine at parasympathetic sites in smooth muscle. Produces increased HR and contractility

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What pathology is commonly associated with medial femoral torsion and toeing in

Hip anteversion angle >15 between femoral condyles and neck of the femur

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The pupillary reflex (constriction of the pupil) is a function of

The efferent portion of the oculomotor nerve CNIII

Downward an lateral eye gaze

CN IV

An exercise tolerance test should be terminated if

Pt has an > 2 mm horizontal or down sloping ST segment depression, or >2 mm ST segment elevation, mod to severe angina, drop in sbp, serious arrhythmias, 260/115 or greater , severe sob, cns signs

Facilitate autolytic debridement and absorb mod-heavy amount of exudate

Calcium alginate

A pt is demonstrating multi focal PVCs. What should the PT do?

Have the pt sit down, cont monitoring, and notify the physician immediately. The emergency medical response should not be activated since the pt has not arrested.

Pts taking antipsychotic or antidepressant meds should avoid

Overheating

Horner's syndrome hallmark findings

Clinical triad of ptosis (droopy eyelid), miosis (pupillary constriction), and anhydrosis (lack of sweating) all of ththe are side of the face and ipsilateral to side of lesion. Results from a lesion that affects the sympathetic pathway to the head

How to expose the supraspinatus tendon for under the acromion to administer ultrasound

Slog abduction and internal rotation

A donated of >___ makes a necks atypical dysplastic nevus

6 mm or greater. Also variations in colors, irregular boarders, elevation, indicative of malignant melanoma

Left ventricular failure characteristics

Persistent spasmodic cough while lying supine, HR rapid (140), SLIGHT EDEMA in both ankles, s3, paroxysmal nocturnal dyspnea, orthopnea, and signs or pulmonary edema ( dyspnea, pallor, cyanosis, tachypnea)

Right ventricular failure characteristics

DEPENDENT PITTING EDEMA!, weight gain, fatigue, ruq pain, anorexia, nausea, right sided s3 or s4, cyanosis of nail beds

Weakness, osteoporosis, fractures, and joint pain side effect of what drug

Corticosteroids

Child with supinated for optimal orthosis

Viscoelestic shoe insert with forefoot lateral wedge

During initial healing of a posterior lateral THA, stand pivot transfer to what side?

Sound side

A T11 Asia A pt bowel training should focus on a bowel methodology of ?

Digital stimulation of intact defecation reflexes, bowel and anal sphincters respond to rectal/anal stimulation

Pts standing in excessive subtalar pronation, what obligatory motions occur ?

IR of the tibia, femur and pelvis

Interstitial cystitis pelvic floor relationship

Pelvic floor dysfunction is related to muscles that are too tense or in spasm in response to pain and chronic inflammation of the bladder. Thus this is just the opposite of the too relaxed state that leads to incontinence. Thus kegal exercises shouldn't be done

Chronic constipation, incontinence, vaginal and uterine prolapse all benefit from

Kegel exercises

For NMES, if the pt is complaining of discomfort how should you modify treatment

Decrease Pulse duration

Which GI source can refer pain to the shoulder?

Spleen or diaphragm

Esophagus can refer pain to

Midback, head or neck

Colon or appendix can refer pain to

LB, pelvis, or sacrum

Gallbladder can refer pain to the

mid back and scapular regions

Lesion to what causes uncoordinated eye movements, profound gaits and trunk ataxia, balance deficits, and difficulty with postural orientation

Vestibulocerebellum

Providing a posterior-directed resistance to the right ASIS during stance will?

Inc step length with r amputation

Intractable constipation (obstruction) refer pain to ?

Anterior hip, groin, or thigh region

When the occiput is sidebent in one direction, the C1 rotates into the _____ direction.

Opposite. Side bending and rotation occur to the same side from c2-c7 regardless if the spine is I'm flexion or extension

Normal integration of the stepping reflex

2-3 months

Avg mouth opening distance

35-50 mm

In the upper extremity the spastic muscle groups are?

Scapular retractors, shoulder adductors, depressors, and ir, elbow flexors and pronators, and wrist and finger flexors

A cyclist pt post MI 8 weeks ago is presenting for cardiac rehab. Which exercise test would be most beneficial in order to assess aerobic capacity ?

Lower extremity ergometry

Trigeminal neuralgia presentation

Sudden severe pain occurring in the maxillary or mandibular division on one side of the face

Myalgia, weakness, decreased hr and co are signs of ?

Hypothyroidism

The acl and pcl prevent medial or lateral Tibial rotation ?

Medial

Pt s/p meniscus repair should remain non weight bearing for?

3-6 weeks

The 5th rib is stuck in the position of maximal inspiration. What mob should PT do to improve rib mobility and assist it in returning to its resting position

Grade IV mob of the head of the rib at the costovertebral joint in the superior direction

A swishing sound that occurs in the presence of narrowing of an artery. It is the characteristic finding of PVD present on auscultation

Bruit

Slipped capital femoral epiphysis age range

10-6 years of age- pain worse with weight bearing, limited and painful hip ir, and weak hip abd

Avascular necrosis of the femoral head with insidious onset between 3-12 year of age

Legg calve perthes disease

A prosthetic knee set too far anterior to the trochanter-knee-ankle line is going to

Create a flexion torque at the knee, causing it to buckle easily

A prosthetic knee set too far posterior to the trochanter-knee-ankle line is going to

Will cause genu recurvatum due to extension torque

What is commonly seen on Childers who just begun to walk

Er of hip ie toe out gait for balance

Pt s/p a stroke is ambulating and presents with a pelvis that is elevated and retracted. What manual therapeutic strategy should the therapist utilize

Light resistance to forward pelvic rotation, in order to engage those muscles to help inhibit the tight muscles

Normal WBC ?

5000-10000 mm3

Normal hematocrit in woman

37-47%

Cellulitis vs dermatitis

Cellulitis is an inflammatory condition of the dermis and subcutaneous tissues accompanied by infection and fever VS dermatitis with characterized by edema, in by skin, and pain

Compensation for quad weakness during stance phase

Forward trunk lean vs BACKWARD lean is for glut max weakness

Trendelenburg position in terms of CARDIOPULMONARY

Head lower than the legs

Pt with large right sided bacterial pneumonia. Oxygen level dangerously low. What body position would best improve pt's arterial oxygen pressure (pao2)

Perfusion and ventilation best matched if the pt assumes a l side lying position, c the unaffected side in a gravity dependent position

When doing biofeedback for a weak muscle, in which there is decreased ability to recruit motor units or there is a decrease in the size of and number of motor units, the protocol should be?

Wider spacing and a high sensitivity would be used in order to create an adequate visible signal

When the focus for biofeedback is non on a specific muscle but rather to encourage a general motion, then _____ spacing is used

Wider

Pt s/p a CVA is having difficulty standing up, so the therapist wishes to do biofeedback in seated position for the quads

Low detection- This would decrease the amplitude of the signals generated by the hypertonic muscles. By initially placing the electrodes close together, the therapist decreases the likelihood of detecting undersized motor units for, adjacent muscles

A negative Murphys sign (percussion in the costovertebral area)

Rules out likelihood of kidney symptoms

A pt is reviewing X-rays from a trimalleolar fracture

Best radiographic view to visualize the bony anomaly is AP and lateral .. Will show the head of talus using the AP view

If pt losses balance and falls with eyes closed on foam will likely demonstrate a

Vestibular deficiency

Obese young individual initial training program

Two daily sessions of 30 mins at 45-70% vo2 max

5 risk factors of metabolic syndrome

1. Waist circumference >40 men; >35 women 2. Triglycerides level of 150 mg/dl or higher 3. HDLs 100 mg/dL

Hypokalemia signs and symptoms

Decreased potassium in the blood- Cramps, hypotension, dizziness, depressed st segment, GI disturbances, confusion, respiratory distress

Using FES on spastic muscle what should be the min ramp up time

5 seconds

Post C section PT should include

Postoperative TENS, assisted breathing and coughin techniques, and gentle abdominal exercises with incisional support by a pillow, and pelvic floor exercises

Disordered thinking, fragmented thoughts, errors of logic or abstract reasoning, delusions, poor judgement are signs of

Schizophrenia

Sleep disturbances and flashbacks are signs of

PTSD

Proper high for toilet seat

17-19 inches

Proper height for horizontal grab bars

33-36 inches

An inverted T wave indicates?

Myocardial ischemia - symptom is angina

Bell's palsy PT interventions

Massage, stretching, and moist heat assist in maintaining pliable musculature and increasing comfort. For pts who can't shut they're eye it is especially important to provide protection

After an ST elevated MI three days ago it is okay to administer an exercise test if

HR stays at or below 70% age predicted max

Osul 3 Flashcards

(91 cards)