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POSITIVE THINKING! Flashcards

(103 cards)

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1
Q

Mini Mental

A

Max score is 30
15 or less is severe!

21 to 24 is mild
16 to 20 is mod

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2
Q

Ranchos - 1

A

No response

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3
Q

Ranchos - 2

A

Generalized response

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4
Q

Ranchos - 3

A

Localized response

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5
Q

Ranchos - 4

A

Confused and agitated

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6
Q

Ranchos - 5

A

Confused and non-agitated and inappropriate

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7
Q

Ranchos - 6

A

Confused and appropriate

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8
Q

Ranchos - 7

A

Automatic and appropriate

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9
Q

Ranchos - 8

A

Purposeful and appropriate

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10
Q

Ideomotor apraxia

A

Pt can’t perform on command, but CAN when left on their own

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11
Q

Ideational apraxia

A

Pt can’t perform task ever

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12
Q

Modified Ashworth

A 
0 = no inc in mm tone
1 = slight inc, min resis at end of ROM
1+ = slight inc, min resis less than half
2 = more marked inc, most of ROM
3 = passive mvmnt difficult
4 = affected is rigid in flex/ext
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13
Q

Berg

A

Max is 56; less than 45 is high fall risk

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14
Q

TUG

A

10 or less is normal!

more than 20 is inc fall risk (Shumway cook says 14)

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15
Q

DGI

A

Total is 24

Less than 19 is fall risk

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16
Q

GCS scores

A 
Motor, verbal, eye opening
3 to 15
13-15 mild
9-12 mod
3-8 severe
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17
Q

GCS - motor

A 
None (1)
Ab Ext (2)
Ab Flex (3)
Normal flex (4)
Localizing (5)
Obeys commands (6)
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18
Q

GCS - verbal

A 
None (1)
Sounds (2)
Words (3)
Confused (4)
Oriented (5)
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19
Q

GCS - Eyes

A

None (1)
To pressure (2)
To sound (3)
Spontaneous (4)

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20
Q

Apgar

A

0 to 3 is LOW
HR, RR, mm tone, reflex, skin color
8 to 10 is good!!!

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21
Q

Denver II

A

Developmental delays

0-6 yrs

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22
Q

Alberta

A

12 to 18 months

Gross motor supine, prone, sitting, standing

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23
Q

Peabody

A

0 to 5 yrs

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24
Q

BOT2

A

4 to 21 yo

Motor function; challenging game like tests

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25
Bayley
1 to 42 months
26
TIMP
34 wks postconceptual to 4 months | Term is at least 37
27
GMFCS
CP - 5 levels Level 1 is more functional; level 5 is severely limited Level 5 - standing frame to have and wc for ALL ambulation
28
Balance grading - Poor
Can't maintain in sitting without external support or assistance
29
Balance grading - Fair
Can maintain in unsupported sitting; but CANNOT accept any challenge or go outside BOS
30
Balance grading - Good
Can sit unsupported, move in and out of BOS, Accept some challenge without loss of balance
31
Balance of grading - Normal
Can sit unsupported, Move in and out of BOS, accept max challenge without loss of balance
32
Rule of 9's - Head
9%
33
Rule of 9's - Each UE
9% | Just anterior UE would 4.5%
34
Rule of 9's - Trunk
36% total | 18% for ant, 18% for post
35
Rule of 9's - Each LE
18%
36
Rule of 9's - Genital area -
1%
37
Wheelchair guidelines - Width of doorway
32 inches
38
Wheelchair guidelines - Min width to turn 180 in chair
60 inches
39
Wheel axle position - for B amp to compensate for change in COG
aligned further posterior | Can lead to more energy needed for propulsion of chair!
40
Ramps - rules
Any ramp with more than 30 consecutive ft. of horizontal trim will require more than one section and a transitional landing area
41
Specificity
Prob of obtaining a TRUE NEG
42
Sensitivity
Prob of obtaining a TRU POS
43
Normal distribution graph | What percent are between mean and 1 SD
34% | mean and 2 SD 48% (34 + 13.5)
44
Normal distribution graph | What percent 1 SD above and below?
68% | 34 + 34
45
Brunnstrom's Stages of recovery
``` 1 - flaccid 2 - spasticity starts; weak synergy 3 - severe spasm, some volitional mvmnt 4 - dec spasticity, some isolated mvmnt 5 - more complete isolated mvmnt 6 - normal tone ```
46
Macular degeneration vs. Glaucoma
Macular degeneration - loss of central vision | Glaucoma - loss of peripheral vision first
47
Normal sensation is with what monofilament
4.17
48
Protective sensation is with what monofilament
5.07 (10 g ) can be felt
49
Primary OA - due to what
AGE
50
Power =
Amount of work divided by the time needed to perform the work
51
Work =
Force x distance
52
More power =
More weight in less time
53
Platelet count
150,000 to 400,000 | Below 20,000 can get severe bleeding
54
Fibromyalgia
TENDER points
55
Myofascial pain syndrome
TRIGGER points
56
Central cord syndrome
Caused by hyperextension | Loss of spinothalamic, corticospinal, and DCML
57
Anterior cord syndrome
Caused by compression to ant part of spinal cord (usually c flex cause) Loss of motor function (corticospinal) and pain/temp (lateral spinothalamic) below level of lesion
58
Posterior cord syndrome
Comp to post part of spinal cord Loss of proprioception, two point discrimination, and sterognosis
59
Brown Sequard's Syndrome
Usually stab wound Paralysis and loss of position sense on same side (corticospinal and DCML on SAME side) Loss of pain/temp on OPP (lateral spinothalamic)
60
Cauda Equina Syndrome
Injury below L1 PERIPHERAL nerve root injury LMN s/s
61
Moro
28 wks gestation to 5 months
62
Galant
30 wks gestation to 2 months
63
Plantar grasp
28 wks to 9 months
64
Landau
3 months to 2 yrs
65
STLR
Extension in supine, flexion in prone
66
STNR
Head flexed, UE flexed and LE extend
67
Bridging occurs when
5 months
68
Modified plantigrade occurs when
10-12 months
69
Quadruped occurs when
7-9 months
70
Ring sitting occurs when
5-7 months
71
Infant sit with hand support Objects to midline Hold bottle with two hands Roll to prone
6-7 months
72
Manipulate toys while in sitting Raise themselves supine to sit Pull to stand with support Transfer objects
8-9 months
73
Stand briefly w/o support Transition supine to sitting or quad Pull to stand through 1/2 kneel Pincer grip
10-11 months
74
``` Stand up through quad Use all diff sitting position Walk w/o support Creep up stairs Throw ball in sitting Mark paper with crayons ```
12-15 months
75
Median nerve
C5-C6 and C8-T1
76
Autonomic dysreflexia
Lesions above T6
77
EMG - normally innervated mm
Electrical silence while at rest (insertion activity will be there, but at rest there is silence)
78
EMG - spontaneous potentials indicates
Acutely denervated mm
79
EMG - polyphasic potentials indicated
denervated motor unit
80
EMG - occasional motor unit potentials indicates
neurapraxia
81
Mechanoreceptors
Discriminative sensations through DCML Ex - free nerve endings, Merkel, Ruffini, Meissner, pacinian, hair follicle endings Responsible for touch, pressure, itch, tickle, vibration, discriminative touch
82
Deep sensory receptors
Located in mm, tendon, joints Ex - GTOs, pacinian, mm spindles, Ruffini, free nerve endings, joint receptors Evaluate joint position sense, proprioception, mm tone, mvmnt
83
CVA - middle =
UE and face more than LE
84
Clonus - how to
Passive quick DF stretch but keep the gastroc on slack with partial knee flexion and quick DF
85
PNF - D1 ext command would be
Open your hand and push down and away from your body
86
PNF - D1 flex command would be
Close your hand and pull up and across your body
87
PNF - D2 ext command would be
Close your hand and pull down and across your body
88
PNF - D2 flex command would be
Open your hand and pull up and away from your body
89
Dyspraxia
Motor incoordination | Child would have trouble negotiating hallway
90
Lung volumes - TLC
VC + RV
91
Lung volumes - Vital Capacity
IRV + TV + ERV
92
Lung volumes - tidal volume is what percent
10%
93
Lung volumes - IRV is what percent of TLC
55-60%
94
Lung volumes - FRC is what percent of TLC
40%
95
Lung volumes - Residual volume is what percent of TLC
25%
96
Crackles
Inhalation! | Atelectasis, fibrosis, pulmonary edema
97
Wheezes
Expiration! | Asthma, COPD, aspiration
98
DIaphragmatic breathing
Weak diaphragm - position in reverse Trendelenberg
99
Causes of Resp Alkalosis | S/S of it
Hyperventilation (CO2 is low) | S/S = dizzy, syncope, tingling, numb, early tetany
100
Causes of Resp Acidosis | S/S of it
Hypoventilation (CO2 is high) | S/S = anxiety, restless, dyspnea, HA early on - later will see confusion, somnolence, coma
101
Causes of metabolic alkalosis | S/S of it
Bicarb ingestion, vomiting, diuretic, steroids, adrenal disease) - High HCO3 S/S weak, mental dullness, maybe early tetany
102
Causes of metabolic acidosis | S/S of it
Diabetic, lactic, uremic acidosis, prolonged diarrhea | S/S - secondary hyperventilation, nausea, lethargy, coma
103
Heart failure - R vs. L
``` R = associated with dependent edema L = associated with pulmonary edema, persistent cough, mm weakness ```

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